Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip "IAMM2200-R002"," 09/30/21","INPATIENT"," 532"," 540"," 3,179"," $15,681,139.54"," $4,932.73"," $21.15",6," $29,475.83" "IAMM2200-R002"," 09/30/21","OUTPATIENT"," 4,075"," 5,905"," 777,249"," $1,167,556.63"," $1.50"," $1.57",190.7," $286.52" "IAMM2200-R002"," 09/30/21","CHILD PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","CHILD DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","ADULT PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","ADULT DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","SKILLED NURSING FACILITY"," 30"," 31"," 546"," $196,647.46"," $360.16"," $0.27",18.2," $6,554.92" "IAMM2200-R002"," 09/30/21","IHAWP IOWA PLAN LITE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","IHAWP IOWA PLAN FULL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","IHAWP HMO"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","IHAWP PCP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","INTERMEDIATE CARE FACILITY"," 232"," 241"," 7,182"," $2,645,246.20"," $368.32"," $3.57",31," $11,401.92" "IAMM2200-R002"," 09/30/21","INTER CARE MENTAL RETARDA"," 29"," 30"," 878"," $375,325.90"," $427.48"," $0.51",30.3," $12,942.27" "IAMM2200-R002"," 09/30/21","NURSING FAC FOR MENTAL ILL"," 1"," 1"," 31"," $4,417.95"," $142.51"," $0.01",31," $4,417.95" "IAMM2200-R002"," 09/30/21","HOME HEALTH"," 590"," 800"," 208,876"," $1,508,120.91"," $7.22"," $2.03",354," $2,556.14" "IAMM2200-R002"," 09/30/21","LEAD INSPECTION AGENCY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","PHYSICIAN"," 5,817"," 11,045"," 31,441"," $588,294.59"," $18.71"," $0.79",5.4," $101.13" "IAMM2200-R002"," 09/30/21","CLINIC SERVICES"," 1,141"," 1,507"," 1,339"," $4,032,877.96"," $3,011.86"," $5.44",1.2," $3,534.51" "IAMM2200-R002"," 09/30/21","MEP CASE MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","EHR INCENTIVE PAYMENTS"," 1"," 0"," 0"," $34,000.00"," $0.00"," $0.05",0," $34,000.00" "IAMM2200-R002"," 09/30/21","LAB AND RADIOLOGICAL"," 603"," 842"," 2,003"," $27,072.49"," $13.52"," $0.04",3.3," $44.90" "IAMM2200-R002"," 09/30/21","HABILITATION SERVICES"," 33"," 68"," 764"," $106,806.46"," $139.80"," $0.14",23.2," $3,236.56" "IAMM2200-R002"," 09/30/21","BEHAVIORAL HLTH INTERVENTN SVC"," 55"," 146"," 1,459"," $32,171.23"," $22.05"," $0.04",26.5," $584.93" "IAMM2200-R002"," 09/30/21","REHAB SUPPORT SERVICES"," 1"," 0"," 0"," $2,786.58"," $0.00"," $0.00",0," $2,786.58" "IAMM2200-R002"," 09/30/21","AMBULANCE SERVICES"," 199"," 241"," 235"," $10,179.61"," $43.32"," $0.01",1.2," $51.15" "IAMM2200-R002"," 09/30/21","LOCAL EDUCATION AGENCY"," 563"," 7,104"," 23,782"," $884,661.42"," $37.20"," $1.19",42.2," $1,571.33" "IAMM2200-R002"," 09/30/21","INFANT TODDLER"," 199"," 368"," 716"," $11,195.00"," $15.64"," $0.02",3.6," $56.26" "IAMM2200-R002"," 09/30/21","IHAWP WELLNESS EXAM BONUS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","ACO VIS PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","PRESCRIBED DRUGS"," 3,441"," 12,567"," 10,005"," $994,678.82"," $99.42"," $22.74",2.9," $289.07" "IAMM2200-R002"," 09/30/21","IOWA-PLAN-PMIC"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","DRUG CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","NEMT SERVICES"," 11,007"," 11,480"," 10,146"," $24,381.66"," $2.40"," $0.03",0.9," $2.22" "IAMM2200-R002"," 09/30/21","INDIAN HEALTH SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","FAMILY PLANNING SERVICES"," 123"," 147"," 147"," $9,399.65"," $63.94"," $0.01",1.2," $76.42" "IAMM2200-R002"," 09/30/21","IOWA CARE MED HOME CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","IOWA PLAN PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","MANAGED SUBSTANCE ABUSE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","MENTAL