Report_Id,Report_as_of_Date,SvcCat,Recip,Claims,Units,TotalPmt,AvgUnitCost,AvgEligCost,AvgUnitRecip,AvgCostRecip "IAMM2200-R002"," 11/30/23","INPATIENT"," 547"," 547"," 2,745"," $9,081,502.54"," $3,308.38"," $13.73",5," $16,602.38" "IAMM2200-R002"," 11/30/23","OUTPATIENT"," 4,271"," 6,598"," 1,121,389"," $1,444,465.88"," $1.29"," $2.18",262.6," $338.20" "IAMM2200-R002"," 11/30/23","CHILD PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","CHILD DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","ADULT PART HOSP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","ADULT DAY TREATMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","SKILLED NURSING FACILITY"," 23"," 26"," 392"," $171,274.98"," $436.93"," $0.26",17," $7,446.74" "IAMM2200-R002"," 11/30/23","IHAWP IOWA PLAN LITE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","IHAWP IOWA PLAN FULL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","IHAWP HMO"," 1"," 0"," 0"," $64.32-"," $0.00"," $0.00",0," $64.32-" "IAMM2200-R002"," 11/30/23","IHAWP PCP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","INTERMEDIATE CARE FACILITY"," 208"," 229"," 6,795"," $2,828,234.79"," $416.22"," $4.28",32.7," $13,597.28" "IAMM2200-R002"," 11/30/23","INTER CARE INT DISABLED"," 22"," 22"," 647"," $330,711.26"," $511.15"," $0.50",29.4," $15,032.33" "IAMM2200-R002"," 11/30/23","NURSING FAC FOR MENTAL ILL"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","HOME HEALTH"," 601"," 830"," 495,240"," $2,182,839.69"," $4.41"," $3.30",824," $3,632.01" "IAMM2200-R002"," 11/30/23","LEAD INSPECTION AGENCY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","PHYSICIAN"," 5,439"," 11,288"," 35,817"," $775,532.28"," $21.65"," $1.17",6.6," $142.59" "IAMM2200-R002"," 11/30/23","CLINIC SERVICES"," 1,142"," 1,449"," 1,349"," $3,823,656.94"," $2,834.44"," $5.78",1.2," $3,348.21" "IAMM2200-R002"," 11/30/23","MEP CASE MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","EHR INCENTIVE PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","LAB AND RADIOLOGICAL"," 633"," 927"," 2,379"," $81,895.73"," $34.42"," $0.12",3.8," $129.38" "IAMM2200-R002"," 11/30/23","HABILITATION SERVICES"," 35"," 77"," 672"," $103,728.03"," $154.36"," $0.16",19.2," $2,963.66" "IAMM2200-R002"," 11/30/23","BEHAVIORAL HLTH INTERVENTN SVC"," 35"," 118"," 707"," $19,019.69"," $26.90"," $0.03",20.2," $543.42" "IAMM2200-R002"," 11/30/23","REHAB SUPPORT SERVICES"," 4"," 3"," 66"," $3,684.78"," $55.83"," $0.01",16.5," $921.20" "IAMM2200-R002"," 11/30/23","AMBULANCE SERVICES"," 179"," 207"," 207"," $85,340.87"," $412.27"," $0.13",1.2," $476.76" "IAMM2200-R002"," 11/30/23","LOCAL EDUCATION AGENCY"," 1,593"," 23,022"," 129,104"," $3,672,892.48"," $28.45"," $5.55",81," $2,305.64" "IAMM2200-R002"," 11/30/23","INFANT TODDLER"," 266"," 447"," 1,201"," $16,510.86"," $13.75"," $0.02",4.5," $62.07" "IAMM2200-R002"," 11/30/23","IHAWP WELLNESS EXAM BONUS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","ACO VIS PAYMENTS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","PRESCRIBED DRUGS"," 3,181"," 12,537"," 11,775"," $1,869,301.00"," $158.75"," $45.02",3.7," $587.65" "IAMM2200-R002"," 11/30/23","IOWA-PLAN-PMIC"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","DRUG CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","NEMT SERVICES"," 9,725"," 10,479"," 9,891"," $22,774.90"," $2.30"," $0.03",1," $2.34" "IAMM2200-R002"," 11/30/23","INDIAN HEALTH SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","FAMILY PLANNING SERVICES"," 93"," 98"," 96"," $10,531.06"," $109.70"," $0.02",1," $113.24" "IAMM2200-R002"," 11/30/23","IOWA CARE MED HOME CAPITATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","IOWA PLAN PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","MANAGED SUBSTANCE ABUSE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","MENTAL HEALTH ACCESS PLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","EPSDT SCREENING"," 57"," 54"," 52"," $102,333.03"," $1,967.94"," $10.43",0.9," $1,795.32" "IAMM2200-R002"," 11/30/23","HMO SERVICES"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","PACE SERVICES"," 663"," 663"," 663"," $2,768,557.23"," $4,175.80"," $4.19",1," $4,175.80" "IAMM2200-R002"," 11/30/23","PATIENT MANAGEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","HEALTH INS PREMIUM PAYMENT"," 1,725"," 3,676"," 3,676"," $472,391.78"," $128.51"," $0.71",2.1," $273.85" "IAMM2200-R002"," 11/30/23","MEDICAL SUPPLIES"," 1,354"," 2,066"," 89,763"," $134,741.20"," $1.50"," $3.25",66.3," $99.51" "IAMM2200-R002"," 11/30/23","HEALTH HOME PROVIDER"," 134"," 151"," 71"," $14,830.25"," $208.88"," $0.02",0.5," $110.67" "IAMM2200-R002"," 11/30/23","TCM PAYMENTS TO IOWAPLAN"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","IHAWP QHP"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","MCO"," 616,707"," 650,227"," 648,651"," $616,675,579.09"," $950.70"," $932.18",1.1," $999.95" "IAMM2200-R002"," 11/30/23","OTHER PRACTITIONER"," 4,214"," 18,995"," 52,117"," $2,666,893.33"," $51.17"," $4.03",12.4," $632.87" "IAMM2200-R002"," 11/30/23","FAMILY CENTERED PROGRAM"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","FAMILY PRESERVATION"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","TREATMENT FOSTER FAMILY CARE"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","GROUP TREATMENT THERAPY"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","DENTAL"," 54"," 54"," 54"," $3,415.38"," $63.25"," $0.08",1," $63.25" "IAMM2200-R002"," 11/30/23","ACCOUNTABLE CARE ORGANIZATIONS"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","OPTOMETRIST"," 203"," 238"," 286"," $11,557.68"," $40.41"," $0.02",1.4," $56.93" "IAMM2200-R002"," 11/30/23","CHIROPRACTIC"," 239"," 432"," 468"," $4,586.84"," $9.80"," $0.11",2," $19.19" "IAMM2200-R002"," 11/30/23","IOWA-PLAN-HAB"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","PODIATRIC"," 150"," 189"," 465"," $7,089.93"," $15.25"," $0.01",3.1," $47.27" "IAMM2200-R002"," 11/30/23","PREPAID AMBULATORY HEALTH PLAN"," 617,133"," 655,443"," 655,289"," $8,841,764.69"," $13.49"," $13.37",1.1," $14.33" "IAMM2200-R002"," 11/30/23","PHYSICAL DISABILITIES SVCS"," 4"," 7"," 855"," $3,728.04"," $4.36"," $0.01",213.8," $932.01" "IAMM2200-R002"," 11/30/23","BRAIN INJ WAIVER SERVICES"," 139"," 290"," 9,550"," $591,918.87"," $61.98"," $0.89",68.7," $4,258.41" "IAMM2200-R002"," 11/30/23","PSYCHIATRIC"," 455"," 738"," 914"," $61,133.99"," $66.89"," $0.09",2," $134.36" "IAMM2200-R002"," 11/30/23","RESIDENTIAL CARE FACILITY"," 303"," 414"," 12,078"," $108,373.76"," $8.97"," $0.16",39.9," $357.67" "IAMM2200-R002"," 11/30/23","ID WAIVER SERVICE"," 555"," 930"," 42,972"," $2,615,173.36"," $60.86"," $286.12",77.4," $4,712.02" "IAMM2200-R002"," 11/30/23","CHILDRENS MENTAL HEALTH SVC"," 22"," 28"," 4,420"," $21,280.07"," $4.81"," $33.83",200.9," $967.28" "IAMM2200-R002"," 11/30/23","AIDS WAIVER SERVICES"," 1"," 1"," 1"," $1,237.04"," $1,237.04"," $56.23",1," $1,237.04" "IAMM2200-R002"," 11/30/23","ELDERLY WAIVER SERVICES"," 26"," 85"," 2,519"," $33,185.83"," $13.17"," $6.87",96.9," $1,276.38" "IAMM2200-R002"," 11/30/23","ILL & HANDICAPPED WAIVER SVCS"," 266"," 341"," 15,636"," $570,828.15"," $36.51"," $353.89",58.8," $2,145.97" "IAMM2200-R002"," 11/30/23","COUNTY OFFICE REIMBURSEMENT"," 0"," 0"," 0"," $0.00"," $0.00"," $0.00",0," $0.00" "IAMM2200-R002"," 11/30/23","MEP SERVICES"," 597"," 623"," 5,046"," $325,971.60"," $64.60"," $0.49",8.5," $546.02" "IAMM2200-R002"," 11/30/23","UNASSIGNED"," 1"," 0"," 0"," $595,978.61-"," $0.00"," $0.90-",0," $595,978.61-" "IAMM2200-R002"," 11/30/23","* A L L C A T E G O R I E S *"," 635,817"," 1,404,549"," 3,366,018"," $661,964,425.97"," $196.66"," $1,000.64",5.3," $1,041.12"