Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip
IAMM2200-R002, 11/30/22,INPATIENT,448,439,"2,503","$7,961,507.39 ","$3,180.79 ",$9.90 ,5.6,"$17,771.22 "
IAMM2200-R002, 11/30/22,OUTPATIENT,"4,264","6,354","944,654","$1,426,356.81 ",$1.51 ,$1.77 ,221.5,$334.51 
IAMM2200-R002, 11/30/22,CHILD PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,CHILD DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,ADULT PART HOSP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,ADULT DAY TREATMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,SKILLED NURSING FACILITY,31,34,578,"$162,767.58 ",$281.60 ,$0.20 ,18.6,"$5,250.57 "
IAMM2200-R002, 11/30/22,IHAWP IOWA PLAN LITE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,IHAWP IOWA PLAN FULL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,IHAWP HMO,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,IHAWP PCP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,INTERMEDIATE CARE FACILITY,196,207,"6,238","$2,203,328.44 ",$353.21 ,$2.74 ,31.8,"$11,241.47 "
IAMM2200-R002, 11/30/22,INTER CARE INT DISABLED,27,30,905,"$431,884.93 ",$477.22 ,$0.54 ,33.5,"$15,995.74 "
IAMM2200-R002, 11/30/22,NURSING FAC FOR MENTAL ILL,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,HOME HEALTH,611,785,"554,353","$2,500,038.05 ",$4.51 ,$3.11 ,907.3,"$4,091.72 "
IAMM2200-R002, 11/30/22,LEAD INSPECTION AGENCY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,PHYSICIAN,"5,698","11,581","34,116","$868,431.40 ",$25.46 ,$1.08 ,6,$152.41 
IAMM2200-R002, 11/30/22,CLINIC SERVICES,"1,287","1,830","1,787","$4,753,563.19 ","$2,660.08 ",$5.91 ,1.4,"$3,693.52 "
IAMM2200-R002, 11/30/22,MEP CASE MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,EHR INCENTIVE PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,LAB AND RADIOLOGICAL,782,"1,193","3,560","$49,411.46 ",$13.88 ,$0.06 ,4.6,$63.19 
IAMM2200-R002, 11/30/22,HABILITATION SERVICES,33,73,648,"$80,952.98 ",$124.93 ,$0.10 ,19.6,"$2,453.12 "
IAMM2200-R002, 11/30/22,BEHAVIORAL HLTH INTERVENTN SVC,46,105,759,"$23,322.63 ",$30.73 ,$0.03 ,16.5,$507.01 
IAMM2200-R002, 11/30/22,REHAB SUPPORT SERVICES,6,123,182,"$12,623.59 ",$69.36 ,$0.02 ,30.3,"$2,103.93 "
IAMM2200-R002, 11/30/22,AMBULANCE SERVICES,215,250,250,"$77,757.20 ",$311.03 ,$0.10 ,1.2,$361.66 
IAMM2200-R002, 11/30/22,LOCAL EDUCATION AGENCY,"1,514","24,844","111,035","$4,236,705.73 ",$38.16 ,$5.27 ,73.3,"$2,798.35 "
IAMM2200-R002, 11/30/22,INFANT TODDLER,113,241,429,"$6,013.25 ",$14.02 ,$0.01 ,3.8,$53.21 
IAMM2200-R002, 11/30/22,IHAWP WELLNESS EXAM BONUS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,ACO VIS PAYMENTS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,PRESCRIBED DRUGS,"3,358","12,214","11,754","$1,149,074.00 ",$97.76 ,$24.92 ,3.5,$342.19 
IAMM2200-R002, 11/30/22,IOWA-PLAN-PMIC,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,DRUG CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,NEMT SERVICES,"11,277","11,779","11,774","$28,375.34 ",$2.41 ,$0.04 ,1,$2.52 
IAMM2200-R002, 11/30/22,INDIAN HEALTH SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,FAMILY PLANNING SERVICES,79,82,82,"$6,907.77 ",$84.24 ,$0.01 ,1,$87.44 
IAMM2200-R002, 11/30/22,IOWA CARE MED HOME CAPITATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,IOWA PLAN PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,MANAGED SUBSTANCE ABUSE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,MENTAL HEALTH ACCESS PLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,EPSDT SCREENING,62,102,101,"$118,361.11 ","$1,171.89 ",$11.87 ,1.6,"$1,909.05 "
