Medicaid Category of Service Spending
Service County: Capital District
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$98,624,073
$121,657,635
7,173
7,156
-
451,953
537,236
1,836,668
2,095,578
$218.22
$226.45
$13,749.35
$17,000.79
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$26,408,539
$22,986,544
5,542
5,570
-
702,086
670,537
5,141,859
5,432,868
$37.61
$34.28
$4,765.16
$4,126.85
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$35,424,751
$36,507,441
24,647
24,039
-
41,022
40,525
181,566
168,294
$863.55
$900.86
$1,372.99
$1,451.64
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$14,278,036
$13,047,766
57,131
56,302
-
496,416
463,018
582,521
536,296
$28.76
$28.18
$246.99
$229.28
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$16,213,771
$20,450,224
17,750
18,519
-
125,990
137,191
125,990
137,191
$128.69
$149.06
$913.45
$1,104.28
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$65,375,873
$78,149,650
109,029
118,825
-
934,918
977,353
934,918
977,353
$69.93
$79.96
$599.62
$657.69
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$59,620,629
$52,770,432
131,479
142,992
3,668,080
3,376,986
9,446,618
13,748,435
$16.25
$15.63
$168.32
$157.92
$295.13
$244.48
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$102,371,961
$107,359,945
14,532
17,481
-
829,438
966,439
2,934,955
3,220,858
$123.42
$111.09
$7,044.59
$6,141.52
$0.00
$0.00
$10,743,472
$10,401,924
52,178
51,614
-
428,848
404,815
559,211
531,926
$25.05
$25.70
$197.79
$193.79
$0.00
$0.00
7,678,751
7,574,100
21,744,306
26,848,798
$55.88
$61.17
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
128,988
125,805
Totals
Total: Capital District 2010-11
Total: Capital District 2011-12
$429,061,105
$463,331,561
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$76,077,356
$80,425,711
5,372
5,181
-
301,456
466,767
1,301,938
1,355,197
$252.37
$172.30
$14,161.83
$15,523.20
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$15,604,116
$14,798,929
4,804
4,027
-
414,480
406,814
3,129,143
3,281,116
$37.65
$36.38
$3,248.15
$3,674.93
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$22,762,967
$28,238,424
20,038
19,431
-
25,531
26,201
97,061
126,739
$891.58
$1,077.76
$1,060.28
$1,367.98
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$9,737,092
$10,566,434
53,861
49,084
-
410,407
437,895
486,049
516,259
$23.73
$24.13
$177.28
$210.92
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$15,636,846
$18,507,318
17,816
17,468
-
111,942
125,556
111,942
125,556
$139.69
$147.40
$877.69
$1,059.50
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$55,305,427
$74,243,725
94,363
111,701
-
759,662
957,982
759,662
957,982
$72.80
$77.50
$586.09
$664.66
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$44,908,501
$38,938,622
118,136
124,194
3,049,532
2,713,588
5,237,414
5,755,485
$14.73
$14.35
$142.75
$134.28
$255.18
$211.17
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$48,444,664
$48,833,391
8,371
10,184
-
493,260
602,893
2,089,568
2,470,455
$98.21
$81.00
$5,787.20
$4,795.11
$0.00
$0.00
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
$10,208,357
$9,215,514
49,037
42,594
-
299,023
316,064
403,377
358,756
$34.14
$29.16
$198.01
$206.35
$0.00
$0.00
5,865,293
6,053,760
13,616,153
14,947,544
$50.92
$53.48
N/A
N/A
N/A
N/A
111,360
107,238
Totals
Total: Central 2010-11
Total: Central 2011-12
$298,685,326
$323,768,068
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$128,037,308
$148,950,280
8,609
8,585
-
398,038
401,976
2,074,673
2,157,451
$321.67
$370.55
$14,872.49
$17,350.06
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$44,447,364
$34,593,043
7,441
7,549
-
885,331
856,802
4,887,056
4,690,574
$50.20
$40.37
$5,973.31
$4,582.47
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$38,627,260
