Average Monthly Medicaid Beneficiaries for Categories of Service by Category of Eligibility - October 2013 - December 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 4,580,230 226,712 72,259 106,182 143,805 115,390 502,399 1,319,073 430,502 133,486 617,248 177,001 134,460 429,584 214,126 GRAND TOTAL
HOSPITAL INPATIENT 62,447 1,636 1,118 674 2,689 3,229 12,814 11,175 7,015 837 7,311 5,126 3,973 1,438 3,575 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 235,850 5,034 3,113 2,150 11,677 13,280 84,366 25,543 17,081 2,628 20,610 15,141 27,128 3,292 6,770 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 323,964 14,242 6,899 6,947 24,624 4,786 92,640 60,286 31,060 7,044 33,353 5,544 21,713 11,597 7,172 FREE STANDING CLINIC
SKILLED NURSING FACILITY 80,427 7 5 2 98 4,768 8,474 46 28 20 343 52,514 13,857 0 555 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 14,676 47 0 26 0 0 182 14,344 0 11 0 0 93 0 1 CHILD CARE PER DIEM
ICF DD 3,994 0 0 0 0 8 1,672 26 0 7 6 76 2,210 0 4 ICF DD
PHYSICIANS 314,520 2,340 1,510 791 4,179 51,721 95,969 20,424 12,730 1,530 13,043 54,053 49,539 675 8,094 PHYSICIANS
DENTAL 31,761 1,001 182 466 751 2,609 8,331 8,537 1,104 911 1,551 1,932 3,927 44 465 DENTAL
DRUGS & SUPPLIES 369,090 2,212 2,109 810 7,211 71,678 132,060 19,773 19,117 1,283 14,462 47,216 41,061 3,874 7,187 DRUGS & SUPPLIES
PERSONAL CARE 23,052 2 2 0 13 3,572 8,706 117 38 29 29 5,165 5,377 0 96 PERSONAL CARE
HOME HEALTH SERVICES 23,095 60 15 22 43 4,401 8,103 525 154 161 152 5,288 4,095 0 139 HOME HEALTH SERVICES
WAIVED SERVICES 70,865 231 7 107 51 2,405 40,923 3,289 86 189 299 3,227 20,249 0 138 WAIVED SERVICES
ASSISTED LIVING PROGRAM 5,166 0 0 0 2 1,833 1,640 0 0 0 8 1,541 179 0 6 ASSISTED LIVING PROGRAM
TRANSPORTATION 129,043 2,457 2,209 1,015 6,618 10,464 50,367 7,340 5,340 639 8,401 16,541 16,532 56 2,199 TRANSPORTATION
LAB & X-RAY 122,302 788 1,247 427 6,391 14,101 34,720 6,233 11,815 678 9,754 15,013 17,354 269 4,343 LAB & X-RAY
REHAB OPTION 55,816 3,649 114 1,013 1,251 110 23,819 19,573 119 1,597 680 90 5,910 0 47 REHAB OPTION
HMO 3,861,232 220,537 68,559 103,633 129,511 2,308 284,628 1,261,355 396,930 129,632 592,293 32,144 21,757 426,945 195,040 HMO
OTHER PREPAID (NON HMO) 263,374 1,899 1,906 550 9,714 50,993 105,944 9,223 4,571 1,145 9,561 34,681 30,427 484 3,114 OTHER PREPAID (NON HMO)
ALL OTHER 135,762 2,240 299 1,370 1,173 17,043 43,692 9,504 2,195 602 2,428 27,400 26,475 841 905 ALL OTHER
New York City GRAND TOTAL 2,856,129 139,580 43,529 75,176 98,516 96,170 283,765 736,074 217,742 123,796 449,353 110,534 52,518 264,194 185,943 GRAND TOTAL
HOSPITAL INPATIENT 41,407 1,038 737 508 1,917 2,670 8,166 7,172 4,493 743 4,791 3,497 1,793 929 3,042 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 142,225 3,410 1,854 1,561 7,358 10,104 48,555 17,366 9,739 2,289 12,912 9,441 10,195 2,618 5,884 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 177,227 8,608 4,003 4,941 16,223 3,468 52,069 28,411 11,327 6,359 20,550 3,449 8,180 6,140 5,295 FREE STANDING CLINIC
SKILLED NURSING FACILITY 34,706 5 4 2 86 3,635 5,028 36 5 19 175 19,677 5,801 0 364 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 11,071 1 0 0 0 0 1 11,078 0 1 0 0 3 0 0 CHILD CARE PER DIEM
ICF DD 1,699 0 0 0 0 7 792 16 0 5 3 30 847 0 0 ICF DD
PHYSICIANS 172,953 1,064 811 538 2,698 41,753 50,407 8,169 5,257 1,178 7,010 32,044 16,622 105 6,340 PHYSICIANS
