Medicaid Category of Service Spending
Service County: Capital District
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
75,226,171
73,120,677
5,774
5,886
0
0
211,678
246,687
818,210.00
827,722.00
$355.38
$296.41
$13,028.43
$12,422.81
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
25,883,954
24,836,759
3,162
3,989
0
0
248,744
314,884
3,302,185.59
3,495,427.45
$104.06
$78.88
$8,185.94
$6,226.31
Inpatient
April-September FY 2016
April-September FY 2015
26,043,160
25,263,913
14,598
13,584
0
0
22,517
21,946
64,266.00
61,485.00
$1,156.60
$1,151.19
$1,784.02
$1,859.83
Clinic
April-September FY 2016
April-September FY 2015
11,006,274
11,192,391
51,219
47,422
0
0
273,467
260,530
523,295.00
503,583.00
$40.25
$42.96
$214.89
$236.02
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
170,813,361
141,401,322
180,742
155,822
0
0
956,584
791,771
956,584.00
791,771.00
$178.57
$178.59
$945.07
$907.45
Non-Institutional
April-September FY 2016
April-September FY 2015
29,796,234
27,818,375
99,805
90,306
34,268
33,274
1,374,950
1,275,366
7,859,079.86
10,385,400.71
$21.67
$21.81
$222.24
$225.10
Other State Agency / MD
April-September FY 2016
April-September FY 2015
98,415,765
84,951,214
16,847
15,379
0
0
1,029,315
733,613
2,602,146.25
2,028,795.00
$95.61
$115.80
$5,841.74
$5,523.85
7,821,169
6,979,685
38,805
32,047
0
0
196,969
185,085
267,368.00
263,236.00
$39.71
$37.71
$201.55
$217.80
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Capital District FY 2016
$445,006,088
410,952
34,268
4,314,224
16,393,135
N/A
N/A
Capital District FY 2015
$395,564,336
364,435
33,274
3,829,882
18,357,420
N/A
N/A
Medicaid Category of Service Spending
Service County: Central
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
47,076,648
48,110,792
3,999
4,179
0
0
130,524
176,394
588,826.00
607,546.00
$360.67
$272.75
$11,772.11
$11,512.51
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
17,835,504
14,958,491
2,882
2,832
0
0
184,728
183,531
1,942,564.01
1,898,603.53
$96.55
$81.50
$6,188.59
$5,281.95
Inpatient
April-September FY 2016
April-September FY 2015
19,720,233
18,581,590
12,431
10,302
0
0
14,990
12,415
65,444.00
55,382.00
$1,315.56
$1,496.70
$1,586.38
$1,803.69
Clinic
April-September FY 2016
April-September FY 2015
10,630,520
8,085,801
45,534
33,912
0
0
265,039
205,816
348,445.00
336,312.00
$40.11
$39.29
$233.46
$238.43
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
142,905,880
119,375,093
155,558
137,648
0
0
830,380
705,914
830,380.00
705,914.00
$172.10
$169.11
$918.67
$867.25
Non-Institutional
April-September FY 2016
April-September FY 2015
24,718,629
20,415,445
89,229
78,697
29,674
27,606
1,198,583
1,087,754
5,860,243.30
5,488,083.73
$20.62
$18.77
$207.89
$192.05
Other State Agency / MD
April-September FY 2016
April-September FY 2015
45,304,709
39,298,177
10,655
9,865
0
0
659,565
452,716
2,756,329.00
1,486,008.00
$68.69
$86.81
$4,251.97
$3,983.60
6,234,758
5,820,001
29,427
24,223
0
0
151,434
128,298
340,067.00
127,815.00
$41.17
$45.36
$211.87
$240.27
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Central FY 2016
$314,426,881
349,715
29,674
3,435,243
12,732,298
N/A
N/A
Central FY 2015
$274,645,390
301,658
27,606
2,952,838
10,705,664
N/A
N/A
Medicaid Category of Service Spending
Service County: Finger Lakes
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
84,864,983
84,706,184
6,538
7,062
0
0
177,661
186,298
975,555.00
981,405.00
$477.68
$454.68
$12,980.27
$11,994.65
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
23,458,938
24,747,016
