Medicaid Service Units for Selected Categories of Service by Category of Eligibility - July 2013 - September 2013

Rev. 3/13/2014

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 1,408,606 20,621 12,593 11,234 54,537 74,908 391,537 169,874 84,463 11,897 186,296 140,167 152,312 18,913 79,254 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 9,024,375 122,793 25,094 10,082 162,981 99,980 4,454,274 962,528 513,909 13,036 834,981 161,613 1,110,430 164,907 387,767 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 5,048,039 77,226 83,338 36,427 641,427 75,476 2,071,434 358,623 405,340 34,923 610,383 73,625 452,264 72,587 54,966 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 8,461,787 604 361 859 14,014 469,266 812,963 4,134 3,651 1,775 48,897 5,610,419 1,431,263 22 63,559 SKILLED NURSING FACILITY
ICF DD Days 399,975 0 0 0 0 874 169,085 2,688 0 728 1,035 6,931 218,198 0 436 ICF DD
PHYSICIANS Claims 6,653,854 20,267 26,395 7,394 98,173 1,168,621 2,115,418 521,984 214,788 16,087 214,446 1,006,577 1,110,670 17,534 115,500 PHYSICIANS
DENTAL Procedures 398,871 7,484 3,611 3,545 18,042 39,664 113,363 65,694 17,828 8,088 33,162 28,755 49,254 510 9,871 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 30,149,380 38,445 20,200 11,074 111,713 6,127,192 11,699,100 584,038 157,191 86,440 212,466 5,575,006 5,240,238 17,839 268,438 DRUGS & SUPPLIES
PERSONAL CARE Claims 18,211,117 3,392 1,317 0 5,883 2,928,097 6,293,714 84,775 18,924 18,318 20,789 4,290,299 4,437,555 0 108,054 PERSONAL CARE
HOME HEALTH SERVICES Claims 6,272,358 8,255 4,497 2,814 9,304 1,432,833 2,004,817 90,380 12,205 33,178 20,854 1,781,004 826,112 -19 46,124 HOME HEALTH SERVICES
TRANSPORTATION Trips 14,755,923 164,544 284,727 61,737 886,413 582,946 6,100,596 570,732 703,763 30,816 1,164,918 1,286,970 2,762,581 4,324 150,856 TRANSPORTATION
LAB & X-RAY Procedures 1,171,683 5,405 11,552 5,350 113,607 114,279 312,350 51,347 102,322 5,302 106,147 136,629 160,688 1,989 44,716 LAB & X-RAY
HMO Premiums 11,743,285 669,160 211,981 309,300 400,531 6,876 850,280 3,844,792 1,218,064 395,964 1,786,495 93,950 65,260 1,290,473 600,159 HMO
New York City HOSPITAL INPATIENT Days 919,336 10,800 8,229 8,019 35,367 61,512 255,144 105,529 51,906 10,010 118,237 95,863 79,312 12,098 67,310 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 7,006,520 113,869 12,121 6,114 88,744 63,989 3,740,960 861,128 277,431 10,475 704,439 80,109 523,736 159,433 363,972 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 2,614,763 41,660 42,593 23,526 460,116 62,785 1,063,672 149,051 75,429 28,263 390,905 55,592 156,626 25,496 39,049 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 3,689,822 435 300 859 13,311 364,473 494,951 3,065 562 1,678 27,289 2,129,200 610,327 18 43,354 SKILLED NURSING FACILITY
ICF DD Days 169,969 0 0 0 0 719 80,764 1,748 0 454 686 2,609 82,989 0 0 ICF DD
PHYSICIANS Claims 3,260,743 7,474 13,786 4,665 35,832 882,833 952,243 71,722 81,624 11,553 109,547 643,140 359,247 1,638 85,439 PHYSICIANS
