Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip "IAMM2200-R002"," 11/30/20","INPATIENT"," 677"," 670"," 3,438"," $11,238,242.43"," $3,268.83"," $16.36",5.1," $16,600.06" "IAMM2200-R002"," 11/30/20","OUTPATIENT"," 4,576"," 7,484"," 1,238,689"," $1,722,854.80"," $1.39"," $2.51",270.7," $376.50" "IAMM2200-R002"," 11/30/20","CHILD PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","CHILD DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","ADULT PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","ADULT DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","SKILLED NURSING FACILITY"," 42"," 50"," 729"," $146,623.06"," $201.13"," $0.21",17.4," $3,491.03" "IAMM2200-R002"," 11/30/20","IHAWP IOWA PLAN LITE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","IHAWP IOWA PLAN FULL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","IHAWP HMO"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","IHAWP PCP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","INTERMEDIATE CARE FACILITY"," 300"," 297"," 8,946"," $3,039,202.49"," $339.73"," $4.42",29.8," $10,130.67" "IAMM2200-R002"," 11/30/20","INTER CARE MENTAL RETARDA"," 33"," 45"," 1,258"," $546,915.92"," $434.75"," $0.80",38.1," $16,573.21" "IAMM2200-R002"," 11/30/20","NURSING FAC FOR MENTAL ILL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","HOME HEALTH"," 721"," 1,008"," 212,322"," $1,373,513.09"," $6.47"," $2.00",294.5," $1,905.01" "IAMM2200-R002"," 11/30/20","LEAD INSPECTION AGENCY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","PHYSICIAN"," 6,501"," 15,374"," 45,558"," $1,041,620.66"," $22.86"," $1.52",7," $160.22" "IAMM2200-R002"," 11/30/20","CLINIC SERVICES"," 1,229"," 1,771"," 1,583"," $1,792,575.87"," $1,132.39"," $2.61",1.3," $1,458.56" "IAMM2200-R002"," 11/30/20","MEP CASE MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","EHR INCENTIVE PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","LAB AND RADIOLOGICAL"," 863"," 1,134"," 2,694"," $34,994.61"," $12.99"," $0.05",3.1," $40.55" "IAMM2200-R002"," 11/30/20","HABILITATION SERVICES"," 38"," 99"," 67"," $70,876.94"," $1,057.86"," $0.10",1.8," $1,865.18" "IAMM2200-R002"," 11/30/20","BEHAVIORAL HLTH INTERVENTN SVC"," 90"," 298"," 1,793"," $42,947.42"," $23.95"," $0.06",19.9," $477.19" "IAMM2200-R002"," 11/30/20","REHAB SUPPORT SERVICES"," 3"," 23"," 65"," $3,628.95"," $55.83"," $0.01",21.7," $1,209.65" "IAMM2200-R002"," 11/30/20","AMBULANCE SERVICES"," 296"," 334"," 332"," $104,314.39"," $314.20"," $0.15",1.1," $352.41" "IAMM2200-R002"," 11/30/20","LOCAL EDUCATION AGENCY"," 1,415"," 23,247"," 121,824"," $3,363,469.34"," $27.61"," $4.90",86.1," $2,377.01" "IAMM2200-R002"," 11/30/20","INFANT TODDLER"," 283"," 634"," 1,306"," $18,988.73"," $14.54"," $0.03",4.6," $67.10" "IAMM2200-R002"," 11/30/20","IHAWP WELLNESS EXAM BONUS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","ACO VIS PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","PRESCRIBED DRUGS"," 3,834"," 15,314"," 12,266"," $1,013,722.26"," $82.64"," $25.82",3.2," $264.40" "IAMM2200-R002"," 11/30/20","IOWA-PLAN-PMIC"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","DRUG CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","NEMT SERVICES"," 9,986"," 10,019"," 10,017"," $24,140.97"," $2.41"," $0.04",1," $2.42" "IAMM2200-R002"," 11/30/20","INDIAN HEALTH SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","FAMILY PLANNING SERVICES"," 243"," 305"," 303"," $16,683.53"," $55.06"," $0.02",1.2," $68.66" "IAMM2200-R002"," 11/30/20","IOWA CARE MED HOME CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","IOWA PLAN PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","MANAGED SUBSTANCE ABUSE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","MENTAL HEALTH