Medicaid Beneficiaries for Categories of Service by Category of Eligibility - Calendar Year 2013

Rev. 3/19/2014

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 4,544,176 230,673 73,791 105,569 144,995 115,380 498,998 1,302,764 427,555 129,767 610,069 173,733 133,246 427,137 213,700 GRAND TOTAL
HOSPITAL INPATIENT 64,712 1,639 1,138 696 2,670 3,475 13,206 11,506 7,247 881 7,511 5,487 4,155 1,470 3,780 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 231,675 5,123 3,143 2,078 11,952 12,641 81,185 26,304 17,387 2,629 21,051 14,363 26,388 3,126 6,298 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 317,957 13,499 6,841 6,312 25,395 4,971 92,286 57,847 30,202 6,583 33,121 5,284 21,510 11,367 6,854 FREE STANDING CLINIC
SKILLED NURSING FACILITY 81,182 6 11 4 279 5,242 9,059 41 31 15 342 52,097 13,777 0 579 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 15,203 42 0 27 0 0 185 14,874 0 11 0 0 94 0 1 CHILD CARE PER DIEM
ICF DD 3,935 0 0 0 0 8 1,663 31 0 6 9 71 2,161 0 4 ICF DD
PHYSICIANS 319,766 2,463 1,657 786 4,729 52,547 96,766 21,927 13,582 1,573 14,314 53,838 49,285 667 7,958 PHYSICIANS
DENTAL 37,107 1,368 204 635 927 2,880 8,930 11,188 1,301 1,299 1,819 1,969 4,035 48 576 DENTAL
DRUGS & SUPPLIES 388,322 2,310 2,233 852 7,971 77,350 137,279 21,587 20,472 1,333 15,694 48,691 42,196 3,919 7,503 DRUGS & SUPPLIES
PERSONAL CARE 32,729 3 5 1 29 7,559 11,460 116 50 29 35 7,480 5,945 0 133 PERSONAL CARE
HOME HEALTH SERVICES 32,739 64 17 17 70 8,303 11,138 596 174 145 177 7,171 4,755 1 199 HOME HEALTH SERVICES
WAIVED SERVICES 74,575 231 14 101 63 4,312 42,005 3,261 90 196 294 4,043 20,174 1 164 WAIVED SERVICES
ASSISTED LIVING PROGRAM 4,910 0 0 0 2 1,786 1,556 0 0 0 6 1,433 164 0 5 ASSISTED LIVING PROGRAM
TRANSPORTATION 127,924 2,191 1,954 899 5,973 13,070 50,097 6,533 4,786 488 7,518 17,073 16,380 46 1,978 TRANSPORTATION
LAB & X-RAY 123,710 841 1,294 413 6,291 14,304 35,320 6,880 12,007 671 9,837 14,942 17,149 259 4,305 LAB & X-RAY
REHAB OPTION 46,391 3,100 100 868 1,197 105 19,807 15,569 117 1,248 676 85 4,958 0 60 REHAB OPTION
HMO 3,827,493 224,594 70,103 103,102 130,427 2,277 283,132 1,242,919 393,129 125,837 584,135 31,130 21,992 424,501 194,699 HMO
OTHER PREPAID (NON HMO) 221,490 1,571 1,263 445 6,751 45,549 90,663 7,353 2,510 904 5,362 29,677 27,480 258 2,364 OTHER PREPAID (NON HMO)
ALL OTHER 142,270 2,107 335 1,241 1,381 20,327 46,177 9,322 2,428 572 2,668 28,362 26,150 657 967 ALL OTHER
New York City GRAND TOTAL 2,854,139 143,685 45,052 75,029 99,299 96,236 282,342 733,420 218,591 120,351 448,525 108,350 52,159 264,910 186,680 GRAND TOTAL
HOSPITAL INPATIENT 42,843 1,019 738 520 1,879 2,834 8,328 7,398 4,656 790 4,985 3,660 1,913 950 3,254 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 137,033 3,415 1,868 1,480 7,394 9,508 45,918 17,177 9,583 2,271 12,964 8,830 9,720 2,478 5,446 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 173,587 8,038 3,918 4,373 16,638 3,659 52,001 27,037 10,778 5,915 20,392 3,279 8,156 6,061 5,094 FREE STANDING CLINIC
SKILLED NURSING FACILITY 35,645 5 10 4 266 4,082 5,523 30 7 14 164 19,573 5,712 0 387 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 11,645 1 0 0 0 0 1 11,655 0 1 0 0 3 0 0 CHILD CARE PER DIEM
ICF DD 1,686 0 0 0 0 7 787 22 0 4 6 27 836 0 0 ICF DD
PHYSICIANS 173,962 986 882 483 3,019 42,549 50,716 7,859 5,288 1,180 7,502 31,773 16,612 93 6,149 PHYSICIANS
