Medicaid Category of Service Spending
April - March 2011-12
($'s in thousands)
ECONOMIC REGION
2011-12
2010-11
VARIANCE
New York City
$9,196,860
$8,810,467
4.4%
Long Island
$1,481,708
$1,378,110
7.5%
Mid-Hudson
$1,356,625
$1,236,767
9.7%
Western
$672,947
$634,033
6.1%
Finger Lakes
$584,315
$554,250
5.4%
Capital District
$501,640
$464,002
8.1%
Central
$352,512
$320,322
10.0%
Mohawk Valley
$307,548
$287,440
7.0%
Southern Tier
$270,274
$254,124
6.4%
North Country
$196,443
$187,600
4.7%
No Svc Cty & Out of State
$119,506
$121,720
-1.8%
$15,040,379
$14,248,836
5.6%
STATEWIDE TOTAL
Medicaid Category of Service Spending
Service County: Capital District
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$130,779,003
$107,695,814
7,353
7,362
-
580,655
496,396
2,275,701
2,008,764
$225.23
$216.96
$17,785.80
$14,628.61
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$25,178,732
$28,706,293
5,708
5,688
-
726,940
760,885
5,891,291
5,565,148
$34.64
$37.73
$4,411.13
$5,046.82
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$39,311,385
$38,704,616
25,726
26,401
-
43,740
44,707
182,198
196,332
$898.75
$865.74
$1,460.24
$1,395.31
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$14,129,905
$15,474,934
58,578
59,142
-
502,581
540,889
580,160
636,258
$28.11
$28.61
$238.68
$258.29
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$22,478,195
$17,496,588
19,094
18,395
-
149,408
135,960
149,408
135,960
$150.45
$128.69
$1,177.24
$951.16
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$87,390,426
$70,671,398
122,111
111,835
-
1,072,107
1,012,718
1,072,107
1,012,718
$81.51
$69.78
$715.66
$631.93
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$55,700,719
$65,172,092
149,105
137,258
3,599,367
3,987,626
15,248,157
10,534,094
$15.48
$16.34
$165.44
$176.08
$247.70
$311.75
$115,436,710
$108,428,308
18,133
14,771
-
1,062,998
889,856
3,509,883
3,143,253
$108.60
$121.85
$6,366.11
$7,340.62
$0.00
$0.00
$11,234,505
$11,652,163
53,685
54,316
-
435,714
461,391
573,942
602,912
$25.78
$25.25
$201.17
$205.31
$0.00
$0.00
8,173,510
8,330,428
29,482,846
23,835,440
$61.37
$55.70
N/A
N/A
N/A
N/A
Other State Agency / MD
April - March 2011-12
April - March 2010-11
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
127,593
133,459
Totals
Total: Capital District 2011-12
Total: Capital District 2010-11
$501,639,580
$464,002,206
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$86,537,879
$81,979,096
5,319
5,508
-
505,370
330,473
1,474,256
1,403,228
$171.24
$248.07
$16,269.58
$14,883.64
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$16,058,721
$16,830,057
4,122
4,922
-
435,763
447,636
3,541,823
3,379,323
$36.85
$37.60
$3,895.86
$3,419.35
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$30,479,855
$25,144,303
20,847
21,538
-
28,507
27,877
136,686
106,403
$1,069.21
$901.97
$1,376.21
$1,082.80
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$11,318,653
$10,563,581
50,738
55,430
-
468,248
444,582
550,857
521,059
$24.17
$23.76
$218.50
$186.56
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$20,685,993
$16,826,203
18,193
18,344
-
138,876
120,443
138,876
120,443
$148.95
$139.70
$1,137.03
$917.26
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$83,825,935
$59,768,838
114,740
98,254
-
1,062,778
822,593
1,062,778
822,593
$78.87
$72.66
$730.57
$608.31
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$40,922,914
$49,010,045
129,246
123,713
2,873,497
3,310,868
6,252,787
5,676,674
$14.24
$14.80
$139.65
$148.52
$214.14
$269.30
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$52,824,493
$49,133,850
10,474
8,452
-
660,584
534,539
2,684,625
2,263,949
$79.97
$91.92
$5,043.39
$5,813.28
$0.00
$0.00
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
$9,857,966
$11,065,685
44,349
51,081
-
338,646
326,881
380,485
435,806
$29.11
$33.85
$211.87
$205.10
$0.00
$0.00
6,512,269
6,365,892
16,223,173
14,729,476
$54.13
$50.32
N/A
N/A
N/A
N/A
108,638
115,147
Totals
