NYC Department of Corrections Individuals Match to CY 2011 Health Home Eligible Population
Medicaid Expenditures by Category of Service
Population
MHSA subset
Category of Service
0285 INPATIENT
0160 DIAGNOSTIC & TREATMENT CENTER SERVICES (FREE-STAND
0287 HOSPITAL BASED OUTPATIENT SERVICES
0220 CAPITATION PROVIDER
0268 OMH REHABILATATIVE SERVICES
0265 CASE MANAGEMENT SERVICES
0460 PHYSICIAN SERVICES
0200 DENTAL SERVICES
1000 LABORATORY (FREE-STANDING)
0381 SKILLED NURSING FACILITY
0601 AMBULANCE - EMERGENCY
0602 INVALID COACH
0163 ORDERED AMBULATORY (OTHER THAN LABS)
0383 DAY CARE
0281 LABORATORY (HOS-BASED) ORDERED AMBULATORY
0321 MEDICAL APPLIANCE, EQUIPMENT, SUPPLY DEALER
0282 ORDERED AMBULATORY OTHER THAN LABS
0286 SKILLED NURSING FACILITY
0260 HOME HEALTH AGENCY PROFESSIONAL SERVICES
0401 OPTICAL ESTABLISHMENT WITH SALARIED OPTOMETRIST
0622 PHYSICAL THERAPIST
0422 OPTOMETRIST (SELF EMPLOYED)
0442 PHARMACY MEDICAL SUPPLIES, EQUIPMENT AND APPLIANCE
0469 NURSE PRACTITIONER
0580 CLINICAL PSYCHOLOGY SERVICES
0605 LIVERY SERVICES
0284 HOME CARE PROGRAM
9901 DEFAULT CATEGORY OF SERVICE (PROFESSIONAL CMS MEDI
0423 AN OPTICAL ESTABLISHMENT OWNED BY AN OPTOMETRIST(S
0402 OPTICAL ESTABLISHMENT WITHOUT SALARIED OPTOMETRIST
0046 PHYSICIAN GROUP
0405 EYE PROSTHESIS FITTER
0324 AUDIOLOGIST/HEARING AID DEALER
0408 EYEGLASS MATERIALS-UPSTATE
0404 OPTICIAN (OPHTHALMIC DISPENSER) SELF- EMPLOYED
C:\Users\mxp17\AppData\Local\Temp\notes3C7B68\By COS and Dx Class DOC by HH Elig Pop Summary 10-30-12.xlsx Tab: By COS
CY 2010 Unique
Recipients
CY 2010 CY 2010 w/Medicaid Medicaid Managed Care
FFS Claims FFS Claim Ct Claim Count
529
2,644
322
602
20,167
326
675
9,311
7,026
451
3,586
0
69
928
0
113
1,653
0
593
10,806
5,790
293
3,331
0
369
5,975
5,360
5
37
0
208
518
0
43
712
0
37
132
0
11
167
0
186
1,335
0
36
114
96
69
144
0
1
1
0
9
88
0
93
452
181
8
82
0
53
252
0
16
50
0
43
101
22
11
33
263
3
34
0
2
4
0
5
11
0
3
10
0
4
16
0
1
22
0
1
1
0
1
2
0
2
4
0
1
3
0
CY 2010 Managed
Care Paid
$1,542,142
$15,743
$226,866
$0
$0
$0
$281,334
$0
$74,600
$0
$0
$0
$0
$0
$0
$7,980
$0
$0
$0
$5,804
$0
$0
$0
$649
$9,570
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
CY 2010 Medicaid FFS CY 2010 - MA
Paid
Drugs Paid
$15,376,198
$0
$2,127,873
$0
$1,688,047
$0
$1,588,904
$0
$648,228
$0
$412,475
$0
$358,724
$0
$226,280
$0
$83,769
$0
$63,797
$0
$60,055
$0
$50,444
$0
$31,426
$0
$31,007
$0
$27,576
$0
$18,114
$0
$13,748
$0
$10,973
$0
$9,039
$0
$8,724
$0
$6,147
$0
$5,908
$0
$3,173
$0
$2,586
$0
$1,299
$0
$790
$0
$561
$0
$318
$0
$191
$0
$163
$0
$94
$0
$56
$0
$48
$0
$34
$0
$31
$0
Page 1 of 4
NYC Department of Corrections Individuals Match to CY 2011 Health Home Eligible Population
