Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip IAMM2200-R002, 12/31/22,INPATIENT,499,482,"3,797","$10,280,704.89 ","$2,707.59 ",$12.71 ,7.6,"$20,602.62 " IAMM2200-R002, 12/31/22,OUTPATIENT,"3,898","5,324","881,330","$1,345,627.52 ",$1.53 ,$1.66 ,226.1,$345.21 IAMM2200-R002, 12/31/22,CHILD PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,SKILLED NURSING FACILITY,20,21,422,"$218,411.43 ",$517.56 ,$0.27 ,21.1,"$10,920.57 " IAMM2200-R002, 12/31/22,IHAWP IOWA PLAN LITE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,IHAWP IOWA PLAN FULL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,IHAWP HMO,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,IHAWP PCP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,INTERMEDIATE CARE FACILITY,189,201,"5,871","$2,077,243.31 ",$353.81 ,$2.57 ,31.1,"$10,990.71 " IAMM2200-R002, 12/31/22,INTER CARE INT DISABLED,24,34,985,"$468,325.64 ",$475.46 ,$0.58 ,41,"$19,513.57 " IAMM2200-R002, 12/31/22,NURSING FAC FOR MENTAL ILL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,HOME HEALTH,579,791,"153,549","$1,847,021.70 ",$12.03 ,$2.28 ,265.2,"$3,190.02 " IAMM2200-R002, 12/31/22,LEAD INSPECTION AGENCY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,PHYSICIAN,"5,507","11,125","32,654","$876,436.70 ",$26.84 ,$1.08 ,5.9,$159.15 IAMM2200-R002, 12/31/22,CLINIC SERVICES,"1,262","1,679","1,724"," $2,086,596.01-"," $1,210.32-", $2.58-,1.4," $1,653.40-" IAMM2200-R002, 12/31/22,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,EHR INCENTIVE PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,LAB AND RADIOLOGICAL,605,909,"2,407","$49,408.01 ",$20.53 ,$0.06 ,4,$81.67 IAMM2200-R002, 12/31/22,HABILITATION SERVICES,29,65,601,"$76,971.73 ",$128.07 ,$0.10 ,20.7,"$2,654.20 " IAMM2200-R002, 12/31/22,BEHAVIORAL HLTH INTERVENTN SVC,53,285,"1,742","$48,202.96 ",$27.67 ,$0.06 ,32.9,$909.49 IAMM2200-R002, 12/31/22,REHAB SUPPORT SERVICES,4,3,66,"$3,684.78 ",$55.83 ,$0.00 ,16.5,$921.20 IAMM2200-R002, 12/31/22,AMBULANCE SERVICES,206,246,244,"$196,908.54 ",$807.00 ,$0.24 ,1.2,$955.87 IAMM2200-R002, 12/31/22,LOCAL EDUCATION AGENCY,"1,779","31,939","149,845","$5,270,668.78 ",$35.17 ,$6.52 ,84.2,"$2,962.71 " IAMM2200-R002, 12/31/22,INFANT TODDLER,343,867,"1,892","$27,668.04 ",$14.62 ,$0.03 ,5.5,$80.66 IAMM2200-R002, 12/31/22,IHAWP WELLNESS EXAM BONUS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,ACO VIS PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,PRESCRIBED DRUGS,"3,435","12,546","11,788","$1,315,698.33 ",$111.61 ,$27.84 ,3.4,$383.03 IAMM2200-R002, 12/31/22,IOWA-PLAN-PMIC,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,NEMT SERVICES,"12,843",396,352,"$3,882.52 ",$11.03 ,$0.00 ,0,$0.30 IAMM2200-R002, 12/31/22,INDIAN HEALTH SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,FAMILY PLANNING SERVICES,59,67,69,"$6,453.89 ",$93.53 ,$0.01 ,1.2,$109.39 IAMM2200-R002, 12/31/22,IOWA CARE MED HOME CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,IOWA PLAN PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,EPSDT