Medicaid Service Units for Selected Categories of Service by Category of Eligibility - October 2012 - December 2012

Rev. 5/2/2013

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 1,434,944 24,740 14,171 11,447 52,286 81,440 385,376 182,764 86,847 12,902 183,661 152,529 148,582 18,620 79,579 HOSPITAL INPATIENT 0
HOSPITAL OUTPATIENT Claims/Visits 8,554,748 148,240 25,257 63,194 157,825 100,785 4,803,175 744,289 233,113 14,918 915,556 112,692 714,640 78,353 442,711 HOSPITAL OUTPATIENT 0
FREE STANDING CLINIC Claims/Visits 4,072,160 75,888 68,862 36,901 595,285 74,330 1,594,067 325,457 196,072 28,282 537,793 74,454 371,896 45,010 47,863 FREE STANDING CLINIC 0
SKILLED NURSING FACILITY Days 8,871,522 881 625 384 18,002 595,144 877,895 5,026 2,920 1,513 45,258 5,817,719 1,441,365 0 64,790 SKILLED NURSING FACILITY 0
ICF DD Days 394,368 0 0 0 0 543 171,018 3,541 77 281 829 6,334 211,271 0 474 ICF DD 0
PHYSICIANS Claims 7,058,818 26,474 22,080 7,094 58,456 1,282,146 2,099,936 650,966 189,244 16,678 288,862 1,262,582 1,043,384 4,974 105,942 PHYSICIANS 0
DENTAL Procedures 522,000 13,170 6,855 5,200 28,521 48,624 134,183 98,523 26,823 12,114 46,725 30,778 55,039 526 14,919 DENTAL 0
DRUGS & SUPPLIES Prescriptions/Items 36,301,150 47,613 30,777 12,368 155,042 9,952,495 12,856,146 670,677 223,589 108,411 283,604 7,061,362 4,561,749 26,361 310,956 DRUGS & SUPPLIES 0
PERSONAL CARE Claims 36,085,815 2,489 5,482 622 17,495 10,437,415 10,665,545 90,208 49,342 23,079 31,531 9,331,985 5,286,199 60 144,363 PERSONAL CARE 0
HOME HEALTH SERVICES Claims 9,696,497 8,943 6,530 1,454 22,465 2,603,884 2,874,582 91,926 20,917 40,891 32,736 2,816,785 1,096,019 -23 79,388 HOME HEALTH SERVICES 0
TRANSPORTATION Trips 13,445,784 156,373 234,197 44,687 760,774 788,106 5,618,070 451,622 567,543 22,975 812,933 1,233,587 2,649,658 7,772 97,487 TRANSPORTATION 0
LAB & X-RAY Procedures 1,802,404 12,938 27,610 13,579 280,926 117,291 379,410 100,895 302,101 11,332 172,194 139,962 169,561 2,303 72,302 LAB & X-RAY 0
HMO Premiums 11,285,081 693,969 213,595 304,728 371,992 6,764 836,777 3,625,767 1,158,808 359,677 1,695,979 87,868 65,191 1,279,896 584,070 HMO 0
New York City HOSPITAL INPATIENT Days 928,149 14,451 9,348 8,257 32,058 66,797 242,395 112,200 54,185 11,214 116,123 105,922 75,661 12,245 67,293 HOSPITAL INPATIENT 0
HOSPITAL OUTPATIENT Claims/Visits 6,811,679 136,028 12,505 58,175 83,128 75,513 3,968,088 670,958 140,182 12,081 731,063 67,874 357,731 75,536 422,817 HOSPITAL OUTPATIENT 0
FREE STANDING CLINIC Claims/Visits 2,559,761 43,832 46,423 24,405 437,178 62,813 1,058,163 144,501 69,825 22,911 372,859 54,264 162,740 24,192 35,655 FREE STANDING CLINIC 0
SKILLED NURSING FACILITY Days 3,972,978 784 442 316 17,115 483,817 551,046 3,950 1,008 1,397 24,404 2,232,356 613,160 0 43,183 SKILLED NURSING FACILITY 0
ICF DD Days 170,974 0 0 0 0 543 81,609 2,631 0 281 458 2,584 82,770 0 98 ICF DD 0
PHYSICIANS Claims 3,721,601 9,065 12,394 3,750 37,692 1,106,601 953,004 70,247 64,753 12,461 111,070 896,337 365,178 991 78,058 PHYSICIANS 0