DENTAL 17,595 619 116 348 555 2,073 4,086 4,591 443 842 1,010 1,352 1,193 4 388 DENTAL
DRUGS & SUPPLIES 231,278 823 990 480 4,803 64,272 80,729 6,277 4,663 879 7,430 35,979 17,997 961 5,393 DRUGS & SUPPLIES
PERSONAL CARE 7,349 1 1 0 10 1,795 3,295 61 14 21 17 1,091 1,037 0 25 PERSONAL CARE
HOME HEALTH SERVICES 12,148 43 11 18 34 2,989 4,823 382 62 157 81 2,153 1,338 0 89 HOME HEALTH SERVICES
WAIVED SERVICES 22,760 115 3 76 24 1,353 13,881 1,576 21 159 170 738 4,643 0 79 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,345 0 0 0 2 1,001 852 0 0 0 2 439 59 0 4 ASSISTED LIVING PROGRAM
TRANSPORTATION 55,206 534 581 301 2,487 7,837 22,765 1,471 1,102 441 3,152 7,874 5,247 5 1,724 TRANSPORTATION
LAB & X-RAY 64,368 365 724 274 4,236 11,036 16,847 2,660 5,101 439 5,208 8,817 5,614 69 3,404 LAB & X-RAY
REHAB OPTION 22,703 1,287 19 366 399 66 10,530 7,404 24 1,432 252 51 1,472 0 32 REHAB OPTION
HMO 2,456,837 137,092 41,610 73,795 89,861 1,698 168,338 709,083 206,793 120,984 436,197 26,542 12,149 263,498 171,071 HMO
OTHER PREPAID (NON HMO) 173,370 1,040 1,099 348 6,973 47,557 60,231 5,135 1,838 1,055 5,440 28,531 11,586 273 2,579 OTHER PREPAID (NON HMO)
ALL OTHER 62,755 1,347 160 992 798 12,284 19,138 5,274 585 508 1,367 12,599 7,210 40 638 ALL OTHER
Rest of State GRAND TOTAL 1,724,101 87,132 28,730 31,006 45,289 19,219 218,634 582,999 212,760 9,690 167,894 66,467 81,942 165,390 28,183 GRAND TOTAL
HOSPITAL INPATIENT 21,040 599 381 166 772 559 4,648 4,002 2,522 94 2,520 1,630 2,179 508 534 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 93,625 1,624 1,258 589 4,319 3,176 35,811 8,177 7,343 339 7,698 5,700 16,934 675 886 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 146,737 5,634 2,896 2,006 8,400 1,318 40,571 31,875 19,733 685 12,804 2,095 13,533 5,457 1,877 FREE STANDING CLINIC
SKILLED NURSING FACILITY 45,720 2 1 0 13 1,133 3,446 11 23 1 168 32,837 8,057 0 190 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,606 47 0 26 0 0 182 3,266 0 11 0 0 90 0 1 CHILD CARE PER DIEM
ICF DD 2,295 0 0 0 0 1 880 10 0 2 3 46 1,363 0 4 ICF DD
PHYSICIANS 141,566 1,276 699 253 1,482 9,968 45,562 12,254 7,473 352 6,032 22,009 32,917 571 1,754 PHYSICIANS
DENTAL 14,166 382 66 118 196 536 4,245 3,946 661 69 541 580 2,734 41 78 DENTAL
DRUGS & SUPPLIES 137,811 1,389 1,120 331 2,408 7,406 51,331 13,496 14,454 405 7,032 11,237 23,064 2,912 1,793 DRUGS & SUPPLIES
PERSONAL CARE 15,703 1 0 0 3 1,778 5,411 56 24 8 13 4,074 4,339 0 71 PERSONAL CARE
HOME HEALTH SERVICES 10,947 17 4 3 9 1,412 3,280 142 92 4 71 3,135 2,757 0 50 HOME HEALTH SERVICES
WAIVED SERVICES 48,105 116 4 31 27 1,052 27,042 1,712 65 30 128 2,489 15,606 0 59 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,822 0 0 0 0 832 788 0 0 0 6 1,102 120 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 73,837 1,923 1,628 715 4,131 2,627 27,602 5,869 4,238 197 5,249 8,667 11,285 51 475 TRANSPORTATION
LAB & X-RAY 57,934 423 523 153 2,155 3,065 17,873 3,573 6,713 239 4,546 6,196 11,741 200 939 LAB & X-RAY
REHAB OPTION 33,113 2,362 96 647 851 44 13,289 12,169 95 164 428 39 4,438 0 15 REHAB OPTION
HMO 1,404,395 83,445 26,949 29,838 39,650 610 116,290 552,273 190,137 8,648 156,096 5,602 9,608 163,447 23,969 HMO
OTHER PREPAID (NON HMO) 90,004 859 807 202 2,740 3,436 45,713 4,088 2,733 89 4,121 6,151 18,840 210 536 OTHER PREPAID (NON HMO)
ALL OTHER 73,006 892 139 378 376 4,759 24,554 4,230 1,610 94 1,061 14,801 19,265 801 267 ALL OTHER