Medicaid Category of Service Spending
Service County: Capital District
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$89,999,889
$111,303,893
7,004
6,913
-
413,994
475,888
1,672,803
1,882,448
$217.39
$233.89
$12,849.78
$16,100.66
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$24,353,512
$20,298,285
5,414
5,406
-
642,389
606,442
4,712,335
4,865,761
$37.91
$33.47
$4,498.25
$3,754.77
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$32,846,379
$33,260,380
22,780
22,023
-
37,229
36,692
165,856
152,787
$882.28
$906.47
$1,372.33
$1,442.51
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$13,268,680
$12,116,336
54,920
53,994
-
454,586
425,895
536,779
493,532
$29.19
$28.45
$238.56
$222.08
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$14,804,841
$18,284,884
17,148
17,975
-
115,108
124,356
115,108
124,356
$128.62
$147.04
$863.36
$1,017.24
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$59,219,522
$69,317,771
106,570
115,461
-
853,853
881,416
853,853
881,416
$69.36
$78.64
$555.69
$600.36
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$54,543,036
$48,925,030
125,659
134,716
3,366,702
3,099,671
8,755,882
12,183,327
$16.20
$15.78
$161.27
$147.07
$278.81
$240.38
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$93,525,606
$96,675,060
14,305
17,000
-
753,672
854,496
2,675,015
2,878,550
$124.09
$113.14
$6,537.97
$5,686.77
$0.00
$0.00
$9,922,438
$9,376,139
50,045
48,736
-
394,858
365,162
518,296
482,909
$25.13
$25.68
$189.81
$184.85
$0.00
$0.00
7,032,391
6,870,018
20,005,928
23,945,085
$55.81
$61.07
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
124,957
123,422
Totals
Total: Capital District 2010-11
Total: Capital District 2011-12
$392,483,903
$419,557,778
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$69,662,985
$73,868,529
5,241
5,036
-
272,455
426,464
1,189,637
1,217,573
$255.69
$173.21
$13,291.93
$14,668.10
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$14,272,681
$12,856,397
4,667
3,882
-
380,819
360,208
2,863,160
2,903,978
$37.48
$35.69
$3,058.21
$3,311.80
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$23,058,605
$25,902,614
18,270
17,860
-
24,196
23,660
101,980
115,894
$952.99
$1,094.79
$1,179.07
$1,364.11
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$8,961,309
$9,745,500
52,234
47,405
-
380,850
400,509
452,596
469,745
$23.53
$24.33
$167.95
$201.42
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$14,549,589
$16,833,237
17,378
17,018
-
104,199
115,646
104,199
115,646
$139.63
$145.56
$837.24
$989.14
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$50,720,973
$66,683,120
92,589
109,312
-
698,649
875,454
698,649
875,454
$72.60
$76.17
$547.81
$610.03
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$40,866,038
$36,420,795
112,649
117,638
2,787,762
2,516,657
4,760,704
5,116,497
$14.66
$14.47
$136.19
$126.96
$240.30
$207.19
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$44,748,655
$44,474,858
8,237
9,943
-
452,815
547,977
1,921,119
2,244,050
$98.82
$81.16
$5,432.64
$4,472.98
$0.00
$0.00
$9,455,716
$8,354,234
47,144
40,454
-
274,628
287,744
374,274
330,223
$34.43
$29.03
$190.00
$196.84
$0.00
$0.00
5,376,373
5,554,319
12,466,316
13,389,060
$51.39
$53.14
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
107,762
105,535
Totals
Total: Central 2010-11
Total: Central 2011-12
$276,296,551
$295,139,284
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$117,475,394
$137,035,678
8,418
8,346
-
362,544
366,811
1,901,780
1,957,689
$324.03
$373.59
$13,955.26
$16,419.32
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$40,778,123
$31,276,765
7,190
7,336
-
808,441
778,945
4,480,600
4,237,748
$50.44
$40.15
$5,671.51
$4,263.46