Medicaid Expenditures by Category of Service
Population
Category of Service
0500 PODIATRY SERVICES
0090 MULTI TYPE GROUP SERVICES
0560 CLINICAL SOCIAL WORKER SERVICES
0606 TRANS DAY TREATMENT.
0288 PHARMACY
0521 LPN
0621 OCCUPATIONAL THERAPIST
0441 DRUGS
0180 DENTAL SCHOOL CLINIC SERVICES
0000 CHAIN PHARMACY (NP,WB)
0384 INTERMEDIATE CARE FACILITY/ DEVELOPMENTALLY DISABL
MHSA subset Total
LTC subset
0285 INPATIENT
0381 SKILLED NURSING FACILITY
0287 HOSPITAL BASED OUTPATIENT SERVICES
0160 DIAGNOSTIC & TREATMENT CENTER SERVICES (FREE-STAND
0220 CAPITATION PROVIDER
0260 HOME HEALTH AGENCY PROFESSIONAL SERVICES
0265 CASE MANAGEMENT SERVICES
0460 PHYSICIAN SERVICES
0383 DAY CARE
0602 INVALID COACH
1000 LABORATORY (FREE-STANDING)
0268 OMH REHABILATATIVE SERVICES
0264 VENDOR PERSONAL CARE SERVICES
0321 MEDICAL APPLIANCE, EQUIPMENT, SUPPLY DEALER
0286 SKILLED NURSING FACILITY
0601 AMBULANCE - EMERGENCY
0281 LABORATORY (HOS-BASED) ORDERED AMBULATORY
0580 CLINICAL PSYCHOLOGY SERVICES
0200 DENTAL SERVICES
0282 ORDERED AMBULATORY OTHER THAN LABS
0469 NURSE PRACTITIONER
0422 OPTOMETRIST (SELF EMPLOYED)
0401 OPTICAL ESTABLISHMENT WITH SALARIED OPTOMETRIST
C:\Users\mxp17\AppData\Local\Temp\notes3C7B68\By COS and Dx Class DOC by HH Elig Pop Summary 10-30-12.xlsx Tab: By COS
CY 2010 Unique
Recipients
CY 2010 CY 2010 w/Medicaid Medicaid Managed Care
FFS Claims FFS Claim Ct Claim Count
2
4
146
1
1
0
1
1
57
0
0
2,816
0
0
0
0
0
3
0
0
57
0
0
0
0
0
616
0
0
19
0
0
0
940
62,732
23,100
18
67
16
8
202
0
20
401
269
12
493
0
10
62
0
5
225
0
9
101
0
19
566
145
3
118
0
11
154
0
14
185
105
1
7
0
1
66
0
8
40
2
1
1
0
9
21
0
8
32
0
3
27
0
5
25
0
6
35
0
3
11
2
3
11
0
2
6
4
CY 2010 Managed
Care Paid
$3,306
$0
$521
$92,141
$0
$0
$1,879
$0
$26,416
$2,065
$0
$2,291,016
$30,101
$0
$3,161
$0
$0
$0
$0
$3,642
$0
$0
$220
$0
$0
$93
$0
$0
$0
$0
$0
$0
$0
$0
$160
CY 2010 Medicaid FFS CY 2010 - MA
Paid
Drugs Paid
$15
$0
$7
$0
$5
$0
$0
$0
$0
$3,399
$0
$0
$0
$0
$0 $4,714,748
$0
$0
$0
$0
$0
$0
$22,856,829 $4,718,147
$781,619
$0
$281,694
$0
$81,714
$0
$56,315
$0
$50,552
$0
$29,697
$0
$25,631
$0
$23,609
$0
$22,280
$0
$9,359
$0
$9,087
$0
$8,479
$0
$5,036
$0
$4,823
$0
$3,603
$0
$3,066
$0
$2,212
$0
$1,233
$0
$1,044
$0
$484
$0
$278
$0
$265
$0
$143
$0
Page 2 of 4
NYC Department of Corrections Individuals Match to CY 2011 Health Home Eligible Population
