Average Monthly Medicaid Beneficiaries for Categories of Service by Category of Eligibility - July 2012 - September 2012

Rev. 5/2/2013

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 4,357,168 228,700 72,700 101,874 139,151 116,896 493,039 1,213,794 411,319 119,819 576,489 168,852 132,240 425,165 210,079 GRAND TOTAL
HOSPITAL INPATIENT 69,902 1,757 1,257 723 3,156 3,667 14,183 12,166 7,980 889 8,497 5,743 4,438 1,606 4,027 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 248,652 6,280 4,009 2,390 14,039 13,544 83,639 30,787 20,542 2,701 23,809 14,075 26,278 2,681 6,331 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 323,536 14,255 8,215 6,173 27,920 4,921 92,444 60,190 30,930 6,322 34,577 4,900 21,086 9,858 6,578 FREE STANDING CLINIC
SKILLED NURSING FACILITY 86,100 6 14 4 369 6,974 10,474 48 29 17 365 53,499 13,983 0 635 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 16,372 46 0 30 0 0 208 15,991 1 23 0 0 102 0 1 CHILD CARE PER DIEM
ICF DD 3,808 0 0 0 0 5 1,620 41 1 4 6 63 2,078 0 5 ICF DD
PHYSICIANS 348,821 3,750 2,424 1,040 6,850 57,120 103,691 28,003 16,826 1,912 17,788 54,392 49,437 635 8,319 PHYSICIANS
DENTAL 64,005 3,364 613 1,302 1,897 3,670 11,652 23,039 3,549 2,600 4,324 2,216 4,331 51 1,549 DENTAL
DRUGS & SUPPLIES 464,939 3,489 3,057 1,203 10,393 89,635 159,831 27,540 26,984 1,619 19,192 58,067 52,872 3,975 8,431 DRUGS & SUPPLIES
PERSONAL CARE 57,312 6 18 2 65 17,701 19,289 136 94 29 56 12,694 7,145 0 215 PERSONAL CARE
HOME HEALTH SERVICES 46,519 119 38 22 143 13,391 15,529 811 252 201 248 9,941 5,630 2 321 HOME HEALTH SERVICES
WAIVED SERVICES 73,555 214 20 84 82 5,175 41,176 3,166 100 187 274 4,462 18,782 0 187 WAIVED SERVICES
ASSISTED LIVING PROGRAM 4,379 0 0 0 1 1,676 1,397 0 0 0 2 1,210 126 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 120,897 1,420 1,278 541 3,569 20,458 45,618 4,487 3,458 252 4,792 18,665 16,107 43 1,086 TRANSPORTATION
LAB & X-RAY 140,560 1,350 2,024 629 8,490 15,616 39,061 9,466 14,709 875 12,076 15,074 17,406 252 4,602 LAB & X-RAY
REHAB OPTION 39,187 2,956 69 729 1,049 99 16,837 13,371 143 1,249 605 87 3,192 1 116 REHAB OPTION
HMO 3,599,632 219,677 67,179 98,599 119,787 2,278 270,872 1,137,594 367,966 115,013 543,529 28,695 21,275 422,532 189,781 HMO
OTHER PREPAID (NON HMO) 150,302 2,115 667 531 3,194 28,296 63,049 8,809 810 1,119 1,545 18,342 21,222 11 1,250 OTHER PREPAID (NON HMO)
ALL OTHER 169,387 2,023 1,185 818 3,833 29,832 54,307 8,875 3,939 542 4,874 31,668 26,515 353 1,297 ALL OTHER
New York City GRAND TOTAL 2,802,890 147,995 45,588 73,913 95,813 97,152 281,326 716,867 215,570 110,109 432,493 104,583 52,412 272,243 182,996 GRAND TOTAL
HOSPITAL INPATIENT 46,833 1,060 814 554 2,305 3,040 9,106 7,677 5,070 783 5,895 3,960 2,142 1,077 3,469 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 142,821 3,778 2,200 1,579 8,368 10,456 47,288 17,566 10,208 2,220 13,860 8,880 9,897 2,076 5,499 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 177,750 8,431 4,522 4,232 17,802 3,668 52,436 29,661 10,972 5,536 21,054 3,064 7,898 5,471 5,094 FREE STANDING CLINIC
SKILLED NURSING FACILITY 39,919 5 13 4 356 5,711 6,806 36 9 16 194 20,559 5,926 0 430 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 12,743 9 0 8 0 0 10 12,718 0 5 0 0 9 0 0 CHILD CARE PER DIEM
ICF DD 1,666 0 0 0 0 5 773 28 0 4 4 25 827 0 1 ICF DD
PHYSICIANS 188,181 1,465 1,341 597 4,462 46,525 54,936 8,488 5,775 1,379 9,114 32,282 17,027 100 6,365 PHYSICIANS
