Medicaid Category of Service Spending
Service County: Capital District
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$102,926,651
$83,119,952
6,738
6,870
-
437,040
391,540
1,707,852
1,541,879
$235.51
$212.29
$15,275.55
$12,098.97
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$19,815,199
$22,235,605
5,276
5,263
-
552,217
586,336
4,397,793
4,301,934
$35.88
$37.92
$3,755.72
$4,224.89
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$29,917,491
$30,071,144
20,570
21,369
-
33,882
34,011
140,828
152,884
$882.99
$884.16
$1,391.45
$1,339.02
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$10,961,981
$12,308,862
51,467
52,504
-
384,878
416,721
447,120
494,189
$28.48
$29.54
$210.79
$231.57
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$16,172,302
$12,904,128
17,472
16,228
-
111,873
100,196
111,873
100,196
$144.56
$128.79
$925.61
$795.18
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$61,225,605
$50,912,358
112,473
102,110
-
789,516
724,365
789,516
724,365
$77.55
$70.29
$544.36
$498.60
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$46,352,731
$49,866,525
129,034
120,428
2,902,834
3,073,867
11,123,111
8,005,611
$15.97
$16.22
$141.88
$155.62
$235.20
$263.80
Other State Agency / MD
April - December 2011
April - December 2010
$87,249,804
$86,347,875
16,647
13,792
-
760,718
700,653
2,610,666
2,458,818
$114.69
$123.24
$5,241.17
$6,260.72
$0.00
$0.00
$8,502,636
$9,088,576
46,633
47,916
-
335,689
367,736
444,310
485,720
$25.33
$24.71
$175.14
$181.82
$0.00
$0.00
6,308,647
6,395,425
21,773,069
18,265,596
$60.73
$55.80
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
121,462
120,070
Totals
Total: Capital District 2011
Total: Capital District 2010
$383,124,400
$356,855,025
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$67,005,081
$62,424,443
4,906
5,115
-
381,447
245,458
1,094,401
1,085,674
$175.66
$254.32
$13,657.78
$12,204.19
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$12,377,626
$12,975,359
3,797
4,466
-
329,362
348,431
2,637,842
2,612,199
$37.58
$37.24
$3,259.84
$2,905.36
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$24,069,520
$21,264,013
16,637
17,082
-
21,838
22,422
107,249
94,714
$1,102.19
$948.35
$1,361.41
$1,163.55
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$8,918,342
$8,310,989
45,428
50,708
-
363,062
351,584
423,820
417,121
$24.56
$23.64
$192.38
$160.49
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$14,931,245
$13,077,551
16,563
16,824
-
104,206
93,604
104,206
93,604
$143.29
$139.71
$901.48
$777.32
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$58,843,620
$45,531,580
106,762
89,906
-
785,418
626,486
785,418
626,486
$74.92
$72.68
$551.17
$506.44
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$34,651,519
$37,307,403
112,388
107,766
2,370,113
2,548,344
4,662,011
4,375,496
$14.62
$14.64
$122.26
$130.87
$204.33
$225.83
Other State Agency / MD
April - December 2011
April - December 2010
$39,784,974
$41,328,553
9,073
8,119
-
489,528
420,975
2,022,188
1,776,934
$81.27
$98.17
$4,384.99
$5,090.35
$0.00
$0.00
$7,513,488
$8,684,498
38,642
44,814
-
262,887
253,663
303,976
346,830
$28.58
$34.24
$185.19
$183.72
$0.00
$0.00
5,107,861
4,910,967
12,141,110
11,429,057
$52.49
$51.09
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
104,216
104,376
Totals
Total: Central 2011
Total: Central 2010
$268,095,415
$250,904,389
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$125,810,358
$106,886,356
8,126
8,229
-
332,057
327,278
1,762,793
1,725,486
$378.88
$326.59
$15,482.45
$12,988.98
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$32,007,413
$37,326,256
7,150
6,976
-
706,730
741,193
3,817,112
4,116,674
$45.29
$50.36
$4,476.56
$5,350.67
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$32,794,846
