Medicaid Beneficiaries for Categories of Service by Category of Eligibility - January 2012 - December 2012

Rev. 11/12/2013

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 4,319,348 229,976 73,274 101,545 139,108 116,992 492,490 1,196,727 408,685 118,604 566,729 167,242 131,750 420,442 208,718 GRAND TOTAL
HOSPITAL INPATIENT 70,490 1,858 1,271 777 3,105 3,719 14,377 12,592 7,900 935 8,363 5,674 4,459 1,584 4,060 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 249,593 7,203 4,278 2,687 14,514 12,344 81,555 33,666 21,272 2,950 24,350 13,128 25,030 2,792 6,372 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 325,488 14,961 8,134 6,629 28,174 5,002 93,003 60,541 31,001 6,111 34,400 4,871 20,693 10,049 6,666 FREE STANDING CLINIC
SKILLED NURSING FACILITY 85,816 7 14 4 370 7,046 10,468 44 30 15 365 53,251 13,889 0 641 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 16,094 43 0 28 0 0 206 15,734 0 23 1 0 97 0 1 CHILD CARE PER DIEM
ICF DD 3,820 0 0 0 0 6 1,626 41 1 3 6 65 2,084 0 5 ICF DD
PHYSICIANS 352,930 4,263 2,634 1,219 7,376 56,951 104,770 30,273 17,142 1,989 18,252 53,607 49,044 628 8,189 PHYSICIANS
DENTAL 77,121 4,225 1,054 1,559 2,657 3,779 13,375 27,138 5,671 2,772 6,244 2,270 4,596 53 1,961 DENTAL
DRUGS & SUPPLIES 481,293 4,373 3,563 1,441 12,137 90,237 164,415 31,173 28,376 1,785 21,114 57,857 53,637 4,126 8,736 DRUGS & SUPPLIES
PERSONAL CARE 56,677 6 18 2 64 17,481 19,070 137 94 30 58 12,564 7,099 0 218 PERSONAL CARE
HOME HEALTH SERVICES 56,024 127 54 25 195 16,478 18,674 853 311 192 326 11,987 6,565 2 437 HOME HEALTH SERVICES
WAIVED SERVICES 74,444 218 20 92 80 5,213 41,716 3,183 95 197 273 4,414 19,154 0 189 WAIVED SERVICES
ASSISTED LIVING PROGRAM 4,274 0 0 0 1 1,653 1,363 0 0 0 2 1,167 120 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 121,990 1,473 1,259 540 3,614 21,104 46,292 4,286 3,366 226 4,635 18,767 16,164 32 1,123 TRANSPORTATION
LAB & X-RAY 145,835 1,482 2,154 673 9,156 15,784 40,524 10,182 15,680 922 12,668 15,134 17,653 257 4,715 LAB & X-RAY
REHAB OPTION 37,916 2,801 69 679 1,055 101 16,382 12,660 110 1,171 578 78 3,269 1 64 REHAB OPTION
HMO 3,545,383 219,431 66,967 97,666 117,411 2,237 267,627 1,116,112 362,971 113,417 531,185 27,853 20,969 417,720 188,105 HMO
OTHER PREPAID (NON HMO) 152,434 2,052 715 507 3,507 28,321 64,703 8,384 842 1,035 1,608 18,287 21,824 15 1,284 OTHER PREPAID (NON HMO)
ALL OTHER 170,620 2,952 1,115 1,383 3,671 29,095 53,976 11,506 3,842 726 4,767 30,870 25,772 309 1,304 ALL OTHER
New York City GRAND TOTAL 2,780,625 148,337 45,743 73,582 95,207 97,348 281,634 710,085 214,903 108,820 425,708 103,639 52,229 269,326 180,848 GRAND TOTAL
HOSPITAL INPATIENT 47,045 1,149 830 589 2,209 3,032 9,122 8,109 5,059 823 5,712 3,848 2,125 1,062 3,482 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 143,240 4,429 2,372 1,788 8,621 9,433 46,054 19,215 10,530 2,428 14,189 8,231 9,463 2,212 5,511 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 178,623 8,723 4,491 4,526 18,094 3,778 53,314 29,062 10,804 5,271 20,958 3,108 7,992 5,540 5,049 FREE STANDING CLINIC
SKILLED NURSING FACILITY 39,617 6 12 4 355 5,775 6,779 33 10 14 189 20,348 5,816 0 420 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 12,568 7 0 6 0 0 9 12,557 0 5 0 0 6 0 0 CHILD CARE PER DIEM
ICF DD 1,679 0 0 0 0 6 782 30 0 3 3 26 830 0 1 ICF DD
PHYSICIANS 190,065 1,739 1,462 714 4,753 46,505 55,691 9,156 5,926 1,417 9,384 31,787 16,868 100 6,240 PHYSICIANS
