Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip IAMM2200-R002, 10/31/22,INPATIENT,628,623,"3,901","$8,537,937.81 ","$2,188.65 ",$10.66 ,6.2,"$13,595.44 " IAMM2200-R002, 10/31/22,OUTPATIENT,"4,756","7,431","1,212,328","$1,757,310.63 ",$1.45 ,$2.19 ,254.9,$369.49 IAMM2200-R002, 10/31/22,CHILD PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,SKILLED NURSING FACILITY,46,60,899,"$387,341.14 ",$430.86 ,$0.48 ,19.5,"$8,420.46 " IAMM2200-R002, 10/31/22,IHAWP IOWA PLAN LITE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,IHAWP IOWA PLAN FULL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,IHAWP HMO,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,IHAWP PCP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,INTERMEDIATE CARE FACILITY,205,222,"6,382","$2,207,526.94 ",$345.90 ,$2.76 ,31.1,"$10,768.42 " IAMM2200-R002, 10/31/22,INTER CARE MENTAL RETARDA,25,29,859,"$401,549.53 ",$467.46 ,$0.50 ,34.4,"$16,061.98 " IAMM2200-R002, 10/31/22,NURSING FAC FOR MENTAL ILL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,HOME HEALTH,709,"1,079","249,353","$1,791,660.43 ",$7.19 ,$2.24 ,351.7,"$2,527.02 " IAMM2200-R002, 10/31/22,LEAD INSPECTION AGENCY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,PHYSICIAN,"6,278","14,061","46,124","$939,901.33 ",$20.38 ,$1.17 ,7.3,$149.71 IAMM2200-R002, 10/31/22,CLINIC SERVICES,"1,596","2,369","2,325","$5,270,557.10 ","$2,266.91 ",$6.58 ,1.5,"$3,302.35 " IAMM2200-R002, 10/31/22,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,EHR INCENTIVE PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,LAB AND RADIOLOGICAL,848,"1,337","3,683","$64,434.97 ",$17.50 ,$0.08 ,4.3,$75.98 IAMM2200-R002, 10/31/22,HABILITATION SERVICES,34,94,"1,054","$115,545.36 ",$109.63 ,$0.14 ,31,"$3,398.39 " IAMM2200-R002, 10/31/22,BEHAVIORAL HLTH INTERVENTN SVC,71,213,"1,718","$57,092.95 ",$33.23 ,$0.07 ,24.2,$804.13 IAMM2200-R002, 10/31/22,REHAB SUPPORT SERVICES,11,3,122,"- $11,931.04-",$97.80 , $0.01-,-11.1," $1,084.64-" IAMM2200-R002, 10/31/22,AMBULANCE SERVICES,253,320,312,"$137,140.68 ",$439.55 ,$0.17 ,1.2,$542.06 IAMM2200-R002, 10/31/22,LOCAL EDUCATION AGENCY,"1,360","24,263","116,274","$4,315,890.49 ",$37.12 ,$5.39 ,85.5,"$3,173.45 " IAMM2200-R002, 10/31/22,INFANT TODDLER,186,341,785,"$11,520.18 ",$14.68 ,$0.01 ,4.2,$61.94 IAMM2200-R002, 10/31/22,IHAWP WELLNESS EXAM BONUS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,ACO VIS PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,PRESCRIBED DRUGS,"3,744","15,376","14,069","$1,439,109.83 ",$102.29 ,$30.93 ,3.8,$384.38 IAMM2200-R002, 10/31/22,IOWA-PLAN-PMIC,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,NEMT SERVICES,"12,521","11,715","11,699","$29,699.86 ",$2.54 ,$0.04 ,0.9,$2.37 IAMM2200-R002, 10/31/22,INDIAN HEALTH SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,FAMILY PLANNING SERVICES,83,89,89,"$7,278.58 ",$81.78 ,$0.01 ,1.1,$87.69 IAMM2200-R002, 10/31/22,IOWA CARE MED HOME CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,IOWA PLAN PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,EPSDT SCREENING,81,89,87,"$129,027.25 ","$1,483.07 ",$12.61 ,1.1,"$1,592.93 " IAMM2200-R002, 10/31/22,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,PACE SERVICES,621,621,621,"$2,534,046.01 ","$4,080.59 ",$3.16 ,1,"$4,080.59 " IAMM2200-R002, 10/31/22,PATIENT MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,HEALTH INS PREMIUM PAYMENT,"2,010","4,134","4,134","$413,445.84 ",$100.01 ,$0.52 ,2.1,$205.69 IAMM2200-R002, 10/31/22,MEDICAL SUPPLIES,"1,552","2,468","115,008","$203,140.32 ",$1.77 ,$4.37 ,74.1,$130.89 IAMM2200-R002, 10/31/22,HEALTH HOME PROVIDER,195,368,366,"$52,430.54 ",$143.25 ,$0.07 ,1.9,$268.87 IAMM2200-R002, 10/31/22,TCM PAYMENTS TO IOWAPLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,IHAWP QHP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,MCO,"753,799","768,915","768,909","$506,707,848.67 ",$659.00 ,$632.58 ,1,$672.21 IAMM2200-R002, 10/31/22,OTHER PRACTITIONER,"4,015","13,262","109,428","$2,685,979.00 ",$24.55 ,$3.35 ,27.3,$668.99 IAMM2200-R002, 10/31/22,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,DENTAL,409,241,241,"$22,649.55 ",$93.98 ,$0.49 ,0.6,$55.38 IAMM2200-R002, 10/31/22,ACCOUNTABLE CARE ORGANIZATIONS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,OPTOMETRIST,303,345,409,"$18,140.34 ",$44.35 ,$0.02 ,1.3,$59.87 IAMM2200-R002, 10/31/22,CHIROPRACTIC,347,729,773,"$13,342.17 ",$17.26 ,$0.29 ,2.2,$38.45 IAMM2200-R002, 10/31/22,IOWA-PLAN-HAB,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,PODIATRIC,179,236,338,"$10,402.44 ",$30.78 ,$0.01 ,1.9,$58.11 IAMM2200-R002, 10/31/22,DELTA DENTAL,"761,495","776,592","776,588","$10,396,081.16 ",$13.39 ,$12.98 ,1,$13.65 IAMM2200-R002, 10/31/22,PHYSICAL DISABILITIES SVCS,4,5,"1,023","$3,699.84 ",$3.62 ,$0.00 ,255.8,$924.96 IAMM2200-R002, 10/31/22,BRAIN INJ WAIVER SERVICES,140,293,"8,818","$446,997.81 ",$50.69 ,$0.56 ,63,"$3,192.84 " IAMM2200-R002, 10/31/22,PSYCHIATRIC,583,987,"1,174","$71,394.70 ",$60.81 ,$0.09 ,2,$122.46 IAMM2200-R002, 10/31/22,RESIDENTIAL CARE FACILITY,303,346,"9,277","$76,083.57 ",$8.20 ,$0.09 ,30.6,$251.10 IAMM2200-R002, 10/31/22,ID WAIVER SERVICE,547,909,"40,757","$2,056,365.64 ",$50.45 ,$176.15 ,74.5,"$3,759.35 " IAMM2200-R002, 10/31/22,CHILDRENS MENTAL HEALTH SVC,18,25,"1,293","$7,360.50 ",$5.69 ,$7.68 ,71.8,$408.92 IAMM2200-R002, 10/31/22,AIDS WAIVER SERVICES,1,1,1,"$1,237.04 ","$1,237.04 ",$37.49 ,1,"$1,237.04 " IAMM2200-R002, 10/31/22,ELDERLY WAIVER SERVICES,20,64,"2,241","$20,227.57 ",$9.03 ,$2.56 ,112.1,"$1,011.38 " IAMM2200-R002, 10/31/22,ILL & HANDICAPPED WAIVER SVCS,287,369,"19,281","$592,508.23 ",$30.73 ,$264.63 ,67.2,"$2,064.49 " IAMM2200-R002, 10/31/22,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 10/31/22,MEP SERVICES,572,607,"4,728","$305,428.80 ",$64.60 ,$0.38 ,8.3,$533.97 IAMM2200-R002, 10/31/22,UNASSIGNED,1,0,0,"$579,509.31 ",$0.00 ,$0.72 ,0,"$579,509.31 " IAMM2200-R002, 10/31/22,* A L L C A T E G O R I E S *,"775,691","1,651,231","3,537,227","$554,806,913.07 ",$156.85 ,$692.62 ,4.6,$715.24