Medicaid Service Units for Selected Categories of Service by Category of Eligibility - January 2013 - March 2013

Rev. 9/26/2013

Social Services District Service Category Medicaid Service Units Grand Total 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 HOSPITAL INPATIENT Days 1,317,610 22,323 12,032 10,983 49,966 69,564 355,203 175,380 74,955 12,244 172,432 137,124 138,474 15,171 71,759 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 6,529,498 47,912 22,569 16,294 293,982 83,700 3,524,035 606,184 159,455 21,197 879,440 111,159 458,364 11,711 293,496 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 4,678,122 352,626 73,555 32,455 612,243 68,051 1,793,002 304,155 228,801 34,912 584,915 56,965 436,571 51,340 48,531 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 7,381,251 365 484 264 14,537 458,780 732,699 3,163 2,980 1,188 34,741 4,844,067 1,228,270 0 59,713 SKILLED NURSING FACILITY
ICF DD Days 344,086 0 0 0 0 503 147,013 3,181 0 317 696 5,870 186,169 0 337 ICF DD
PHYSICIANS Claims 5,833,482 20,781 20,771 6,069 47,720 935,756 1,633,719 700,387 176,819 13,552 309,429 824,045 1,037,418 8,723 98,293 PHYSICIANS
DENTAL Procedures 393,944 8,888 4,479 3,860 23,805 36,250 106,882 67,367 19,361 8,418 37,068 22,855 43,964 507 10,240 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 32,998,613 32,356 22,729 12,500 119,615 7,970,014 11,819,403 590,302 165,895 91,731 204,648 6,756,814 4,935,558 15,588 261,460 DRUGS & SUPPLIES
PERSONAL CARE Claims 26,168,238 2,842 3,013 569 11,901 6,751,579 7,810,608 81,551 32,766 18,185 22,856 6,824,460 4,485,963 16 121,929 PERSONAL CARE
HOME HEALTH SERVICES Claims 7,458,395 5,075 4,426 697 14,810 1,987,547 2,218,713 79,236 12,902 31,988 23,167 2,156,602 859,413 70 63,749 HOME HEALTH SERVICES
TRANSPORTATION Trips 11,873,105 135,541 206,599 42,258 677,659 616,208 4,978,989 423,653 554,599 21,736 796,365 1,045,283 2,260,853 4,418 108,944 TRANSPORTATION
LAB & X-RAY Procedures 1,375,942 8,567 16,823 9,298 252,022 97,559 315,797 68,618 135,456 7,568 150,992 123,055 144,490 1,935 43,762 LAB & X-RAY
HMO Premiums 11,614,638 705,088 220,809 313,354 388,595 6,806 856,943 3,758,127 1,194,288 372,266 1,750,173 92,226 66,841 1,292,316 596,806 HMO
New York City HOSPITAL INPATIENT Days 843,516 12,706 7,798 7,569 30,517 55,097 224,130 105,148 45,418 10,846 107,135 95,474 70,245 9,934 61,499 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 5,251,930 37,633 11,094 12,136 226,583 52,727 2,975,578 499,000 83,806 18,849 778,350 66,073 214,078 9,201 266,822 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 2,572,561 39,925 44,597 20,976 458,765 55,773 1,086,710 132,940 66,102 29,855 399,816 41,975 141,458 22,476 31,193 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 3,238,306 281 357 264 13,554 365,773 454,773 2,341 770 1,103 17,152 1,828,605 514,856 0 38,477 SKILLED NURSING FACILITY
ICF DD Days 146,369 0 0 0 0 503 69,133 2,318 0 303 453 2,148 71,501 0 10 ICF DD
PHYSICIANS Claims 2,733,397 7,554 9,438 3,470 30,741 787,496 796,751 62,432 60,262 10,165 90,697 498,099 303,879 1,010 71,403 PHYSICIANS
DENTAL Procedures 246,306 5,608 3,381 2,984 20,054 30,874 63,476 34,832 7,891 7,635 26,629 17,634 16,589 22 8,697 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 23,522,596 18,079 15,036 9,878 85,019 7,249,250 8,475,945 315,972 57,700 85,372 105,111 4,756,360 2,156,660 3,229 188,985 DRUGS & SUPPLIES
PERSONAL CARE Claims 14,005,972 2,842 2,901 569 11,341 5,322,211 4,367,289 31,085 15,803 10,683 13,232 3,053,692 1,133,979 16 40,329 PERSONAL CARE
HOME HEALTH SERVICES Claims 6,585,589 4,858 4,087 660 14,217 1,856,764 1,946,935 73,357 9,700 31,928 16,837 1,920,489 647,232 43 58,482 HOME HEALTH SERVICES
TRANSPORTATION Trips 1,608,695 5,537 5,618 1,333 29,843 336,065 666,053 18,404 10,959 5,729 37,135 238,545 222,068 52 31,354 TRANSPORTATION
LAB & X-RAY Procedures 791,138 3,727 10,275 6,479 194,338 74,798 166,630 26,851 58,048 4,754 86,783 70,769 52,754 639 34,293 LAB & X-RAY
HMO Premiums 7,506,104 445,678 136,500 222,628 267,803 4,892 510,066 2,156,314 639,707 347,115 1,319,251 76,508 38,036 811,475 530,131 HMO
Rest of State HOSPITAL INPATIENT Days 474,094 9,617 4,234 3,414 19,449 14,467 131,073 70,232 29,537 1,398 65,297 41,650 68,229 5,237 10,260 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 1,277,568 10,279 11,475 4,158 67,399 30,973 548,457 107,184 75,649 2,348 101,090 45,086 244,286 2,510 26,674 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 2,105,561 312,701 28,958 11,479 153,478 12,278 706,292 171,215 162,699 5,057 185,099 14,990 295,113 28,864 17,338 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 4,142,945 84 127 0 983 93,007 277,926 822 2,210 85 17,589 3,015,462 713,414 0 21,236 SKILLED NURSING FACILITY
ICF DD Days 197,717 0 0 0 0 0 77,880 863 0 14 243 3,722 114,668 0 327 ICF DD
PHYSICIANS Claims 3,100,085 13,227 11,333 2,599 16,979 148,260 836,968 637,955 116,557 3,387 218,732 325,946 733,539 7,713 26,890 PHYSICIANS
DENTAL Procedures 147,638 3,280 1,098 876 3,751 5,376 43,406 32,535 11,470 783 10,439 5,221 27,375 485 1,543 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 9,476,017 14,277 7,693 2,622 34,596 720,764 3,343,458 274,330 108,195 6,359 99,537 2,000,454 2,778,898 12,359 72,475 DRUGS & SUPPLIES
PERSONAL CARE Claims 12,162,266 0 112 0 560 1,429,368 3,443,319 50,466 16,963 7,502 9,624 3,770,768 3,351,984 0 81,600 PERSONAL CARE
HOME HEALTH SERVICES Claims 872,806 217 339 37 593 130,783 271,778 5,879 3,202 60 6,330 236,113 212,181 27 5,267 HOME HEALTH SERVICES
TRANSPORTATION Trips 10,264,410 130,004 200,981 40,925 647,816 280,143 4,312,936 405,249 543,640 16,007 759,230 806,738 2,038,785 4,366 77,590 TRANSPORTATION
LAB & X-RAY Procedures 584,804 4,840 6,548 2,819 57,684 22,761 149,167 41,767 77,408 2,814 64,209 52,286 91,736 1,296 9,469 LAB & X-RAY
HMO Premiums 4,108,534 259,410 84,309 90,726 120,792 1,914 346,877 1,601,813 554,581 25,151 430,922 15,718 28,805 480,841 66,675 HMO