Medicaid Beneficiaries for Categories of Service by Category of Eligibility - Calendar Year 2014

Calendar Year 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 4,842,490 225,844 53,679 103,089 43,681 113,762 500,376 1,393,281 1,528,454 93,981 53,793 178,874 134,603 220,514 260,807 GRAND TOTAL
HOSPITAL INPATIENT 65,045 1,522 678 655 540 3,231 12,826 11,021 19,018 664 1,406 5,183 3,847 796 3,920 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 236,500 4,441 2,199 1,738 2,818 12,064 79,765 26,060 55,454 1,636 3,792 14,222 25,833 1,676 7,671 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 338,852 13,522 5,193 6,243 6,554 5,153 92,386 64,051 97,798 5,135 5,458 5,831 22,132 6,819 8,702 FREE STANDING CLINIC
SKILLED NURSING FACILITY 77,969 8 2 2 16 4,526 8,189 48 421 16 77 50,789 13,658 0 563 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 14,286 43 0 27 0 0 175 13,966 3 11 0 0 90 0 0 CHILD CARE PER DIEM
ICF DD 3,935 0 0 0 0 7 1,634 23 8 2 0 80 2,194 0 5 ICF DD
PHYSICIANS 325,096 1,947 1,141 651 1,033 50,075 93,509 22,925 39,791 618 3,848 52,877 49,034 458 10,007 PHYSICIANS
DENTAL 31,026 693 123 308 102 2,407 7,821 7,250 5,319 486 190 1,905 3,829 35 632 DENTAL
DRUGS & SUPPLIES 377,095 1,917 1,578 606 1,038 68,280 126,749 21,762 57,890 565 1,980 45,905 39,236 2,362 8,584 DRUGS & SUPPLIES
PERSONAL CARE 16,941 2 1 0 1 1,752 7,079 115 79 23 8 3,232 4,681 0 66 PERSONAL CARE
HOME HEALTH SERVICES 14,329 62 8 18 7 1,494 5,640 581 379 151 38 2,822 3,089 0 100 HOME HEALTH SERVICES
WAIVED SERVICES 67,115 222 10 130 9 1,059 39,724 3,376 497 185 43 2,147 20,280 0 131 WAIVED SERVICES
ASSISTED LIVING PROGRAM 5,298 0 0 0 0 1,855 1,658 0 9 0 1 1,648 210 0 5 ASSISTED LIVING PROGRAM
TRANSPORTATION 160,056 4,099 3,025 1,918 3,675 9,316 58,481 10,928 30,514 686 3,096 15,981 17,061 561 3,405 TRANSPORTATION
LAB & X-RAY 127,019 626 989 243 1,171 13,570 33,666 6,983 31,680 243 2,174 14,636 16,742 192 5,088 LAB & X-RAY
REHAB OPTION 51,316 3,375 127 917 190 109 20,146 18,942 2,282 1,271 99 106 5,112 1 51 REHAB OPTION
HMO 4,086,378 220,293 50,173 100,867 35,518 2,351 283,680 1,330,117 1,436,053 91,281 31,137 33,436 20,999 217,617 238,355 HMO
OTHER PREPAID (NON HMO) 303,092 2,115 2,048 540 2,814 54,092 120,610 10,452 30,465 1,156 2,601 39,337 34,180 306 3,762 OTHER PREPAID (NON HMO)
ALL OTHER 139,424 1,794 223 1,124 215 15,105 41,494 9,483 8,848 400 7,285 25,728 26,606 573 1,070 ALL OTHER
New York City GRAND TOTAL 2,943,910 140,436 29,748 72,104 28,785 94,679 282,282 766,507 920,587 87,977 40,030 111,174 52,065 130,385 220,599 GRAND TOTAL
HOSPITAL INPATIENT 42,800 957 361 494 335 2,666 8,204 6,982 12,241 623 1,042 3,477 1,811 502 3,284 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 139,939 3,030 1,171 1,265 1,696 9,031 45,596 17,656 32,269 1,499 2,543 8,590 9,520 1,274 6,500 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 183,104 8,497 2,792 4,536 4,175 3,852 52,318 30,318 50,210 4,734 3,413 3,571 8,410 3,347 5,965 FREE STANDING CLINIC
SKILLED NURSING FACILITY 33,515 6 2 2 15 3,440 4,775 36 218 15 45 18,942 5,793 0 378 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 10,753 1 0 1 0 0 0 10,762 0 0 0 0 1 0 0 CHILD CARE PER DIEM
ICF DD 1,673 0 0 0 0 6 786 14 5 2 0 32 831 0 0 ICF DD
PHYSICIANS 178,778 867 597 429 635 40,436 49,381 10,264 19,218 468 2,356 31,097 16,498 53 7,840 PHYSICIANS