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$35,344,798
$35,929,102
23,541
23,990
-
29,104
30,692
123,158
131,174
$1,214.43
$1,170.63
$1,404.29
$1,409.84
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$14,224,543
$12,146,707
78,676
82,775
-
578,195
545,729
658,510
1,236,927
$24.60
$22.26
$179.06
$145.94
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$17,964,963
$21,940,127
25,640
21,903
-
136,137
148,965
136,137
148,965
$131.96
$147.28
$700.66
$1,001.70
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$80,156,013
$96,705,262
150,848
153,188
-
1,112,256
1,221,400
1,112,256
1,221,400
$72.07
$79.18
$531.37
$631.28
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$58,926,861
$52,465,853
134,627
141,252
3,816,420
3,411,691
6,952,341
7,243,977
$15.44
$15.38
$170.62
$165.91
$248.56
$208.25
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$83,649,947
$83,350,468
15,879
20,997
-
788,620
994,293
2,798,728
3,212,100
$106.07
$83.83
$5,267.96
$3,969.64
$0.00
$0.00
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
$18,730,438
$17,650,310
89,155
91,554
-
685,648
690,068
756,996
753,147
$27.32
$25.58
$198.31
$183.19
$0.00
$0.00
8,317,365
8,188,594
18,920,506
20,143,127
$56.18
$59.66
N/A
N/A
N/A
N/A
145,977
141,107
Totals
Total: Finger Lakes 2010-11
Total: Finger Lakes 2011-12
$467,251,080
$488,500,272
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$347,712,441
$346,908,506
18,397
17,726
-
1,081,704
1,093,717
4,046,145
3,961,406
$321.45
$317.18
$18,900.50
$19,570.60
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$130,252,182
$118,453,098
14,939
15,178
-
2,282,139
2,341,613
26,870,302
27,959,907
$57.07
$50.59
$8,718.94
$7,804.26
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$80,993,447
$93,214,666
54,503
53,311
-
71,854
71,221
320,436
318,311
$1,127.19
$1,308.81
$1,396.89
$1,651.59
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$23,005,475
$21,904,308
51,676
47,047
-
679,271
661,618
1,184,206
971,517
$33.87
$33.11
$441.53
$462.63
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$54,658,020
$77,935,435
46,210
52,443
-
311,183
395,316
311,183
395,316
$175.65
$197.15
$1,182.82
$1,486.10
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$150,540,902
$207,827,317
215,697
242,352
-
1,647,261
1,967,426
1,647,261
1,967,426
$91.39
$105.63
$697.93
$857.54
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$162,107,442
$143,207,133
279,478
270,972
7,453,529
6,774,756
32,461,771
30,161,262
$21.75
$21.14
$208.66
$194.77
$396.69
$344.71
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$204,388,576
$214,345,350
24,582
27,102
-
1,302,255
1,446,553
4,875,937
5,347,337
$156.95
$148.18
$8,314.56
$7,908.84
$0.00
$0.00
$14,223,234
$14,067,475
61,374
59,210
-
337,189
318,780
505,965
450,645
$42.18
$44.13
$220.31
$226.81
$0.00
$0.00
15,166,385
15,071,000
72,223,206
71,533,127
$77.00
$82.14
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
266,138
268,330
Totals
Total: Long Island 2010-11
Total: Long Island 2011-12
$1,167,881,719
$1,237,863,288
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$233,477,126
$279,117,389
14,939
14,336
-
674,967
684,375
3,068,360
3,207,955
$345.91
$407.84
$15,628.70
$19,469.68
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$94,288,443
$83,532,986
12,272
12,075
-
1,794,747
1,787,434
9,065,253
9,227,098
$52.54
$46.73
$7,683.22
$6,917.85
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$94,740,326
$104,906,616
38,522
36,282
-
62,242
59,044
376,189
386,567
$1,522.13
$1,776.75
$2,318.41
$2,741.95
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$39,733,855
$44,032,781
141,002
162,468
-
1,255,014
1,334,985
1,692,813
1,549,810
$31.66
$32.98
$274.65
$263.07
