Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip "IAMM2200-R002"," 11/30/21","INPATIENT"," 578"," 604"," 3,462"," $7,563,669.58"," $2,184.77"," $10.06",6," $13,085.93" "IAMM2200-R002"," 11/30/21","OUTPATIENT"," 4,679"," 7,730"," 1,087,533"," $1,650,090.83"," $1.52"," $2.20",232.4," $352.66" "IAMM2200-R002"," 11/30/21","CHILD PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","CHILD DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","ADULT PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","ADULT DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","SKILLED NURSING FACILITY"," 49"," 65"," 957"," $191,581.15"," $200.19"," $0.25",19.5," $3,909.82" "IAMM2200-R002"," 11/30/21","IHAWP IOWA PLAN LITE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","IHAWP IOWA PLAN FULL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","IHAWP HMO"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","IHAWP PCP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","INTERMEDIATE CARE FACILITY"," 224"," 242"," 7,034"," $2,481,801.75"," $352.83"," $3.30",31.4," $11,079.47" "IAMM2200-R002"," 11/30/21","INTER CARE MENTAL RETARDA"," 34"," 36"," 1,082"," $461,884.11"," $426.88"," $0.61",31.8," $13,584.83" "IAMM2200-R002"," 11/30/21","NURSING FAC FOR MENTAL ILL"," 1"," 0"," 92","- $12,907.70-"," $140.30"," $0.03-",-92," $12,907.70-" "IAMM2200-R002"," 11/30/21","HOME HEALTH"," 754"," 1,132"," 237,272"," $1,428,984.84"," $6.02"," $1.90",314.7," $1,895.21" "IAMM2200-R002"," 11/30/21","LEAD INSPECTION AGENCY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","PHYSICIAN"," 6,135"," 14,506"," 45,880"," $700,064.94"," $15.26"," $0.93",7.5," $114.11" "IAMM2200-R002"," 11/30/21","CLINIC SERVICES"," 1,244"," 1,772"," 1,838"," $10,119,582.39"," $5,505.76"," $13.46",1.5," $8,134.71" "IAMM2200-R002"," 11/30/21","MEP CASE MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","EHR INCENTIVE PAYMENTS"," 1"," 0"," 0"," $331,500.00"," $0.00"," $0.44",0," $331,500.00" "IAMM2200-R002"," 11/30/21","LAB AND RADIOLOGICAL"," 735"," 1,041"," 2,727"," $32,467.15"," $11.91"," $0.04",3.7," $44.17" "IAMM2200-R002"," 11/30/21","HABILITATION SERVICES"," 34"," 100"," 739"," $117,262.22"," $158.68"," $0.16",21.7," $3,448.89" "IAMM2200-R002"," 11/30/21","BEHAVIORAL HLTH INTERVENTN SVC"," 69"," 207"," 1,590"," $37,513.22"," $23.59"," $0.05",23," $543.67" "IAMM2200-R002"," 11/30/21","REHAB SUPPORT SERVICES"," 4"," 3"," 63"," $3,517.29"," $55.83"," $0.00",15.8," $879.32" "IAMM2200-R002"," 11/30/21","AMBULANCE SERVICES"," 275"," 329"," 309"," $77,007.40"," $249.21"," $0.10",1.1," $280.03" "IAMM2200-R002"," 11/30/21","LOCAL EDUCATION AGENCY"," 1,474"," 23,922"," 116,592"," $4,362,859.40"," $37.42"," $5.81",79.1," $2,959.88" "IAMM2200-R002"," 11/30/21","INFANT TODDLER"," 279"," 512"," 1,326"," $20,103.97"," $15.16"," $0.03",4.8," $72.06" "IAMM2200-R002"," 11/30/21","IHAWP WELLNESS EXAM BONUS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","ACO VIS PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","PRESCRIBED DRUGS"," 3,589"," 14,401"," 11,581"," $1,130,202.89"," $97.59"," $24.96",3.2," $314.91" "IAMM2200-R002"," 11/30/21","IOWA-PLAN-PMIC"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","DRUG CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","NEMT SERVICES"," 10,835"," 11,248"," 10,396"," $25,013.80"," $2.41"," $0.03",1," $2.31" "IAMM2200-R002"," 11/30/21","INDIAN HEALTH SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","FAMILY PLANNING SERVICES"," 160"," 194"," 347"," $16,086.65"," $46.36"," $0.02",2.2," $100.54" "IAMM2200-R002"," 11/30/21","IOWA CARE MED HOME CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","IOWA PLAN PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","MANAGED SUBSTANCE