Medicaid Expenditures for Selected Categories of Service by Category of Eligibility - Calendar Year 2013

Rev. 3/19/2014

Social Services District Service Category Total Medicaid Expenditures 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 46,660,714,799 714,233,227 626,260,290 318,404,411 1,460,362,663 3,219,666,747 12,871,373,761 4,504,993,268 3,105,959,150 405,925,668 4,265,428,805 6,857,706,490 4,638,122,091 1,766,084,015 1,906,194,212 GRAND TOTAL
HOSPITAL INPATIENT 4,387,416,830 67,375,408 47,613,090 30,711,013 159,340,821 106,965,121 1,123,674,384 584,265,459 337,715,588 39,140,576 719,065,724 272,088,188 377,329,329 49,485,501 472,646,627 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 993,203,823 14,772,244 11,511,841 5,715,597 68,260,357 20,337,791 376,220,517 88,450,055 93,090,695 8,460,533 119,810,301 37,385,016 90,998,239 6,297,260 51,893,377 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 1,319,118,898 39,400,723 21,663,438 18,515,432 150,589,832 16,996,748 481,800,198 161,157,639 87,952,346 16,770,045 140,967,150 20,033,266 112,629,300 20,684,559 29,958,221 FREE STANDING CLINIC
SKILLED NURSING FACILITY 6,476,297,648 1,853,980 15,781,922 982,291 11,432,362 386,386,015 745,658,958 9,956,790 3,175,234 5,477,296 44,068,042 4,008,243,256 1,188,229,151 66,361 54,985,991 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 155,556,605 655,233 828 323,301 0 0 3,755,310 148,840,922 1,366 112,659 3,282 0 1,847,225 0 16,478 CHILD CARE PER DIEM
ICF DD 761,566,457 0 0 0 0 1,664,510 336,888,471 5,759,423 0 1,076,636 1,856,613 12,510,459 400,425,024 0 1,385,322 ICF DD
PHYSICIANS 358,438,750 4,301,490 3,107,057 1,557,257 8,475,126 32,834,302 98,429,427 43,016,082 26,420,284 2,872,657 30,433,633 40,152,069 47,123,683 635,940 19,079,743 PHYSICIANS
DENTAL 100,788,517 3,599,431 1,252,318 1,763,905 3,841,182 7,901,844 22,685,699 28,709,650 3,696,998 3,509,753 6,295,922 5,481,120 9,861,990 97,316 2,091,389 DENTAL
DRUGS & SUPPLIES 719,212,946 3,786,489 5,449,980 1,662,450 36,772,360 25,748,070 391,166,693 43,139,403 26,799,642 3,810,489 35,589,676 30,371,470 88,366,869 4,241,923 22,307,431 DRUGS & SUPPLIES
PERSONAL CARE 1,120,796,788 128,121 137,314 13,699 650,391 251,126,550 346,522,922 3,755,548 1,102,354 893,303 1,067,641 318,161,144 191,872,067 321 5,365,414 PERSONAL CARE
HOME HEALTH SERVICES 742,591,517 844,192 58,900,967 261,630 1,385,305 172,228,388 222,934,645 7,913,953 2,073,347 2,689,222 3,710,277 175,629,397 87,988,317 16,732 6,015,144 HOME HEALTH SERVICES
WAIVED SERVICES 4,358,934,250 7,828,000 215,048 3,345,520 1,397,795 68,956,625 2,946,028,716 101,428,340 2,177,491 4,783,728 11,407,591 104,617,018 1,101,158,471 20,933 5,568,973 WAIVED SERVICES
ASSISTED LIVING PROGRAM 130,856,892 0 176,510 0 54,856 49,201,769 41,356,296 0 0 0 141,981 35,516,748 4,258,813 0 149,920 ASSISTED LIVING PROGRAM