$32,331,446
22,447
22,053
-
28,403
26,849
119,011
112,420
$1,154.63
$1,204.20
$1,374.77
$1,370.26
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$10,847,080
$13,044,232
78,098
75,723
-
493,091
529,813
1,070,016
604,648
$22.00
$24.62
$138.25
$170.63
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$19,403,670
$16,088,837
21,239
24,961
-
133,934
122,472
133,934
122,472
$144.87
$131.37
$913.59
$644.56
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$84,676,180
$71,249,308
150,105
147,927
-
1,095,168
995,959
1,095,168
995,959
$77.32
$71.54
$564.11
$481.65
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$49,732,445
$53,805,806
135,268
128,965
3,216,930
3,480,951
6,612,316
6,371,212
$15.46
$15.46
$159.18
$163.09
$204.69
$233.49
Other State Agency / MD
April - December 2011
April - December 2010
$76,537,779
$78,672,219
20,201
15,663
-
871,910
737,164
2,900,632
2,626,338
$87.78
$106.72
$3,788.81
$5,022.81
$0.00
$0.00
Outpatient/Emergency Room
April - December 2011
April - December 2010
$16,275,122
$17,475,372
88,577
86,191
-
640,848
632,099
703,088
693,017
$25.40
$27.65
$174.60
$191.37
$0.00
$0.00
7,519,071
7,593,778
18,214,070
17,368,225
$59.59
$56.21
N/A
N/A
N/A
N/A
139,513
141,779
Totals
Total: Finger Lakes 2011
Total: Finger Lakes 2010
$448,084,893
$426,879,832
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$314,086,073
$316,296,639
17,300
17,902
-
993,309
987,244
3,585,064
3,684,106
$316.20
$320.38
$18,155.26
$17,668.23
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$114,942,249
$118,842,395
14,839
14,618
-
2,126,798
2,096,132
25,442,612
24,523,033
$54.04
$56.70
$7,745.96
$8,129.87
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$82,720,629
$73,635,488
49,616
50,781
-
65,410
66,031
291,471
294,139
$1,264.65
$1,115.17
$1,576.74
$1,363.19
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$19,961,943
$21,124,988
44,974
49,936
-
601,585
624,081
899,485
1,093,363
$33.18
$33.85
$440.95
$419.51
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$70,001,104
$49,792,843
50,985
44,607
-
358,328
283,217
358,328
283,217
$195.35
$175.81
$1,372.97
$1,116.26
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$186,635,772
$137,948,406
235,915
210,273
-
1,792,500
1,508,746
1,792,500
1,508,746
$104.12
$91.43
$791.11
$656.04
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$135,412,868
$147,780,882
260,379
266,844
6,333,799
6,795,270
27,729,906
29,595,089
$21.38
$21.75
$186.27
$201.25
$335.92
$374.93
Other State Agency / MD
April - December 2011
April - December 2010
$196,002,323
$190,105,143
26,361
24,305
-
1,293,992
1,205,710
4,836,793
4,624,408
$151.47
$157.67
$7,435.31
$7,821.65
$0.00
$0.00
$12,820,573
$13,275,183
56,313
58,115
-
292,380
311,476
418,299
469,838
$43.85
$42.62
$217.22
$217.27
$0.00
$0.00
13,858,101
13,877,907
65,354,458
66,075,940
$81.73
$77.01
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
264,711
255,573
Totals
Total: Long Island 2011
Total: Long Island 2010
$1,132,583,534
$1,068,801,967
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$255,233,526
$212,257,500
13,942
14,624
-
618,393
618,685
2,898,286
2,801,234
$412.74
$343.08
$18,306.81
$14,514.33
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$81,789,271
$86,116,557
11,732
11,997
-
1,624,811
1,640,766
8,314,236
8,266,450
$50.34
$52.49
$6,971.47
$7,178.17
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$91,384,786
$87,160,214
33,615
36,128
-
53,871
57,564
351,523
349,296
$1,696.36
$1,514.14
$2,584.18
$2,273.84
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$40,119,495
$36,912,370
156,097
135,847
-
1,206,451
1,158,274
1,421,228
1,561,445
$33.25
$31.87
$249.39
$264.95
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$48,931,195
$38,895,686