4,246
5,034
0
0
245,298
307,673
2,192,859.63
2,560,704.53
$95.63
$80.43
$5,524.95
$4,915.97
Inpatient
April-September FY 2016
April-September FY 2015
31,564,040
29,758,982
16,619
15,741
0
0
20,626
18,428
92,681.00
85,062.00
$1,530.30
$1,614.88
$1,899.27
$1,890.54
Clinic
April-September FY 2016
April-September FY 2015
11,370,226
10,282,215
56,093
52,926
0
0
303,219
284,021
381,491.00
418,223.50
$37.50
$36.20
$202.70
$194.28
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
211,793,326
182,898,931
233,144
199,438
0
0
1,235,345
1,038,239
1,235,345.00
1,038,239.00
$171.44
$176.16
$908.42
$917.07
Non-Institutional
April-September FY 2016
April-September FY 2015
39,996,108
34,141,686
116,999
106,253
34,423
32,095
1,635,202
1,454,373
7,192,807.34
6,053,776.68
$24.46
$23.48
$264.14
$246.78
Other State Agency / MD
April-September FY 2016
April-September FY 2015
102,235,026
92,700,135
18,028
17,935
0
0
1,260,738
866,981
3,151,888.87
2,272,295.50
$81.09
$106.92
$5,670.90
$5,168.67
13,335,944
13,664,725
80,937
65,005
0
0
359,112
338,508
522,294.50
413,700.00
$37.14
$40.37
$164.77
$210.21
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Finger Lakes FY 2016
$518,618,591
532,604
34,423
5,237,201
15,744,922
N/A
N/A
Finger Lakes FY 2015
$472,899,874
469,394
32,095
4,494,521
13,823,406
N/A
N/A
Medicaid Category of Service Spending
Service County: Long Island
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
231,688,427
233,599,642
13,255
14,104
0
0
524,247
532,313
2,002,049.00
2,047,092.00
$441.95
$438.84
$17,479.32
$16,562.65
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
43,272,152
40,702,378
6,372
6,849
0
0
540,119
524,838
6,820,632.25
6,774,924.43
$80.12
$77.55
$6,790.98
$5,942.82
Inpatient
April-September FY 2016
April-September FY 2015
83,473,142
72,297,255
39,808
33,724
0
0
46,724
38,817
197,147.00
170,217.00
$1,786.52
$1,862.52
$2,096.89
$2,143.79
Clinic
April-September FY 2016
April-September FY 2015
18,753,322
18,992,595
45,858
41,909
0
0
479,294
443,858
628,552.00
571,298.00
$39.13
$42.79
$408.94
$453.19
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
565,782,490
454,419,912
464,143
377,731
0
0
2,478,667
1,910,087
2,478,667.00
1,910,087.00
$228.26
$237.91
$1,218.98
$1,203.03
Non-Institutional
April-September FY 2016
April-September FY 2015
81,537,421
77,764,273
217,114
200,715
60,109
59,215
2,772,912
2,740,681
11,864,115.19
12,007,731.39
$29.40
$28.37
$294.12
$299.17
Other State Agency / MD
April-September FY 2016
April-September FY 2015
233,490,266
194,933,845
26,460
24,308
0
0
1,881,680
1,130,963
4,961,267.00
3,624,604.00
$124.09
$172.36
$8,824.27
$8,019.33
13,169,167
10,910,093
42,922
37,328
0
0
152,398
147,134
178,696.00
198,063.10
$86.41
$74.15
$306.82
$292.28
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Long Island FY 2016
$1,271,166,387
855,932
60,109
8,876,041
29,131,125
N/A
N/A
Long Island FY 2015
$1,103,619,993
736,668
59,215
7,468,691
27,304,017
N/A
N/A
Medicaid Category of Service Spending
Service County: Mid-Hudson
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
198,524,054
195,791,934
11,358
12,095
0
0
341,336
342,257
1,660,705.00
1,674,505.00
$581.61
$572.06
$17,478.79
$16,187.84
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
45,481,640
52,611,504
6,040
7,424
0
0
554,271
690,705
3,374,826.10
4,047,380.89
$82.06
$76.17
$7,530.07
$7,086.68
Inpatient
April-September FY 2016
April-September FY 2015
80,234,118
80,705,050
24,128
22,400
0
0
34,153
32,371
186,099.00
196,559.00
$2,349.26
$2,493.13
$3,325.35