TRANSPORTATION 379,498,773 3,405,327 4,871,262 1,345,115 15,374,254 34,399,477 157,481,916 10,505,287 10,984,255 957,079 21,593,066 46,177,219 65,661,474 63,277 6,679,765 TRANSPORTATION
LAB & X-RAY 62,102,555 370,035 1,037,411 208,136 4,868,993 4,088,610 15,539,891 2,863,313 10,225,131 315,404 6,502,190 5,099,814 6,866,240 102,136 4,015,249 LAB & X-RAY
REHAB OPTION 761,900,817 28,675,937 1,094,396 7,327,725 28,166,367 2,482,531 404,247,211 167,143,110 1,301,740 13,594,637 10,875,263 1,747,626 94,649,719 101 594,454 REHAB OPTION
HMO 18,053,230,591 525,516,721 440,594,579 239,087,681 906,739,894 27,600,137 3,584,720,092 3,044,825,612 2,478,468,938 296,148,128 3,063,498,499 339,410,258 271,320,898 1,681,508,989 1,153,790,165 HMO
OTHER PREPAID (NON HMO) 5,257,795,931 5,435,213 10,436,308 1,976,259 60,456,105 1,984,905,352 1,393,715,290 22,993,740 16,343,667 2,489,210 41,816,347 1,290,215,550 360,898,105 1,068,163 65,046,623 OTHER PREPAID (NON HMO)
ALL OTHER 521,406,213 6,284,682 2,416,019 3,607,399 2,556,663 25,842,907 178,547,126 30,268,943 4,430,074 2,824,314 6,725,607 114,866,873 136,637,177 1,794,503 4,603,924 ALL OTHER
New York City GRAND TOTAL 28,661,901,081 434,803,779 406,542,276 225,261,468 1,069,077,804 2,874,188,209 7,489,569,017 2,576,422,324 1,640,202,723 367,249,691 2,987,991,979 3,919,033,198 1,983,450,212 1,062,660,740 1,625,447,659 GRAND TOTAL
HOSPITAL INPATIENT 3,181,249,646 45,706,573 37,327,532 24,497,262 123,783,589 90,088,286 811,060,774 390,107,023 232,375,425 33,427,759 500,923,549 217,386,964 227,953,441 38,788,124 407,823,344 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 597,575,123 10,038,437 6,423,931 3,958,459 41,331,525 13,375,632 223,344,316 57,089,949 50,511,480 6,923,086 72,247,472 24,441,415 39,833,922 5,299,163 42,756,335 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 820,991,886 25,482,434 14,002,137 13,387,796 106,306,477 14,102,353 312,611,233 86,103,401 35,246,948 14,900,882 89,347,779 15,389,992 58,417,527 12,604,876 23,088,051 FREE STANDING CLINIC
SKILLED NURSING FACILITY 3,345,425,782 1,725,607 8,545,594 982,291 11,001,300 314,983,339 512,019,173 6,700,792 577,695 5,066,408 24,884,625 1,827,945,272 594,733,336 62,879 36,197,472 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 108,869,464 13,941 0 11,385 0 0 22,400 108,585,217 0 11,398 2,650 0 222,472 0 0 CHILD CARE PER DIEM
ICF DD 337,345,772 0 0 0 0 1,561,219 163,979,759 4,027,246 0 774,859 1,103,267 5,626,344 160,252,850 0 20,229 ICF DD
PHYSICIANS 198,164,821 1,993,302 1,786,686 1,093,275 5,752,378 26,990,269 55,361,386 16,273,505 10,409,218 2,178,771 15,161,846 26,591,122 19,577,689 147,499 14,847,877 PHYSICIANS
DENTAL 63,519,742 2,453,300 1,045,859 1,377,128 3,105,682 6,512,383 12,804,642 17,508,986 1,659,019 3,298,275 4,428,673 4,023,379 3,538,408 6,171 1,757,835 DENTAL