Total: Central 2011-12
Total: Central 2010-11
$352,512,409
$320,321,658
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$159,499,927
$138,721,049
8,785
8,863
-
433,729
434,167
2,338,672
2,250,307
$367.74
$319.51
$18,155.94
$15,651.70
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$38,062,779
$47,949,789
7,743
7,650
-
930,507
951,124
5,108,878
5,247,890
$40.91
$50.41
$4,915.77
$6,267.95
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$43,250,424
$42,507,332
28,056
28,004
-
37,064
35,867
157,090
150,344
$1,166.91
$1,185.14
$1,451.39
$1,419.62
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$14,890,199
$17,018,690
90,302
84,772
-
649,102
690,004
1,559,708
1,145,867
$22.94
$24.66
$163.72
$198.78
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$27,134,393
$21,341,762
23,119
27,009
-
179,079
161,032
179,079
161,032
$151.52
$132.53
$1,173.68
$790.17
$0.00
$0.00
$120,987,677
$95,645,598
159,433
156,726
-
1,476,610
1,327,854
1,476,610
1,327,854
$81.94
$72.03
$758.86
$610.27
$0.00
$0.00
$59,190,493
$70,539,876
154,102
148,181
3,871,638
4,534,252
8,776,683
8,254,213
$15.29
$15.56
$182.74
$185.71
$216.54
$278.79
$100,691,125
$98,330,269
22,052
16,250
-
1,230,573
929,776
3,880,119
3,306,193
$81.82
$105.76
$4,566.08
$6,051.09
$0.00
$0.00
$20,608,344
$22,195,831
97,765
95,633
-
793,733
811,995
880,948
900,866
$25.96
$27.33
$200.31
$219.12
$0.00
$0.00
9,602,035
9,876,071
24,357,787
22,744,566
$60.85
$56.12
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
Non-Institutional
April - March 2011-12
April - March 2010-11
Other State Agency / MD
April - March 2011-12
April - March 2010-11
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
144,938
155,392
Totals
Total: Finger Lakes 2011-12
Total: Finger Lakes 2010-11
$584,315,361
$554,250,196
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$414,327,686
$412,779,475
18,666
19,339
-
1,314,998
1,276,791
4,765,627
4,775,430
$315.08
$323.29
$22,196.92
$21,344.41
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$143,652,833
$153,914,660
16,073
15,888
-
2,820,167
2,701,327
33,619,201
31,845,157
$50.94
$56.98
$8,937.52
$9,687.48
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$110,810,008
$97,630,269
62,388
62,929
-
85,781
85,174
384,380
382,346
$1,291.78
$1,146.24
$1,678.54
$1,458.01
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$25,858,988
$27,176,264
50,992
55,095
-
785,026
805,462
1,126,788
1,399,002
$32.94
$33.74
$503.98
$489.19
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$95,150,988
$63,119,056
55,471
48,610
-
475,306
359,058
475,306
359,058
$200.19
$175.79
$1,715.33
$1,298.48
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$258,180,448
$175,504,519
256,856
224,189
-
2,386,306
1,900,586
2,386,306
1,900,586
$108.19
$92.34
$1,005.16
$782.84
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$161,729,963
$193,927,003
290,446
299,260
7,769,531
8,776,485
35,357,575
38,482,706
$20.82
$22.10
$218.23
$228.95
$363.50
$442.96
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$255,672,788
$237,515,774
28,179
25,294
-
1,765,294
1,531,159
6,364,455
5,761,035
$144.83
$155.12
$9,073.17
$9,390.20
$0.00
$0.00
$16,324,348
$16,543,259
65,335
67,524
-
371,136
388,393
510,543
575,250
$43.98
$42.59
$238.37
$232.82
$0.00
$0.00
17,773,545
17,824,435
84,990,181
85,480,569
$83.37
$77.32
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
276,616
287,391
Totals
Total: Long Island 2011-12
Total: Long Island 2010-11
$1,481,708,050
$1,378,110,279
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$343,878,410
$296,370,782
15,329
15,784
-
834,963
802,491
3,922,550
3,672,121
$411.85
$369.31
$22,433.19
$18,776.66
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$102,277,482
$111,149,256
12,810
12,881
-
2,166,874
2,120,235
11,163,893
10,688,088
$47.20
$52.42
$7,984.19
$8,628.93
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$123,149,769
$112,270,739
42,275
44,273
-
71,055
73,533
464,820
448,576