IAMM2200-R002, 11/30/22,HMO SERVICES,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,PACE SERVICES,629,638,637,"$2,605,958.15 ","$4,090.99 ",$3.24 ,1,"$4,143.02 "
IAMM2200-R002, 11/30/22,PATIENT MANAGEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,HEALTH INS PREMIUM PAYMENT,"2,135","5,499","5,499","$573,865.73 ",$104.36 ,$0.71 ,2.6,$268.79 
IAMM2200-R002, 11/30/22,MEDICAL SUPPLIES,"1,485","2,222","85,409","$136,461.99 ",$1.60 ,$2.96 ,57.5,$91.89 
IAMM2200-R002, 11/30/22,HEALTH HOME PROVIDER,185,207,179,"$27,834.68 ",$155.50 ,$0.03 ,1,$150.46 
IAMM2200-R002, 11/30/22,TCM PAYMENTS TO IOWAPLAN,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,IHAWP QHP,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,MCO,"758,431","773,607","773,595","$622,719,348.46 ",$804.97 ,$774.56 ,1,$821.06 
IAMM2200-R002, 11/30/22,OTHER PRACTITIONER,"4,165","38,036","88,015","$4,811,185.46 ",$54.66 ,$5.98 ,21.1,"$1,155.15 "
IAMM2200-R002, 11/30/22,FAMILY CENTERED PROGRAM,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,FAMILY PRESERVATION,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,TREATMENT FOSTER FAMILY CARE,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,GROUP TREATMENT THERAPY,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,DENTAL,134,132,131,"$13,740.40 ",$104.89 ,$0.30 ,1,$102.54 
IAMM2200-R002, 11/30/22,ACCOUNTABLE CARE ORGANIZATIONS,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,OPTOMETRIST,251,257,308,"$12,292.22 ",$39.91 ,$0.02 ,1.2,$48.97 
IAMM2200-R002, 11/30/22,CHIROPRACTIC,260,471,501,"$7,391.44 ",$14.75 ,$0.16 ,1.9,$28.43 
IAMM2200-R002, 11/30/22,IOWA-PLAN-HAB,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,PODIATRIC,139,161,238,"$3,911.82 ",$16.44 ,$0.00 ,1.7,$28.14 
IAMM2200-R002, 11/30/22,PREPAID AMBULATORY HEALTH PLAN,"765,433","781,199","781,185","$10,457,628.13 ",$13.39 ,$13.01 ,1,$13.66 
IAMM2200-R002, 11/30/22,PHYSICAL DISABILITIES SVCS,5,8,"1,062","$3,989.84 ",$3.76 ,$0.00 ,212.4,$797.97 
IAMM2200-R002, 11/30/22,BRAIN INJ WAIVER SERVICES,141,291,"8,666","$409,234.30 ",$47.22 ,$0.51 ,61.5,"$2,902.37 "
IAMM2200-R002, 11/30/22,PSYCHIATRIC,481,726,832,"$43,806.01 ",$52.65 ,$0.05 ,1.7,$91.07 
IAMM2200-R002, 11/30/22,RESIDENTIAL CARE FACILITY,331,426,"12,321","$103,291.28 ",$8.38 ,$0.13 ,37.2,$312.06 
IAMM2200-R002, 11/30/22,ID WAIVER SERVICE,552,953,"49,739","$1,573,143.56 ",$31.63 ,$135.28 ,90.1,"$2,849.90 "
IAMM2200-R002, 11/30/22,CHILDRENS MENTAL HEALTH SVC,27,49,"7,304","$34,053.07 ",$4.66 ,$35.40 ,270.5,"$1,261.22 "
IAMM2200-R002, 11/30/22,AIDS WAIVER SERVICES,1,1,1,"$1,237.04 ","$1,237.04 ",$37.49 ,1,"$1,237.04 "
IAMM2200-R002, 11/30/22,ELDERLY WAIVER SERVICES,22,54,"1,747","$20,865.38 ",$11.94 ,$2.64 ,79.4,$948.43 
IAMM2200-R002, 11/30/22,ILL & HANDICAPPED WAIVER SVCS,288,371,"24,927","$589,719.12 ",$23.66 ,$266.12 ,86.6,"$2,047.64 "
IAMM2200-R002, 11/30/22,COUNTY OFFICE REIMBURSEMENT,0,0,0,$0.00 ,$0.00 ,$0.00 ,0,$0.00 
IAMM2200-R002, 11/30/22,MEP SERVICES,549,574,"4,338","$280,234.80 ",$64.60 ,$0.35 ,7.9,$510.45 
IAMM2200-R002, 11/30/22,UNASSIGNED,1,0,0,"      $297,553.76-",$0.00 ,        $0.37-,0," $297,553.76-"
IAMM2200-R002, 11/30/22,* A L L  C A T E G O R I E S *,"779,370","1,678,148","3,532,342","$670,229,021.97 ",$189.74 ,$833.66 ,4.5,$859.96