SCREENING,46,41,41,"$83,375.12 ","$2,033.54 ",$8.18 ,0.9,"$1,812.50 " IAMM2200-R002, 12/31/22,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,PACE SERVICES,645,652,652,"$3,657,603.24 ","$5,609.82 ",$4.52 ,1,"$5,670.70 " IAMM2200-R002, 12/31/22,PATIENT MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,HEALTH INS PREMIUM PAYMENT,"2,149","4,550","4,550","$470,877.82 ",$103.49 ,$0.58 ,2.1,$219.11 IAMM2200-R002, 12/31/22,MEDICAL SUPPLIES,"1,289","1,862","94,567","$136,685.16 ",$1.45 ,$2.89 ,73.4,$106.04 IAMM2200-R002, 12/31/22,HEALTH HOME PROVIDER,166,191,181,"$30,342.50 ",$167.64 ,$0.04 ,1.1,$182.79 IAMM2200-R002, 12/31/22,TCM PAYMENTS TO IOWAPLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,IHAWP QHP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,MCO,"766,470","778,384","770,919","$519,368,571.38 ",$673.70 ,$642.17 ,1,$677.61 IAMM2200-R002, 12/31/22,OTHER PRACTITIONER,"4,889","27,207","74,909","$4,474,161.94 ",$59.73 ,$5.53 ,15.3,$915.15 IAMM2200-R002, 12/31/22,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,DENTAL,131,126,126,"$12,054.84 ",$95.67 ,$0.26 ,1,$92.02 IAMM2200-R002, 12/31/22,ACCOUNTABLE CARE ORGANIZATIONS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,OPTOMETRIST,224,245,287,"$14,205.56 ",$49.50 ,$0.02 ,1.3,$63.42 IAMM2200-R002, 12/31/22,CHIROPRACTIC,273,542,583,"$10,139.10 ",$17.39 ,$0.21 ,2.1,$37.14 IAMM2200-R002, 12/31/22,IOWA-PLAN-HAB,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,PODIATRIC,136,156,187,"$4,916.41 ",$26.29 ,$0.01 ,1.4,$36.15 IAMM2200-R002, 12/31/22,PREPAID AMBULATORY HEALTH PLAN,"770,927","785,970","784,088","$10,491,070.86 ",$13.38 ,$12.97 ,1,$13.61 IAMM2200-R002, 12/31/22,PHYSICAL DISABILITIES SVCS,6,8,761,"$139,712.95 ",$183.59 ,$0.17 ,126.8,"$23,285.49 " IAMM2200-R002, 12/31/22,BRAIN INJ WAIVER SERVICES,146,301,"9,642","$478,029.85 ",$49.58 ,$0.59 ,66,"$3,274.18 " IAMM2200-R002, 12/31/22,PSYCHIATRIC,451,647,743,"$43,342.72 ",$58.33 ,$0.05 ,1.6,$96.10 IAMM2200-R002, 12/31/22,RESIDENTIAL CARE FACILITY,293,328,"8,301","$67,213.42 ",$8.10 ,$0.08 ,28.3,$229.40 IAMM2200-R002, 12/31/22,ID WAIVER SERVICE,550,939,"50,080","$2,325,180.76 ",$46.43 ,$200.74 ,91.1,"$4,227.60 " IAMM2200-R002, 12/31/22,CHILDRENS MENTAL HEALTH SVC,24,30,"5,795","$27,013.50 ",$4.66 ,$28.29 ,241.5,"$1,125.56 " IAMM2200-R002, 12/31/22,AIDS WAIVER SERVICES,1,1,1,"$1,237.04 ","$1,237.04 ",$38.66 ,1,"$1,237.04 " IAMM2200-R002, 12/31/22,ELDERLY WAIVER SERVICES,23,55,"1,541","$17,540.71 ",$11.38 ,$2.24 ,67,$762.64 IAMM2200-R002, 12/31/22,ILL & HANDICAPPED WAIVER SVCS,274,365,"18,929","$623,400.21 ",$32.93 ,$281.44 ,69.1,"$2,275.18 " IAMM2200-R002, 12/31/22,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 IAMM2200-R002, 12/31/22,MEP SERVICES,497,519,"3,855","$249,033.00 ",$64.60 ,$0.31 ,7.8,$501.07 IAMM2200-R002, 12/31/22,UNASSIGNED,1,0,0,"$247,081.17 ",$0.00 ,$0.31 ,0,"$247,081.17 " IAMM2200-R002, 12/31/22,* A L L C A T E G O R I E S *,"786,836","1,670,099","3,080,076","$564,999,512.02 ",$183.44 ,$698.59 ,3.9,$718.07