$1,733.16
$1,526.81
$2,763.88
$2,391.11
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$51,688,596
$46,992,881
174,795
151,822
-
1,585,930
1,486,597
1,802,952
2,003,546
$32.59
$31.61
$287.14
$301.54
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$67,306,714
$50,723,412
43,600
42,138
-
360,575
300,694
360,575
300,694
$186.66
$168.69
$1,543.73
$1,203.75
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$243,656,243
$189,201,153
276,949
255,351
-
2,603,122
2,272,477
2,603,122
2,272,477
$93.60
$83.26
$879.79
$740.95
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$126,084,548
$144,005,745
347,657
342,510
7,838,131
8,527,522
40,703,658
40,773,084
$16.09
$16.89
$172.68
$172.05
$254.65
$303.10
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$274,969,210
$260,807,480
28,562
26,008
-
1,876,857
1,707,720
7,902,648
7,800,947
$146.51
$152.72
$9,627.10
$10,027.97
$0.00
$0.00
$23,613,848
$25,245,258
68,676
72,773
-
683,058
664,070
880,247
923,251
$34.57
$38.02
$328.67
$329.03
$0.00
$0.00
18,020,565
17,955,339
69,804,464
68,882,784
$75.28
$68.88
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
264,023
283,675
Totals
Total: Mid-Hudson 2011-12
Total: Mid-Hudson 2010-11
$1,356,624,820
$1,236,766,706
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$78,921,369
$69,524,802
4,943
4,963
-
319,597
305,525
1,303,127
1,253,387
$246.94
$227.56
$15,966.29
$14,008.62
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$10,635,841
$13,593,602
3,301
3,343
-
388,291
401,392
1,492,273
1,618,390
$27.39
$33.87
$3,222.01
$4,066.29
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$10,665,382
$10,546,852
12,244
12,993
-
14,991
16,160
38,900
42,589
$711.45
$652.65
$824.11
$765.23
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$6,139,205
$5,841,868
28,133
31,560
-
202,648
200,703
258,935
264,367
$30.29
$29.11
$217.99
$185.04
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$16,937,880
$14,210,161
14,281
15,181
-
114,327
101,871
114,327
101,871
$148.15
$139.49
$1,186.04
$936.05
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$58,164,895
$43,461,053
81,091
76,666
-
747,013
645,968
747,013
645,968
$77.86
$67.28
$717.28
$566.89
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$26,637,980
$33,366,663
105,327
95,201
80,138
86,855
1,865,280
2,218,807
5,073,840
4,618,935
$14.28
$15.04
$86.42
$95.83
$222.65
$282.55
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$91,343,515
$88,383,965
11,839
8,473
-
835,361
701,884
2,916,556
2,615,400
$109.35
$125.92
$7,715.48
$10,431.25
$0.00
$0.00
$8,101,613
$8,511,198
44,803
47,121
-
264,363
295,538
319,498
380,317
$30.65
$28.80
$172.53
$171.32
$0.00
$0.00
4,751,871
4,887,848
12,264,469
11,541,224
$64.72
$58.81
N/A
N/A
N/A
N/A
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
Totals
Total: Mohawk Valley 2011-12
Total: Mohawk Valley 2010-11
$307,547,680
$287,440,164
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$1,359,703,996
$1,334,159,921
61,762
62,913
-
4,265,740
4,082,856
14,188,488
14,045,642
$318.75
$326.77
$22,015.22
$21,206.43
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$1,223,998,625
$1,480,300,186
112,358
114,184
-
23,059,049
24,639,079
169,109,115
191,941,074
$53.08
$60.08
$10,893.74
$12,964.16
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$1,084,575,013
$1,094,687,722
448,732
454,142
-
646,930
655,305
2,864,773
2,977,403
$1,676.50
$1,670.50
$2,269.49
$2,248.47
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$250,297,760
$261,108,523
636,378
634,994
-
8,373,535
8,041,579
9,256,435
11,486,737
$29.89
$32.47
$382.84
$400.04
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$513,502,338
$397,874,567
420,548
396,014
-
3,295,745
3,034,474
3,295,745
3,034,474
$155.81
$131.12
$1,221.03
$1,004.70
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$2,977,610,814
$2,195,171,323
2,692,012
2,548,505
-
25,852,163
24,147,061
25,852,163
24,147,061
$115.18
$90.91
$1,106.09
$861.36