DENTAL Procedures 326,352 8,363 5,174 3,666 23,349 41,714 79,290 51,151 10,778 10,720 33,326 23,593 22,431 110 12,687 DENTAL 0
DRUGS & SUPPLIES Prescriptions/Items 27,334,676 28,621 18,432 8,227 109,252 9,275,418 9,545,272 368,558 75,481 95,307 150,437 5,287,120 2,125,145 12,183 235,223 DRUGS & SUPPLIES 0
PERSONAL CARE Claims 22,129,297 2,149 4,979 622 14,059 8,755,188 6,530,765 34,142 30,216 10,683 14,759 5,116,941 1,570,055 0 44,739 PERSONAL CARE 0
HOME HEALTH SERVICES Claims 8,596,003 8,675 6,273 1,402 21,494 2,436,924 2,521,733 87,733 16,271 40,764 26,214 2,523,827 831,553 -35 73,175 HOME HEALTH SERVICES 0
TRANSPORTATION Trips 1,692,562 709 2,019 371 7,247 457,341 643,205 7,515 4,608 2,438 13,730 281,734 251,953 12 19,680 TRANSPORTATION 0
LAB & X-RAY Procedures 1,062,383 6,038 17,813 9,826 212,554 90,109 200,853 43,195 173,660 7,030 97,231 81,719 61,992 681 59,682 LAB & X-RAY 0
HMO Premiums 7,389,502 447,437 133,926 218,478 259,130 4,898 503,783 2,128,900 631,966 334,591 1,287,148 73,927 38,435 811,631 515,252 HMO 0
Rest of State HOSPITAL INPATIENT Days 506,795 10,289 4,823 3,190 20,228 14,643 142,981 70,564 32,662 1,688 67,538 46,607 72,921 6,375 12,286 HOSPITAL INPATIENT 0
HOSPITAL OUTPATIENT Claims/Visits 1,743,069 12,212 12,752 5,019 74,697 25,272 835,087 73,331 92,931 2,837 184,493 44,818 356,909 2,817 19,894 HOSPITAL OUTPATIENT 0
FREE STANDING CLINIC Claims/Visits 1,512,399 32,056 22,439 12,496 158,107 11,517 535,904 180,956 126,247 5,371 164,934 20,190 209,156 20,818 12,208 FREE STANDING CLINIC 0
SKILLED NURSING FACILITY Days 4,898,544 97 183 68 887 111,327 326,849 1,076 1,912 116 20,854 3,585,363 828,205 0 21,607 SKILLED NURSING FACILITY 0
ICF DD Days 223,394 0 0 0 0 0 89,409 910 77 0 371 3,750 128,501 0 376 ICF DD 0
PHYSICIANS Claims 3,337,217 17,409 9,686 3,344 20,764 175,545 1,146,932 580,719 124,491 4,217 177,792 366,245 678,206 3,983 27,884 PHYSICIANS 0
DENTAL Procedures 195,648 4,807 1,681 1,534 5,172 6,910 54,893 47,372 16,045 1,394 13,399 7,185 32,608 416 2,232 DENTAL 0
DRUGS & SUPPLIES Prescriptions/Items 8,966,474 18,992 12,345 4,141 45,790 677,077 3,310,874 302,119 148,108 13,104 133,167 1,774,242 2,436,604 14,178 75,733 DRUGS & SUPPLIES 0
PERSONAL CARE Claims 13,956,518 340 503 0 3,436 1,682,227 4,134,780 56,066 19,126 12,396 16,772 4,215,044 3,716,144 60 99,624 PERSONAL CARE 0
HOME HEALTH SERVICES Claims 1,100,494 268 257 52 971 166,960 352,849 4,193 4,646 127 6,522 292,958 264,466 12 6,213 HOME HEALTH SERVICES 0
TRANSPORTATION Trips 11,753,222 155,664 232,178 44,316 753,527 330,765 4,974,865 444,107 562,935 20,537 799,203 951,853 2,397,705 7,760 77,807 TRANSPORTATION 0
LAB & X-RAY Procedures 740,021 6,900 9,797 3,753 68,372 27,182 178,557 57,700 128,441 4,302 74,963 58,243 107,569 1,622 12,620 LAB & X-RAY 0
HMO Premiums 3,895,579 246,532 79,669 86,250 112,862 1,866 332,994 1,496,867 526,842 25,086 408,831 13,941 26,756 468,265 68,818 HMO 0