Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip IAMM2200-R002, 08/31/22,INPATIENT,704,659,"3,761","$6,861,621.87 ","$1,824.41 ",$8.68 ,5.3,"$9,746.62 " IAMM2200-R002, 08/31/22,OUTPATIENT,"4,569","7,240","1,006,778","$1,466,273.54 ",$1.46 ,$1.85 ,220.3,$320.92 IAMM2200-R002, 08/31/22,CHILD PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,SKILLED NURSING FACILITY,41,44,561,"$131,170.34 ",$233.82 ,$0.17 ,13.7,"$3,199.28 " IAMM2200-R002, 08/31/22,IHAWP IOWA PLAN LITE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,IHAWP IOWA PLAN FULL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,IHAWP HMO,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,IHAWP PCP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,INTERMEDIATE CARE FACILITY,210,220,"6,607","$2,293,067.91 ",$347.07 ,$2.90 ,31.5,"$10,919.37 " IAMM2200-R002, 08/31/22,INTER CARE MENTAL RETARDA,25,28,781,"$369,267.16 ",$472.81 ,$0.47 ,31.2,"$14,770.69 " IAMM2200-R002, 08/31/22,NURSING FAC FOR MENTAL ILL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,HOME HEALTH,630,960,"209,098","$1,839,766.85 ",$8.80 ,$2.33 ,331.9,"$2,920.26 " IAMM2200-R002, 08/31/22,LEAD INSPECTION AGENCY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,PHYSICIAN,"6,640","14,681","38,160","$1,262,087.92 ",$33.07 ,$1.60 ,5.7,$190.07 IAMM2200-R002, 08/31/22,CLINIC SERVICES,"1,318","1,835","1,995","$2,981,794.59 ","$1,494.63 ",$3.77 ,1.5,"$2,262.36 " IAMM2200-R002, 08/31/22,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,EHR INCENTIVE PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,LAB AND RADIOLOGICAL,919,"1,421","4,110","$84,457.77 ",$20.55 ,$0.11 ,4.5,$91.90 IAMM2200-R002, 08/31/22,HABILITATION SERVICES,35,149,888,"$103,775.76 ",$116.86 ,$0.13 ,25.4,"$2,965.02 " IAMM2200-R002, 08/31/22,BEHAVIORAL HLTH INTERVENTN SVC,66,208,"1,433","$36,251.59 ",$25.30 ,$0.05 ,21.7,$549.27 IAMM2200-R002, 08/31/22,REHAB SUPPORT SERVICES,3,2,42,"$2,344.86 ",$55.83 ,$0.00 ,14,$781.62 IAMM2200-R002, 08/31/22,AMBULANCE SERVICES,221,278,278,"$37,259.90 ",$134.03 ,$0.05 ,1.3,$168.60 IAMM2200-R002, 08/31/22,LOCAL EDUCATION AGENCY,502,"4,963","29,330","$907,972.45 ",$30.96 ,$1.15 ,58.4,"$1,808.71 " IAMM2200-R002, 08/31/22,INFANT TODDLER,41,69,115,"$3,416.44 ",$29.71 ,$0.00 ,2.8,$83.33 IAMM2200-R002, 08/31/22,IHAWP WELLNESS EXAM BONUS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,ACO VIS PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,PRESCRIBED DRUGS,"3,539","14,872","13,806","$1,457,736.60 ",$105.59 ,$31.78 ,3.9,$411.91 IAMM2200-R002, 08/31/22,IOWA-PLAN-PMIC,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,NEMT SERVICES,"12,171","11,431","11,417","$29,001.39 ",$2.54 ,$0.04 ,0.9,$2.38 IAMM2200-R002, 08/31/22,INDIAN HEALTH SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,FAMILY PLANNING SERVICES,70,80,81,"$6,619.30 ",$81.72 ,$0.01 ,1.2,$94.56 IAMM2200-R002, 08/31/22,IOWA CARE MED HOME CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,IOWA PLAN PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,EPSDT