Calendar Year 2004 Medicaid Service Units for Selected Categories of Service by Category of Eligibility

Calendar Year 2004 Medicaid Service Units for Selected Categories of Service by Category of Eligibility

Rev.7/18/05

Social Services District Service Category Counted As Medicaid and Subsistence Medicaid Only
TANF CHILDREN TANF ADULTS SAFETY NET CHILDREN SAFETY NET ADULTS SSI AGED SSI BLIND & DISABLED TANF CHILDREN TANF ADULTS SAFETY NET CHILDREN SAFETY NET ADULTS AGED BLIND & DISABLED FAMILY HEALTH PLUS Other
New York State HOSPITAL INPATIENT Days 83,426 59,629 39,920 493,052 242,523 1,411,977 561,740 226,574 30,230 637,211 193,089 428,109 22,841 239,383
HOSPITAL OUTPATIENT Claims/Visits 275,969 241,262 120,163 1,382,830 446,950 4,198,685 1,027,530 713,907 54,241 689,256 355,497 850,357 25,707 159,334
FREE STANDING CLINIC Claims/Visits 390,349 306,782 217,581 1,974,316 306,848 6,070,918 1,269,724 681,173 90,062 738,813 146,515 1,366,566 100,142 121,880
SKILLED NURSING FACILITY Days 5,148 4,495 1,121 62,709 2,273,398 2,858,457 16,436 16,137 868 47,254 23,965,895 4,788,111 64 138,280
ICF DD Days 0 0 364 0 2,387 684,066 9,338 606 0 177 20,104 784,141 0 1,323
PHYSICIANS Claims 273,674 194,703 77,271 536,809 2,659,619 5,145,019 1,374,875 641,633 59,858 559,478 2,483,811 1,877,185 331 241,758
DENTAL Procedures 326,036 159,067 165,667 386,673 278,825 1,090,821 1,213,926 434,325 95,565 389,019 130,440 207,204 280 159,753
DRUGS & SUPPLIES Prescriptions/Items 2,825,377 2,064,374 1,659,704 6,790,976 48,517,027 79,996,167 9,788,465 3,936,661 1,205,076 5,179,446 46,251,443 25,708,907 661 1,876,436
PERSONAL CARE Claims 108,706 163,912 11,879 336,960 55,149,221 46,979,130 232,511 192,439 30,279 144,289 41,749,512 14,940,134 393 470,417
HOME HEALTH SERVICES Claims 60,282 115,814 13,443 324,198 10,894,464 13,933,103 174,726 117,194 18,419 162,712 11,909,514 4,819,199 154 322,997
TRANSPORTATION Trips 65,671 73,874 18,531 304,363 2,804,748 7,169,072 196,717 128,127 13,867 179,805 2,468,027 2,576,409 30 113,911
LAB & X-RAY Procedures 120,051 254,842 89,380 1,642,390 514,591 2,900,070 556,523 654,065 41,486 540,615 502,375 594,044 293 136,999
HMO Premiums 2,577,509 719,387 1,546,861 1,129,936 13,844 823,089 9,586,507 2,247,860 803,754 2,316,095 47,672 67,447 4,989,838 897,327
New York City HOSPITAL INPATIENT Days 48,131 39,300 29,437 327,144 208,033 992,433 335,343 115,529 18,711 427,445 143,464 289,542 15,867 210,806
HOSPITAL OUTPATIENT Claims/Visits 159,330 150,593 82,124 861,088 352,862 2,806,740 553,351 412,268 37,195 472,410 235,656 437,689 24,597 135,376
FREE STANDING CLINIC Claims/Visits 222,278 204,582 159,660 1,376,834 247,261 3,562,205 596,073 251,139 59,040 521,544 95,876 612,856 61,783 102,301
SKILLED NURSING FACILITY Days 4,724 4,361 1,112 59,670 1,742,366 1,879,501 10,555 905 436 20,976 9,095,363 2,198,340 62 90,189