ABUSE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","MENTAL HEALTH ACCESS PLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","EPSDT SCREENING"," 83"," 78"," 77"," $104,418.08"," $1,356.08"," $9.56",0.9," $1,258.05" "IAMM2200-R002"," 11/30/21","HMO SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","PACE SERVICES"," 608"," 607"," 607"," $2,423,135.07"," $3,991.99"," $3.22",1," $3,985.42" "IAMM2200-R002"," 11/30/21","PATIENT MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","HEALTH INS PREMIUM PAYMENT"," 2,095"," 4,195"," 4,195"," $426,079.07"," $101.57"," $0.57",2," $203.38" "IAMM2200-R002"," 11/30/21","MEDICAL SUPPLIES"," 2,216"," 3,483"," 111,852"," $190,025.66"," $1.70"," $4.20",50.5," $85.75" "IAMM2200-R002"," 11/30/21","HEALTH HOME PROVIDER"," 140"," 174"," 174"," $21,172.57"," $121.68"," $0.03",1.2," $151.23" "IAMM2200-R002"," 11/30/21","TCM PAYMENTS TO IOWAPLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","IHAWP QHP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","MCO"," 707,451"," 723,518"," 722,229"," $480,694,169.72"," $665.57"," $639.60",1," $679.47" "IAMM2200-R002"," 11/30/21","OTHER PRACTITIONER"," 5,032"," 22,580"," 114,705"," $4,223,639.07"," $36.82"," $5.62",22.8," $839.36" "IAMM2200-R002"," 11/30/21","FAMILY CENTERED PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","FAMILY PRESERVATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","TREATMENT FOSTER FAMILY CARE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","GROUP TREATMENT THERAPY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","DENTAL"," 598"," 490"," 489"," $82,190.74"," $168.08"," $1.82",0.8," $137.44" "IAMM2200-R002"," 11/30/21","ACCOUNTABLE CARE ORGANIZATIONS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","OPTOMETRIST"," 334"," 373"," 472"," $17,550.47"," $37.18"," $0.02",1.4," $52.55" "IAMM2200-R002"," 11/30/21","CHIROPRACTIC"," 333"," 760"," 850"," $13,146.97"," $15.47"," $0.29",2.6," $39.48" "IAMM2200-R002"," 11/30/21","IOWA-PLAN-HAB"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","PODIATRIC"," 205"," 287"," 469"," $10,347.53"," $22.06"," $0.01",2.3," $50.48" "IAMM2200-R002"," 11/30/21","DELTA DENTAL"," 738,553"," 730,856"," 729,883"," $9,363,328.18"," $12.83"," $12.46",1," $12.68" "IAMM2200-R002"," 11/30/21","PHYSICAL DISABILITIES SVCS"," 7"," 11"," 2,813"," $9,093.95"," $3.23"," $0.01",401.9," $1,299.14" "IAMM2200-R002"," 11/30/21","BRAIN INJ WAIVER SERVICES"," 150"," 311"," 12,268"," $411,563.91"," $33.55"," $0.55",81.8," $2,743.76" "IAMM2200-R002"," 11/30/21","PSYCHIATRIC"," 564"," 907"," 1,057"," $57,562.08"," $54.46"," $0.08",1.9," $102.06" "IAMM2200-R002"," 11/30/21","RESIDENTIAL CARE FACILITY"," 384"," 448"," 12,717"," $110,567.28"," $8.69"," $0.15",33.1," $287.94" "IAMM2200-R002"," 11/30/21","ID WAIVER SERVICE"," 581"," 1,050"," 49,232"," $714,911.94"," $14.52"," $60.15",84.7," $1,230.49" "IAMM2200-R002"," 11/30/21","CHILDRENS MENTAL HEALTH SVC"," 34"," 40"," 5,239"," $24,649.01"," $4.70"," $27.88",154.1," $724.97" "IAMM2200-R002"," 11/30/21","AIDS WAIVER SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","ELDERLY WAIVER SERVICES"," 17"," 42"," 925"," $11,643.97"," $12.59"," $1.44",54.4," $684.94" "IAMM2200-R002"," 11/30/21","ILL & HANDICAPPED WAIVER SVCS"," 287"," 336"," 20,673"," $560,311.20"," $27.10"," $247.49",72," $1,952.30" "IAMM2200-R002"," 11/30/21","COUNTY OFFICE REIMBURSEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/21","MEP SERVICES"," 624"," 666"," 5,235"," $338,181.00"," $64.60"," $0.45",8.4," $541.96" "IAMM2200-R002"," 11/30/21","UNASSIGNED"," 1"," 0"," 0"," $1,030,865.96-"," $0.00"," $1.37-",0," $0.00" "IAMM2200-R002"," 11/30/21","* A L L C A T E G O R I E S *"," 750,079"," 1,569,256"," 3,326,797"," $529,515,107.39"," $159.17"," $704.56",4.4," $705.95"