REPORT_ID REPORT_AS_OF_DAT SVCCAT RECIP CLAIMS UNITS TOTALPMT AVGUNITCOST AVGELIGCOST AVGUNITRECI AVGCOSTRECI IAMM2200-R002 03/31/23 INPATIENT 2 $8,846,857. $3,303. $10. 4.5 $14,944.0 IAMM2200-R002 03/31/23 OUTPATIENT 5 6, 1,060 $1,357,260. $1. $1. 197.5 $252.8 IAMM2200-R002 03/31/23 CHILD PART HOSP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 CHILD DAY TREATMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 ADULT PART HOSP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 ADULT DAY TREATMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 SKILLED NURSING FACILITY $249,602. $495. $0. 21.0 $10,400.1 IAMM2200-R002 03/31/23 IHAWP IOWA PLAN LITE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 IHAWP IOWA PLAN FULL $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 IHAWP HMO $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 IHAWP PCP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 INTERMEDIATE CARE FACILITY 5 $1,729,391. $289. $2. 27.5 $7,969.5 IAMM2200-R002 03/31/23 INTER CARE INT DISABLED $320,072. $465. $0. 27.5 $12,802.9 IAMM2200-R002 03/31/23 NURSING FAC FOR MENTAL ILL $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 HOME HEALTH 148 $2,217,636. $14. $2. 226.3 $3,370.2 IAMM2200-R002 03/31/23 LEAD INSPECTION AGENCY $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 PHYSICIAN 5 11, 32 $628,518. $19. $0. 5.7 $110.9 IAMM2200-R002 03/31/23 CLINIC SERVICES 1 1, 2 $2,048,086. $1,024. $2. 1.5 $1,510.3 IAMM2200-R002 03/31/23 MEP CASE MANAGEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 EHR INCENTIVE PAYMENTS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 LAB AND RADIOLOGICAL 2 $64,734. $24. $0. 3.8 $94.3 IAMM2200-R002 03/31/23 HABILITATION SERVICES $89,124. $117. $0. 24.5 $2,874.9 IAMM2200-R002 03/31/23 BEHAVIORAL HLTH INTERVENTN SVC 1 $33,233. $27. $0. 22.7 $627.0 IAMM2200-R002 03/31/23 REHAB SUPPORT SERVICES $3,349. $55. $0. 20.0 $1,116.6 IAMM2200-R002 03/31/23 AMBULANCE SERVICES $124,727. $445. $0. 1.2 $513.2 IAMM2200-R002 03/31/23 LOCAL EDUCATION AGENCY 2 40, 201 $6,367,193. $31. $7. 99.9 $3,159.9 IAMM2200-R002 03/31/23 INFANT TODDLER $12,411. $15. $0. 3.9 $60.5 IAMM2200-R002 03/31/23 IHAWP WELLNESS EXAM BONUS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 ACO VIS PAYMENTS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 PRESCRIBED DRUGS 3 13, 12 $1,262,858. $100. $28. 3.6 $364.1 IAMM2200-R002 03/31/23 IOWA-PLAN-PMIC $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 DRUG CAPITATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 NEMT SERVICES 12 11, 9 $21,813. $2. $0. 0.7 $1.7 IAMM2200-R002 03/31/23 INDIAN HEALTH SERVICES $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 FAMILY PLANNING SERVICES $8,122. $83. $0. 1.2 $100.2 IAMM2200-R002 03/31/23 IOWA CARE MED HOME CAPITATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 IOWA PLAN PROGRAM $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 MANAGED SUBSTANCE ABUSE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 MENTAL HEALTH ACCESS PLAN $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 EPSDT SCREENING $118,490. $466. $13. 3.5 $1,623.1 IAMM2200-R002 03/31/23 HMO SERVICES $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 PACE SERVICES $2,609,120. $4,026. $3. 1.0 $4,026.4 IAMM2200-R002 03/31/23 PATIENT MANAGEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 HEALTH INS PREMIUM PAYMENT 2 5, 5 $532,446. $104. $0. 2.4 $248.8 IAMM2200-R002 03/31/23 MEDICAL SUPPLIES 1 1, 93 $179,342. $1. $4. 74.4 $143.0 IAMM2200-R002 03/31/23 HEALTH HOME PROVIDER $28,508. $147. $0. 1.0 $153.2 IAMM2200-R002 03/31/23 TCM PAYMENTS TO IOWAPLAN $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 IHAWP QHP $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 MCO 800 797, 794 $523,998,350. $659. $635. 1.0 $654.9 IAMM2200-R002 03/31/23 OTHER PRACTITIONER 5 28, 87 $4,934,891. $56. $5. 17.3 $981.6 IAMM2200-R002 03/31/23 FAMILY CENTERED PROGRAM $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 FAMILY PRESERVATION $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 TREATMENT FOSTER FAMILY CARE $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 GROUP TREATMENT THERAPY $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 DENTAL $15,594. $99. $0. 1.1 $106.8 IAMM2200-R002 03/31/23 ACCOUNTABLE CARE ORGANIZATIONS $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 OPTOMETRIST $16,212. $57. $0. 1.3 $75.4 IAMM2200-R002 03/31/23 CHIROPRACTIC $10,207. $18. $0. 2.0 $36.9 IAMM2200-R002 03/31/23 IOWA-PLAN-HAB $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 PODIATRIC $9,093. $39. $0. 1.6 $61.8 IAMM2200-R002 03/31/23 PREPAID AMBULATORY HEALTH PLAN 786 804, 803 $10,729,485. $13. $13. 1.0 $13.6 IAMM2200-R002 03/31/23 PHYSICAL DISABILITIES SVCS $3,272. $3. $0. 215.0 $818.1 IAMM2200-R002 03/31/23 BRAIN INJ WAIVER SERVICES 7 $479,085. $66. $0. 50.5 $3,373.8 IAMM2200-R002 03/31/23 PSYCHIATRIC $57,804. $62. $0. 1.9 $117.9 IAMM2200-R002 03/31/23 RESIDENTIAL CARE FACILITY 10 $72,192. $7. $0. 33.7 $237.4 IAMM2200-R002 03/31/23 ID WAIVER SERVICE 38 $2,220,263. $57. $192. 70.8 $4,096.4 IAMM2200-R002 03/31/23 CHILDRENS MENTAL HEALTH SVC 2 $12,505. $5. $13. 112.7 $568.4 IAMM2200-R002 03/31/23 AIDS WAIVER SERVICES $1,237. $1,237. $38. 1.0 $1,237.0 IAMM2200-R002 03/31/23 ELDERLY WAIVER SERVICES 1 $29,033. $16. $3. 75.0 $1,209.7 IAMM2200-R002 03/31/23 ILL & HANDICAPPED WAIVER SVCS 16 $561,027. $33. $255. 62.4 $2,077.8 IAMM2200-R002 03/31/23 COUNTY OFFICE REIMBURSEMENT $0. $0. $0. 0.0 $0.0 IAMM2200-R002 03/31/23 MEP SERVICES 8 $539,474. $64. $0. 14.7 $948.1 IAMM2200-R002 03/31/23 UNASSIGNED $1,012,891. $0. $1. 0.0 $0.0 IAMM2200-R002 03/31/23 * A L L C A T E G O R I E S * 820 1,732, 3,355 $571,529,746. $170. $692. 4.1 $696.4