Average Monthly Medicaid Beneficiaries for Categories of Service by Category of Eligibility - October 2012 - December 2012

Rev. 5/2/2013

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 4,461,327 235,586 74,797 103,044 140,485 117,429 498,256 1,259,202 421,175 123,496 593,948 172,488 133,965 426,787 214,407 GRAND TOTAL
HOSPITAL INPATIENT 69,746 1,934 1,289 811 2,508 3,750 13,737 13,067 8,072 974 7,693 5,893 4,501 1,511 4,128 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 234,807 6,485 3,795 2,503 13,017 10,170 77,285 31,559 20,222 2,883 23,527 12,372 24,062 2,986 6,327 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 321,846 14,171 7,393 6,478 26,688 5,176 95,143 58,896 29,514 5,495 33,399 5,121 21,993 10,621 6,565 FREE STANDING CLINIC
SKILLED NURSING FACILITY 86,326 7 14 5 357 6,798 10,152 45 33 15 345 54,156 14,131 0 624 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 15,882 48 0 29 0 0 191 15,505 0 24 0 0 104 0 1 CHILD CARE PER DIEM
ICF DD 3,923 0 0 0 0 6 1,681 37 1 2 8 67 2,133 0 5 ICF DD
PHYSICIANS 354,829 3,682 2,272 1,040 6,083 57,602 105,166 30,149 16,776 2,047 17,588 55,696 50,877 686 8,377 PHYSICIANS
DENTAL 48,456 2,075 360 867 1,327 3,706 10,692 15,643 1,965 1,772 2,502 2,274 4,488 50 838 DENTAL
DRUGS & SUPPLIES 469,836 3,979 3,164 1,256 10,026 89,608 158,493 31,014 26,878 1,834 20,120 58,903 52,806 4,454 9,129 DRUGS & SUPPLIES
PERSONAL CARE 54,664 5 17 1 60 16,588 18,444 125 94 28 51 12,131 7,057 0 199 PERSONAL CARE
HOME HEALTH SERVICES 45,982 102 40 18 127 13,073 15,413 734 232 186 250 9,904 5,723 2 300 HOME HEALTH SERVICES
WAIVED SERVICES 77,378 235 22 88 75 5,668 42,822 3,290 95 188 284 4,746 20,036 1 189 WAIVED SERVICES
ASSISTED LIVING PROGRAM 4,560 0 0 0 2 1,736 1,430 0 0 0 3 1,288 135 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 121,485 1,721 1,409 619 3,677 19,379 45,682 4,778 3,670 239 4,937 18,797 16,454 36 1,023 TRANSPORTATION
LAB & X-RAY 142,047 1,288 1,875 559 7,676 15,401 39,239 9,663 15,824 941 11,935 15,458 18,111 265 4,889 LAB & X-RAY
REHAB OPTION 38,738 2,669 78 599 1,119 106 16,643 12,508 121 1,192 640 90 3,953 0 57 REHAB OPTION
HMO 3,700,800 226,680 69,513 99,720 122,165 2,249 277,682 1,182,135 377,559 118,395 561,511 29,156 21,540 423,799 193,430 HMO
OTHER PREPAID (NON HMO) 168,907 1,991 795 483 4,240 32,950 70,388 8,256 909 1,044 1,963 21,724 23,290 38 1,538 OTHER PREPAID (NON HMO)
ALL OTHER 157,770 3,052 789 1,600 2,724 25,383 49,676 12,049 3,404 745 4,007 29,381 23,881 437 1,226 ALL OTHER
New York City GRAND TOTAL 2,845,188 151,142 46,633 73,881 96,494 97,694 282,177 728,969 219,552 113,871 443,581 107,298 52,993 270,766 187,292 GRAND TOTAL
HOSPITAL INPATIENT 46,365 1,238 847 615 1,711 3,028 8,470 8,477 5,298 873 5,193 3,989 2,097 1,023 3,571 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 134,641 4,114 2,135 1,731 7,743 7,551 43,135 18,460 10,387 2,396 13,962 7,572 8,775 2,321 5,487 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 172,995 8,117 4,157 4,389 17,375 3,802 53,164 26,664 10,050 4,703 20,360 3,246 8,292 5,680 5,029 FREE STANDING CLINIC
SKILLED NURSING FACILITY 39,359 6 12 5 345 5,518 6,462 33 12 14 166 20,621 5,910 0 419 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 12,365 7 0 5 0 0 6 12,347 0 5 0 0 5 0 0 CHILD CARE PER DIEM
ICF DD 1,697 0 0 0 0 6 796 27 0 2 5 27 836 0 1 ICF DD
PHYSICIANS 187,856 1,267 1,135 566 3,650 46,740 54,659 8,726 5,688 1,470 8,750 33,028 17,190 107 6,339 PHYSICIANS