40,560
38,277
-
269,744
230,301
269,744
230,301
$181.40
$168.89
$1,206.39
$1,016.16
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$175,179,820
$144,800,438
257,401
240,514
-
1,932,321
1,746,271
1,932,321
1,746,271
$90.66
$82.92
$680.57
$602.05
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$104,942,229
$110,455,242
293,431
297,665
6,275,984
6,604,223
30,617,222
31,358,927
$16.72
$16.72
$154.48
$154.08
$237.87
$255.82
Other State Agency / MD
April - December 2011
April - December 2010
$210,223,728
$208,246,187
26,710
25,022
-
1,390,965
1,359,345
5,896,522
6,118,523
$151.14
$153.20
$7,870.60
$8,322.52
$0.00
$0.00
$17,916,158
$20,575,519
59,781
64,181
-
521,556
543,790
684,390
745,421
$34.35
$37.84
$286.08
$304.39
$0.00
$0.00
13,894,096
13,959,219
52,385,470
53,177,867
$73.82
$67.73
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
255,186
255,954
Totals
Total: Mid-Hudson 2011
Total: Mid-Hudson 2010
$1,025,720,208
$945,419,713
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$60,665,778
$54,981,261
4,532
4,619
-
240,349
236,730
994,233
980,380
$252.41
$232.25
$13,386.09
$11,903.28
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$8,718,441
$10,583,960
3,028
3,084
-
284,766
317,725
1,139,554
1,271,314
$30.62
$33.31
$2,879.27
$3,431.89
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$8,269,896
$8,235,395
9,613
10,842
-
11,233
13,096
28,547
34,710
$736.21
$628.85
$814.43
$716.31
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$4,782,451
$4,534,518
24,928
28,557
-
157,189
156,748
205,547
207,748
$30.42
$28.93
$191.66
$158.73
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$12,348,537
$10,823,146
13,168
13,846
-
86,441
77,741
86,441
77,741
$142.86
$139.22
$937.77
$781.68
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$41,247,657
$32,889,779
75,487
71,349
-
555,099
490,960
555,099
490,960
$74.31
$66.99
$546.42
$460.97
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$22,800,793
$25,442,640
89,457
83,213
77,260
79,166
1,543,555
1,707,947
3,763,947
3,486,470
$14.77
$14.90
$75.26
$84.54
$211.86
$236.10
Other State Agency / MD
April - December 2011
April - December 2010
$69,142,729
$71,607,966
10,722
8,194
-
613,738
558,876
2,160,551
2,068,473
$112.66
$128.13
$6,448.68
$8,739.07
$0.00
$0.00
$6,410,575
$7,060,080
39,865
42,367
-
211,161
236,593
256,573
302,834
$30.36
$29.84
$153.41
$158.13
$0.00
$0.00
3,703,531
3,796,416
9,190,492
8,920,629
$63.29
$59.57
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
Totals
Total: Mohawk Valley 2011
Total: Mohawk Valley 2010
$234,386,857
$226,158,745
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$1,040,354,603
$1,035,546,726
56,929
58,578
-
3,227,404
3,211,165
10,730,193
10,945,089
$322.35
$322.48
$18,274.60
$17,678.08
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$985,605,563
$1,154,086,544
105,410
107,939
-
17,804,037
19,224,845
131,865,750
149,613,029
$55.36
$60.03
$9,350.21
$10,692.03
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$807,132,166
$858,216,076
355,263
368,792
-
488,606
509,370
2,171,648
2,309,400
$1,651.91
$1,684.86
$2,135.25
$2,171.02
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$189,991,881
$208,086,301
561,628
574,063
-
6,147,846
6,357,978
7,277,763
9,185,140
$30.90
$32.73
$329.32
$352.75
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$373,289,934
$317,030,434
383,542
367,323
-
2,505,165
2,419,043
2,505,165
2,419,043
$149.01
$131.06
$973.27
$863.08
$0.00
$0.00
$2,144,565,847
$1,705,140,546
2,530,904
2,432,019
-
19,607,420
19,143,242
19,607,420
19,143,242
$109.38
$89.07
$847.35
$701.12
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$824,292,568
$951,651,753
1,096,002
1,074,066
48,629,132
55,233,580
126,662,719
129,788,986
$16.95
$17.23
$222.22
