New York
#1 in Medicaid spending (13.24% of national total)
Total Spending
$144.77B
Total Claims
1.7B
Providers
59,321
Avg Cost/Claim
$86
Data Coverage Note: New York has 73% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 27% of enrollees). Actual total Medicaid spending in New York is significantly higher than shown.
Enrollment (Latest)
7.1M
Managed Care
73%
ACA Expansion
Yes (2014)
FFS $/Enrollee
$3,579
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
PUBLIC PARTNERSHIPS LLC Case Management | $7.18B |
FREEDOM CARE LLC Home Health | $3.03B |
AMERICAN BUSINESS INSTITUTE CORP Home Health | $1.68B |
PREMIER HOME HEALTH CARE SERVICES INC Home Health | $1.48B |
ASSISTCAREHOME HEALTHCARE SERVICES Home Health | $1.44B |
NAE EDISON LLC Home Health | $1.11B |
HEART TO HEART HOME CARE, INC. Home Health | $1.10B |
MARKS HOMECARE AGENCY INC In Home Supportive Care | $1.08B |
NEW PARTNERS, INC Hospice Care, Community Based | $1.08B |
CONCEPTS OF INDEPENDENCE, INC. Home Health | $1.06B |
COMMUNITY ASSISTANCE RESOURCES & EXTENDED SERVICES INC Day Training, Developmentally Disabled Services | $1.04B |
HEALTH ACQUISITION CORP. Home Health | $1.03B |
MONTEFIORE MEDICAL CENTER General Acute Care Hospital | $961.1M |
CARING PROFESSIONALS, INC Home Health | $953.5M |
PLATINUM HOME HEALTH CARE INC. Home Health | $865.9M |
C AND T HOMECARE SERVICES LLC In Home Supportive Care | $848.2M |
HOME FAMILY CARE, INC Home Health | $842.5M |
HUMAN CARE LLC Home Health | $840.5M |
A & J STAFFING, INC Home Health | $775.2M |
S & A UNIFIED HOME CARE, INC. Home Health | $768.0M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| T1019 | Personal care ser per 15 min | $74.59B |
| 99213 | Office o/p est low 20 min | $6.09B |
| T1020 | Personal care ser per diem | $4.63B |
| 99214 | Office o/p est mod 30 min | $3.03B |
| S5126 | Attendant care service /diem | $2.39B |
| G9005 | Mccd, risk adj, maintenance | $2.06B |
| 90834 | Psytx w pt 45 minutes | $1.96B |
| 90832 | Psytx w pt 30 minutes | $1.62B |
| S5105 | Centerbased day care perdiem | $1.45B |
| 99284 | Emergency dept visit mod mdm | $1.05B |
| 99283 | Emergency dept visit low mdm | $1.02B |
| T2022 | Case management, per month | $962.3M |
| S5150 | Unskilled respite care /15m | $939.8M |
| H2015 | Comp comm supp svc, 15 min | $911.7M |
| S5102 | Adult day care per diem | $877.0M |
| 99212 | Office o/p est sf 10 min | $834.2M |
| H2014 | Skills train and dev, 15 min | $731.7M |
| 97530 | Therapeutic activities | $664.1M |
| A0429 | Bls-emergency | $661.2M |
| T1040 | Comm bh clinic svc per diem | $644.2M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Home Health | $67.96B | 851 |
| Clinic/Center | $12.91B | 2,673 |
| Case Management | $12.29B | 180 |
| General Acute Care Hospital | $6.41B | 257 |
| In Home Supportive Care | $4.57B | 60 |
| Internal Medicine | $3.89B | 11,583 |
| Dentist | $2.57B | 5,048 |
| Community/Behavioral Health | $2.12B | 235 |
| Pediatrics | $1.65B | 2,492 |
| Ambulance | $1.52B | 460 |
| Durable Medical Equipment & Medical Supplies | $1.44B | 609 |
| Day Training, Developmentally Disabled Services | $1.43B | 20 |
| Clinical Medical Laboratory | $1.36B | 116 |
| Early Intervention Provider Agency | $1.23B | 257 |
| Hospice Care, Community Based | $1.10B | 8 |
| Counselor | $985.0M | 696 |
| Voluntary or Charitable | $969.1M | 54 |
| Family Medicine | $958.1M | 2,776 |
| Specialist | $935.0M | 1,221 |
| Social Worker | $857.5M | 1,084 |