IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 4 146 $54,933 0 0 $00 4 146 $54,933 APPANOOSE 1 17 $4,341 0 0 $00 1 17 $4,341 AUDUBON 1 31 $12,520 0 0 $00 1 31 $12,520 BLACK HAWK 1 31 $12,822 1 31 $13,377 2 62 $26,199 BOONE 1 61 $14,836 1 31 $41,838 2 92 $56,674 BREMER 1 31 $15,359 0 0 $00 1 31 $15,359 CARROLL 1 123 $39,449 1 26 $12,498 2 149 $51,947 CERRO GORDO 1 31 $14,562 0 0 $00 1 31 $14,562 CLAYTON 1 0 $450 0 0 $00 1 0 $450 CLINTON 1 24 $3,116 0 0 $00 1 24 $3,116 CRAWFORD 1 6- $00 0 0 $00 1 6- $00 DUBUQUE 2 92 $28,070 4 89 $43,489 6 181 $71,559 GREENE 1 31 $7,655 0 0 $00 1 31 $7,655 GRUNDY 1 12 $2,323 1 31 $14,423 2 43 $16,747 GUTHRIE 2 123 $38,273 0 0 $00 2 123 $38,273 HENRY 2 62 $15,872 0 0 $00 2 62 $15,872 IOWA 1 31 $13,796 0 0 $00 1 31 $13,796 JASPER 2 62 $28,555 2 57 $27,856 4 119 $56,411 LEE 1 31 $10,888 0 0 $00 1 31 $10,888 LINN 1 31 $15,359 0 0 $00 1 31 $15,359 LYON 1 31 $6,179 0 0 $00 1 31 $6,179 MARION 1 31 $11,864 0 0 $00 1 31 $11,864 MARSHALL 147 4,907 $2,013,706 0 0 $00 147 4,907 $2,013,706 MILLS 1 61 $14,371 0 0 $00 1 61 $14,371 O BRIEN 0 0 $00 1 31 $14,423 1 31 $14,423 PLYMOUTH 1 124 $61,620 1 21 $12,215 2 145 $73,835 POCAHONTAS 1 30 $5,386 0 0 $00 1 30 $5,386 POLK 9 290 $80,164 3 87 $53,686 12 377 $133,851 POTTAWATTAMIE 4 167 $44,997 0 0 $00 4 167 $44,997 STORY 1 31 $15,359 1 28 $14,359 2 59 $29,719 TAMA 3 63 $16,806 0 0 $00 3 63 $16,806 UNION 1 31 $7,013 0 0 $00 1 31 $7,013 WAPELLO 1 31 $14,961 0 0 $00 1 31 $14,961 WARREN 1 31 $7,774 0 0 $00 1 31 $7,774 WOODBURY 3 93 $18,466 3 88 $37,155 6 181 $55,621 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/28/24 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 202 6,885 $2,651,862 19 520 $285,322 221 7,405 $2,937,184 *** END OF REPORT ***