DENTAL 16,703 391 74 210 73 1,894 3,707 3,751 3,111 449 133 1,345 1,087 2 512 DENTAL
DRUGS & SUPPLIES 233,888 638 683 323 613 61,250 77,856 7,473 24,270 401 1,427 35,111 17,308 557 6,498 DRUGS & SUPPLIES
PERSONAL CARE 4,396 1 1 0 1 599 2,407 51 24 16 5 466 825 0 14 PERSONAL CARE
HOME HEALTH SERVICES 6,790 46 5 14 5 777 3,284 439 177 150 17 915 930 0 67 HOME HEALTH SERVICES
WAIVED SERVICES 20,822 109 2 84 4 309 13,427 1,646 220 158 21 270 4,604 0 74 WAIVED SERVICES
ASSISTED LIVING PROGRAM 2,272 0 0 0 0 968 817 0 4 0 0 434 62 0 3 ASSISTED LIVING PROGRAM
TRANSPORTATION 73,968 1,729 1,156 1,015 2,145 6,820 27,161 4,019 11,920 575 2,450 7,643 5,453 420 2,885 TRANSPORTATION
LAB & X-RAY 66,658 275 580 153 739 10,619 16,529 3,111 15,763 148 1,235 8,511 5,470 37 3,993 LAB & X-RAY
REHAB OPTION 17,435 1,091 10 270 43 67 7,210 6,404 688 1,132 28 58 879 0 33 REHAB OPTION
HMO 2,523,272 138,027 27,888 70,865 23,346 1,683 166,649 735,736 877,903 85,868 26,396 27,189 11,438 129,351 203,213 HMO
OTHER PREPAID (NON HMO) 194,257 1,158 963 317 1,692 49,512 68,971 5,838 16,550 1,085 1,839 30,792 12,978 142 3,119 OTHER PREPAID (NON HMO)
ALL OTHER 62,701 1,154 114 848 147 10,776 17,943 5,179 3,765 350 3,528 11,590 6,706 31 760 ALL OTHER
Rest of State GRAND TOTAL 1,898,581 85,408 23,931 30,984 14,896 19,084 218,094 626,775 607,867 6,004 13,763 67,699 82,538 90,129 40,208 GRAND TOTAL
HOSPITAL INPATIENT 22,246 566 318 161 205 565 4,623 4,039 6,778 41 364 1,706 2,037 294 636 HOSPITAL INPATIENT
HOSPITAL OUTPATIENT 96,561 1,411 1,028 473 1,123 3,033 34,169 8,404 23,184 137 1,249 5,632 16,313 402 1,172 HOSPITAL OUTPATIENT
FREE STANDING CLINIC 155,748 5,025 2,400 1,707 2,380 1,301 40,069 33,734 47,588 401 2,045 2,260 13,722 3,471 2,737 FREE STANDING CLINIC
SKILLED NURSING FACILITY 44,454 2 0 0 1 1,086 3,413 12 202 1 32 31,847 7,865 0 185 SKILLED NURSING FACILITY
CHILD CARE PER DIEM 3,533 42 0 26 0 0 175 3,205 2 11 0 0 89 0 0 CHILD CARE PER DIEM
ICF DD 2,262 0 0 0 0 1 848 9 3 1 0 48 1,362 0 5 ICF DD
PHYSICIANS 146,318 1,080 545 222 398 9,639 44,128 12,661 20,573 150 1,491 21,781 32,536 405 2,167 PHYSICIANS
DENTAL 14,322 302 49 98 29 513 4,113 3,499 2,207 37 57 560 2,742 33 120 DENTAL
DRUGS & SUPPLIES 143,206 1,279 895 283 425 7,030 48,893 14,288 33,620 163 553 10,794 21,928 1,804 2,086 DRUGS & SUPPLIES
PERSONAL CARE 12,545 1 0 0 0 1,154 4,671 64 55 7 3 2,767 3,856 0 52 PERSONAL CARE
HOME HEALTH SERVICES 7,539 16 3 4 3 717 2,356 142 201 1 21 1,907 2,159 0 34 HOME HEALTH SERVICES
WAIVED SERVICES 46,293 113 7 46 5 750 26,297 1,730 277 26 22 1,877 15,676 0 57 WAIVED SERVICES
ASSISTED LIVING PROGRAM 3,025 0 0 0 0 887 840 0 4 0 0 1,214 148 0 2 ASSISTED LIVING PROGRAM
TRANSPORTATION 86,088 2,370 1,869 903 1,530 2,496 31,319 6,909 18,594 111 646 8,338 11,608 141 520 TRANSPORTATION
LAB & X-RAY 60,361 351 408 90 432 2,951 17,138 3,872 15,918 95 940 6,125 11,272 155 1,095 LAB & X-RAY
REHAB OPTION 33,881 2,284 116 647 148 42 12,936 12,537 1,594 139 70 48 4,233 0 18 REHAB OPTION
HMO 1,563,106 82,265 22,284 30,002 12,172 668 117,032 594,381 558,150 5,413 4,741 6,247 9,561 88,266 35,142 HMO
OTHER PREPAID (NON HMO) 108,835 957 1,085 224 1,122 4,580 51,640 4,614 13,915 71 763 8,545 21,201 164 642 OTHER PREPAID (NON HMO)
ALL OTHER 76,724 640 108 276 68 4,330 23,551 4,304 5,082 50 3,757 14,138 19,900 542 311 ALL OTHER