Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip IAMM2200-R002, 09/30/22,INPATIENT,493,467,"2,132","$7,805,556.02 ","$3,661.14 ",$9.82 ,4.3,"$15,832.77 " IAMM2200-R002, 09/30/22,OUTPATIENT,"4,036","5,843","937,387","$1,547,062.53 ",$1.65 ,$1.95 ,232.3,$383.32 IAMM2200-R002, 09/30/22,CHILD PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,SKILLED NURSING FACILITY,18,17,185,"$200,596.55 ","$1,084.31 ",$0.25 ,10.3,"$11,144.25 " IAMM2200-R002, 09/30/22,IHAWP IOWA PLAN LITE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,IHAWP IOWA PLAN FULL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,IHAWP HMO,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,IHAWP PCP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,INTERMEDIATE CARE FACILITY,205,208,"6,125","$2,172,561.14 ",$354.70 ,$2.73 ,29.9,"$10,597.86 " IAMM2200-R002, 09/30/22,INTER CARE MENTAL RETARDA,23,29,840,"$401,675.03 ",$478.18 ,$0.51 ,36.5,"$17,464.13 " IAMM2200-R002, 09/30/22,NURSING FAC FOR MENTAL ILL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,HOME HEALTH,578,763,"173,255","$1,839,118.90 ",$10.62 ,$2.31 ,299.7,"$3,181.87 " IAMM2200-R002, 09/30/22,LEAD INSPECTION AGENCY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,PHYSICIAN,"5,386","11,091","35,683","$817,374.27 ",$22.91 ,$1.03 ,6.6,$151.76 IAMM2200-R002, 09/30/22,CLINIC SERVICES,"1,213","1,654","1,750","$3,193,456.62 ","$1,824.83 ",$4.02 ,1.4,"$2,632.69 " IAMM2200-R002, 09/30/22,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,EHR INCENTIVE PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,LAB AND RADIOLOGICAL,648,979,"2,847","$48,048.25 ",$16.88 ,$0.06 ,4.4,$74.15 IAMM2200-R002, 09/30/22,HABILITATION SERVICES,33,67,843,"$115,799.94 ",$137.37 ,$0.15 ,25.5,"$3,509.09 " IAMM2200-R002, 09/30/22,BEHAVIORAL HLTH INTERVENTN SVC,55,175,"1,126","$35,128.15 ",$31.20 ,$0.04 ,20.5,$638.69 IAMM2200-R002, 09/30/22,REHAB SUPPORT SERVICES,3,2,46,"$2,568.18 ",$55.83 ,$0.00 ,15.3,$856.06 IAMM2200-R002, 09/30/22,AMBULANCE SERVICES,268,353,353,"$317,079.91 ",$898.24 ,$0.40 ,1.3,"$1,183.13 " IAMM2200-R002, 09/30/22,LOCAL EDUCATION AGENCY,537,"4,838","21,599","$791,470.60 ",$36.64 ,$1.00 ,40.2,"$1,473.87 " IAMM2200-R002, 09/30/22,INFANT TODDLER,371,944,"1,804","$24,825.78 ",$13.76 ,$0.03 ,4.9,$66.92 IAMM2200-R002, 09/30/22,IHAWP WELLNESS EXAM BONUS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,ACO VIS PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,PRESCRIBED DRUGS,"3,339","12,272","11,543","$1,157,452.58 ",$100.27 ,$27.75 ,3.5,$346.65 IAMM2200-R002, 09/30/22,IOWA-PLAN-PMIC,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,NEMT SERVICES,"12,395","11,768","11,749","$29,800.73 ",$2.54 ,$0.04 ,0.9,$2.40 IAMM2200-R002, 09/30/22,INDIAN HEALTH SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,FAMILY PLANNING SERVICES,65,64,63,"$5,172.79 ",$82.11 ,$0.01 ,1,$79.58 IAMM2200-R002, 09/30/22,IOWA CARE MED HOME CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,IOWA PLAN PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,EPSDT