Medicaid Expenditures by Category of Service
Population
Category of Service
0163 ORDERED AMBULATORY (OTHER THAN LABS)
0180 DENTAL SCHOOL CLINIC SERVICES
0606 TRANS DAY TREATMENT.
0441 DRUGS
0288 PHARMACY
0500 PODIATRY SERVICES
0621 OCCUPATIONAL THERAPIST
0622 PHYSICAL THERAPIST
0442 PHARMACY MEDICAL SUPPLIES, EQUIPMENT AND APPLIANCE
0000 CHAIN PHARMACY (NP,WB)
0560 CLINICAL SOCIAL WORKER SERVICES
LTC subset Total
DD subset
0285 INPATIENT
0268 OMH REHABILATATIVE SERVICES
0220 CAPITATION PROVIDER
0160 DIAGNOSTIC & TREATMENT CENTER SERVICES (FREE-STAND
0287 HOSPITAL BASED OUTPATIENT SERVICES
0265 CASE MANAGEMENT SERVICES
0200 DENTAL SERVICES
0460 PHYSICIAN SERVICES
0601 AMBULANCE - EMERGENCY
0281 LABORATORY (HOS-BASED) ORDERED AMBULATORY
1000 LABORATORY (FREE-STANDING)
0422 OPTOMETRIST (SELF EMPLOYED)
0602 INVALID COACH
9901 DEFAULT CATEGORY OF SERVICE (PROFESSIONAL CMS MEDI
0046 PHYSICIAN GROUP
0621 OCCUPATIONAL THERAPIST
0090 MULTI TYPE GROUP SERVICES
0180 DENTAL SCHOOL CLINIC SERVICES
0282 ORDERED AMBULATORY OTHER THAN LABS
0606 TRANS DAY TREATMENT.
0401 OPTICAL ESTABLISHMENT WITH SALARIED OPTOMETRIST
0441 DRUGS
0580 CLINICAL PSYCHOLOGY SERVICES
C:\Users\mxp17\AppData\Local\Temp\notes3C7B68\By COS and Dx Class DOC by HH Elig Pop Summary 10-30-12.xlsx Tab: By COS
CY 2010 Unique
Recipients
CY 2010 CY 2010 w/Medicaid Medicaid Managed Care
FFS Claims FFS Claim Ct Claim Count
1
2
0
0
0
2
0
0
30
0
0
0
0
0
0
0
0
13
0
0
0
0
0
0
0
0
0
0
0
8
0
0
9
23
2,858
605
9
28
2
2
21
0
6
45
0
9
172
0
13
72
155
2
21
0
6
66
0
11
110
33
5
7
0
1
13
0
4
8
75
1
4
0
1
1
0
1
1
0
1
2
0
0
0
0
0
0
0
0
0
25
0
0
0
0
0
15
0
0
0
0
0
0
0
0
0
CY 2010 Managed
Care Paid
$0
$155
$1,297
$0
$0
$0
$0
$0
$0
$883
$0
$39,712
$6,401
$0
$0
$0
$6,870
$0
$0
$1,314
$0
$0
$752
$0
$0
$0
$0
$0
$0
$521
$0
$1,194
$0
$0
$0
CY 2010 Medicaid FFS CY 2010 - MA
Paid
Drugs Paid
$79
$0
$0
$0
$0
$0
$0
$535,229
$0
$345
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$1,402,303
$535,574
$171,291
$0
$35,912
$0
$17,200
$0
$15,603
$0
$13,347
$0
$11,865
$0
$5,217
$0
$2,633
$0
$1,069
$0
$70
$0
$48
$0
$36
$0
$30
$0
$12
$0
$9
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$20,159
$0
$0
Page 3 of 4
NYC Department of Corrections Individuals Match to CY 2011 Health Home Eligible Population
Medicaid Expenditures by Category of Service
Population
Category of Service
0469 NURSE PRACTITIONER
0321 MEDICAL APPLIANCE, EQUIPMENT, SUPPLY DEALER
DD subset Total
Other subset
0285 INPATIENT
0265 CASE MANAGEMENT SERVICES
0220 CAPITATION PROVIDER
0268 OMH REHABILATATIVE SERVICES
0160 DIAGNOSTIC & TREATMENT CENTER SERVICES (FREE-STAND
0287 HOSPITAL BASED OUTPATIENT SERVICES
0200 DENTAL SERVICES
0460 PHYSICIAN SERVICES
0260 HOME HEALTH AGENCY PROFESSIONAL SERVICES
0281 LABORATORY (HOS-BASED) ORDERED AMBULATORY
1000 LABORATORY (FREE-STANDING)
0601 AMBULANCE - EMERGENCY
0602 INVALID COACH
0401 OPTICAL ESTABLISHMENT WITH SALARIED OPTOMETRIST
0282 ORDERED AMBULATORY OTHER THAN LABS
0422 OPTOMETRIST (SELF EMPLOYED)
0321 MEDICAL APPLIANCE, EQUIPMENT, SUPPLY DEALER
0162 LABORATORY ORDERED AMBULATORY
0469 NURSE PRACTITIONER
0180 DENTAL SCHOOL CLINIC SERVICES
0606 TRANS DAY TREATMENT.
0441 DRUGS
0288 PHARMACY
Other subset Total
Grand Total
C:\Users\mxp17\AppData\Local\Temp\notes3C7B68\By COS and Dx Class DOC by HH Elig Pop Summary 10-30-12.xlsx Tab: By COS
CY 2010 Unique
Recipients
CY 2010 CY 2010 w/Medicaid Medicaid Managed Care
FFS Claims FFS Claim Ct Claim Count
0
0
0
0
0
0
14
571
305
10
28
8
4
220
0
9
70
0
1
8
0
10
129
2
10
59
201
6
79
0
11
125
157
1
31
0
6
22
0
5
32
157
5
18
0
1
12
0
3
11
0
2
2
0
2
6
0
2
3
5
1
1
0
1
1
0
0
0
5
0
0
34
0
0
0
0
0
0
17
857
569
994
67,018
24,579
CY 2010 Managed
Care Paid
$0
$0
$17,050
$27,430
$0
$0
$0
$0
$4,041
$0
$7,773
$0
$0
$1,477
$0
$0
$0
$0
$0
$431
$0
$0
$360
$1,148
$0
$0
$42,660
$2,390,437
CY 2010 Medicaid FFS CY 2010 - MA
Paid
Drugs Paid
$0
$0
$0
$0
$274,342
$20,159
$101,146
$0
$40,444
$0
$38,914
$0
$20,714
$0
$13,393
$0
$10,782
$0
$4,635
$0
$2,623
$0
$2,347
$0
$1,746
$0
$1,461
$0
$1,300
$0
$730
$0
$227
$0
$216
$0
$128
$0
$125
$0
$15
$0
$2
$0
$0
$0
$0
$0
$0
$160,484
$0
$2
$240,947
$160,485
$24,774,422 $5,434,365
Page 4 of 4