Medicaid Beneficiaries for Categories of Service by Category of Eligibility - January 2011 - December 2011

Rev. 3/9/2012

Social Services District Service Category Medicaid Average Monthly Beneficiairies MEDICAID AND SUBSISTENCE MEDICAID ONLY Service Category
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 GRAND TOTAL 4,119,436 229,887 73,179 101,358 136,978 115,751 487,579 1,071,121 386,882 114,695 518,903 159,124 128,175 403,402 256,601 GRAND TOTAL
HOSPITAL INPATIENT 71,576 1,947 1,353 783 3,650 3,712 14,989 12,384 7,842 907 8,712 5,521 4,331 1,548 4,118 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 292,528 8,862 5,403 3,201 17,685 16,208 98,166 37,406 24,078 3,137 25,825 16,044 29,477 2,432 7,463 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 337,395 15,947 8,751 7,003 30,354 5,732 96,583 60,127 32,754 6,110 34,108 5,300 21,416 9,520 8,601 FREE STANDING CLINIC
SKILLED NURSING FACILITY 87,164 9 16 4 377 7,339 10,810 47 27 12 371 53,902 13,864 0 689 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 16,586 43 0 27 0 0 201 16,242 0 28 0 0 86 0 2 CHILD CARE PER DIEM
ICF DD 3,662 0 0 0 0 3 1,544 45 1 5 2 68 2,005 0 5 ICF DD
PHYSICIANS 372,769 5,645 3,517 1,594 10,521 58,819 111,374 34,119 18,644 2,187 19,974 53,381 47,652 520 8,504 PHYSICIANS
DENTAL 100,317 5,892 1,719 2,073 4,064 4,652 16,854 32,316 8,649 3,421 8,968 2,664 4,945 49 4,378 DENTAL
DRUGS & SUPPLIES 1,486,345 43,221 27,867 16,049 66,976 92,280 321,364 212,257 149,601 22,781 193,618 68,882 63,569 133,007 82,532 DRUGS & SUPPLIES
PERSONAL CARE 61,488 12 40 7 139 18,548 22,120 155 113 35 115 12,867 7,154 0 351 PERSONAL CARE
HOME HEALTH SERVICES 82,696 131 111 32 375 25,968 26,411 924 460 144 469 18,745 8,503 2 732 HOME HEALTH SERVICES
WAIVED SERVICES 69,782 179 22 65 85 4,609 39,840 2,766 89 170 217 4,046 17,837 1 195 WAIVED SERVICES
ASSISTED LIVING PROGRAM 3,693 0 0 0 1 1,506 1,158 0 0 0 1 952 101 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 117,603 965 846 338 3,009 24,060 45,580 2,341 1,958 164 3,464 19,060 15,261 10 1,244 TRANSPORTATION
LAB & X-RAY 159,106 1,922 2,792 874 12,895 16,230 45,914 11,436 16,187 1,024 14,316 14,750 17,245 219 4,783 LAB & X-RAY
REHAB OPTION 43,128 3,993 53 1,337 895 87 16,798 15,591 68 1,610 413 68 3,043 2 187 REHAB OPTION
HMO 3,263,121 213,601 62,813 95,493 102,981 2,219 242,218 971,276 327,708 108,043 469,351 23,176 19,430 395,796 233,182 HMO
OTHER PREPAID (NON HMO) 133,369 3,120 794 783 3,209 18,751 59,757 10,984 728 1,328 1,318 12,564 19,916 5 1,115 OTHER PREPAID (NON HMO)
ALL OTHER 184,700 3,585 1,460 1,609 4,843 32,711 57,867 12,197 4,670 792 5,593 32,211 25,512 132 2,162 ALL OTHER
New York City GRAND TOTAL 2,695,439 150,670 46,270 74,286 93,346 95,800 281,781 651,081 208,130 103,570 395,373 97,548 51,414 259,869 221,090 GRAND TOTAL
HOSPITAL INPATIENT 47,662 1,202 887 590 2,653 2,992 9,636 7,984 4,909 771 5,980 3,627 2,050 1,044 3,474 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 163,409 5,171 3,059 2,009 10,672 12,065 54,150 20,171 11,563 2,490 14,788 9,638 10,892 1,863 6,348 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 186,546 9,365 4,917 4,740 19,629 4,329 55,042 29,678 11,378 5,136 20,975 3,413 8,357 5,264 6,550 FREE STANDING CLINIC
SKILLED NURSING FACILITY 40,034 8 14 3 363 5,981 7,105 36 8 11 196 20,182 5,814 0 433 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 12,955 5 0 6 0 0 10 12,949 0 3 0 0 6 0 0 CHILD CARE PER DIEM
ICF DD 1,624 0 0 0 0 3 737 39 0 3 1 30 815 0 1 ICF DD