DENTAL 39,028 2,221 380 997 1,369 3,051 6,174 13,997 1,371 2,421 2,734 1,604 1,423 9 1,361 DENTAL
DRUGS & SUPPLIES 274,601 1,142 1,480 623 6,735 80,126 93,869 6,917 5,161 1,065 8,349 40,844 21,379 920 6,454 DRUGS & SUPPLIES
PERSONAL CARE 37,842 6 14 2 46 15,192 12,667 58 59 21 32 7,159 2,546 0 102 PERSONAL CARE
HOME HEALTH SERVICES 32,152 74 29 15 126 11,308 10,964 520 120 190 136 6,017 2,493 1 240 HOME HEALTH SERVICES
WAIVED SERVICES 27,232 103 11 56 54 3,884 14,884 1,548 39 134 157 1,791 4,538 0 113 WAIVED SERVICES
ASSISTED LIVING PROGRAM 1,993 0 0 0 1 898 747 0 0 0 0 310 44 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 56,412 48 84 32 498 17,647 20,745 268 235 73 797 10,027 5,515 3 654 TRANSPORTATION
LAB & X-RAY 73,017 592 1,215 399 5,761 12,362 19,152 3,390 5,705 541 6,231 8,786 5,781 67 3,585 LAB & X-RAY
REHAB OPTION 16,390 1,336 11 258 350 47 6,631 6,010 51 1,121 262 43 663 0 102 REHAB OPTION
HMO 2,399,202 144,650 42,940 72,223 84,360 1,676 166,175 686,187 203,943 106,753 416,526 24,440 12,804 271,457 167,043 HMO
OTHER PREPAID (NON HMO) 93,113 1,264 417 334 2,345 26,871 30,437 5,254 474 1,014 831 16,052 7,124 6 1,123 OTHER PREPAID (NON HMO)
ALL OTHER 87,854 949 490 510 2,065 24,162 28,073 3,323 914 399 2,241 16,049 8,029 21 887 ALL OTHER
Rest of State GRAND TOTAL 1,554,278 80,705 27,112 27,961 43,338 19,744 211,713 496,927 195,749 9,710 143,996 64,269 79,827 152,922 27,083 GRAND TOTAL
HOSPITAL INPATIENT 23,069 697 444 169 851 626 5,078 4,489 2,910 105 2,602 1,783 2,297 529 558 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 105,830 2,502 1,808 811 5,671 3,088 36,351 13,221 10,334 481 9,949 5,196 16,381 605 832 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 145,786 5,824 3,693 1,941 10,118 1,254 40,008 30,529 19,958 786 13,523 1,836 13,188 4,387 1,484 FREE STANDING CLINIC
SKILLED NURSING FACILITY 46,181 1 1 0 14 1,263 3,667 11 21 1 171 32,940 8,057 0 205 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,629 37 0 22 0 0 198 3,274 1 18 0 0 94 0 1 CHILD CARE PER DIEM
ICF DD 2,142 0 0 0 0 0 847 13 1 0 2 38 1,251 0 4 ICF DD
PHYSICIANS 160,641 2,285 1,083 443 2,388 10,595 48,755 19,515 11,051 533 8,674 22,110 32,410 534 1,953 PHYSICIANS
DENTAL 24,977 1,143 233 305 527 619 5,478 9,042 2,178 180 1,590 612 2,909 42 188 DENTAL
DRUGS & SUPPLIES 190,338 2,347 1,577 579 3,658 9,509 65,962 20,623 21,823 554 10,843 17,222 31,493 3,055 1,978 DRUGS & SUPPLIES
PERSONAL CARE 19,470 0 4 0 18 2,510 6,622 78 35 9 24 5,535 4,600 0 114 PERSONAL CARE
HOME HEALTH SERVICES 14,367 45 10 7 17 2,083 4,566 291 133 11 112 3,924 3,138 1 81 HOME HEALTH SERVICES
WAIVED SERVICES 46,323 111 9 28 28 1,292 26,291 1,618 61 52 117 2,671 14,244 0 75 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,386 0 0 0 0 777 649 0 0 0 2 900 82 0 1 ASSISTED LIVING PROGRAM
TRANSPORTATION 64,485 1,372 1,194 508 3,071 2,811 24,873 4,219 3,223 179 3,995 8,638 10,592 40 432 TRANSPORTATION
LAB & X-RAY 67,543 758 809 230 2,729 3,254 19,909 6,076 9,003 334 5,845 6,289 11,626 185 1,017 LAB & X-RAY
REHAB OPTION 22,797 1,620 58 470 699 52 10,206 7,361 92 128 343 44 2,529 0 14 REHAB OPTION
HMO 1,200,431 75,027 24,239 26,375 35,427 602 104,696 451,407 164,023 8,260 127,003 4,254 8,471 151,075 22,739 HMO
OTHER PREPAID (NON HMO) 57,189 851 249 197 849 1,425 32,612 3,556 336 105 714 2,290 14,098 5 128 OTHER PREPAID (NON HMO)
ALL OTHER 81,533 1,074 695 308 1,767 5,670 26,235 5,551 3,025 143 2,634 15,619 18,486 332 409 ALL OTHER