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$42,940,785
$55,098,614
39,469
41,680
-
254,552
300,347
254,552
300,347
$168.69
$183.45
$1,087.96
$1,321.94
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$159,544,468
$197,463,795
245,421
264,021
-
1,924,034
2,153,211
1,924,034
2,153,211
$82.92
$91.71
$650.08
$747.91
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$120,981,795
$110,710,085
312,005
309,756
7,227,245
6,723,727
34,286,555
33,615,434
$16.74
$16.47
$159.90
$158.68
$270.97
$243.06
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$226,161,518
$231,209,952
25,390
27,346
-
1,462,557
1,540,546
6,623,316
6,524,218
$154.63
$150.08
$8,907.50
$8,454.98
$0.00
$0.00
$22,096,320
$20,299,033
67,036
62,977
-
583,775
581,597
800,183
756,966
$37.85
$34.90
$312.79
$308.12
$0.00
$0.00
15,239,133
15,165,266
58,091,254
57,721,604
$67.85
$74.27
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
265,612
257,896
Totals
Total: Mid-Hudson 2010-11
Total: Mid-Hudson 2011-12
$1,033,964,636
$1,126,371,251
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$59,556,337
$65,941,612
4,718
4,647
-
258,029
264,460
1,064,472
1,092,258
$230.81
$249.34
$12,623.22
$14,190.15
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$11,625,175
$8,053,763
3,145
3,130
-
347,073
312,960
1,389,175
1,238,465
$33.49
$25.73
$3,696.40
$2,573.09
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$9,012,205
$9,012,457
11,580
10,460
-
14,147
12,395
37,730
32,141
$637.04
$727.10
$733.90
$814.79
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$4,966,966
$5,215,885
29,493
25,737
-
171,696
171,450
226,753
224,944
$28.93
$30.42
$168.35
$202.44
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$12,142,502
$13,874,266
14,316
13,518
-
87,204
95,652
87,204
95,652
$139.24
$145.05
$848.18
$1,026.35
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$36,975,654
$46,751,284
73,462
77,264
-
551,231
617,834
551,231
617,834
$67.08
$75.67
$503.33
$605.08
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$27,829,409
$23,870,334
86,923
94,581
81,732
78,097
1,866,763
1,638,051
3,817,305
4,125,483
$14.91
$14.57
$87.20
$77.82
$251.23
$215.31
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$76,800,461
$76,381,453
8,271
11,045
-
597,323
681,226
2,204,575
2,387,880
$128.57
$112.12
$9,285.51
$6,915.48
$0.00
$0.00
$7,342,192
$6,988,655
43,891
41,463
-
254,922
228,426
325,048
275,941
$28.80
$30.59
$158.69
$160.87
$0.00
$0.00
4,148,388
4,022,454
9,703,494
10,090,597
$59.36
$63.67
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
Totals
Total: Mohawk Valley 2010-11
Total: Mohawk Valley 2011-12
$246,250,901
$256,089,709
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$1,139,386,726
$1,147,518,420
60,058
58,382
-
3,482,851
3,551,378
11,939,853
11,829,278
$327.14
$323.12
$18,971.44
$19,655.35
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$1,258,205,828
$1,028,175,944
109,890
107,552
-
20,964,077
19,455,830
163,160,979
143,343,754
$60.02
$52.85
$11,449.68
$9,559.80
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$931,053,613
$912,899,884
395,102
384,621
-
553,431
537,338
2,512,868
2,387,485
$1,682.33
$1,698.93
$2,197.92
$2,228.49
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$223,824,642
$210,056,530
593,067
586,068
-
6,874,973
6,834,750
9,902,732
7,905,975
$32.56
$30.73
$367.25
$348.94
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$345,561,649
$419,064,344
377,787
396,714
-
2,638,743
2,765,096
2,638,743
2,765,096
$130.96
$151.56
$914.70
$1,056.34
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$1,871,035,163
$2,404,901,451
2,473,258
2,586,693
-
20,932,285
21,588,688
20,932,285
21,588,688
$89.39
$111.40
$756.51
$929.72
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$1,039,681,844
