Average Monthly Medicaid Beneficiaries for Categories of Service by Category of Eligibility - July 2013 - September 2013

Rev. 3/13/2014

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 4,579,508 227,497 72,898 105,754 146,044 116,557 502,285 1,315,384 432,552 132,234 616,186 175,479 134,618 428,663 215,691 GRAND TOTAL
HOSPITAL INPATIENT 68,793 1,574 1,204 683 2,983 3,701 14,326 11,565 7,834 844 8,188 5,808 4,500 1,627 4,131 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 238,023 4,736 3,183 1,927 11,966 13,366 84,439 25,235 17,773 2,609 21,648 15,263 27,934 3,157 6,780 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 322,133 12,898 6,852 5,876 25,690 5,234 94,214 57,248 31,531 6,673 33,704 5,548 22,315 11,424 7,012 FREE STANDING CLINIC
SKILLED NURSING FACILITY 81,452 7 9 5 296 5,016 9,022 44 33 16 372 52,484 13,901 1 571 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 14,814 42 0 29 0 0 194 14,494 1 10 0 0 91 0 2 CHILD CARE PER DIEM
ICF DD 3,979 0 0 0 0 9 1,680 29 0 7 12 70 2,186 0 4 ICF DD
PHYSICIANS 324,698 2,315 1,629 747 4,582 53,523 98,694 20,833 13,755 1,543 14,650 55,326 50,545 687 8,238 PHYSICIANS
DENTAL 38,146 1,361 191 650 859 3,017 9,210 11,522 1,285 1,338 1,786 2,159 4,206 48 592 DENTAL
DRUGS & SUPPLIES 384,475 2,088 2,205 806 7,710 75,219 136,817 20,153 20,522 1,233 15,770 48,969 42,455 4,084 7,626 DRUGS & SUPPLIES
PERSONAL CARE 28,551 3 2 0 23 5,816 10,263 114 45 29 35 6,484 5,717 0 126 PERSONAL CARE
HOME HEALTH SERVICES 30,988 54 13 16 59 7,474 10,661 552 170 130 183 6,861 4,721 1 180 HOME HEALTH SERVICES
WAIVED SERVICES 75,571 227 11 100 63 4,377 42,462 3,301 90 184 302 4,106 20,586 1 161 WAIVED SERVICES
ASSISTED LIVING PROGRAM 5,002 0 0 0 3 1,804 1,588 0 0 0 7 1,466 173 0 7 ASSISTED LIVING PROGRAM
TRANSPORTATION 129,947 2,233 2,065 928 6,373 12,088 50,807 6,826 5,133 509 8,230 17,108 16,667 39 2,092 TRANSPORTATION
LAB & X-RAY 119,612 691 1,026 309 4,471 15,085 35,167 5,891 11,211 544 8,611 15,457 17,365 239 4,205 LAB & X-RAY
REHAB OPTION 46,921 3,255 113 864 1,266 105 19,241 16,617 125 1,379 713 85 4,660 0 67 REHAB OPTION
HMO 3,860,003 221,952 69,300 103,493 131,613 2,277 283,394 1,259,023 398,253 128,592 590,748 31,136 22,028 426,110 195,915 HMO
OTHER PREPAID (NON HMO) 238,951 1,590 1,458 485 7,885 48,432 98,591 7,542 2,921 1,001 5,885 31,599 29,513 289 2,550 OTHER PREPAID (NON HMO)
ALL OTHER 140,234 1,121 336 620 1,308 20,169 46,955 6,246 2,299 448 2,670 29,445 27,311 676 1,032 ALL OTHER
New York City GRAND TOTAL 2,863,763 139,968 44,047 74,903 100,211 97,066 283,456 737,290 220,102 122,671 450,198 109,321 52,401 264,464 188,174 GRAND TOTAL
HOSPITAL INPATIENT 45,700 920 771 502 2,142 3,030 9,110 7,367 5,048 753 5,526 3,902 2,096 1,047 3,585 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 140,174 3,241 1,859 1,386 7,460 10,010 47,222 16,744 9,826 2,256 13,417 9,282 10,105 2,487 5,884 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 173,458 7,570 3,803 3,991 16,795 3,835 52,438 26,473 10,912 6,002 20,363 3,455 8,346 6,002 5,192 FREE STANDING CLINIC
SKILLED NURSING FACILITY 35,509 5 8 5 284 3,860 5,471 33 6 15 187 19,651 5,750 0 376 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 11,190 1 0 0 0 0 0 11,214 0 0 0 0 2 0 0 CHILD CARE PER DIEM
ICF DD 1,701 0 0 0 0 8 797 19 0 4 8 27 842 0 0 ICF DD
PHYSICIANS 177,421 931 855 453 2,964 43,298 51,730 7,899 5,390 1,151 7,837 32,591 16,960 85 6,412 PHYSICIANS