SCREENING,77,74,70,"$117,451.83 ","$1,677.88 ",$11.17 ,0.9,"$1,525.35 " IAMM2200-R002, 08/31/22,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,PACE SERVICES,600,602,602,"$2,443,273.62 ","$4,058.59 ",$3.09 ,1,"$4,072.12 " IAMM2200-R002, 08/31/22,PATIENT MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,HEALTH INS PREMIUM PAYMENT,"2,090","4,900","4,900","$492,246.02 ",$100.46 ,$0.62 ,2.3,$235.52 IAMM2200-R002, 08/31/22,MEDICAL SUPPLIES,"1,525","2,387","104,358","$154,234.71 ",$1.48 ,$3.36 ,68.4,$101.14 IAMM2200-R002, 08/31/22,HEALTH HOME PROVIDER,144,209,209,"$25,528.11 ",$122.14 ,$0.03 ,1.5,$177.28 IAMM2200-R002, 08/31/22,TCM PAYMENTS TO IOWAPLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,IHAWP QHP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,MCO,"744,296","757,143","757,140","$501,683,886.66 ",$662.60 ,$634.47 ,1,$674.04 IAMM2200-R002, 08/31/22,OTHER PRACTITIONER,"2,534","6,434","17,986","$653,784.61 ",$36.35 ,$0.83 ,7.1,$258.00 IAMM2200-R002, 08/31/22,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,DENTAL,182,180,165,"$9,824.67 ",$59.54 ,$0.21 ,0.9,$53.98 IAMM2200-R002, 08/31/22,ACCOUNTABLE CARE ORGANIZATIONS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,OPTOMETRIST,263,285,307,"$14,096.27 ",$45.92 ,$0.02 ,1.2,$53.60 IAMM2200-R002, 08/31/22,CHIROPRACTIC,288,600,658,"$9,343.32 ",$14.20 ,$0.20 ,2.3,$32.44 IAMM2200-R002, 08/31/22,IOWA-PLAN-HAB,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,PODIATRIC,162,200,283,"$11,903.25 ",$42.06 ,$0.02 ,1.7,$73.48 IAMM2200-R002, 08/31/22,DELTA DENTAL,"746,487","759,207","759,184","$10,162,337.20 ",$13.39 ,$12.85 ,1,$13.61 IAMM2200-R002, 08/31/22,PHYSICAL DISABILITIES SVCS,4,5,"1,002","$3,590.85 ",$3.58 ,$0.00 ,250.5,$897.71 IAMM2200-R002, 08/31/22,BRAIN INJ WAIVER SERVICES,142,323,"11,412","$441,935.96 ",$38.73 ,$0.56 ,80.4,"$3,112.23 " IAMM2200-R002, 08/31/22,PSYCHIATRIC,566,944,"1,150","$79,674.02 ",$69.28 ,$0.10 ,2,$140.77 IAMM2200-R002, 08/31/22,RESIDENTIAL CARE FACILITY,325,469,"13,424","$126,056.19 ",$9.39 ,$0.16 ,41.3,$387.87 IAMM2200-R002, 08/31/22,ID WAIVER SERVICE,585,"1,094","59,785","$2,577,561.33 ",$43.11 ,$220.91 ,102.2,"$4,406.09 " IAMM2200-R002, 08/31/22,CHILDRENS MENTAL HEALTH SVC,29,31,"3,843","$17,986.14 ",$4.68 ,$18.39 ,132.5,$620.21 IAMM2200-R002, 08/31/22,AIDS WAIVER SERVICES,1,2,2,"$1,675.04 ",$837.52 ,$52.35 ,2,"$1,675.04 " IAMM2200-R002, 08/31/22,ELDERLY WAIVER SERVICES,20,52,"1,037","$20,361.44 ",$19.63 ,$2.59 ,51.9,"$1,018.07 " IAMM2200-R002, 08/31/22,ILL & HANDICAPPED WAIVER SVCS,301,411,"26,080","$644,037.33 ",$24.69 ,$286.37 ,86.6,"$2,139.66 " IAMM2200-R002, 08/31/22,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 08/31/22,MEP SERVICES,599,629,"4,496","$290,441.60 ",$64.60 ,$0.37 ,7.5,$484.88 IAMM2200-R002, 08/31/22,UNASSIGNED,1,0,0,"$171,952.66 ",$0.00 ,$0.22 ,0,"$171,952.66 " IAMM2200-R002, 08/31/22,* A L L C A T E G O R I E S *,"765,677","1,595,321","3,097,334","$540,027,069.07 ",$174.35 ,$682.96 ,4,$705.29