$247.97
$286.47
$322.76
Other State Agency / MD
April - December 2011
April - December 2010
$501,413,172
$479,693,093
116,066
124,571
-
3,308,210
3,145,259
15,682,612
15,003,602
$151.57
$152.51
$4,320.07
$3,850.76
$0.00
$0.00
Outpatient/Emergency Room
April - December 2011
April - December 2010
$154,280,006
$175,400,297
581,612
621,553
-
4,106,528
4,105,404
33,927,763
6,395,811
$37.57
$42.72
$251.01
$265.65
$0.00
$0.00
105,824,348
113,349,886
350,431,032
344,803,343
$66.35
$60.74
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - December 2011
April - December 2010
2,070,774
2,155,555
Totals
Total: New York City 2011
Total: New York City 2010
$7,020,925,740
$6,884,851,770
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
$50,115,569
$49,051,750
2,072
2,094
-
54,626
57,894
Non-Institutional LTC
April - December 2011
April - December 2010
-$5,157
-$14,016
68
79
-
172
81
Inpatient
April - December 2011
April - December 2010
$9,648,521
$9,245,593
3,781
4,276
-
Clinic
April - December 2011
April - December 2010
$74,948
$108,915
573
872
-
Non-Institutional
April - December 2011
April - December 2010
$32,122,456
$32,371,498
190,884
199,913
$64,862
$101,653
132
117
$1,128,421
$1,164,151
11,537
12,910
Other State Agency / MD
April - December 2011
April - December 2010
Outpatient/Emergency Room
April - December 2011
April - December 2010
Medicaid Units Of
Service
$854.86
$913.94
$24,187.05
$23,424.90
$0.00
$0.00
137
(1,284)
-$307.17
-$20.12
-$75.84
-$177.42
$0.00
$0.00
4,474
5,026
21,236
21,164
$1,803.89
$1,978.86
$2,551.84
$2,162.24
$0.00
$0.00
2,329
3,749
13,356
26,623
$28.85
$31.26
$130.80
$124.90
$0.00
$0.00
1,241,548
1,311,653
11,896,685
9,424,639
$24.46
$26.68
$58.64
$58.83
$1,605.23
$1,850.84
-
985
1,045
985
1,306
$98.78
$65.85
$491.38
$868.83
$0.00
$0.00
-
28,523
33,763
38,660
46,265
$34.27
$39.18
$97.80
$90.14
$0.00
$0.00
1,332,657
1,413,211
12,440,376
9,994,457
$69.90
$65.12
N/A
N/A
N/A
N/A
13,613
11,579
469,316
475,745
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
Totals
Total: No Svc Cty/OOS 2011
Total: No Svc Cty/OOS 2010
$93,149,620
$92,029,544
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$36,784,455
$33,365,640
2,779
2,933
-
113,602
105,705
567,357
598,236
$323.80
$315.65
$13,236.58
$11,375.94
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$9,132,311
$10,076,461
3,050
3,069
-
318,501
334,814
1,783,013
1,882,560
$28.67
$30.10
$2,994.20
$3,283.30
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$12,196,319
$11,016,216
8,300
9,134
-
15,551
15,899
58,859
61,497
$784.28
$692.89
$1,398.79
$1,142.93
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$3,554,597
$4,006,442
24,644
25,907
-
136,577
136,214
145,268
155,953
$26.03
$29.41
$144.04
$154.03
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$8,791,815
$8,275,537
9,436
10,110
-
60,028
53,806
60,028
53,806
$146.46
$153.80
$931.73
$818.55
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$4,636,098
$1,683,191
11,397
3,871
-
63,214
23,595
63,214
23,595
$73.34
$71.34
$406.78
$434.82
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$22,848,910
$24,105,878
75,830
75,322
58,699
56,870
1,532,525
1,588,368
2,351,762
2,463,506
$14.91
$15.18
$112.63
$123.92
$247.66
$263.66
Other State Agency / MD
April - December 2011
April - December 2010
$43,955,990
$47,089,334
7,517
6,377
-
415,227
368,146
1,570,349
1,553,829
$105.86
$127.91
$5,847.54
$7,384.25
$0.00
$0.00
$8,153,475
$8,277,633
42,625
43,712
-
231,809
258,740
279,438
284,579
$35.17
$31.99
$181.93
$179.75
$0.00
$0.00
2,887,034
2,885,287
6,879,288
7,077,560
$51.98
$51.26
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
Totals
Total: North Country 2011
Total: North Country 2010
$150,053,970
$147,896,332