$40,005,864
25,698
26,162
-
32,210
34,077
136,056
145,114
$1,199.23
$1,173.98
$1,414.15
$1,440.08
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$15,660,332
$13,567,248
81,692
86,803
-
633,517
599,038
961,226
1,427,974
$24.72
$22.65
$190.03
$155.32
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$19,467,168
$24,428,600
26,077
22,404
-
146,994
163,594
146,994
163,594
$132.44
$149.32
$746.53
$1,090.37
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$86,312,296
$108,202,594
152,724
155,942
-
1,197,663
1,345,588
1,197,663
1,345,588
$72.07
$80.41
$565.15
$693.86
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$64,744,396
$56,194,602
141,550
148,509
4,176,356
3,665,999
7,608,072
8,093,320
$15.50
$15.33
$178.72
$175.26
$263.92
$213.06
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$90,974,921
$92,808,647
16,086
21,498
-
856,398
1,123,792
3,043,639
3,562,318
$106.23
$82.59
$5,655.53
$4,317.08
$0.00
$0.00
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
$20,242,900
$19,415,912
92,281
95,130
-
741,875
753,067
816,709
836,272
$27.29
$25.78
$207.98
$194.04
$0.00
$0.00
9,068,382
8,943,933
20,872,087
22,422,205
$56.08
$60.17
N/A
N/A
N/A
N/A
150,710
143,264
Totals
Total: Finger Lakes 2010-11
Total: Finger Lakes 2011-12
$508,513,945
$538,166,790
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$377,176,734
$381,603,433
18,808
18,189
-
1,176,526
1,213,637
4,407,449
4,385,124
$320.59
$314.43
$20,054.06
$20,979.90
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$141,847,723
$131,136,996
15,372
15,643
-
2,490,810
2,590,503
29,274,730
30,975,228
$56.95
$50.62
$9,227.67
$8,383.11
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$88,473,808
$102,086,524
58,393
57,876
-
77,927
78,676
351,102
351,712
$1,135.34
$1,297.56
$1,431.94
$1,666.37
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$25,034,185
$23,963,388
53,291
49,116
-
737,196
727,081
1,291,491
1,056,917
$33.96
$32.96
$466.21
$484.85
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$57,774,908
$83,332,860
47,009
53,492
-
328,195
420,456
328,195
420,456
$176.04
$198.20
$1,229.02
$1,557.86
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$161,225,601
$229,275,208
218,389
248,628
-
1,747,160
2,144,613
1,747,160
2,144,613
$92.28
$106.91
$738.25
$922.16
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$177,961,932
$153,628,597
291,995
285,384
8,140,495
7,355,511
35,452,638
33,088,184
$21.86
$20.89
$217.97
$206.26
$419.63
$355.17
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$221,375,584
$237,455,326
24,940
27,702
-
1,410,762
1,615,674
5,336,301
5,899,704
$156.92
$146.97
$8,876.33
$8,571.78
$0.00
$0.00
$15,259,767
$15,464,081
64,313
62,864
-
361,321
353,273
532,877
491,958
$42.23
$43.77
$226.36
$234.92
$0.00
$0.00
16,470,392
16,499,424
78,721,943
78,813,895
$76.87
$82.30
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
276,826
272,898
Totals
Total: Long Island 2010-11
Total: Long Island 2011-12
$1,266,130,242
$1,357,946,413
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$256,026,145
$305,009,044
15,265
14,763
-
730,665
760,975
3,345,457
3,575,288
$350.40
$400.81
$16,772.10
$20,660.37
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$103,320,274
$92,878,159
12,588
12,442
-
1,970,569
1,986,726
9,929,736
10,251,908
$52.43
$46.75
$8,207.84
$7,464.89
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$102,970,182
$114,737,180
41,203
39,430
-
67,576
65,444
413,760
430,140
$1,523.77
$1,753.21
$2,367.29
$2,760.03
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$43,238,410
$48,016,057
146,278
168,522
-
1,366,875
1,458,259
1,840,206
1,673,940
$31.63
$32.93
$288.70
$276.57
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$46,229,301
