REPORT_ID REPORT_AS_OF_DAT SVCCAT RECIP CLAIMS UNITS TOTALPMT IAMM2200-R003 02/28/23 INPATIENT 3,75 25 $62,853,4 IAMM2200-R003 02/28/23 OUTPATIENT 15,31 5 8,132 $12,315,4 IAMM2200-R003 02/28/23 CHILD PART HOSP IAMM2200-R003 02/28/23 CHILD DAY TREATMENT IAMM2200-R003 02/28/23 ADULT PART HOSP IAMM2200-R003 02/28/23 ADULT DAY TREATMENT IAMM2200-R003 02/28/23 SKILLED NURSING FACILITY 14 4 $1,778,6 IAMM2200-R003 02/28/23 IHAWP IOWA PLAN LITE IAMM2200-R003 02/28/23 IHAWP IOWA PLAN FULL IAMM2200-R003 02/28/23 IHAWP HMO IAMM2200-R003 02/28/23 IHAWP PCP IAMM2200-R003 02/28/23 INTERMEDIATE CARE FACILITY 29 50 $17,257,0 IAMM2200-R003 02/28/23 INTER CARE INT DISABLED 3 6 $3,211,6 IAMM2200-R003 02/28/23 NURSING FAC FOR MENTAL ILL IAMM2200-R003 02/28/23 HOME HEALTH 1,83 2,153 $15,832,4 IAMM2200-R003 02/28/23 LEAD INSPECTION AGENCY IAMM2200-R003 02/28/23 PHYSICIAN 19,19 9 297 $7,177,5 IAMM2200-R003 02/28/23 CLINIC SERVICES 5,95 1 14 $26,068,5 IAMM2200-R003 02/28/23 MEP CASE MANAGEMENT IAMM2200-R003 02/28/23 EHR INCENTIVE PAYMENTS IAMM2200-R003 02/28/23 LAB AND RADIOLOGICAL 3,98 24 $460,7 IAMM2200-R003 02/28/23 HABILITATION SERVICES 4 6 $1,067,1 IAMM2200-R003 02/28/23 BEHAVIORAL HLTH INTERVENTN SVC 12 10 $603,2 IAMM2200-R003 02/28/23 REHAB SUPPORT SERVICES 1 $19,3 IAMM2200-R003 02/28/23 AMBULANCE SERVICES 1,42 2 $1,159,0 IAMM2200-R003 02/28/23 LOCAL EDUCATION AGENCY 3,51 17 791 $28,349,4 IAMM2200-R003 02/28/23 INFANT TODDLER 72 7 $111,3 IAMM2200-R003 02/28/23 IHAWP WELLNESS EXAM BONUS IAMM2200-R003 02/28/23 ACO VIS PAYMENTS IAMM2200-R003 02/28/23 PRESCRIBED DRUGS 7,93 10 100 $10,937,2 IAMM2200-R003 02/28/23 IOWA-PLAN-PMIC IAMM2200-R003 02/28/23 DRUG CAPITATION IAMM2200-R003 02/28/23 NEMT SERVICES 17,57 8 67 $168,8 IAMM2200-R003 02/28/23 INDIAN HEALTH SERVICES IAMM2200-R003 02/28/23 FAMILY PLANNING SERVICES 41 $66,2 IAMM2200-R003 02/28/23 IOWA CARE MED HOME CAPITATION IAMM2200-R003 02/28/23 IOWA PLAN PROGRAM IAMM2200-R003 02/28/23 MANAGED SUBSTANCE ABUSE IAMM2200-R003 02/28/23 MENTAL HEALTH ACCESS PLAN IAMM2200-R003 02/28/23 EPSDT SCREENING 49 $816,7 IAMM2200-R003 02/28/23 HMO SERVICES IAMM2200-R003 02/28/23 PACE SERVICES 71 5 $21,599,1 IAMM2200-R003 02/28/23 PATIENT MANAGEMENT IAMM2200-R003 02/28/23 HEALTH INS PREMIUM PAYMENT 2,38 3 37 $3,864,9 IAMM2200-R003 02/28/23 MEDICAL SUPPLIES 3,98 1 780 $1,316,6 IAMM2200-R003 02/28/23 HEALTH HOME PROVIDER 31 1 $260,8 IAMM2200-R003 02/28/23 TCM PAYMENTS TO IOWAPLAN IAMM2200-R003 02/28/23 IHAWP QHP IAMM2200-R003 02/28/23 MCO 801,83 6,17 6,163 $4,426,488,9 IAMM2200-R003 02/28/23 OTHER PRACTITIONER 14,40 14 494 $22,520,2 IAMM2200-R003 02/28/23 FAMILY CENTERED PROGRAM IAMM2200-R003 02/28/23 FAMILY PRESERVATION IAMM2200-R003 02/28/23 TREATMENT FOSTER FAMILY CARE IAMM2200-R003 02/28/23 GROUP TREATMENT THERAPY IAMM2200-R003 02/28/23 DENTAL 1,20 1 $120,1 IAMM2200-R003 02/28/23 ACCOUNTABLE CARE ORGANIZATIONS IAMM2200-R003 02/28/23 OPTOMETRIST 1,69 2 $120,3 IAMM2200-R003 02/28/23 CHIROPRACTIC 85 4 $84,6 IAMM2200-R003 02/28/23 IOWA-PLAN-HAB IAMM2200-R003 02/28/23 PODIATRIC 67 2 $63,6 IAMM2200-R003 02/28/23 PREPAID AMBULATORY HEALTH PLAN 809,49 6,23 6,223 $83,298,6 IAMM2200-R003 02/28/23 PHYSICAL DISABILITIES SVCS 7 $164,9 IAMM2200-R003 02/28/23 BRAIN INJ WAIVER SERVICES 15 76 $3,719,2 IAMM2200-R003 02/28/23 PSYCHIATRIC 1,87 7 $435,7 IAMM2200-R003 02/28/23 RESIDENTIAL CARE FACILITY 43 86 $739,6 IAMM2200-R003 02/28/23 ID WAIVER SERVICE 66 410 $11,640,8 IAMM2200-R003 02/28/23 CHILDRENS MENTAL HEALTH SVC 4 35 $163,4 IAMM2200-R003 02/28/23 AIDS WAIVER SERVICES $10,3 IAMM2200-R003 02/28/23 ELDERLY WAIVER SERVICES 2 12 $148,0 IAMM2200-R003 02/28/23 ILL & HANDICAPPED WAIVER SVCS 34 186 $5,041,8 IAMM2200-R003 02/28/23 COUNTY OFFICE REIMBURSEMENT IAMM2200-R003 02/28/23 MEP SERVICES 66 37 $2,429,0 IAMM2200-R003 02/28/23 UNASSIGNED $967,9 IAMM2200-R003 02/28/23 * A L L C A T E G O R I E S * 830,74 13,21 26,275 $4,775,453,6