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$65,701,284
$58,782,616
4,746
4,895
-
120,143
122,993
1,025,589
1,031,053
$546.86
$477.93
$13,843.51
$12,008.71
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$9,426,362
$9,906,496
3,894
5,926
-
277,811
309,147
2,020,984
1,880,833
$33.93
$32.04
$2,420.74
$1,671.70
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$13,239,612
$12,934,471
10,754
12,050
-
12,520
14,277
48,195
55,970
$1,057.48
$905.97
$1,157.15
$1,002.30
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$4,692,261
$5,323,568
21,311
22,232
-
178,558
190,413
228,390
253,993
$26.28
$27.96
$219.99
$239.29
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$12,746,623
$11,701,943
13,516
14,429
-
84,408
77,468
84,408
77,468
$151.01
$151.06
$943.08
$811.00
$0.00
$0.00
Medicaid Managed Care
April - December 2011
April - December 2010
$21,626,453
$17,320,589
55,615
50,689
-
373,807
342,189
373,807
342,189
$57.85
$50.62
$388.86
$341.70
$0.00
$0.00
Non-Institutional
April - December 2011
April - December 2010
$30,720,880
$33,211,892
109,054
104,601
85,938
86,745
1,989,249
2,123,179
3,058,652
2,932,901
$15.44
$15.64
$110.33
$124.59
$221.11
$235.90
Other State Agency / MD
April - December 2011
April - December 2010
$40,307,329
$41,054,713
10,412
8,107
-
369,103
286,134
1,146,997
1,066,879
$109.20
$143.48
$3,871.24
$5,064.11
$0.00
$0.00
$8,262,577
$9,025,820
52,452
55,243
-
252,633
285,383
333,382
372,436
$32.71
$31.63
$149.55
$155.27
$0.00
$0.00
3,658,232
3,751,183
8,320,404
8,013,722
$56.51
$53.12
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - December 2011
April - December 2010
Totals
Total: Southern Tier 2011
Total: Southern Tier 2010
$206,723,381
$199,262,108
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - December 2011
Category of Service
Nursing Homes
April - December 2011
April - December 2010
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
Medicaid Units Of
Service
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
$120,928,434
$122,439,004
9,347
9,983
-
329,872
333,170
1,988,705
2,018,865
$366.59
$367.50
$12,937.67
$12,264.75
$0.00
$0.00
Non-Institutional LTC
April - December 2011
April - December 2010
$18,990,288
$20,699,868
6,175
6,802
-
549,357
598,673
2,859,104
3,144,714
$34.57
$34.58
$3,075.35
$3,043.20
$0.00
$0.00
Inpatient
April - December 2011
April - December 2010
$33,683,464
$31,334,895
26,090
28,716
-
32,642
36,675
149,911
166,964
$1,031.91
$854.39
$1,219.02
$1,023.88
$0.00
$0.00
Clinic
April - December 2011
April - December 2010
$15,833,163
$15,684,400
64,904
64,013
-
608,181
614,769
5,923,416
969,202
$26.03
$25.51
$242.14
$243.39
$0.00
$0.00
Family Health Plus
April - December 2011
April - December 2010
$26,677,513
$22,239,554
29,332
27,160
-
184,008
165,794
184,008
165,794
$144.98
$134.14
$909.50
$818.83
$0.00
$0.00
$113,559,996
$91,298,211
200,148
189,062
-
1,513,656
1,381,596
1,513,656
1,381,596
$75.02
$66.08
$567.38
$482.90
$0.00
$0.00
$66,789,919
$74,412,242
167,689
169,640
4,222,478
4,702,294
8,219,313
8,430,744
$15.82
$15.82
$144.71
$155.58
$241.19
$267.75
$104,185,529
$98,959,831
21,424
14,844
-
1,112,515
877,671
3,124,142
2,723,073
$93.65
$112.75
$4,863.03
$6,666.66
$0.00
$0.00
$11,084,365
$12,533,277
73,107
76,569
-
439,966
431,896
477,024
493,448
$25.19
$29.02
$144.24
$155.20
$0.00
$0.00
8,992,675
9,142,538
24,439,278
19,494,400
$56.91
$53.55
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - December 2011
April - December 2010
Non-Institutional
April - December 2011
April - December 2010
Other State Agency / MD
April - December 2011
April - December 2010
Outpatient/Emergency Room
April - December 2011
April - December 2010
179,424
181,895
Totals
Total: Western 2011
Total: Western 2010
$511,732,671
$489,601,282
N/A
N/A
N/A
N/A