$61,360,232
40,595
42,614
-
274,245
331,727
274,245
331,727
$168.57
$184.97
$1,138.79
$1,439.91
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$173,289,859
$221,175,145
249,450
271,051
-
2,087,770
2,386,374
2,087,770
2,386,374
$83.00
$92.68
$694.69
$815.99
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$132,036,362
$119,005,722
325,531
330,537
7,853,799
7,330,455
37,389,535
37,423,951
$16.81
$16.23
$166.33
$166.16
$287.22
$249.64
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$245,426,647
$255,911,851
25,681
27,994
-
1,584,680
1,722,079
7,222,964
7,280,788
$154.87
$148.61
$9,556.74
$9,141.67
$0.00
$0.00
$23,600,582
$22,213,417
69,845
66,235
-
621,588
635,391
865,876
816,836
$37.97
$34.96
$321.75
$320.67
$0.00
$0.00
16,557,767
16,677,430
63,369,549
64,170,951
$68.01
$74.37
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
274,322
261,359
Totals
Total: Mid-Hudson 2010-11
Total: Mid-Hudson 2011-12
$1,126,137,762
$1,240,306,807
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$64,878,349
$71,699,169
4,828
4,820
-
281,499
292,395
1,163,490
1,206,209
$230.47
$245.21
$13,437.93
$14,875.35
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$12,693,994
$9,696,829
3,248
3,229
-
375,925
358,832
1,509,826
1,382,132
$33.77
$27.02
$3,908.25
$3,003.04
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$9,742,220
$9,979,834
12,228
11,446
-
15,068
13,795
40,294
36,284
$646.55
$723.44
$754.71
$824.67
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$5,428,454
$5,650,516
30,499
27,121
-
186,698
186,758
245,842
241,993
$29.08
$30.26
$177.93
$208.12
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$13,254,806
$15,325,603
14,743
13,854
-
95,029
104,417
95,029
104,417
$139.48
$146.77
$899.06
$1,106.22
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$40,232,094
$51,993,121
74,804
79,008
-
601,762
678,009
601,762
678,009
$66.86
$76.69
$537.83
$658.07
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$30,562,918
$25,396,715
91,171
100,773
84,231
79,232
2,042,117
1,767,181
4,235,992
4,663,431
$14.97
$14.37
$91.74
$82.68
$267.01
$219.30
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$83,998,606
$84,589,616
8,354
11,269
-
649,739
763,855
2,418,779
2,658,872
$129.28
$110.74
$10,054.90
$7,506.40
$0.00
$0.00
$7,887,201
$7,695,338
45,504
43,456
-
274,337
252,172
350,520
305,218
$28.75
$30.52
$165.04
$169.11
$0.00
$0.00
4,522,174
4,417,414
10,661,533
11,276,565
$59.41
$63.84
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
Totals
Total: Mohawk Valley 2010-11
Total: Mohawk Valley 2011-12
$268,678,642
$282,026,741
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$1,245,185,012
$1,263,793,242
61,536
60,142
-
3,771,764
3,927,532
13,006,053
13,111,327
$330.13
$321.78
$20,235.07
$21,013.49
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$1,368,920,734
$1,122,093,056
111,965
109,843
-
22,781,379
21,280,512
177,467,474
156,174,020
$60.09
$52.73
$12,226.33
$10,215.43
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$1,006,547,700
$1,005,874,130
423,835
418,980
-
602,900
595,800
2,743,314
2,638,885
$1,669.51
$1,688.27
$2,227.04
$2,254.54
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$240,154,129
$230,805,924
612,868
612,975
-
7,409,717
7,665,814
10,664,170
8,632,131
$32.41
$30.11
$382.03
$366.51
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$366,594,178
$463,018,633
384,981
407,233
-
2,794,944
3,013,027
2,794,944
3,013,027
$131.16
$153.67
$952.24
$1,136.99
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$2,011,157,643
$2,684,344,293
2,503,542
2,644,211
-
22,274,830
23,688,019
22,274,830
23,688,019
$90.29
$113.32
$803.32
$1,015.18
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$1,135,951,718
$893,163,968
1,159,031
1,195,504