PHYSICIANS 201,202 2,379 2,019 915 7,011 48,056 59,762 10,224 6,364 1,490 10,296 31,450 16,675 49 6,340 PHYSICIANS
DENTAL 55,890 3,404 921 1,334 2,677 3,978 8,634 16,751 2,827 3,020 5,029 1,864 1,676 6 3,924 DENTAL
DRUGS & SUPPLIES 959,007 26,265 16,697 11,447 45,575 81,977 195,514 117,909 73,570 20,261 140,668 51,845 27,163 83,336 70,549 DRUGS & SUPPLIES
PERSONAL CARE 41,431 11 32 7 113 15,963 14,923 66 81 22 69 7,415 2,628 0 185 PERSONAL CARE
HOME HEALTH SERVICES 63,216 63 86 19 311 23,312 19,421 497 229 123 299 14,136 4,358 0 598 HOME HEALTH SERVICES
WAIVED SERVICES 25,136 78 14 41 55 3,348 14,012 1,451 32 114 124 1,613 4,207 0 112 WAIVED SERVICES
ASSISTED LIVING PROGRAM 1,739 0 0 0 0 801 629 0 0 0 1 283 32 0 1 ASSISTED LIVING PROGRAM
TRANSPORTATION 66,417 97 162 44 898 21,301 25,050 331 307 68 1,082 10,642 5,800 0 880 TRANSPORTATION
LAB & X-RAY 83,929 866 1,660 533 8,907 12,970 23,348 4,025 6,022 597 7,449 8,720 5,878 47 3,680 LAB & X-RAY
REHAB OPTION 24,947 2,764 10 977 294 35 8,560 10,057 20 1,491 193 38 866 1 160 REHAB OPTION
HMO 2,240,408 143,182 40,384 70,957 70,961 1,653 153,178 609,859 190,650 99,007 369,439 20,618 11,963 257,057 202,931 HMO
OTHER PREPAID (NON HMO) 76,404 2,004 530 519 2,337 17,568 27,489 6,598 376 1,156 698 10,696 6,167 2 940 OTHER PREPAID (NON HMO)
ALL OTHER 102,661 2,051 759 1,087 3,070 27,169 31,574 5,661 1,589 611 2,921 16,595 8,162 8 1,706 ALL OTHER
Rest of State GRAND TOTAL 1,423,997 79,217 26,908 27,072 43,632 19,951 205,798 420,040 178,752 11,125 123,530 61,576 76,761 143,533 35,510 GRAND TOTAL
HOSPITAL INPATIENT 23,914 745 466 193 997 721 5,353 4,400 2,933 136 2,732 1,894 2,281 504 644 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 129,119 3,690 2,344 1,193 7,013 4,143 44,015 17,234 12,514 647 11,036 6,406 18,586 570 1,115 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 150,849 6,582 3,835 2,263 10,726 1,403 41,541 30,449 21,376 974 13,133 1,887 13,059 4,256 2,051 FREE STANDING CLINIC
SKILLED NURSING FACILITY 47,131 2 2 1 14 1,358 3,705 11 19 2 175 33,720 8,050 0 256 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,631 37 0 21 0 0 190 3,293 0 25 0 0 79 0 2 CHILD CARE PER DIEM
ICF DD 2,038 0 0 0 0 0 807 6 1 2 1 38 1,190 0 5 ICF DD
PHYSICIANS 171,567 3,266 1,498 678 3,510 10,763 51,612 23,895 12,280 697 9,678 21,931 30,977 471 2,164 PHYSICIANS
DENTAL 44,426 2,487 799 740 1,387 675 8,219 15,565 5,822 402 3,938 800 3,269 44 454 DENTAL
DRUGS & SUPPLIES 527,339 16,956 11,170 4,602 21,401 10,302 125,850 94,348 76,031 2,520 52,950 17,037 36,406 49,670 11,984 DRUGS & SUPPLIES
PERSONAL CARE 20,057 1 8 0 26 2,586 7,197 89 32 13 46 5,452 4,526 0 166 PERSONAL CARE
HOME HEALTH SERVICES 19,479 69 25 13 63 2,656 6,990 427 231 21 170 4,609 4,144 1 134 HOME HEALTH SERVICES
WAIVED SERVICES 44,646 101 9 25 30 1,261 25,828 1,316 57 56 92 2,433 13,629 0 83 WAIVED SERVICES
ASSISTED LIVING PROGRAM 1,954 0 0 0 0 705 529 0 0 0 1 669 68 0 1 ASSISTED LIVING PROGRAM
TRANSPORTATION 51,185 868 684 293 2,111 2,759 20,530 2,010 1,651 97 2,382 8,418 9,461 10 364 TRANSPORTATION
LAB & X-RAY 75,176 1,056 1,132 341 3,988 3,260 22,566 7,412 10,165 427 6,867 6,030 11,367 172 1,103 LAB & X-RAY
REHAB OPTION 18,180 1,229 44 360 600 51 8,238 5,534 48 119 220 30 2,177 1 27 REHAB OPTION
HMO 1,022,713 70,419 22,429 24,536 32,020 566 89,040 361,417 137,059 9,036 99,912 2,557 7,468 138,739 30,250 HMO
OTHER PREPAID (NON HMO) 56,965 1,116 264 263 873 1,183 32,268 4,386 352 171 620 1,868 13,749 3 175 OTHER PREPAID (NON HMO)
ALL OTHER 82,039 1,533 700 522 1,772 5,542 26,294 6,536 3,081 182 2,672 15,616 17,350 124 456 ALL OTHER