$3,602.90
Clinic
April-September FY 2016
April-September FY 2015
43,180,353
40,515,018
156,076
135,834
0
0
846,593
762,762
1,013,701.50
902,273.40
$51.00
$53.12
$276.66
$298.27
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
492,694,818
408,462,295
437,794
372,648
0
0
2,363,674
1,946,992
2,363,674.00
1,946,992.00
$208.44
$209.79
$1,125.40
$1,096.11
Non-Institutional
April-September FY 2016
April-September FY 2015
76,788,960
69,569,213
228,991
217,662
55,792
52,864
3,096,927
2,911,815
18,956,670.80
16,018,013.54
$24.80
$23.89
$269.64
$257.16
Other State Agency / MD
April-September FY 2016
April-September FY 2015
254,196,139
215,208,196
27,220
24,856
0
0
2,054,002
1,283,192
7,796,119.41
4,652,534.53
$123.76
$167.71
$9,338.58
$8,658.20
20,194,019
17,183,780
54,799
40,475
0
0
353,767
373,462
917,195.00
547,169.00
$57.08
$46.01
$368.51
$424.55
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Mid-Hudson FY 2016
$1,211,294,101
946,406
55,792
9,644,723
36,268,991
N/A
N/A
Mid-Hudson FY 2015
$1,080,046,990
833,394
52,864
8,343,556
29,985,427
N/A
N/A
Medicaid Category of Service Spending
Service County: Mohawk Valley
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
43,615,487
44,365,030
3,984
4,227
0
0
151,629
159,059
567,160.00
591,596.00
$287.65
$278.92
$10,947.66
$10,495.63
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
8,677,437
9,369,469
1,980
2,372
0
0
135,865
181,156
1,425,733.36
1,703,183.90
$63.87
$51.72
$4,382.54
$3,950.03
Inpatient
April-September FY 2016
April-September FY 2015
5,671,520
6,297,990
6,579
6,012
0
0
7,378
6,627
19,660.00
18,384.00
$768.71
$950.35
$862.06
$1,047.57
Clinic
April-September FY 2016
April-September FY 2015
3,480,135
3,558,905
12,185
11,427
0
0
85,087
78,293
120,591.00
144,585.00
$40.90
$45.46
$285.61
$311.45
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
98,565,481
83,340,290
109,112
94,449
0
0
585,989
489,219
585,989.00
489,219.00
$168.20
$170.35
$903.34
$882.38
Non-Institutional
April-September FY 2016
April-September FY 2015
13,066,046
11,488,610
65,591
58,697
20,058
19,374
650,792
586,188
4,367,589.13
3,625,947.06
$20.08
$19.60
$152.55
$147.16
Other State Agency / MD
April-September FY 2016
April-September FY 2015
82,103,289
74,182,958
10,018
9,362
0
0
861,224
539,315
3,291,317.80
1,601,901.00
$95.33
$137.55
$8,195.58
$7,923.84
4,411,868
4,328,239
27,936
24,111
0
0
108,091
106,605
159,738.00
150,222.00
$40.82
$40.60
$157.93
$179.51
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Mohawk Valley FY 2016
$259,591,263
237,385
20,058
2,586,055
10,537,778
N/A
N/A
Mohawk Valley FY 2015
$236,931,491
210,657
19,374
2,146,462
8,325,038
N/A
N/A
Medicaid Category of Service Spending
Service County: New York City
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
791,101,797
785,148,086
41,052
44,147
0
0
1,371,315
1,398,819
5,914,458.00
5,906,007.00
$576.89
$561.29
$19,270.72
$17,784.86
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
148,794,814
140,441,135
24,710
28,506
0
0
1,895,054
1,911,621
24,946,466.88
13,593,955.78
$78.52
$73.47
$6,021.64
$4,926.72
Inpatient
April-September FY 2016
April-September FY 2015
769,926,319
744,028,468
253,246
237,872
0
0
299,691
283,785
1,322,554.00
1,293,010.00
$2,569.07
$2,621.80
$3,040.23
$3,127.85
Clinic
April-September FY 2016
April-September FY 2015
213,884,740
193,846,672
504,247
463,326
0
0
4,728,440
4,491,561
5,108,555.00
4,870,007.60
$45.23
$43.16
$424.17
$418.38
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
4,766,422,029
4,012,471,395