65,779,927
54,403,171
154,610,355
151,232,434
$17.27
$16.42
$269.73
$243.34
$364.77
$292.68
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$563,901,911
$616,776,764
126,404
146,964
-
3,708,699
4,121,331
17,857,691
19,344,812
$152.05
$149.65
$4,461.11
$4,196.79
$0.00
$0.00
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
$199,681,065
$186,564,021
672,564
644,291
-
4,783,988
5,023,961
8,388,389
40,007,447
$41.74
$37.13
$280.59
$274.07
$0.00
$0.00
133,908,148
123,719,167
409,807,221
417,842,102
$60.77
$68.43
N/A
N/A
N/A
N/A
2,284,698
2,099,916
Totals
Total: New York City 2010-11
Total: New York City 2011-12
$8,138,094,090
$8,466,434,031
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 2011-2012
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
$59,726,879
$61,167,995
2,156
2,122
-
69,926
66,374
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
-$12,569
-$12,001
102
87
-
438
115
Inpatient
April - February 2010-2011
April - February 2011-2012
$11,466,125
$11,190,477
4,933
4,459
-
5,897
5,363
Clinic
April - February 2010-2011
April - February 2011-2012
$116,021
$83,301
890
605
-
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$38,742,550
$37,653,532
220,361
216,071
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$104,372
$78,751
117
137
$1,374,516
$1,345,094
14,498
13,132
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
Medicaid Units Of
Service
$854.86
$913.94
$27,702.63
$28,825.63
$0.00
$0.00
-$307.17
-$20.12
-$123.23
-$137.94
$0.00
$0.00
25,973
25,272
$1,803.89
$1,978.86
$2,324.40
$2,509.64
$0.00
$0.00
4,167
2,759
33,886
14,114
$28.85
$31.26
$130.36
$137.69
$0.00
$0.00
1,517,214
1,489,381
10,969,193
13,881,910
$24.46
$26.68
$62.55
$62.60
$2,066.61
$1,724.94
-
1,088
1,192
1,349
1,192
$98.78
$65.85
$892.07
$574.83
$0.00
$0.00
-
39,419
33,690
52,727
45,127
$34.27
$39.18
$94.78
$102.42
$0.00
$0.00
1,638,149
1,598,874
11,659,846
14,535,938
$68.08
$69.74
N/A
N/A
N/A
N/A
12,525
14,566
577,410
568,749
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
(692)
(427)
Totals
Total: No Svc Cty/OOS 2010-11
Total: No Svc Cty/OOS 2011-12
$111,517,894
$111,507,149
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$40,929,989
$43,333,581
3,061
2,909
-
125,213
137,732
714,902
690,337
$326.88
$314.62
$13,371.44
$14,896.38
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$11,911,049
$10,484,137
3,230
3,255
-
396,094
390,329
2,239,824
2,184,456
$30.07
$26.86
$3,687.63
$3,220.93
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$13,333,386
$14,920,116
10,474
9,708
-
18,878
18,451
72,407
71,765
$706.29
$808.63
$1,212.79
$1,462.65
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$4,756,147
$4,187,994
28,169
26,686
-
161,247
159,825
184,989
173,484
$29.50
$26.20
$168.22
$156.71
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$9,518,942
$10,790,272
10,660
10,001
-
61,976
71,880
61,976
71,880
$153.59
$150.12
$892.96
$1,078.92
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$2,152,040
$6,422,450
4,736
13,247
-
30,376
84,600
30,376
84,600
$70.85
$75.92
$454.40
$484.82
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$28,911,932
$27,287,506
82,005
81,304
60,665
61,789
1,903,222
1,834,571
2,904,263
2,906,361
$15.19
$14.87
$135.19
$127.38
$297.60
$277.86
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$54,861,140
$54,937,987
6,550
7,903
-
429,886
521,383
1,825,412
1,963,558
$127.62
$105.37
$8,375.75
$6,951.54
$0.00
$0.00
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
$9,711,546
$10,010,705
46,896
46,206
-
302,133
277,523
335,249
336,929
$32.14
$36.07
$197.22
$206.31
$0.00
$0.00
3,429,025
3,496,294
8,369,398
8,483,370
$51.35
$52.16
N/A
N/A
N/A
N/A
Totals
Total: North Country 2010-11
Total: North Country 2011-12
$176,086,171