DENTAL Procedures 248,634 4,725 2,790 2,556 14,727 33,298 66,995 34,693 8,420 7,296 24,082 22,128 18,511 44 8,369 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 19,963,976 25,835 12,744 8,811 81,341 5,397,907 7,903,543 329,898 62,227 76,030 118,701 3,625,062 2,124,728 3,625 193,524 DRUGS & SUPPLIES
PERSONAL CARE Claims 6,463,763 2,303 1,317 0 5,584 1,898,389 2,531,108 30,776 6,262 9,689 12,406 1,168,025 774,275 0 23,629 PERSONAL CARE
HOME HEALTH SERVICES Claims 5,469,538 8,118 4,417 2,801 8,471 1,318,829 1,760,904 86,648 7,875 33,156 17,530 1,561,230 616,773 -64 42,850 HOME HEALTH SERVICES
TRANSPORTATION Trips 1,842,825 7,509 9,898 2,944 51,514 258,684 799,246 38,607 24,125 14,117 75,220 247,433 262,368 100 51,060 TRANSPORTATION
LAB & X-RAY Procedures 628,187 2,155 5,991 3,747 81,468 89,422 156,470 19,574 38,470 2,856 53,892 79,498 59,149 483 35,012 LAB & X-RAY
HMO Premiums 7,495,514 410,816 128,595 218,023 277,841 4,963 501,923 2,175,816 642,968 370,048 1,321,347 77,737 35,963 799,844 529,630 HMO
Rest of State HOSPITAL INPATIENT Days 489,270 9,821 4,364 3,215 19,170 13,396 136,393 64,345 32,557 1,887 68,059 44,304 73,000 6,815 11,944 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT Claims/Visits 2,017,855 8,924 12,973 3,968 74,237 35,991 713,314 101,400 236,478 2,561 130,542 81,504 586,694 5,474 23,795 HOSPITAL OUTPATIENT
FREE STANDING CLINIC Claims/Visits 2,433,276 35,566 40,745 12,901 181,311 12,691 1,007,762 209,572 329,911 6,660 219,478 18,033 295,638 47,091 15,917 FREE STANDING CLINIC
SKILLED NURSING FACILITY Days 4,771,965 169 61 0 703 104,793 318,012 1,069 3,089 97 21,608 3,481,219 820,936 4 20,205 SKILLED NURSING FACILITY
ICF DD Days 230,006 0 0 0 0 155 88,321 940 0 274 349 4,322 135,209 0 436 ICF DD
PHYSICIANS Claims 3,393,111 12,793 12,609 2,729 62,341 285,788 1,163,175 450,262 133,164 4,534 104,899 363,437 751,423 15,896 30,061 PHYSICIANS
DENTAL Procedures 150,237 2,759 821 989 3,315 6,366 46,368 31,001 9,408 792 9,080 6,627 30,743 466 1,502 DENTAL
DRUGS & SUPPLIES Prescriptions/Items 10,185,404 12,610 7,456 2,263 30,372 729,285 3,795,557 254,140 94,964 10,410 93,765 1,949,944 3,115,510 14,214 74,914 DRUGS & SUPPLIES
PERSONAL CARE Claims 11,747,354 1,089 0 0 299 1,029,708 3,762,606 53,999 12,662 8,629 8,383 3,122,274 3,663,280 0 84,425 PERSONAL CARE
HOME HEALTH SERVICES Claims 802,820 137 80 13 833 114,004 243,913 3,732 4,330 22 3,324 219,774 209,339 45 3,274 HOME HEALTH SERVICES
TRANSPORTATION Trips 12,913,098 157,035 274,829 58,793 834,899 324,262 5,301,350 532,125 679,638 16,699 1,089,698 1,039,537 2,500,213 4,224 99,796 TRANSPORTATION
LAB & X-RAY Procedures 543,496 3,250 5,561 1,603 32,139 24,857 155,880 31,773 63,852 2,446 52,255 57,131 101,539 1,506 9,704 LAB & X-RAY
HMO Premiums 4,247,771 258,344 83,386 91,277 122,690 1,913 348,357 1,668,976 575,096 25,916 465,148 16,213 29,297 490,629 70,529 HMO