Average Monthly Medicaid Beneficiaries for Categories of Service by Category of Eligibility - April 2013 - June 2013

Rev. 10/04/2013

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 4,517,106 232,886 74,537 105,793 147,151 116,117 497,347 1,293,295 425,206 126,884 602,928 173,065 133,295 421,473 209,312 GRAND TOTAL
HOSPITAL INPATIENT 66,264 1,636 1,117 724 2,663 3,717 13,590 11,610 7,243 916 7,671 5,815 4,275 1,468 3,967 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 235,552 5,333 3,168 2,114 12,437 13,007 81,229 27,422 17,832 2,745 21,529 14,623 26,782 3,325 6,216 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 325,478 13,811 7,092 6,521 26,890 5,066 94,543 58,549 30,771 6,252 34,196 5,314 21,920 11,761 7,107 FREE STANDING CLINIC
SKILLED NURSING FACILITY 81,119 6 15 4 368 5,315 9,343 35 32 11 333 51,612 13,785 1 586 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 15,897 41 0 27 0 0 184 15,565 0 9 1 0 97 0 2 CHILD CARE PER DIEM
ICF DD 3,915 0 0 0 0 8 1,659 34 0 6 9 69 2,141 0 4 ICF DD
PHYSICIANS 328,543 2,409 1,730 776 5,221 53,967 99,437 22,299 14,063 1,581 15,158 55,145 50,495 700 8,092 PHYSICIANS
DENTAL 40,060 1,514 210 707 1,012 3,087 9,497 12,329 1,388 1,469 1,945 2,028 4,259 54 644 DENTAL
DRUGS & SUPPLIES 399,729 2,280 2,256 876 8,341 81,545 140,773 22,006 20,765 1,385 16,138 49,816 42,997 3,950 7,733 DRUGS & SUPPLIES
PERSONAL CARE 35,132 4 5 0 37 8,338 12,089 116 49 29 36 8,204 6,206 0 151 PERSONAL CARE
HOME HEALTH SERVICES 37,122 70 17 18 94 10,124 12,442 652 187 135 183 8,027 5,052 0 220 HOME HEALTH SERVICES
WAIVED SERVICES 76,876 242 19 99 73 5,359 42,704 3,258 88 206 292 4,486 20,257 0 178 WAIVED SERVICES
ASSISTED LIVING PROGRAM 4,827 0 0 0 1 1,766 1,537 0 0 0 5 1,395 163 0 5 ASSISTED LIVING PROGRAM
TRANSPORTATION 129,806 2,123 1,878 901 5,972 14,062 51,016 6,289 4,602 464 7,295 17,646 16,651 44 1,972 TRANSPORTATION
LAB & X-RAY 132,126 918 1,472 472 7,159 15,006 37,657 7,589 12,826 730 10,752 15,512 18,053 283 4,581 LAB & X-RAY
REHAB OPTION 40,768 2,651 90 850 1,184 99 18,197 12,459 123 816 669 84 4,481 0 65 REHAB OPTION
HMO 3,802,209 227,022 71,017 103,352 133,326 2,265 283,529 1,233,298 390,372 122,874 576,436 30,657 22,142 418,835 190,237 HMO
OTHER PREPAID (NON HMO) 199,638 984 823 289 4,695 44,588 82,049 4,654 1,470 501 3,534 28,285 25,976 158 2,018 OTHER PREPAID (NON HMO)
ALL OTHER 152,383 2,612 346 1,581 1,537 22,499 49,125 11,070 2,591 642 2,793 29,594 26,868 588 1,026 ALL OTHER
New York City GRAND TOTAL 2,831,182 145,482 45,745 75,204 100,388 96,908 281,152 726,462 216,612 117,634 442,798 107,814 52,170 260,218 182,731 GRAND TOTAL
HOSPITAL INPATIENT 44,039 1,042 712 548 1,873 3,058 8,611 7,534 4,677 820 5,114 3,805 1,979 948 3,398 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 139,519 3,564 1,929 1,495 7,617 9,819 46,086 17,876 9,797 2,376 13,112 9,048 9,913 2,657 5,349 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 179,527 8,269 4,106 4,511 17,632 3,742 53,342 28,096 11,259 5,574 21,162 3,289 8,317 6,565 5,476 FREE STANDING CLINIC
SKILLED NURSING FACILITY 35,757 5 14 4 353 4,145 5,736 25 6 10 151 19,376 5,670 0 399 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 12,330 1 0 1 0 0 1 12,338 0 0 0 0 4 0 0 CHILD CARE PER DIEM
ICF DD 1,688 0 0 0 0 7 790 26 0 4 7 25 832 0 1 ICF DD
PHYSICIANS 178,129 903 933 449 3,355 43,706 52,269 7,595 5,407 1,166 7,786 32,508 17,049 98 6,146 PHYSICIANS