HEALTH ACCESS PLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","EPSDT SCREENING"," 149"," 166"," 165"," $45,409.87"," $275.21"," $4.06",1.1," $304.76" "IAMM2200-R002"," 09/30/21","HMO SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","PACE SERVICES"," 606"," 606"," 606"," $2,438,964.63"," $4,024.69"," $3.29",1," $4,024.69" "IAMM2200-R002"," 09/30/21","PATIENT MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","HEALTH INS PREMIUM PAYMENT"," 2,111"," 4,668"," 4,668"," $496,318.09"," $106.32"," $0.67",2.2," $235.11" "IAMM2200-R002"," 09/30/21","MEDICAL SUPPLIES"," 1,240"," 1,872"," 268,220"," $152,699.18"," $0.57"," $3.49",216.3," $123.14" "IAMM2200-R002"," 09/30/21","HEALTH HOME PROVIDER"," 109"," 131"," 131"," $23,987.99"," $183.11"," $0.03",1.2," $220.07" "IAMM2200-R002"," 09/30/21","TCM PAYMENTS TO IOWAPLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","IHAWP QHP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","MCO"," 699,173"," 714,914"," 712,876"," $479,619,948.34"," $672.80"," $646.85",1," $685.98" "IAMM2200-R002"," 09/30/21","OTHER PRACTITIONER"," 2,465"," 6,818"," 21,785"," $908,245.73"," $41.69"," $1.22",8.8," $368.46" "IAMM2200-R002"," 09/30/21","FAMILY CENTERED PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","FAMILY PRESERVATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","TREATMENT FOSTER FAMILY CARE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","GROUP TREATMENT THERAPY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","DENTAL"," 857"," 982"," 982"," $146,944.30"," $149.64"," $3.36",1.1," $171.46" "IAMM2200-R002"," 09/30/21","ACCOUNTABLE CARE ORGANIZATIONS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","OPTOMETRIST"," 272"," 271"," 302"," $14,050.89"," $46.53"," $0.02",1.1," $51.66" "IAMM2200-R002"," 09/30/21","CHIROPRACTIC"," 285"," 556"," 671"," $11,312.35"," $16.86"," $0.26",2.4," $39.69" "IAMM2200-R002"," 09/30/21","IOWA-PLAN-HAB"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","PODIATRIC"," 148"," 182"," 229"," $6,519.78"," $28.47"," $0.01",1.5," $44.05" "IAMM2200-R002"," 09/30/21","DELTA DENTAL"," 727,778"," 720,536"," 719,021"," $9,248,914.39"," $12.86"," $12.47",1," $12.71" "IAMM2200-R002"," 09/30/21","PHYSICAL DISABILITIES SVCS"," 7"," 13"," 2,859"," $9,597.27"," $3.36"," $0.01",408.4," $1,371.04" "IAMM2200-R002"," 09/30/21","BRAIN INJ WAIVER SERVICES"," 150"," 346"," 12,308"," $436,558.47"," $35.47"," $0.59",82.1," $2,910.39" "IAMM2200-R002"," 09/30/21","PSYCHIATRIC"," 525"," 786"," 906"," $55,896.50"," $61.70"," $0.08",1.7," $106.47" "IAMM2200-R002"," 09/30/21","RESIDENTIAL CARE FACILITY"," 385"," 435"," 12,318"," $103,621.54"," $8.41"," $0.14",32," $269.15" "IAMM2200-R002"," 09/30/21","ID WAIVER SERVICE"," 596"," 1,055"," 52,949"," $1,584,417.12"," $29.92"," $132.76",88.8," $2,658.42" "IAMM2200-R002"," 09/30/21","CHILDRENS MENTAL HEALTH SVC"," 34"," 41"," 8,490"," $36,123.99"," $4.25"," $41.14",249.7," $1,062.47" "IAMM2200-R002"," 09/30/21","AIDS WAIVER SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","ELDERLY WAIVER SERVICES"," 17"," 39"," 925"," $36,681.90"," $39.66"," $4.59",54.4," $2,157.76" "IAMM2200-R002"," 09/30/21","ILL & HANDICAPPED WAIVER SVCS"," 293"," 353"," 21,183"," $503,228.56"," $23.76"," $220.52",72.3," $1,717.50" "IAMM2200-R002"," 09/30/21","COUNTY OFFICE REIMBURSEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 09/30/21","MEP SERVICES"," 651"," 782"," 6,267"," $404,848.20"," $64.60"," $0.55",9.6," $621.89" "IAMM2200-R002"," 09/30/21","UNASSIGNED"," 1"," 0"," 0"," $228,225.36-"," $0.00"," $0.31-",0," $228,225.36-" "IAMM2200-R002"," 09/30/21","* A L L C A T E G O R I E S *"," 738,496"," 1,508,615"," 2,927,839"," $524,393,023.79"," $179.11"," $707.23",4," $710.08"