Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip IAMM2200-R002, 11/30/10,INPATIENT,"7,690","8,138","45,302","$39,272,498.49 ",$866.90 ,$85.40 ,5.9,"$5,106.96 " IAMM2200-R002, 11/30/10,OUTPATIENT,"76,216","123,448","1,531,280","$24,404,502.06 ",$15.94 ,$53.07 ,20.1,$320.20 IAMM2200-R002, 11/30/10,CHILD PART HOSP,1,0,0,$54.64 ,$0.00 ,$0.00 ,0,$54.64 IAMM2200-R002, 11/30/10,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,SKILLED NURSING FACILITY,"1,020","1,339","18,868","$3,175,017.86 ",$168.28 ,$6.90 ,18.5,"$3,112.76 " IAMM2200-R002, 11/30/10,INTERMEDIATE CARE FACILITY,"11,561","12,219","358,191","$42,592,493.81 ",$118.91 ,$92.62 ,31,"$3,684.15 " IAMM2200-R002, 11/30/10,INTER CARE MENTAL RETARDA,"1,647","1,725","52,072","$15,328,286.33 ",$294.37 ,$33.33 ,31.6,"$9,306.79 " IAMM2200-R002, 11/30/10,NURSING FAC FOR MENTAL ILL,24,24,716,"$148,706.24 ",$207.69 ,$0.64 ,29.8,"$6,196.09 " IAMM2200-R002, 11/30/10,HOME HEALTH,"14,925","20,404","316,791","$10,847,188.77 ",$34.24 ,$23.59 ,21.2,$726.78 IAMM2200-R002, 11/30/10,LEAD INSPECTION AGENCY,4,2,2,$669.31 ,$334.66 ,$0.00 ,0.5,$167.33 IAMM2200-R002, 11/30/10,PHYSICIAN,"147,316","329,993","455,558","$19,720,622.80 ",$43.29 ,$42.88 ,3.1,$133.87 IAMM2200-R002, 11/30/10,CLINIC SERVICES,"26,713","38,147","36,228","$5,103,991.42 ",$140.89 ,$11.10 ,1.4,$191.07 IAMM2200-R002, 11/30/10,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,LAB AND RADIOLOGICAL,"22,040","33,781","57,143","$1,019,451.61 ",$17.84 ,$2.22 ,2.6,$46.25 IAMM2200-R002, 11/30/10,HABILITATION SERVICES,"3,569","6,929","111,056","$5,777,090.11 ",$52.02 ,$12.56 ,31.1,"$1,618.69 " IAMM2200-R002, 11/30/10,REMEDIAL SERVICES,"11,152","17,712","369,597","$5,635,003.67 ",$15.25 ,$12.25 ,33.1,$505.29 IAMM2200-R002, 11/30/10,REHAB SUPPORT SERVICES,1,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,AMBULANCE SERVICES,"3,143","3,684","3,672","$441,010.61 ",$120.10 ,$0.96 ,1.2,$140.32 IAMM2200-R002, 11/30/10,LOCAL EDUCATION AGENCY,"1,401","2,863","288,250","$3,395,167.56 ",$11.78 ,$7.38 ,205.7,"$2,423.39 " IAMM2200-R002, 11/30/10,EARLY ACCESS SERVICES,32,77,166,"$1,782.80 ",$10.74 ,$0.00 ,5.2,$55.71 IAMM2200-R002, 11/30/10,PRESCRIBED DRUGS,"146,997","480,363","429,230","$24,330,963.06 ",$56.69 ,$52.91 ,2.9,$165.52 IAMM2200-R002, 11/30/10,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,NEMT SERVICES,"361,543","367,264","367,264","$785,944.96 ",$2.14 ,$1.71 ,1,$2.17 IAMM2200-R002, 11/30/10,INDIAN HEALTH SERVICES,61,87,87,"$25,143.00 ",$289.00 ,$0.05 ,1.4,$412.18 IAMM2200-R002, 11/30/10,FAMILY PLANNING SERVICES,"8,357","9,692","9,697","$898,151.76 ",$92.62 ,$1.95 ,1.2,$107.47 IAMM2200-R002, 11/30/10,IOWA PLAN PROGRAM,"363,055","393,238","392,948","$11,366,885.86 ",$28.93 ,$24.72 ,1.1,$31.31 IAMM2200-R002, 11/30/10,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,EPSDT SCREENING,"5,130","5,496","5,479","$1,240,548.22 ",$226.42 ,$4.87 ,1.1,$241.82 IAMM2200-R002, 11/30/10,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,PACE SERVICES,85,85,85,"$254,557.00 ","$2,994.79 ",$0.55 ,1,"$2,994.79 " IAMM2200-R002, 11/30/10,PATIENT MANAGEMENT,"171,438","171,413","171,324","$342,648.00 ",$2.00 ,$36.94 ,1,$2.00 IAMM2200-R002, 11/30/10,HEALTH INS PREMIUM PAYMENT,"3,427","7,776","7,776","$443,488.77 ",$57.03 ,$0.96 ,2.3,$129.41 IAMM2200-R002, 11/30/10,MEDICAL SUPPLIES,"26,264","46,033","2,117,494","$4,545,368.70 ",$2.15 ,$9.88 ,80.6,$173.06 IAMM2200-R002, 11/30/10,OTHER PRACTITIONER,"18,903","30,140","119,608","$2,755,572.68 ",$23.04 ,$5.99 ,6.3,$145.77 IAMM2200-R002, 11/30/10,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,DENTAL,"32,002","40,608","41,004","$6,177,505.64 ",$150.66 ,$13.43 ,1.3,$193.03 IAMM2200-R002, 11/30/10,OPTOMETRIST,"14,438","17,359","18,525","$1,016,960.26 ",$54.90 ,$2.21 ,1.3,$70.44 IAMM2200-R002, 11/30/10,CHIROPRACTIC,"10,165","19,519","23,926","$569,654.24 ",$23.81 ,$1.24 ,2.4,$56.04 IAMM2200-R002, 11/30/10,PODIATRIC,"5,282","6,554","8,348","$243,650.70 ",$29.19 ,$0.53 ,1.6,$46.13 IAMM2200-R002, 11/30/10,PHYSICAL DISABILITIES SVCS,733,"1,030","28,978","$366,689.94 ",$12.65 ,$0.80 ,39.5,$500.26 IAMM2200-R002, 11/30/10,BRAIN INJ WAIVER SERVICES,"1,056","2,813","60,547","$1,939,844.95 ",$32.04 ,$4.22 ,57.3,"$1,836.97 " IAMM2200-R002, 11/30/10,PSYCHIATRIC,"3,891","6,646","7,768","$248,039.34 ",$31.93 ,$0.54 ,2,$63.75 IAMM2200-R002, 11/30/10,RESIDENTIAL CARE FACILITY,"1,525","1,658","48,084","$386,179.82 ",$8.03 ,$0.84 ,31.5,$253.23 IAMM2200-R002, 11/30/10,ID WAIVER SERVICE,"10,308","19,795","679,152","$27,894,123.04 ",$41.07 ,"$2,594.08 ",65.9,"$2,706.07 " IAMM2200-R002, 11/30/10,CHILDRENS MENTAL HEALTH SVC,572,811,"33,190","$559,142.96 ",$16.85 ,$785.31 ,58,$977.52 IAMM2200-R002, 11/30/10,AIDS WAIVER SERVICES,43,71,"3,256","$35,710.65 ",$10.97 ,$850.25 ,75.7,$830.48 IAMM2200-R002, 11/30/10,ELDERLY WAIVER SERVICES,"9,714","30,083","485,923","$6,445,909.65 ",$13.27 ,$670.82 ,50,$663.57 IAMM2200-R002, 11/30/10,ILL & HANDICAPPED WAIVER SVCS,"2,059","3,244","103,166","$1,630,378.32 ",$15.80 ,$650.07 ,50.1,$791.83 IAMM2200-R002, 11/30/10,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 11/30/10,MEP SERVICES,"11,853","18,296","120,085","$2,877,058.15 ",$23.96 ,$6.26 ,10.1,$242.73 IAMM2200-R002, 11/30/10,UNASSIGNED,8,0,0," $252,860.61-",$0.00 , $0.55-,0," $31,607.58-" IAMM2200-R002, 11/30/10,* A L L C A T E G O R I E S *,"406,558","2,280,559","8,927,836","$273,990,797.15 ",$30.69 ,$595.79 ,22,$673.93