$854,865,861
1,116,105
1,143,549
60,412,396
51,226,337
141,536,365
137,888,455
$17.21
$16.69
$257.96
$231.31
$343.06
$289.28
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$519,759,120
$562,649,734
125,530
145,626
-
3,412,944
3,711,569
16,392,807
17,358,881
$152.29
$151.59
$4,140.52
$3,863.66
$0.00
$0.00
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
$185,993,236
$171,408,304
648,333
611,563
-
4,455,071
4,599,257
6,831,871
37,729,152
$41.75
$37.27
$269.96
$265.48
$0.00
$0.00
123,726,771
114,270,243
375,848,503
382,796,764
$60.73
$67.49
N/A
N/A
N/A
N/A
2,221,133
2,083,610
Totals
Total: New York City 2010-11
Total: New York City 2011-12
$7,514,501,821
$7,711,540,472
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
$54,279,786
$55,773,959
2,128
2,091
-
63,981
60,802
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
-$13,555
-$8,381
89
75
-
113
163
Inpatient
April - January 2010-2011
April - January 2011-2012
$10,371,908
$10,273,553
4,608
4,052
-
Clinic
April - January 2010-2011
April - January 2011-2012
$112,443
$77,777
884
586
-
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$35,399,644
$34,721,378
209,284
202,875
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$104,372
$71,225
117
132
$1,265,622
$1,222,039
13,660
12,235
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
Medicaid Units Of
Service
$854.86
$913.94
$25,507.42
$26,673.34
$0.00
$0.00
(1,235)
(40)
-$307.17
-$20.12
-$152.30
-$111.75
$0.00
$0.00
5,468
4,801
23,062
22,773
$1,803.89
$1,978.86
$2,250.88
$2,535.43
$0.00
$0.00
3,937
2,508
29,335
13,616
$28.85
$31.26
$127.20
$132.73
$0.00
$0.00
1,409,469
1,355,478
10,163,471
12,895,583
$24.46
$26.68
$60.61
$60.43
$1,954.43
$1,669.19
-
1,088
1,082
1,349
1,082
$98.78
$65.85
$892.07
$539.58
$0.00
$0.00
-
36,664
30,824
49,821
41,663
$34.27
$39.18
$92.62
$99.87
$0.00
$0.00
1,520,720
1,455,658
10,790,388
13,492,926
$66.76
$70.16
N/A
N/A
N/A
N/A
12,070
14,035
524,585
518,248
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
Totals
Total: No Svc Cty/OOS 2010-11
Total: No Svc Cty/OOS 2011-12
$101,520,220
$102,131,550
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$38,023,027
$39,922,063
3,008
2,834
-
115,071
125,126
660,608
627,756
$330.43
$319.05
$12,640.63
$14,086.83
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$10,992,301
$9,218,612
3,158
3,140
-
365,191
347,262
2,052,320
1,945,921
$30.10
$26.55
$3,480.78
$2,935.86
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$12,265,640
$13,553,484
9,817
8,957
-
17,360
16,913
67,093
64,827
$706.55
$801.36
$1,185.20
$1,439.64
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$4,414,223
$3,903,566
27,132
25,676
-
149,302
148,890
173,046
158,908
$29.57
$26.22
$162.05
$151.83
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$8,915,283
$9,798,704
10,394
9,718
-
58,065
66,011
58,065
66,011
$153.54
$148.44
$857.73
$1,008.30
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$1,903,567
$5,493,649
4,202
12,181
-
26,726
73,483
26,726
73,483
$71.23
$74.76
$453.01
$451.00
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$26,382,384
$24,744,048
78,566
78,263
58,737
60,042
1,740,159
1,663,438
2,675,212
2,600,999
$15.16
$14.88
$129.11
$119.14
$280.25
$260.64
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$50,515,178
$48,865,060
6,430
7,724
-
390,509
464,923
1,658,829
1,744,324
$129.36
$105.10
$7,856.17
$6,326.39
$0.00
$0.00
$9,015,439
$9,107,736
45,280
44,424
-
279,582
254,667
310,467
309,995
$32.25
$35.76
$188.88
$195.16
$0.00
$0.00
3,141,965
3,160,713
7,682,366
7,592,224
$51.70
$52.08
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
Totals
Total: North Country 2010-11
Total: North Country 2011-12
$162,427,042
