REPORT_ID REPORT_AS_OF_DAT SVCCAT RECIP CLAIMS UNITS TOTALPMT AVGUNITCOST AVGELIGCOST AVGUNITRECI AVGCOSTRECI IAMM2200-R002 02/28/23 INPATIENT 2 $9,040,988. $3,080. $11. 5.3 $16,348.9 IAMM2200-R002 02/28/23 OUTPATIENT 4 6, 1,085 $1,701,431. $1. $2. 249.9 $391.8 IAMM2200-R002 02/28/23 CHILD PART HOSP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 CHILD DAY TREATMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 ADULT PART HOSP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 ADULT DAY TREATMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 SKILLED NURSING FACILITY $154,677. $340. $0. 15.1 $5,155.9 IAMM2200-R002 02/28/23 IHAWP IOWA PLAN LITE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 IHAWP IOWA PLAN FULL $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 IHAWP HMO $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 IHAWP PCP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 INTERMEDIATE CARE FACILITY 6 $2,151,842. $333. $2. 31.6 $10,548.2 IAMM2200-R002 02/28/23 INTER CARE INT DISABLED $446,737. $511. $0. 33.6 $17,182.2 IAMM2200-R002 02/28/23 NURSING FAC FOR MENTAL ILL $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 HOME HEALTH 176 $1,939,305. $10. $2. 271.5 $2,983.5 IAMM2200-R002 02/28/23 LEAD INSPECTION AGENCY $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 PHYSICIAN 5 11, 37 $705,600. $18. $0. 6.7 $126.7 IAMM2200-R002 02/28/23 CLINIC SERVICES 1 1, 1 $3,939,165. $2,261. $4. 1.4 $3,153.8 IAMM2200-R002 02/28/23 MEP CASE MANAGEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 EHR INCENTIVE PAYMENTS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 LAB AND RADIOLOGICAL 1, 2 $57,742. $22. $0. 3.6 $80.6 IAMM2200-R002 02/28/23 HABILITATION SERVICES $316,573. $567. $0. 18.0 $10,212.0 IAMM2200-R002 02/28/23 BEHAVIORAL HLTH INTERVENTN SVC $338,079. $367. $0. 15.8 $5,828.9 IAMM2200-R002 02/28/23 REHAB SUPPORT SERVICES $3,684. $55. $0. 16.5 $921.2 IAMM2200-R002 02/28/23 AMBULANCE SERVICES $110,373. $392. $0. 1.2 $475.7 IAMM2200-R002 02/28/23 LOCAL EDUCATION AGENCY 1 34, 135 $5,113,790. $37. $6. 73.5 $2,768.7 IAMM2200-R002 02/28/23 INFANT TODDLER $13,329. $13. $0. 4.0 $56.0 IAMM2200-R002 02/28/23 IHAWP WELLNESS EXAM BONUS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 ACO VIS PAYMENTS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 PRESCRIBED DRUGS 3 13, 12 $1,373,435. $109. $28. 3.6 $389.6 IAMM2200-R002 02/28/23 IOWA-PLAN-PMIC $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 DRUG CAPITATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 NEMT SERVICES 11 11, 8 $18,906. $2. $0. 0.7 $1.6 IAMM2200-R002 02/28/23 INDIAN HEALTH SERVICES $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 FAMILY PLANNING SERVICES $10,348. $152. $0. 1.0 $145.7 IAMM2200-R002 02/28/23 IOWA CARE MED HOME CAPITATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 IOWA PLAN PROGRAM $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 MANAGED SUBSTANCE ABUSE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 MENTAL HEALTH ACCESS PLAN $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 EPSDT SCREENING $112,049. $565. $10. 2.8 $1,578.1 IAMM2200-R002 02/28/23 HMO SERVICES $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 PACE SERVICES $2,613,338. $4,039. $3. 1.0 $4,026.7 IAMM2200-R002 02/28/23 PATIENT MANAGEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 HEALTH INS PREMIUM PAYMENT 2 4, 4 $475,249. $101. $0. 2.2 $221.7 IAMM2200-R002 02/28/23 MEDICAL SUPPLIES 1 2, 99 $218,485. $2. $4. 79.9 $175.3 IAMM2200-R002 02/28/23 HEALTH HOME PROVIDER $27,013. $145. $0. 1.0 $151.7 IAMM2200-R002 02/28/23 TCM PAYMENTS TO IOWAPLAN $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 IHAWP QHP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 MCO 795 792, 790 $525,164,825. $664. $638. 1.0 $660.4 IAMM2200-R002 02/28/23 OTHER PRACTITIONER 5 23, 74 $3,765,035. $50. $4. 14.5 $730.2 IAMM2200-R002 02/28/23 FAMILY CENTERED PROGRAM $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 FAMILY PRESERVATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 TREATMENT FOSTER FAMILY CARE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 GROUP TREATMENT THERAPY $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 DENTAL $13,551. $76. $0. 1.0 $78.7 IAMM2200-R002 02/28/23 ACCOUNTABLE CARE ORGANIZATIONS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 OPTOMETRIST $17,195. $51. $0. 1.5 $74.1 IAMM2200-R002 02/28/23 CHIROPRACTIC $12,921. $24. $0. 1.8 $44.5 IAMM2200-R002 02/28/23 IOWA-PLAN-HAB $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 PODIATRIC $13,342. $44. $0. 1.8 $78.4 IAMM2200-R002 02/28/23 PREPAID AMBULATORY HEALTH PLAN 781 800, 798 $10,673,746. $13. $12. 1.0 $13.6 IAMM2200-R002 02/28/23 PHYSICAL DISABILITIES SVCS $3,512. $3. $0. 187.0 $702.4 IAMM2200-R002 02/28/23 BRAIN INJ WAIVER SERVICES 8 $609,268. $71. $0. 57.6 $4,144.6 IAMM2200-R002 02/28/23 PSYCHIATRIC $38,924. $49. $0. 1.7 $82.2 IAMM2200-R002 02/28/23 RESIDENTIAL CARE FACILITY 12 $101,482. $8. $0. 39.2 $327.3 IAMM2200-R002 02/28/23 ID WAIVER SERVICE 46 $2,910,145. $63. $252. 82.9 $5,234.0 IAMM2200-R002 02/28/23 CHILDRENS MENTAL HEALTH SVC 4 $22,284. $4. $23. 191.3 $891.3 IAMM2200-R002 02/28/23 AIDS WAIVER SERVICES $1,237. $1,237. $37. 1.0 $1,237.0 IAMM2200-R002 02/28/23 ELDERLY WAIVER SERVICES 1 $21,362. $12. $2. 69.0 $890.1 IAMM2200-R002 02/28/23 ILL & HANDICAPPED WAIVER SVCS 20 $723,643. $34. $327. 74.2 $2,584.4 IAMM2200-R002 02/28/23 COUNTY OFFICE REIMBURSEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 02/28/23 MEP SERVICES 4 $296,320. $64. $0. 8.3 $537.7 IAMM2200-R002 02/28/23 UNASSIGNED $299,217. $0. $0. 0.0 $299,217.3 IAMM2200-R002 02/28/23 * A L L C A T E G O R I E S * 815 1,712, 3,344 $569,749,875. $170. $693. 4.1 $698.9