DENTAL 22,146 907 129 492 633 2,412 4,616 6,756 551 1,252 1,141 1,540 1,272 3 488 DENTAL
DRUGS & SUPPLIES 240,391 724 1,058 435 5,175 67,359 83,423 6,167 4,977 845 8,197 37,230 18,476 996 5,806 DRUGS & SUPPLIES
PERSONAL CARE 11,527 2 2 0 16 3,791 4,567 53 20 22 19 1,801 1,219 0 48 PERSONAL CARE
HOME HEALTH SERVICES 18,498 39 10 15 46 5,797 6,853 388 62 127 89 3,323 1,677 0 125 HOME HEALTH SERVICES
WAIVED SERVICES 26,676 116 6 72 35 3,170 15,078 1,601 26 157 174 1,397 4,831 0 97 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,273 0 0 0 1 997 820 0 0 0 1 400 60 0 4 ASSISTED LIVING PROGRAM
TRANSPORTATION 56,964 455 531 276 2,391 9,328 23,377 1,274 1,057 312 3,116 8,235 5,290 4 1,611 TRANSPORTATION
LAB & X-RAY 62,722 287 541 180 2,871 11,999 17,273 2,309 4,709 327 4,316 9,166 5,673 52 3,333 LAB & X-RAY
REHAB OPTION 17,002 1,144 22 295 415 58 6,940 6,032 35 1,232 266 44 786 0 49 REHAB OPTION
HMO 2,464,366 137,725 42,131 73,743 91,298 1,640 167,416 711,574 209,626 120,049 436,555 25,787 12,300 263,864 172,575 HMO
OTHER PREPAID (NON HMO) 157,686 902 837 325 5,845 45,372 55,496 4,253 1,084 903 3,061 26,610 11,120 175 2,152 OTHER PREPAID (NON HMO)
ALL OTHER 65,960 681 190 464 912 14,886 21,231 3,113 651 372 1,442 13,857 7,592 41 700 ALL OTHER
Rest of State GRAND TOTAL 1,715,745 87,529 28,851 30,851 45,832 19,491 218,829 578,094 212,450 9,563 165,989 66,158 82,217 164,199 27,517 GRAND TOTAL
HOSPITAL INPATIENT 23,093 654 433 181 841 671 5,216 4,199 2,786 90 2,662 1,906 2,404 580 546 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 97,849 1,495 1,323 541 4,506 3,356 37,217 8,491 7,947 353 8,230 5,981 17,829 670 896 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 148,675 5,329 3,049 1,885 8,895 1,399 41,776 30,775 20,619 672 13,341 2,093 13,969 5,422 1,820 FREE STANDING CLINIC
SKILLED NURSING FACILITY 45,943 2 1 0 12 1,156 3,551 11 27 1 184 32,833 8,152 0 195 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,624 42 0 29 0 0 194 3,279 1 10 0 0 89 0 2 CHILD CARE PER DIEM
ICF DD 2,278 0 0 0 0 2 883 10 0 3 3 43 1,344 0 4 ICF DD
PHYSICIANS 147,278 1,384 775 294 1,618 10,225 46,964 12,934 8,364 392 6,812 22,735 33,585 602 1,826 PHYSICIANS
DENTAL 16,000 453 61 158 226 605 4,595 4,766 735 85 645 618 2,934 45 104 DENTAL
DRUGS & SUPPLIES 144,084 1,363 1,148 371 2,536 7,861 53,395 13,986 15,544 388 7,573 11,739 23,980 3,087 1,819 DRUGS & SUPPLIES
PERSONAL CARE 17,023 1 0 0 7 2,024 5,696 62 25 6 16 4,684 4,498 0 78 PERSONAL CARE
HOME HEALTH SERVICES 12,490 15 3 2 14 1,677 3,808 163 108 3 94 3,538 3,045 1 55 HOME HEALTH SERVICES
WAIVED SERVICES 48,895 111 5 28 28 1,207 27,384 1,700 64 28 128 2,709 15,755 1 64 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,730 0 0 0 2 808 768 0 0 0 7 1,066 113 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 72,983 1,778 1,534 652 3,983 2,760 27,430 5,552 4,077 197 5,114 8,873 11,376 35 481 TRANSPORTATION
LAB & X-RAY 56,890 404 485 130 1,600 3,087 17,893 3,582 6,502 217 4,295 6,291 11,691 187 872 LAB & X-RAY
REHAB OPTION 29,919 2,111 90 569 851 47 12,300 10,585 90 146 447 41 3,874 0 18 REHAB OPTION
HMO 1,395,637 84,228 27,170 29,750 40,315 636 115,978 547,449 188,627 8,543 154,194 5,349 9,728 162,246 23,340 HMO
OTHER PREPAID (NON HMO) 81,266 688 621 160 2,040 3,060 43,094 3,289 1,837 98 2,824 4,989 18,394 115 397 OTHER PREPAID (NON HMO)
ALL OTHER 74,273 440 146 155 395 5,284 25,724 3,134 1,648 76 1,228 15,587 19,719 634 332 ALL OTHER