DENTAL 23,289 1,012 139 539 749 2,499 4,675 7,309 551 1,382 1,199 1,436 1,319 2 513 DENTAL
DRUGS & SUPPLIES 252,352 789 1,107 474 5,538 73,645 87,000 6,471 4,938 955 8,044 38,105 18,821 963 5,920 DRUGS & SUPPLIES
PERSONAL CARE 16,695 4 5 0 26 6,006 6,089 53 28 22 21 2,906 1,508 0 67 PERSONAL CARE
HOME HEALTH SERVICES 23,867 43 11 11 78 8,269 8,444 443 70 130 95 4,248 1,930 -1 155 HOME HEALTH SERVICES
WAIVED SERVICES 28,593 127 8 65 41 4,123 15,710 1,542 30 173 173 1,753 4,815 0 113 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,189 0 0 0 1 974 793 0 0 0 0 372 56 0 4 ASSISTED LIVING PROGRAM
TRANSPORTATION 59,811 454 495 264 2,176 11,266 24,448 1,233 871 294 2,704 8,880 5,489 4 1,535 TRANSPORTATION
LAB & X-RAY 69,067 395 905 289 4,780 11,831 18,607 2,924 5,240 455 5,532 9,024 5,933 72 3,528 LAB & X-RAY
REHAB OPTION 12,123 670 19 178 374 49 5,814 3,391 35 681 259 43 699 0 54 REHAB OPTION
HMO 2,437,451 143,171 43,951 73,983 92,491 1,635 168,988 699,439 206,003 114,699 428,912 25,397 12,512 259,413 167,898 HMO
OTHER PREPAID (NON HMO) 135,267 395 530 153 3,633 42,406 46,254 1,886 805 414 2,226 24,913 9,961 106 1,776 OTHER PREPAID (NON HMO)
ALL OTHER 75,934 1,591 188 1,152 1,051 17,264 23,482 5,869 684 549 1,453 14,411 7,717 30 716 ALL OTHER
Rest of State GRAND TOTAL 1,685,924 87,403 28,792 30,589 46,763 19,209 216,195 566,833 208,594 9,251 160,130 65,251 81,125 161,254 26,581 GRAND TOTAL
HOSPITAL INPATIENT 22,224 594 406 176 790 659 4,979 4,076 2,566 96 2,557 2,009 2,296 520 569 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 96,033 1,769 1,239 619 4,820 3,187 35,143 9,546 8,035 369 8,417 5,575 16,869 668 867 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 145,951 5,542 2,986 2,009 9,258 1,323 41,200 30,453 19,512 679 13,034 2,025 13,602 5,196 1,631 FREE STANDING CLINIC
SKILLED NURSING FACILITY 45,362 1 1 0 15 1,170 3,607 10 26 1 182 32,236 8,115 0 187 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,567 39 0 27 0 0 184 3,227 0 9 0 0 93 0 2 CHILD CARE PER DIEM
ICF DD 2,227 0 0 0 0 0 869 9 0 2 3 44 1,308 0 4 ICF DD
PHYSICIANS 150,414 1,506 796 327 1,867 10,261 47,168 14,704 8,656 415 7,372 22,637 33,446 601 1,946 PHYSICIANS
DENTAL 16,772 502 70 168 262 588 4,822 5,020 837 87 746 592 2,940 52 131 DENTAL
DRUGS & SUPPLIES 147,377 1,491 1,149 403 2,803 7,900 53,773 15,535 15,827 431 8,093 11,712 24,175 2,987 1,813 DRUGS & SUPPLIES
PERSONAL CARE 18,438 1 0 0 12 2,332 6,000 63 21 8 15 5,298 4,699 0 84 PERSONAL CARE
HOME HEALTH SERVICES 13,255 27 6 7 16 1,855 3,998 209 117 5 87 3,779 3,123 1 65 HOME HEALTH SERVICES
WAIVED SERVICES 48,283 116 10 34 32 1,236 26,995 1,716 58 33 119 2,733 15,442 0 65 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,638 0 0 0 0 792 744 0 0 0 5 1,023 107 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 69,995 1,669 1,383 637 3,796 2,795 26,568 5,056 3,731 170 4,591 8,766 11,162 39 438 TRANSPORTATION
LAB & X-RAY 63,058 523 567 183 2,379 3,175 19,050 4,665 7,586 275 5,220 6,488 12,120 211 1,053 LAB & X-RAY
REHAB OPTION 28,645 1,981 71 672 810 50 12,383 9,067 89 135 410 40 3,782 0 11 REHAB OPTION
HMO 1,364,757 83,851 27,066 29,369 40,836 630 114,541 533,860 184,369 8,175 147,524 5,260 9,630 159,422 22,339 HMO
OTHER PREPAID (NON HMO) 64,371 589 293 137 1,062 2,182 35,795 2,769 666 88 1,308 3,372 16,015 52 243 OTHER PREPAID (NON HMO)
ALL OTHER 76,449 1,022 159 429 486 5,235 25,643 5,200 1,906 93 1,340 15,183 19,151 557 310 ALL OTHER