SCREENING,61,60,57,"$106,130.61 ","$1,861.94 ",$13.10 ,0.9,"$1,739.85 " IAMM2200-R002, 09/30/22,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,PACE SERVICES,640,632,626,"$2,598,716.61 ","$4,151.30 ",$3.27 ,1,"$4,060.49 " IAMM2200-R002, 09/30/22,PATIENT MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,HEALTH INS PREMIUM PAYMENT,"2,104","4,678","4,678","$514,897.20 ",$110.07 ,$0.65 ,2.2,$244.72 IAMM2200-R002, 09/30/22,MEDICAL SUPPLIES,"1,204","1,820","82,790","$137,273.04 ",$1.66 ,$3.29 ,68.8,$114.01 IAMM2200-R002, 09/30/22,HEALTH HOME PROVIDER,130,235,235,"$41,284.04 ",$175.68 ,$0.05 ,1.8,$317.57 IAMM2200-R002, 09/30/22,TCM PAYMENTS TO IOWAPLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,IHAWP QHP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,MCO,"749,899","765,849","765,845","$623,768,249.07 ",$814.48 ,$784.92 ,1,$831.80 IAMM2200-R002, 09/30/22,OTHER PRACTITIONER,"2,697","6,780","20,188","$722,331.10 ",$35.78 ,$0.91 ,7.5,$267.83 IAMM2200-R002, 09/30/22,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,DENTAL,137,140,141,"$9,072.09 ",$64.34 ,$0.22 ,1,$66.22 IAMM2200-R002, 09/30/22,ACCOUNTABLE CARE ORGANIZATIONS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,OPTOMETRIST,254,286,315,"$16,917.37 ",$53.71 ,$0.02 ,1.2,$66.60 IAMM2200-R002, 09/30/22,CHIROPRACTIC,273,541,590,"$10,257.61 ",$17.39 ,$0.25 ,2.2,$37.57 IAMM2200-R002, 09/30/22,IOWA-PLAN-HAB,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,PODIATRIC,117,143,217,"$4,104.63 ",$18.92 ,$0.01 ,1.9,$35.08 IAMM2200-R002, 09/30/22,DELTA DENTAL,"756,822","773,486","773,481","$10,352,028.00 ",$13.38 ,$13.03 ,1,$13.68 IAMM2200-R002, 09/30/22,PHYSICAL DISABILITIES SVCS,4,5,"1,025","$3,710.22 ",$3.62 ,$0.00 ,256.3,$927.56 IAMM2200-R002, 09/30/22,BRAIN INJ WAIVER SERVICES,142,307,"9,345","$432,932.20 ",$46.33 ,$0.54 ,65.8,"$3,048.82 " IAMM2200-R002, 09/30/22,PSYCHIATRIC,509,796,893,"$46,089.13 ",$51.61 ,$0.06 ,1.8,$90.55 IAMM2200-R002, 09/30/22,RESIDENTIAL CARE FACILITY,320,379,"11,268","$97,692.80 ",$8.67 ,$0.12 ,35.2,$305.29 IAMM2200-R002, 09/30/22,ID WAIVER SERVICE,569,"1,029","55,676","$2,163,727.24 ",$38.86 ,$185.46 ,97.8,"$3,802.68 " IAMM2200-R002, 09/30/22,CHILDRENS MENTAL HEALTH SVC,21,23,"3,933","$17,542.16 ",$4.46 ,$18.33 ,187.3,$835.34 IAMM2200-R002, 09/30/22,AIDS WAIVER SERVICES,1,1,1,"$1,237.04 ","$1,237.04 ",$38.66 ,1,"$1,237.04 " IAMM2200-R002, 09/30/22,ELDERLY WAIVER SERVICES,19,54,"1,176","$19,642.77 ",$16.70 ,$2.50 ,61.9,"$1,033.83 " IAMM2200-R002, 09/30/22,ILL & HANDICAPPED WAIVER SVCS,291,378,"22,572","$582,634.26 ",$25.81 ,$259.87 ,77.6,"$2,002.18 " IAMM2200-R002, 09/30/22,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 09/30/22,MEP SERVICES,577,622,"5,140","$332,044.00 ",$64.60 ,$0.42 ,8.9,$575.47 IAMM2200-R002, 09/30/22,UNASSIGNED,2,0,0," $183,636.27-",$0.00 , $0.23-,0," $91,818.14-" IAMM2200-R002, 09/30/22,* A L L C A T E G O R I E S *,"770,697","1,609,778","2,969,522","$662,299,624.89 ",$223.03 ,$833.40 ,3.9,$859.35