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$925,266,468
$1,236,623,111
1,238,370
1,204,595
57,057,122
71,421,672
162,313,079
167,882,522
$16.22
$17.31
$253.61
$281.71
$295.26
$386.37
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$663,093,749
$594,281,809
147,826
127,688
-
4,491,603
4,032,839
21,120,780
19,500,916
$147.63
$147.36
$4,485.64
$4,654.17
$0.00
$0.00
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
$198,810,962
$216,260,249
669,969
699,800
-
5,350,608
5,164,761
43,571,708
14,031,126
$37.16
$41.87
$280.73
$290.78
$0.00
$0.00
132,392,495
145,219,626
451,572,286
449,046,956
$69.47
$60.67
N/A
N/A
N/A
N/A
2,111,629
2,347,980
Totals
Total: New York City 2011-12
Total: New York City 2010-11
$9,196,859,725
$8,810,467,411
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: No Service County & Out of State
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-2012
April - March 2010-2011
Unique Recipients
Medicaid State Total w/ Medicaid Service
Paid
Claims
Unique Recipients
w/ Medicaid Drug
Claims
Medicaid Total
Claims
$66,085,134
$64,625,335
2,147
2,181
-
71,664
75,735
Non-Institutional LTC
April - March 2011-2012
April - March 2010-2011
-$13,054
-$11,559
91
112
-
116
632
Inpatient
April - March 2011-2012
April - March 2010-2011
$11,919,750
$12,875,667
4,848
5,368
-
5,931
6,518
Clinic
April - March 2011-2012
April - March 2010-2011
$85,521
$119,762
622
906
-
Non-Institutional
April - March 2011-2012
April - March 2010-2011
$39,911,536
$42,358,922
227,096
232,282
$91,559
$118,322
138
131
$1,425,793
$1,633,230
13,680
15,353
Other State Agency / MD
April - March 2011-2012
April - March 2010-2011
Outpatient/Emergency Room
April - March 2011-2012
April - March 2010-2011
Medicaid Units Of
Service
$854.86
$913.94
$30,780.22
$29,631.06
$0.00
$0.00
-$307.17
-$20.12
-$143.45
-$103.21
$0.00
$0.00
27,431
28,661
$1,803.89
$1,978.86
$2,458.69
$2,398.63
$0.00
$0.00
2,807
4,380
14,162
36,641
$28.85
$31.26
$137.49
$132.19
$0.00
$0.00
1,599,884
1,641,432
14,700,786
11,825,027
$24.46
$26.68
$64.02
$64.34
$1,749.16
$2,170.64
-
1,384
1,283
1,384
1,544
$98.78
$65.85
$663.47
$903.22
$0.00
$0.00
-
34,959
43,033
46,550
57,072
$34.27
$39.18
$104.21
$106.35
$0.00
$0.00
1,716,745
1,773,013
15,404,729
12,573,564
$69.61
$68.65
N/A
N/A
N/A
N/A
15,086
13,065
614,905
624,969
Medicaid Avg State
Total Paid / Total
Medicaid Avg State Medicaid Avg State
Claim
Service $ / Recipient Drugs $ / Recipient
(490)
(350)
Totals
Total: No Svc Cty/OOS 2011-12
Total: No Svc Cty/OOS 2010-11
$119,506,239
$121,719,679
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$46,901,733
$44,201,018
3,003
3,158
-
149,114
137,119
754,473
776,271
$314.54
$322.36
$15,618.29
$13,996.52
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$11,291,310
$12,792,876
3,346
3,325
-
418,677
426,749
2,358,022
2,412,511
$26.97
$29.98
$3,374.57
$3,847.48
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$16,065,833
$14,613,497
10,374
11,219
-
19,780
20,696
77,476
77,825
$812.23
$706.10
$1,473.83
$1,234.95
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$4,412,058
$5,030,567
27,469
29,115
-
168,622
172,974
184,531
198,590
$26.17
$29.08
$160.38
$172.06
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$11,828,546
$10,147,820
10,297
10,902
-
77,959
66,068
77,959
66,068
$151.73
$153.60
$1,148.74
$930.82
$0.00
$0.00
$7,465,423
$2,420,736
14,758
5,282
-
97,057
34,463
97,057
34,463
$76.92
$70.24
$505.86
$458.30
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$29,335,462
$31,532,124
83,643
85,006
63,139
62,644
1,972,711
2,067,919
3,175,996
3,137,068
$14.87
$15.25
$134.08
$142.12
$290.87
$314.09
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$58,485,959
$56,343,500
8,018
6,670
-
567,367
464,294
2,113,884
1,979,859
$103.08
$121.35
$7,294.33
$8,447.30
$0.00
$0.00
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
$10,656,789
$10,518,122
47,562
48,459
-
293,550
324,854
357,577
365,801
$36.30