$182,374,748
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$69,506,897
$78,223,638
5,172
4,998
-
146,258
147,784
1,234,811
1,264,820
$475.23
$529.31
$13,439.08
$15,650.99
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$11,915,450
$10,961,936
6,115
4,109
-
363,881
333,991
2,271,343
2,440,968
$32.75
$32.82
$1,948.56
$2,667.79
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$15,215,968
$16,012,610
13,874
13,083
-
16,827
15,650
66,306
59,186
$904.26
$1,023.17
$1,029.40
$1,151.10
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$6,237,563
$5,723,140
23,887
23,068
-
225,422
218,987
301,312
278,264
$27.67
$26.13
$260.96
$247.88
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$14,069,111
$15,800,816
15,228
14,385
-
93,384
101,883
93,384
101,883
$150.66
$155.09
$923.90
$1,098.42
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$21,400,535
$27,854,402
52,756
59,111
-
413,421
456,129
413,421
456,129
$51.76
$61.07
$405.65
$471.22
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$39,600,736
$36,369,247
113,587
119,022
92,535
90,201
2,525,757
2,341,167
3,448,922
3,689,172
$15.68
$15.53
$133.98
$126.82
$266.70
$239.62
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$47,259,057
$49,102,486
8,291
10,808
-
332,708
454,127
1,258,316
1,415,756
$142.04
$108.13
$5,700.04
$4,543.16
$0.00
$0.00
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
$10,600,071
$10,315,214
59,734
58,078
-
334,079
310,023
432,527
428,378
$31.73
$33.27
$169.20
$168.85
$0.00
$0.00
4,451,737
4,379,741
9,520,342
10,134,556
$52.97
$57.16
N/A
N/A
N/A
N/A
Totals
Total: Southern Tier 2010-11
Total: Southern Tier 2011-12
$235,805,388
$250,363,489
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - February 2011-12
Category of Service
Nursing Homes
April - February 2010-2011
April - February 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
$147,512,647
$143,915,208
10,500
9,802
-
396,203
402,936
2,434,177
2,465,321
$372.32
$357.17
$14,048.82
$14,682.23
$0.00
$0.00
Non-Institutional LTC
April - February 2010-2011
April - February 2011-2012
$24,592,242
$22,540,124
7,164
6,579
-
716,038
665,299
3,742,373
3,495,056
$34.34
$33.88
$3,432.75
$3,426.07
$0.00
$0.00
Inpatient
April - February 2010-2011
April - February 2011-2012
$37,512,143
$42,395,858
32,899
31,196
-
42,935
40,188
198,777
186,809
$873.70
$1,054.94
$1,076.06
$1,282.66
$0.00
$0.00
Clinic
April - February 2010-2011
April - February 2011-2012
$18,540,148
$18,782,707
69,147
70,758
-
717,570
738,644
1,755,994
6,210,408
$25.84
$25.43
$266.50
$263.56
$0.00
$0.00
Family Health Plus
April - February 2010-2011
April - February 2011-2012
$26,586,608
$33,370,133
28,752
31,353
-
198,415
224,079
198,415
224,079
$133.99
$148.92
$924.69
$1,064.34
$0.00
$0.00
Medicaid Managed Care
April - February 2010-2011
April - February 2011-2012
$110,498,663
$143,123,874
195,769
209,043
-
1,669,246
1,846,072
1,669,246
1,846,072
$66.20
$77.53
$564.43
$684.66
$0.00
$0.00
Non-Institutional
April - February 2010-2011
April - February 2011-2012
$89,541,874
$75,298,153
184,362
183,905
5,601,998
4,822,950
10,004,193
9,948,475
$15.98
$15.61
$167.66
$161.04
$306.17
$253.07
Other State Agency / MD
April - February 2010-2011
April - February 2011-2012
$116,816,570
$126,334,064
15,405
22,252
-
1,042,658
1,371,658
3,267,917
3,866,219
$112.04
$92.10
$7,583.03
$5,677.43
$0.00
$0.00
$14,516,137
$13,729,151
83,069
80,957
-
509,238
552,137
587,673
646,174
$28.51
$24.87
$166.29
$161.48
$0.00
$0.00
10,894,301
10,663,963
23,858,765
28,888,612
$53.80
$58.09
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - February 2010-2011
April - February 2011-2012
193,830
183,572
Totals
Total: Western 2010-11
Total: Western 2011-12
$586,117,032
$619,489,272
N/A
N/A
N/A
N/A