DRUGS & SUPPLIES 423,257,371 1,937,252 3,953,060 1,190,163 29,243,493 23,306,123 237,129,342 16,349,717 7,024,511 2,876,694 18,418,837 22,494,805 41,088,548 1,472,862 16,771,964 DRUGS & SUPPLIES
PERSONAL CARE 601,740,986 118,284 134,676 13,699 554,943 201,800,586 214,286,846 2,034,725 678,815 703,972 758,361 118,082,985 60,536,080 321 2,036,694 PERSONAL CARE
HOME HEALTH SERVICES 576,299,063 736,687 55,680,985 240,538 1,162,477 152,604,936 165,959,870 6,759,867 890,844 2,673,265 2,174,178 135,777,027 46,685,584 2,664 4,950,141 HOME HEALTH SERVICES
WAIVED SERVICES 1,296,120,927 3,956,619 122,354 2,357,655 631,373 20,146,260 954,528,584 48,630,475 597,651 3,812,152 7,537,469 16,026,664 233,998,180 2,882 3,772,611 WAIVED SERVICES
ASSISTED LIVING PROGRAM 68,395,620 0 0 0 43,008 30,694,354 23,960,867 0 0 0 20,233 11,947,418 1,639,151 0 90,589 ASSISTED LIVING PROGRAM
TRANSPORTATION 168,131,913 763,324 1,334,582 412,215 4,997,489 27,652,210 73,398,759 2,385,721 1,983,417 608,227 6,582,403 21,586,939 21,672,560 8,376 4,745,692 TRANSPORTATION
LAB & X-RAY 35,625,412 193,610 601,623 155,325 3,783,027 3,415,708 9,299,952 1,209,272 4,032,711 170,248 3,259,343 3,493,704 2,860,806 37,058 3,113,021 LAB & X-RAY
REHAB OPTION 298,220,340 12,517,210 252,991 3,208,293 9,760,865 1,217,795 163,171,904 73,082,357 364,156 12,139,430 4,214,142 743,790 17,139,077 101 408,228 REHAB OPTION
HMO 11,667,242,941 319,742,529 265,498,035 168,206,223 673,718,763 20,883,211 2,306,850,444 1,708,956,810 1,280,949,566 273,088,847 2,200,373,267 282,939,787 162,873,126 1,003,523,443 999,638,891 HMO
OTHER PREPAID (NON HMO) 4,629,757,945 2,830,591 8,325,850 1,221,655 51,913,394 1,903,941,912 1,162,330,274 11,859,010 11,776,991 2,110,259 32,482,065 1,126,537,973 252,745,302 670,889 61,011,780 OTHER PREPAID (NON HMO)
ALL OTHER 243,966,325 4,594,078 1,506,380 2,948,107 1,988,022 20,911,631 87,448,492 18,758,253 1,124,274 2,485,159 4,071,821 57,997,618 37,682,153 33,432 2,416,905 ALL OTHER
Rest of State GRAND TOTAL 17,998,813,717 279,429,448 219,718,013 93,142,943 391,284,859 345,478,538 5,381,804,744 1,928,570,944 1,465,756,427 38,675,977 1,277,436,825 2,938,673,292 2,654,671,878 703,423,275 280,746,552 GRAND TOTAL
HOSPITAL INPATIENT 1,206,167,183 21,668,834 10,285,557 6,213,750 35,557,233 16,876,835 312,613,610 194,158,436 105,340,163 5,712,817 218,142,176 54,701,224 149,375,888 10,697,377 64,823,282 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 395,628,700 4,733,807 5,087,910 1,757,138 26,928,831 6,962,159 152,876,201 31,360,106 42,579,215 1,537,448 47,562,829 12,943,601 51,164,317 998,097 9,137,042 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 498,127,011 13,918,289 7,661,301 5,127,637 44,283,355 2,894,395 169,188,965 75,054,238 52,705,397 1,869,163 51,619,371 4,643,274 54,211,773 8,079,683 6,870,170 FREE STANDING CLINIC