3,266,191
2,908,711
0
0
17,639,016
14,916,223
17,639,016.00
14,916,223.00
$270.22
$269.00
$1,459.32
$1,379.47
Non-Institutional
April-September FY 2016
April-September FY 2015
358,940,679
333,546,259
901,698
897,258
414,738
389,771
14,107,852
13,313,249
38,086,652.52
34,639,836.46
$25.44
$25.05
$272.66
$259.16
Other State Agency / MD
April-September FY 2016
April-September FY 2015
549,525,728
439,704,580
62,195
57,206
0
0
4,148,829
2,672,660
14,512,427.75
11,379,485.50
$132.45
$164.52
$8,835.53
$7,686.34
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
150,921,267
135,274,376
452,621
407,646
0
0
2,508,582
2,737,710
33,472,068.36
24,434,261.90
$60.16
$49.41
$333.44
$331.84
Totals
New York City FY 2016
$7,749,517,373
5,505,960
414,738
46,698,779
141,002,199
N/A
N/A
New York City FY 2015
$6,784,460,971
5,044,672
389,771
41,725,628
111,032,787
N/A
N/A
Medicaid Category of Service Spending
Service County: North Country
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
26,582,121
26,357,984
2,384
2,416
0
0
58,313
56,347
345,854.00
351,330.00
$455.85
$467.78
$11,150.22
$10,909.76
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
8,097,139
8,134,431
2,093
2,172
0
0
158,301
170,206
1,255,868.25
1,212,068.00
$51.15
$47.79
$3,868.68
$3,745.13
Inpatient
April-September FY 2016
April-September FY 2015
7,363,295
6,891,008
3,114
3,123
0
0
10,500
10,110
24,376.00
21,783.00
$701.27
$681.60
$2,364.58
$2,206.53
Clinic
April-September FY 2016
April-September FY 2015
3,162,480
3,155,012
18,767
19,759
0
0
97,974
94,752
223,997.50
181,128.00
$32.28
$33.30
$168.51
$159.67
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
61,262,814
50,322,791
73,628
63,710
0
0
391,335
316,126
391,335.00
316,126.00
$156.55
$159.19
$832.06
$789.87
Non-Institutional
April-September FY 2016
April-September FY 2015
13,307,801
12,660,223
42,516
40,323
18,621
18,615
577,476
530,294
5,565,349.28
3,689,500.51
$23.04
$23.87
$217.67
$214.81
Other State Agency / MD
April-September FY 2016
April-September FY 2015
48,635,780
42,284,266
5,802
5,576
0
0
518,037
346,282
1,391,544.85
1,151,202.00
$93.88
$122.11
$8,382.59
$7,583.26
4,006,237
3,879,040
19,436
16,961
0
0
75,884
71,084
84,322.00
89,064.00
$52.79
$54.57
$206.12
$228.70
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
North Country FY 2016
$172,417,667
167,740
18,621
1,887,820
9,282,647
N/A
N/A
North Country FY 2015
$153,684,755
154,040
18,615
1,595,201
7,012,202
N/A
N/A
Medicaid Category of Service Spending
Service County: Out Of State
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
31,701,855
30,736,883
1,340
1,453
0
0
28,223
29,808
232,468.00
229,098.00
$1,123.26
$1,031.16
$23,658.10
$21,154.08
Inpatient
April-September FY 2016
April-September FY 2015
4,957,986
6,077,279
1,620
1,561
0
0
1,753
1,653
6,993.00
7,590.00
$2,828.29
$3,676.51
$3,060.49
$3,893.20
Clinic
April-September FY 2016
April-September FY 2015
27,201
30,389
134
304
0
0
936
1,642
5,714.00
4,207.00
$29.06
$18.51
$202.99
$99.96
Non-Institutional
April-September FY 2016
April-September FY 2015
28,693,041
23,617,418
165,684
130,211
8,543
7,343
1,205,633
824,433
6,616,981.53
4,568,406.07
$23.80
$28.65
$164.69
$171.70
442,150
378,527
3,083
2,869
0
0
6,174
5,515
9,100.75
7,635.50
$71.61
$68.64
$143.42
$131.94
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Out of State FY 2016
$65,822,233
171,861
8,543
1,242,719
6,871,257
N/A
N/A
Out of State FY 2015
$60,840,496
136,398
7,343
863,051
4,816,937
N/A
N/A
Medicaid Category of Service Spending
