IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/24/23 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS ADAIR 1 31 $10,705 0 0 $00 1 31 $10,705 BENTON 1 0 $2,849 0 0 $00 1 0 $2,849 BLACK HAWK 5 113 $51,037 1 7 $2,029 6 120 $53,067 BREMER 2 62 $30,084 0 0 $00 2 62 $30,084 CARROLL 0 0 $00 2 59 $23,090 2 59 $23,090 CASS 1 31 $14,206 0 0 $00 1 31 $14,206 CERRO GORDO 3 91 $30,166 1 0 $1,478- 4 91 $28,688 CHEROKEE 0 0 $00 2 62 $24,226 2 62 $24,226 CHICKASAW 1 46 $16,376 0 0 $00 1 46 $16,376 DALLAS 0 0 $00 1 31 $13,642 1 31 $13,642 DELAWARE 1 0 $3,382 0 0 $00 1 0 $3,382 DUBUQUE 3 62 $22,652 4 120 $52,809 7 182 $75,461 GRUNDY 1 31 $6,775 0 0 $00 1 31 $6,775 GUTHRIE 1 31 $11,747 0 0 $00 1 31 $11,747 JASPER 3 90 $49,275 1 30 $13,862 4 120 $63,137 JEFFERSON 2 1 $4,404 0 0 $00 2 1 $4,404 JOHNSON 2 31 $15,709 0 0 $00 2 31 $15,709 JONES 1 0 $2,961 0 0 $00 1 0 $2,961 KEOKUK 1 0 $1,040 0 0 $00 1 0 $1,040 LEE 1 31 $14,621 0 0 $00 1 31 $14,621 LINN 3 122 $54,625 0 0 $00 3 122 $54,625 LYON 1 31 $6,221 0 0 $00 1 31 $6,221 MAHASKA 2 31 $15,896 0 0 $00 2 31 $15,896 MARION 3 65 $29,413 0 0 $00 3 65 $29,413 MARSHALL 180 4,655 $2,217,077 0 0 $00 180 4,655 $2,217,077 MILLS 0 0 $00 1 8 $9,676 1 8 $9,676 MITCHELL 1 31 $15,532 0 0 $00 1 31 $15,532 MONONA 1 0 $1,960 0 0 $00 1 0 $1,960 MUSCATINE 1 0 $2,675 0 0 $00 1 0 $2,675 O BRIEN 0 0 $00 1 31 $13,746 1 31 $13,746 OSCEOLA 1 59 $24,131 0 0 $00 1 59 $24,131 PLYMOUTH 0 0 $00 1 31 $13,051 1 31 $13,051 POLK 8 170 $70,685 4 120 $65,118 12 290 $135,804 POTTAWATTAMIE 2 31 $8,393 0 0 $00 2 31 $8,393 SHELBY 0 0 $00 1 31 $12,597 1 31 $12,597 STORY 2 62 $32,421 2 57 $26,255 4 119 $58,676 TAMA 3 92 $22,676 0 0 $00 3 92 $22,676 WAPELLO 2 42 $21,817 0 0 $00 2 42 $21,817 WARREN 1 31 $6,967 0 0 $00 1 31 $6,967 WASHINGTON 1 0 $2,930 0 0 $00 1 0 $2,930 WOODBURY 5 184 $50,466 4 124 $47,990 9 308 $98,457 WRIGHT 0 0 $00 1 31 $12,275 1 31 $12,275 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/24/23 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS STATE TOTAL 247 6,257 $2,871,890 27 742 $328,894 274 6,999 $3,200,784 *** END OF REPORT ***