DENTAL 43,729 2,554 561 1,085 1,774 3,141 6,744 15,078 1,936 2,526 3,565 1,647 1,493 10 1,732 DENTAL
DRUGS & SUPPLIES 282,617 1,620 1,807 778 7,894 80,629 96,025 8,063 5,653 1,183 9,519 40,730 21,628 1,063 6,694 DRUGS & SUPPLIES
PERSONAL CARE 37,081 6 14 2 48 14,934 12,410 57 61 21 30 6,999 2,475 0 96 PERSONAL CARE
HOME HEALTH SERVICES 40,176 77 39 15 169 14,269 13,389 544 151 178 186 7,892 3,056 1 343 HOME HEALTH SERVICES
WAIVED SERVICES 27,648 105 11 59 51 3,938 15,105 1,619 37 145 157 1,800 4,594 0 114 WAIVED SERVICES
ASSISTED LIVING PROGRAM 1,942 0 0 0 1 886 722 0 0 0 0 303 39 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 58,228 61 99 33 554 18,262 21,590 301 244 67 858 10,077 5,614 2 687 TRANSPORTATION
LAB & X-RAY 76,000 648 1,285 419 6,251 12,527 19,998 3,590 6,134 568 6,583 8,914 5,917 71 3,681 LAB & X-RAY
REHAB OPTION 15,557 1,226 11 240 354 47 6,486 5,500 31 1,043 242 39 659 0 50 REHAB OPTION
HMO 2,368,160 144,113 42,481 71,534 81,937 1,642 164,910 678,047 202,266 105,187 408,105 23,872 12,585 268,402 164,697 HMO
OTHER PREPAID (NON HMO) 94,190 1,164 464 307 2,615 26,920 31,523 4,718 491 924 896 16,073 7,305 8 1,142 OTHER PREPAID (NON HMO)
ALL OTHER 90,049 1,551 512 897 2,130 23,728 28,164 5,052 956 563 2,296 15,662 7,894 28 911 ALL OTHER
Rest of State GRAND TOTAL 1,538,723 81,639 27,531 27,963 43,901 19,644 210,855 486,642 193,782 9,784 141,022 63,603 79,521 151,117 27,870 GRAND TOTAL
HOSPITAL INPATIENT 23,446 709 440 187 896 687 5,255 4,483 2,841 112 2,651 1,825 2,334 522 577 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 106,354 2,774 1,906 900 5,893 2,911 35,501 14,450 10,741 522 10,161 4,897 15,567 580 861 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 146,865 6,238 3,644 2,102 10,080 1,224 39,689 31,478 20,197 840 13,442 1,763 12,701 4,509 1,617 FREE STANDING CLINIC
SKILLED NURSING FACILITY 46,199 1 2 0 16 1,272 3,689 11 20 1 176 32,903 8,073 0 222 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,526 36 0 22 0 0 197 3,177 0 19 0 0 91 0 1 CHILD CARE PER DIEM
ICF DD 2,141 0 0 0 0 0 844 11 1 0 2 39 1,254 0 4 ICF DD
PHYSICIANS 162,865 2,525 1,172 505 2,623 10,446 49,078 21,117 11,216 572 8,868 21,820 32,176 528 1,949 PHYSICIANS
DENTAL 33,392 1,671 493 474 883 637 6,631 12,060 3,735 246 2,680 624 3,103 43 229 DENTAL
DRUGS & SUPPLIES 198,676 2,753 1,756 663 4,243 9,608 68,390 23,109 22,722 602 11,595 17,127 32,009 3,063 2,042 DRUGS & SUPPLIES
PERSONAL CARE 19,596 0 4 0 16 2,547 6,660 80 33 9 28 5,565 4,625 0 122 PERSONAL CARE
HOME HEALTH SERVICES 15,847 51 15 9 26 2,209 5,285 309 160 13 140 4,095 3,509 1 95 HOME HEALTH SERVICES
WAIVED SERVICES 46,796 113 10 33 29 1,274 26,611 1,565 59 52 116 2,615 14,559 0 75 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,331 0 0 0 0 767 641 0 0 0 2 863 81 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 63,762 1,412 1,160 507 3,060 2,843 24,702 3,985 3,122 159 3,778 8,690 10,550 30 436 TRANSPORTATION
LAB & X-RAY 69,834 834 869 254 2,904 3,258 20,526 6,592 9,546 354 6,085 6,221 11,736 186 1,034 LAB & X-RAY
REHAB OPTION 22,359 1,575 58 439 702 54 9,896 7,160 79 128 336 39 2,609 0 15 REHAB OPTION
HMO 1,177,223 75,319 24,486 26,132 35,474 595 102,717 438,065 160,705 8,231 123,080 3,980 8,384 149,318 23,408 HMO
OTHER PREPAID (NON HMO) 58,244 888 251 200 891 1,401 33,180 3,666 351 112 712 2,214 14,519 7 142 OTHER PREPAID (NON HMO)
ALL OTHER 80,571 1,402 604 487 1,541 5,367 25,812 6,454 2,886 163 2,472 15,207 17,878 281 393 ALL OTHER