Service County: Southern Tier
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
47,930,072
46,167,093
3,977
3,972
0
0
79,607
80,063
604,622.00
591,346.00
$602.08
$576.63
$12,051.82
$11,623.14
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
8,693,255
8,808,535
2,416
2,532
0
0
142,573
168,112
1,563,430.51
1,643,110.99
$60.97
$52.40
$3,598.20
$3,478.88
Inpatient
April-September FY 2016
April-September FY 2015
6,687,081
6,171,697
4,903
4,584
0
0
5,346
4,841
14,677.00
17,519.00
$1,250.86
$1,274.88
$1,363.88
$1,346.36
Clinic
April-September FY 2016
April-September FY 2015
3,968,351
4,010,625
12,443
11,499
0
0
94,214
87,781
220,948.00
178,622.00
$42.12
$45.69
$318.92
$348.78
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
100,941,528
85,882,319
119,633
104,729
0
0
628,212
528,704
628,212.00
528,704.00
$160.68
$162.44
$843.76
$820.04
Non-Institutional
April-September FY 2016
April-September FY 2015
16,446,144
14,592,830
63,624
58,665
24,681
23,621
702,215
643,506
3,647,691.73
3,081,587.80
$23.42
$22.68
$186.24
$177.34
Other State Agency / MD
April-September FY 2016
April-September FY 2015
47,020,690
37,859,813
9,314
9,004
0
0
565,137
363,568
1,410,043.50
961,550.00
$83.20
$104.13
$5,048.39
$4,204.78
4,357,725
4,517,904
27,015
22,739
0
0
98,022
98,077
151,666.00
99,671.00
$44.46
$46.06
$161.31
$198.69
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Southern Tier FY 2016
$236,044,846
243,325
24,681
2,315,326
8,241,291
N/A
N/A
Southern Tier FY 2015
$208,010,816
217,724
23,621
1,974,652
7,102,111
N/A
N/A
Medicaid Category of Service Spending
Service County: Western
FY 2016
Category of Service
Medicaid State and
County Total Paid
Unique Recipients w/
Medicaid Service
Claims
Unique Recipients w/
Medicaid Drug Claims
Medicaid Total Claims
Medicaid Units Of
Service
Medicaid Avg State
Medicaid Avg State
and County Total Paid / and County Total Paid /
Recipient
Total Claim
Nursing Homes
April-September FY 2016
April-September FY 2015
96,990,879
89,352,940
7,620
7,720
0
0
180,028
197,190
1,119,995.00
1,076,483.00
$538.75
$453.13
$12,728.46
$11,574.22
Non-Institutional LTC
April-September FY 2016
April-September FY 2015
23,962,447
22,353,477
4,410
5,123
0
0
244,922
308,522
1,872,223.57
2,000,055.52
$97.84
$72.45
$5,433.66
$4,363.36
Inpatient
April-September FY 2016
April-September FY 2015
28,938,250
28,966,505
19,626
17,972
0
0
28,683
25,923
89,915.00
81,121.00
$1,008.90
$1,117.41
$1,474.49
$1,611.76
Clinic
April-September FY 2016
April-September FY 2015
17,936,190
16,328,281
61,608
49,796
0
0
498,759
410,547
2,258,456.00
2,324,474.00
$35.96
$39.77
$291.13
$327.90
Medicaid Managed Care
April-September FY 2016
April-September FY 2015
279,976,924
237,406,582
286,883
251,015
0
0
1,577,209
1,315,915
1,577,209.00
1,315,915.00
$177.51
$180.41
$975.93
$945.79
Non-Institutional
April-September FY 2016
April-September FY 2015
39,895,590
32,199,376
125,603
109,925
44,476
42,867
1,684,636
1,391,282
7,997,647.83
5,027,136.39
$23.68
$23.14
$234.57
$210.74
Other State Agency / MD
April-September FY 2016
April-September FY 2015
120,757,769
107,140,389
19,782
19,928
0
0
1,463,124
1,052,600
3,303,615.69
2,498,189.00
$82.53
$101.79
$6,104.43
$5,376.37
10,987,806
8,302,574
47,890
37,881
0
0
244,627
225,391
517,650.30
203,672.23
$44.92
$36.84
$229.44
$219.18
Outpatient/Emergency Room
April-September FY 2016
April-September FY 2015
Totals
Western FY 2016
$619,445,855
573,422
44,476
5,921,988
18,736,712
N/A
N/A
Western FY 2015
$542,050,124
499,360
42,867
4,927,370
14,527,046
N/A
N/A