$32.38
$213.22
$205.67
$0.00
$0.00
3,764,837
3,715,136
9,196,975
9,048,455
$52.18
$50.50
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
Totals
Total: North Country 2011-12
Total: North Country 2010-11
$196,443,113
$187,600,260
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$83,686,118
$75,519,810
5,131
5,320
-
160,305
159,746
1,367,381
1,346,745
$522.04
$472.75
$16,309.90
$14,195.45
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$12,027,573
$12,905,806
4,252
6,249
-
364,445
390,309
2,672,229
2,461,622
$33.00
$33.07
$2,828.69
$2,065.26
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$17,054,314
$16,649,085
14,009
14,842
-
16,977
18,193
63,588
71,658
$1,004.55
$915.14
$1,144.10
$1,047.22
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$6,192,318
$6,723,726
23,922
24,748
-
235,519
243,468
303,145
323,937
$26.29
$27.62
$258.63
$271.49
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$17,342,096
$14,964,838
14,866
15,721
-
110,738
99,529
110,738
99,529
$156.60
$150.36
$1,166.56
$951.90
$0.00
$0.00
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
$31,173,337
$23,217,883
61,424
54,252
-
501,133
450,011
501,133
450,011
$62.21
$51.59
$507.51
$427.96
$0.00
$0.00
Non-Institutional
April - March 2011-12
April - March 2010-11
$38,752,699
$43,129,258
123,289
118,729
91,976
95,525
2,509,718
2,751,245
3,986,705
3,797,841
$15.44
$15.68
$132.12
$139.50
$247.97
$281.23
Other State Agency / MD
April - March 2011-12
April - March 2010-11
$52,845,606
$49,477,244
11,086
8,460
-
499,170
360,789
1,541,940
1,368,676
$105.87
$137.14
$4,766.88
$5,848.37
$0.00
$0.00
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
$11,200,256
$11,536,768
60,646
62,091
-
335,822
361,584
462,103
465,415
$33.35
$31.91
$175.46
$176.33
$0.00
$0.00
4,733,827
4,834,874
11,008,962
10,385,434
$57.09
$52.56
N/A
N/A
N/A
N/A
Totals
Total: Southern Tier 2011-12
Total: Southern Tier 2010-11
$270,274,317
$254,124,418
N/A
N/A
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
April - March 2011-12
Category of Service
Nursing Homes
April - March 2011-12
April - March 2010-11
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
$155,474,864
$158,736,525
10,096
10,802
-
437,677
429,225
2,687,199
2,632,872
$355.23
$369.82
$15,399.65
$14,695.11
$0.00
$0.00
Non-Institutional LTC
April - March 2011-12
April - March 2010-11
$24,524,231
$26,661,667
6,799
7,422
-
720,991
773,748
3,789,026
4,029,742
$34.01
$34.46
$3,607.03
$3,592.25
$0.00
$0.00
Inpatient
April - March 2011-12
April - March 2010-11
$45,630,226
$41,295,555
33,563
35,383
-
43,748
46,833
202,829
215,543
$1,043.02
$881.76
$1,282.68
$1,095.77
$0.00
$0.00
Clinic
April - March 2011-12
April - March 2010-11
$20,378,338
$20,183,475
73,158
71,458
-
804,841
774,956
6,597,436
2,544,475
$25.32
$26.04
$276.61
$280.59
$0.00
$0.00
Family Health Plus
April - March 2011-12
April - March 2010-11
$36,836,453
$28,833,984
32,455
29,866
-
243,892
214,747
243,892
214,747
$151.04
$134.27
$1,135.00
$965.45
$0.00
$0.00
$159,485,428
$120,138,006
213,596
200,622
-
2,013,572
1,808,693
2,013,572
1,808,693
$79.21
$66.42
$746.67
$598.83
$0.00
$0.00
$79,251,215
$97,744,821
191,215
191,710
5,094,586
6,085,288
10,691,733
10,837,652
$15.56
$16.06
$168.11
$175.18
$258.05
$324.89
$136,701,525
$124,649,549
22,583
15,669
-
1,488,192
1,134,853
4,196,699
3,569,547
$91.86
$109.84
$6,053.29
$7,955.17
$0.00
$0.00
$14,665,020
$15,789,716
84,218
86,676
-
587,704
558,469
680,093
635,260
$24.95
$28.27
$165.67
$172.47
$0.00
$0.00
11,435,203
11,826,812
31,102,478
26,488,532
$58.85
$53.61
N/A
N/A
N/A
N/A
Medicaid Managed Care
April - March 2011-12
April - March 2010-11
Non-Institutional
April - March 2011-12
April - March 2010-11
Other State Agency / MD
April - March 2011-12
April - March 2010-11
Outpatient/Emergency Room
April - March 2011-12
April - March 2010-11
185,587
199,713
Totals
Total: Western 2011-12
Total: Western 2010-11
$672,947,300
$634,033,298
N/A
N/A
N/A
N/A