$164,606,922
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$64,262,856
$71,432,267
5,024
4,855
-
134,050
131,795
1,131,156
1,128,982
$479.39
$542.00
$12,791.17
$14,713.13
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$10,853,696
$9,660,599
6,017
4,016
-
332,478
306,101
2,054,473
2,215,448
$32.64
$31.56
$1,803.84
$2,405.53
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$14,043,886
$14,454,447
13,015
11,721
-
15,606
13,765
60,936
52,451
$899.90
$1,050.09
$1,007.29
$1,158.90
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$5,735,383
$5,193,897
23,003
22,149
-
205,973
197,801
275,722
251,927
$27.85
$26.26
$249.15
$234.29
$0.00
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$12,877,231
$14,277,714
14,842
13,977
-
85,488
93,131
85,488
93,131
$150.63
$153.31
$867.62
$1,021.51
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$19,464,619
$24,688,100
51,783
57,140
-
375,287
412,450
375,287
412,450
$51.87
$59.86
$375.89
$432.06
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$36,212,948
$33,356,024
108,855
113,392
89,561
87,767
2,316,210
2,141,371
3,158,269
3,326,807
$15.63
$15.58
$128.74
$119.72
$251.07
$229.10
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$43,635,101
$44,538,235
8,185
10,614
-
307,923
413,399
1,161,006
1,285,854
$141.71
$107.74
$5,331.11
$4,196.18
$0.00
$0.00
$9,837,706
$9,290,396
57,375
55,130
-
309,101
279,715
401,906
393,102
$31.83
$33.21
$162.87
$160.15
$0.00
$0.00
4,082,116
3,989,528
8,704,243
9,160,152
$53.14
$56.87
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
Totals
Total: Southern Tier 2010-11
Total: Southern Tier 2011-12
$216,923,426
$226,891,679
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - January 2011-12
Category of Service
Nursing Homes
April - January 2010-2011
April - January 2011-2012
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
$135,652,149
$131,736,594
10,224
9,546
-
364,232
365,061
2,226,942
2,210,181
$372.43
$360.86
$13,268.01
$13,800.19
$0.00
$0.00
Non-Institutional LTC
April - January 2010-2011
April - January 2011-2012
$22,459,129
$20,184,803
6,943
6,338
-
650,644
600,963
3,418,299
3,148,731
$34.52
$33.59
$3,234.79
$3,184.73
$0.00
$0.00
Inpatient
April - January 2010-2011
April - January 2011-2012
$34,383,776
$38,217,337
30,848
28,449
-
39,742
35,995
181,831
167,413
$865.17
$1,061.74
$1,046.19
$1,267.82
$0.00
$0.00
Clinic
April - January 2010-2011
April - January 2011-2012
$16,811,881
$17,237,025
66,334
67,816
-
659,375
671,531
1,045,909
5,986,446
$25.50
$25.67
$251.74
$252.33
$0.00
Family Health Plus
April - January 2010-2011
April - January 2011-2012
$24,703,688
$30,042,771
28,196
30,310
-
184,253
204,002
184,253
204,002
$134.07
$147.27
$876.14
$991.18
$0.00
$0.00
Medicaid Managed Care
April - January 2010-2011
April - January 2011-2012
$102,576,302
$128,214,192
193,362
204,263
-
1,551,567
1,673,937
1,551,567
1,673,937
$66.11
$76.59
$530.49
$627.69
$0.00
$0.00
Non-Institutional
April - January 2010-2011
April - January 2011-2012
$81,532,103
$70,311,613
176,760
174,733
5,136,613
4,480,602
9,148,963
8,969,686
$15.87
$15.69
$160.88
$151.16
$286.67
$246.49
Other State Agency / MD
April - January 2010-2011
April - January 2011-2012
$107,353,392
$114,213,375
15,127
21,912
-
955,144
1,247,583
2,966,127
3,483,060
$112.39
$91.55
$7,096.81
$5,212.37
$0.00
$0.00
$13,324,316
$12,367,602
79,431
76,755
-
466,395
491,928
537,941
599,452
$28.57
$25.14
$158.90
$153.42
$0.00
$0.00
10,007,965
9,771,602
21,261,831
26,442,908
$53.84
$57.57
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - January 2010-2011
April - January 2011-2012
187,641
181,181
Totals
Total: Western 2010-11
Total: Western 2011-12
$538,796,736
$562,525,312
N/A
N/A
N/A
N/A