ICF DD Days 0 0 364 0 1,249 347,627 8,369 0 0 0 10,205 343,157 0 257
PHYSICIANS Claims 126,904 123,293 55,662 397,655 2,176,700 3,148,616 492,295 266,754 40,004 361,244 1,416,398 774,688 125 188,470
DENTAL Procedures 237,462 123,001 143,417 328,077 256,457 822,076 727,628 280,954 86,433 332,681 110,007 127,021 190 148,950
DRUGS & SUPPLIES Prescriptions/Items 2,160,366 1,561,971 1,456,210 5,707,758 44,452,904 58,208,663 5,589,128 2,322,785 1,065,793 4,323,380 35,870,215 13,244,793 292 1,643,205
PERSONAL CARE Claims 84,348 148,919 11,740 309,223 49,808,867 36,165,760 119,068 134,694 22,966 116,582 30,798,560 7,613,888 393 347,992
HOME HEALTH SERVICES Claims 40,742 108,045 9,500 309,437 10,331,489 11,927,802 107,307 86,423 17,419 145,289 10,839,187 3,608,257 146 307,871
TRANSPORTATION Trips 17,656 30,537 7,924 168,918 2,427,982 4,340,744 49,158 30,201 5,690 94,109 922,476 884,953 7 84,725
LAB & X-RAY Procedures 62,083 168,063 65,340 1,189,727 387,145 1,790,244 224,747 266,758 21,265 337,871 271,425 249,234 53 105,844
HMO Premiums 1,864,085 526,221 1,292,060 906,951 11,327 419,573 6,337,348 1,473,533 753,786 2,051,213 39,730 28,065 3,463,382 824,917
Rest of State HOSPITAL INPATIENT Days 35,295 20,329 10,483 165,908 34,490 419,544 226,397 111,045 11,519 209,766 49,625 138,567 6,974 28,577
HOSPITAL OUTPATIENT Claims/Visits 116,639 90,669 38,039 521,742 94,088 1,391,945 474,179 301,639 17,046 216,846 119,841 412,668 1,110 23,958
FREE STANDING CLINIC Claims/Visits 168,071 102,200 57,921 597,482 59,587 2,508,713 673,651 430,034 31,022 217,269 50,639 753,710 38,359 19,579
SKILLED NURSING FACILITY Days 424 134 9 3,039 531,032 978,956 5,881 15,232 432 26,278 14,870,532 2,589,771 2 48,091
ICF DD Days 0 0 0 0 1,138 336,439 969 606 0 177 9,899 440,984 0 1,066
PHYSICIANS Claims 146,770 71,410 21,609 139,154 482,919 1,996,403 882,580 374,879 19,854 198,234 1,067,413 1,102,497 206 53,288
DENTAL Procedures 88,574 36,066 22,250 58,596 22,368 268,745 486,298 153,371 9,132 56,338 20,433 80,183 90 10,803
DRUGS & SUPPLIES Prescriptions/Items 665,011 502,403 203,494 1,083,218 4,064,123 21,787,504 4,199,337 1,613,876 139,283 856,066 10,381,228 12,464,114 369 233,231
PERSONAL CARE Claims 24,358 14,993 139 27,737 5,340,354 10,813,370 113,443 57,745 7,313 27,707 10,950,952 7,326,246 0 122,425
HOME HEALTH SERVICES Claims 19,540 7,769 3,943 14,761 562,975 2,005,301 67,419 30,771 1,000 17,423 1,070,327 1,210,942 8 15,126
TRANSPORTATION Trips 48,015 43,337 10,607 135,445 376,766 2,828,328 147,559 97,926 8,177 85,696 1,545,551 1,691,456 23 29,186
LAB & X-RAY Procedures 57,968 86,779 24,040 452,663 127,446 1,109,826 331,776 387,307 20,221 202,744 230,950 344,810 240 31,155
HMO Premiums 713,424 193,166 254,801 222,985 2,517 403,516 3,249,159 774,327 49,968 264,882 7,942 39,382 1,526,456 72,410