ACCESS PLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","EPSDT SCREENING"," 954"," 949"," 934"," $72,403.21"," $77.52"," $8.32",1," $75.89" "IAMM2200-R002"," 11/30/20","HMO SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","PACE SERVICES"," 587"," 587"," 587"," $2,267,489.68"," $3,862.84"," $3.30",1," $3,862.84" "IAMM2200-R002"," 11/30/20","PATIENT MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","HEALTH INS PREMIUM PAYMENT"," 2,028"," 4,028"," 4,028"," $390,387.34"," $96.92"," $0.57",2," $192.50" "IAMM2200-R002"," 11/30/20","MEDICAL SUPPLIES"," 1,758"," 2,740"," 111,322"," $58,602.65"," $0.53"," $1.49",63.3," $33.33" "IAMM2200-R002"," 11/30/20","HEALTH HOME PROVIDER"," 148"," 205"," 203"," $28,306.27"," $139.44"," $0.04",1.4," $191.26" "IAMM2200-R002"," 11/30/20","TCM PAYMENTS TO IOWAPLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","IHAWP QHP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","MCO"," 645,665"," 662,777"," 660,614"," $454,683,601.84"," $688.27"," $661.85",1," $704.21" "IAMM2200-R002"," 11/30/20","OTHER PRACTITIONER"," 4,098"," 17,141"," 42,236"," $2,605,412.55"," $61.69"," $3.79",10.3," $635.78" "IAMM2200-R002"," 11/30/20","FAMILY CENTERED PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","FAMILY PRESERVATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","TREATMENT FOSTER FAMILY CARE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","GROUP TREATMENT THERAPY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","DENTAL"," 37,004"," 22,585"," 22,618"," $4,116,554.50"," $182.00"," $104.85",0.6," $111.25" "IAMM2200-R002"," 11/30/20","ACCOUNTABLE CARE ORGANIZATIONS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","OPTOMETRIST"," 358"," 396"," 441"," $21,716.72"," $49.24"," $0.03",1.2," $60.66" "IAMM2200-R002"," 11/30/20","CHIROPRACTIC"," 327"," 596"," 751"," $9,106.47"," $12.13"," $0.23",2.3," $27.85" "IAMM2200-R002"," 11/30/20","IOWA-PLAN-HAB"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","PODIATRIC"," 171"," 243"," 398"," $8,818.72"," $22.16"," $0.01",2.3," $51.57" "IAMM2200-R002"," 11/30/20","DELTA DENTAL"," 366,111"," 376,171"," 376,073"," $6,637,444.20"," $17.65"," $9.66",1," $18.13" "IAMM2200-R002"," 11/30/20","PHYSICAL DISABILITIES SVCS"," 6"," 9"," 1,234"," $5,676.06"," $4.60"," $0.01",205.7," $946.01" "IAMM2200-R002"," 11/30/20","BRAIN INJ WAIVER SERVICES"," 149"," 308"," 13,717"," $354,803.64"," $25.87"," $0.52",92.1," $2,381.23" "IAMM2200-R002"," 11/30/20","PSYCHIATRIC"," 565"," 951"," 1,153"," $60,077.67"," $52.11"," $0.09",2," $106.33" "IAMM2200-R002"," 11/30/20","RESIDENTIAL CARE FACILITY"," 384"," 418"," 11,959"," $109,091.66"," $9.12"," $0.16",31.1," $284.09" "IAMM2200-R002"," 11/30/20","ID WAIVER SERVICE"," 613"," 993"," 47,641"," $2,128,748.96"," $44.68"," $176.21",77.7," $3,472.67" "IAMM2200-R002"," 11/30/20","CHILDRENS MENTAL HEALTH SVC"," 41"," 64"," 12,166"," $50,407.39"," $4.14"," $51.33",296.7," $1,229.45" "IAMM2200-R002"," 11/30/20","AIDS WAIVER SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","ELDERLY WAIVER SERVICES"," 17"," 48"," 1,019"," $19,385.75"," $19.02"," $2.33",59.9," $1,140.34" "IAMM2200-R002"," 11/30/20","ILL & HANDICAPPED WAIVER SVCS"," 293"," 384"," 28,979"," $535,559.42"," $18.48"," $230.65",98.9," $1,827.85" "IAMM2200-R002"," 11/30/20","COUNTY OFFICE REIMBURSEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/20","MEP SERVICES"," 682"," 1,075"," 7,524"," $486,047.00"," $64.60"," $0.71",11," $712.68" "IAMM2200-R002"," 11/30/20","UNASSIGNED"," 1"," 0"," 0"," $390,806.87-"," $0.00"," $0.57-",0," $390,806.87-" "IAMM2200-R002"," 11/30/20","* A L L C A T E G O R I E S *"," 665,432"," 1,170,774"," 3,008,787"," $499,854,150.29"," $166.13"," $727.61",4.5," $751.17"