DENTAL 28,443 1,397 235 667 980 3,052 5,430 9,150 695 1,639 1,516 1,613 1,425 6 684 DENTAL
DRUGS & SUPPLIES 281,258 1,484 1,577 685 6,372 80,362 93,724 8,747 5,997 1,278 9,744 41,969 21,704 1,333 7,182 DRUGS & SUPPLIES
PERSONAL CARE 35,147 4 14 1 43 14,057 11,890 54 61 19 32 6,577 2,358 0 93 PERSONAL CARE
HOME HEALTH SERVICES 30,969 63 27 13 107 10,917 10,710 491 118 176 127 5,694 2,377 1 219 HOME HEALTH SERVICES
WAIVED SERVICES 28,858 123 11 56 46 4,343 15,571 1,625 35 147 160 1,921 4,776 0 116 WAIVED SERVICES
ASSISTED LIVING PROGRAM 1,999 0 0 0 1 911 734 0 0 0 0 318 43 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 53,554 37 67 22 366 16,436 19,668 256 205 63 727 9,854 5,459 2 594 TRANSPORTATION
LAB & X-RAY 73,197 499 1,063 333 5,046 12,052 19,198 3,395 6,634 592 6,109 9,004 5,956 64 3,772 LAB & X-RAY
REHAB OPTION 15,801 1,246 13 240 364 50 6,496 5,559 33 1,077 269 44 694 0 46 REHAB OPTION
HMO 2,437,434 147,782 43,996 72,128 85,727 1,627 167,795 697,950 206,797 110,229 427,390 24,602 12,768 269,739 170,792 HMO
OTHER PREPAID (NON HMO) 107,749 1,091 532 281 3,279 31,320 35,739 4,412 513 935 1,143 19,295 8,196 24 1,383 OTHER PREPAID (NON HMO)
ALL OTHER 83,696 1,752 381 1,115 1,670 20,636 25,931 5,917 943 606 1,998 14,780 7,340 44 892 ALL OTHER
Rest of State GRAND TOTAL 1,616,140 84,445 28,163 29,162 43,991 19,735 216,079 530,233 201,623 9,626 150,367 65,190 80,972 156,021 27,115 GRAND TOTAL
HOSPITAL INPATIENT 23,381 696 442 196 797 723 5,266 4,590 2,774 101 2,501 1,904 2,404 488 556 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 100,166 2,371 1,660 772 5,274 2,619 34,150 13,099 9,835 487 9,565 4,800 15,287 666 840 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 148,851 6,054 3,236 2,089 9,313 1,374 41,978 32,232 19,464 793 13,039 1,874 13,701 4,942 1,536 FREE STANDING CLINIC
SKILLED NURSING FACILITY 46,966 2 2 0 12 1,280 3,690 12 21 1 179 33,535 8,220 0 205 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,517 41 0 24 0 0 185 3,158 0 19 0 0 99 0 1 CHILD CARE PER DIEM
ICF DD 2,225 0 0 0 0 0 884 11 1 0 3 40 1,297 0 4 ICF DD
PHYSICIANS 166,973 2,416 1,137 474 2,433 10,862 50,507 21,423 11,088 577 8,838 22,668 33,686 579 2,038 PHYSICIANS
DENTAL 20,013 679 125 200 347 654 5,263 6,494 1,271 132 986 661 3,063 43 154 DENTAL
DRUGS & SUPPLIES 188,577 2,495 1,587 571 3,654 9,245 64,769 22,267 20,881 556 10,376 16,934 31,102 3,120 1,947 DRUGS & SUPPLIES
PERSONAL CARE 19,516 1 2 0 17 2,531 6,554 71 33 9 19 5,554 4,699 0 106 PERSONAL CARE
HOME HEALTH SERVICES 15,013 39 13 5 20 2,156 4,703 243 114 10 123 4,210 3,346 1 81 HOME HEALTH SERVICES
WAIVED SERVICES 48,520 112 11 33 29 1,325 27,252 1,665 60 41 125 2,825 15,260 1 73 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,561 0 0 0 0 825 695 0 0 0 3 970 92 0 1 ASSISTED LIVING PROGRAM
TRANSPORTATION 67,931 1,684 1,342 597 3,312 2,943 26,014 4,522 3,465 176 4,210 8,943 10,995 34 429 TRANSPORTATION
LAB & X-RAY 68,850 789 812 227 2,630 3,349 20,041 6,267 9,191 349 5,826 6,454 12,155 201 1,117 LAB & X-RAY
REHAB OPTION 22,937 1,423 65 359 754 56 10,147 6,949 88 115 370 46 3,259 0 11 REHAB OPTION
HMO 1,263,366 78,898 25,517 27,592 36,439 621 109,888 484,185 170,762 8,167 134,121 4,554 8,771 154,060 22,638 HMO
OTHER PREPAID (NON HMO) 61,158 900 263 202 961 1,630 34,649 3,844 396 109 820 2,429 15,094 14 154 OTHER PREPAID (NON HMO)
ALL OTHER 74,074 1,300 408 485 1,055 4,748 23,745 6,132 2,461 139 2,009 14,601 16,541 393 334 ALL OTHER