SKILLED NURSING FACILITY 3,130,871,866 128,373 7,236,329 0 431,063 71,402,676 233,639,785 3,255,998 2,597,539 410,888 19,183,417 2,180,297,984 593,495,815 3,482 18,788,520 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 46,687,141 641,291 828 311,916 0 0 3,732,910 40,255,705 1,366 101,261 632 0 1,624,753 0 16,478 CHILD CARE PER DIEM
ICF DD 424,220,685 0 0 0 0 103,290 172,908,712 1,732,177 0 301,777 753,347 6,884,115 240,172,173 0 1,365,093 ICF DD
PHYSICIANS 160,273,929 2,308,189 1,320,371 463,982 2,722,747 5,844,033 43,068,041 26,742,577 16,011,066 693,886 15,271,787 13,560,947 27,545,994 488,441 4,231,866 PHYSICIANS
DENTAL 37,268,775 1,146,131 206,459 386,776 735,500 1,389,460 9,881,057 11,200,664 2,037,979 211,479 1,867,249 1,457,741 6,323,582 91,145 333,554 DENTAL
DRUGS & SUPPLIES 295,955,575 1,849,237 1,496,920 472,287 7,528,867 2,441,947 154,037,351 26,789,686 19,775,130 933,795 17,170,838 7,876,665 47,278,321 2,769,061 5,535,467 DRUGS & SUPPLIES
PERSONAL CARE 519,055,802 9,836 2,638 0 95,448 49,325,963 132,236,076 1,720,823 423,540 189,331 309,280 200,078,159 131,335,987 0 3,328,720 PERSONAL CARE
HOME HEALTH SERVICES 166,292,454 107,505 3,219,982 21,093 222,828 19,623,452 56,974,775 1,154,086 1,182,504 15,957 1,536,099 39,852,370 41,302,734 14,068 1,065,002 HOME HEALTH SERVICES
WAIVED SERVICES 3,062,813,322 3,871,381 92,694 987,866 766,422 48,810,364 1,991,500,132 52,797,865 1,579,840 971,576 3,870,122 88,590,355 867,160,291 18,052 1,796,362 WAIVED SERVICES
ASSISTED LIVING PROGRAM 62,461,271 0 176,510 0 11,847 18,507,414 17,395,429 0 0 0 121,748 23,569,330 2,619,662 0 59,331 ASSISTED LIVING PROGRAM
TRANSPORTATION 211,366,860 2,642,004 3,536,680 932,900 10,376,765 6,747,267 84,083,156 8,119,566 9,000,837 348,852 15,010,663 24,590,280 43,988,913 54,901 1,934,074 TRANSPORTATION
LAB & X-RAY 26,477,143 176,424 435,787 52,811 1,085,967 672,902 6,239,939 1,654,041 6,192,420 145,155 3,242,847 1,606,109 4,005,434 65,078 902,228 LAB & X-RAY
REHAB OPTION 463,680,477 16,158,728 841,405 4,119,432 18,405,501 1,264,736 241,075,306 94,060,752 937,583 1,455,207 6,661,121 1,003,836 77,510,642 0 186,226 REHAB OPTION
HMO 6,385,987,650 205,774,192 175,096,544 70,881,458 233,021,131 6,716,926 1,277,869,649 1,335,868,803 1,197,519,371 23,059,281 863,125,233 56,470,470 108,447,772 677,985,546 154,151,275 HMO
OTHER PREPAID (NON HMO) 628,037,985 2,604,622 2,110,459 754,604 8,542,711 80,963,441 231,385,016 11,134,730 4,566,676 378,950 9,334,281 163,677,576 108,152,803 397,274 4,034,843 OTHER PREPAID (NON HMO)
ALL OTHER 277,439,888 1,690,605 909,639 659,292 568,641 4,931,276 91,098,634 11,510,690 3,305,800 339,155 2,653,786 56,869,255 98,955,024 1,761,071 2,187,019 ALL OTHER