DENTAL 21,435 901 135 486 688 2,321 4,448 6,509 518 1,216 1,148 1,394 1,233 3 470 DENTAL
DRUGS & SUPPLIES 243,185 808 1,078 472 5,280 69,620 84,114 6,390 4,812 918 7,853 37,122 18,457 961 5,720 DRUGS & SUPPLIES
PERSONAL CARE 15,353 3 5 1 20 5,430 5,704 55 26 22 20 2,618 1,429 0 54 PERSONAL CARE
HOME HEALTH SERVICES 20,155 42 12 13 56 6,573 7,321 409 69 140 91 3,592 1,747 0 140 HOME HEALTH SERVICES
WAIVED SERVICES 26,475 117 6 68 34 3,123 15,024 1,572 28 164 172 1,389 4,756 0 99 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,229 0 0 0 1 984 807 0 0 0 1 388 56 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 57,369 439 492 252 2,152 10,357 23,442 1,207 923 306 2,745 8,482 5,325 4 1,527 TRANSPORTATION
LAB & X-RAY 64,666 367 755 254 4,137 11,246 17,300 2,691 5,016 421 5,099 8,738 5,617 64 3,368 LAB & X-RAY
REHAB OPTION 16,721 1,040 19 267 388 56 7,406 5,482 32 1,101 263 45 919 0 47 REHAB OPTION
HMO 2,459,012 141,295 43,145 73,756 90,576 1,651 168,635 706,648 208,090 117,494 434,983 25,802 12,423 264,211 171,840 HMO
OTHER PREPAID (NON HMO) 147,182 815 767 273 5,056 42,949 50,894 3,842 1,091 806 3,090 25,388 10,355 156 2,024 OTHER PREPAID (NON HMO)
ALL OTHER 68,645 1,262 182 893 935 15,317 21,335 4,824 643 480 1,422 13,489 7,342 33 673 ALL OTHER
Rest of State GRAND TOTAL 1,690,037 86,987 28,739 30,540 45,697 19,144 216,656 569,344 208,964 9,416 161,544 65,383 81,086 162,227 27,020 GRAND TOTAL
HOSPITAL INPATIENT 21,868 620 400 176 791 641 4,879 4,108 2,591 91 2,525 1,826 2,241 520 526 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 94,641 1,709 1,275 598 4,558 3,133 35,267 9,127 7,804 358 8,087 5,534 16,668 648 853 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 144,370 5,461 2,923 1,940 8,757 1,312 40,284 30,810 19,424 668 12,729 2,006 13,354 5,306 1,760 FREE STANDING CLINIC
SKILLED NURSING FACILITY 45,537 2 1 0 13 1,161 3,536 10 24 1 177 32,524 8,066 0 192 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,558 41 0 27 0 0 184 3,220 0 10 0 0 92 0 1 CHILD CARE PER DIEM
ICF DD 2,250 0 0 0 0 1 876 9 0 2 3 44 1,325 0 4 ICF DD
PHYSICIANS 145,804 1,477 775 303 1,710 9,998 46,051 14,068 8,295 393 6,812 22,064 32,673 574 1,809 PHYSICIANS
DENTAL 15,672 468 69 149 239 559 4,482 4,679 783 84 671 575 2,802 45 105 DENTAL
DRUGS & SUPPLIES 145,137 1,502 1,155 380 2,691 7,731 53,164 15,198 15,660 416 7,841 11,569 23,739 2,958 1,783 DRUGS & SUPPLIES
PERSONAL CARE 17,376 1 0 0 8 2,129 5,756 61 24 7 14 4,863 4,516 0 78 PERSONAL CARE
HOME HEALTH SERVICES 12,583 22 5 4 14 1,730 3,818 187 104 4 86 3,579 3,008 1 59 HOME HEALTH SERVICES
WAIVED SERVICES 48,101 114 8 33 29 1,189 26,981 1,689 62 32 122 2,654 15,418 0 65 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,680 0 0 0 1 803 749 0 0 0 5 1,044 109 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 70,555 1,752 1,462 648 3,821 2,713 26,655 5,326 3,863 182 4,773 8,591 11,054 42 451 TRANSPORTATION
LAB & X-RAY 59,044 474 539 159 2,154 3,057 18,020 4,188 6,991 249 4,737 6,204 11,532 194 937 LAB & X-RAY
REHAB OPTION 29,670 2,059 81 601 809 49 12,400 10,087 85 147 414 40 4,039 0 14 REHAB OPTION
HMO 1,368,480 83,299 26,958 29,345 39,851 626 114,497 536,271 185,038 8,343 149,152 5,328 9,568 160,290 22,859 HMO
OTHER PREPAID (NON HMO) 74,308 757 497 172 1,695 2,600 39,769 3,512 1,419 98 2,272 4,289 17,125 102 340 OTHER PREPAID (NON HMO)
ALL OTHER 73,626 845 152 348 446 5,010 24,842 4,497 1,786 92 1,246 14,873 18,808 623 295 ALL OTHER