IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (MONTHLY TOTALS AS OF 12/31/23) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED INPATIENT 512 507 2,907 $10,372,348.57 $3,568.06 $16.05 5.7 $20,258.49 OUTPATIENT 3,784 5,395 775,947 $1,239,581.91 $1.60 $1.92 205.1 $327.59 CHILD PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 SKILLED NURSING FACILITY 14 19 402 $320,167.74 $796.44 $0.50 28.7 $22,869.12 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 1 0 0 $0.89- $0.00 $0.00 .0 $0.89- IHAWP HMO 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP PCP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 INTERMEDIATE CARE FACILITY 213 234 6,734 $2,579,415.65 $383.04 $3.99 31.6 $12,109.93 INTER CARE INT DISABLED 19 21 613 $304,547.63 $496.82 $0.47 32.3 $16,028.82 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 512 674 230,525 $1,874,881.45 $8.13 $2.90 450.2 $3,661.88 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,526 11,256 32,416 $798,610.07 $24.64 $1.24 5.9 $144.52 CLINIC SERVICES 1,403 1,885 1,662 $5,583,437.92 $3,359.47 $8.64 1.2 $3,979.64 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 664 974 2,526 $107,241.23 $42.45 $0.17 3.8 $161.51 HABILITATION SERVICES 34 79 670 $98,285.95 $146.70 $0.15 19.7 $2,890.76 BEHAVIORAL HLTH INTERVENTN SVC 29 93 623 $15,792.54 $25.35 $0.02 21.5 $544.57 REHAB SUPPORT SERVICES 4 3 66 $3,684.78 $55.83 $0.01 16.5 $921.20 AMBULANCE SERVICES 147 173 171 $9,059.15 $52.98 $0.01 1.2 $61.63 LOCAL EDUCATION AGENCY 1,787 36,708 188,246 $5,183,321.12 $27.53 $8.02 105.3 $2,900.57 INFANT TODDLER 227 330 808 $10,915.78 $13.51 $0.02 3.6 $48.09 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PRESCRIBED DRUGS 3,148 12,522 11,157 $1,309,812.27 $117.40 $32.53 3.5 $416.08 IOWA-PLAN-PMIC 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DRUG CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 NEMT SERVICES 9,469 9,985 8,559 $19,588.24 $2.29 $0.03 .9 $2.07 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 122 132 132 $14,383.87 $108.97 $0.02 1.1 $117.90 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EPSDT SCREENING 72 74 72 $115,178.86 $1,599.71 $12.44 1.0 $1,599.71 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 676 694 690 $2,902,522.34 $4,206.55 $4.49 1.0 $4,293.67 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,625 3,197 3,197 $385,906.79 $120.71 $0.60 2.0 $237.48 MEDICAL SUPPLIES 1,249 1,803 75,402 $126,857.04 $1.68 $3.15 60.4 $101.57 HEALTH HOME PROVIDER 121 146 134 $24,602.17 $183.60 $0.04 1.1 $203.32 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP QHP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MCO 597,265 632,555 631,371 $607,868,988.02 $962.78 $940.33 1.1 $1,017.75 IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (MONTHLY TOTALS AS OF 12/31/23) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED OTHER PRACTITIONER 4,300 21,306 78,845 $3,658,454.15 $46.40 $5.66 18.3 $850.80 FAMILY CENTERED PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DENTAL 77 88 88 $9,263.23 $105.26 $0.23 1.1 $120.30 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 208 233 273 $13,019.31 $47.69 $0.02 1.3 $62.59 CHIROPRACTIC 240 482 507 $7,345.25 $14.49 $0.18 2.1 $30.61 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 148 167 227 $4,922.96 $21.69 $0.01 1.5 $33.26 PREPAID AMBULATORY HEALTH PLAN 602,418 638,340 637,448 $8,613,721.31 $13.51 $13.32 1.1 $14.30 PHYSICAL DISABILITIES SVCS 4 13 855 $3,742.99 $4.38 $0.01 213.8 $935.75 BRAIN INJ WAIVER SERVICES 138 310 7,447 $530,341.80 $71.22 $0.82 54.0 $3,843.06 PSYCHIATRIC 450 671 787 $48,503.75 $61.63 $0.08 1.7 $107.79 RESIDENTIAL CARE FACILITY 206 215 5,596 $42,479.88 $7.59 $0.07 27.2 $206.21 ID WAIVER SERVICE 533 950 40,657 $253,624.07- $6.24- $30.72- 76.3 $475.84- CHILDRENS MENTAL HEALTH SVC 18 25 2,630 $11,446.24 $4.35 $23.80 146.1 $635.90 AIDS WAIVER SERVICES 1 1 1 $1,237.04 $1,237.04 $61.85 1.0 $1,237.04 ELDERLY WAIVER SERVICES 25 75 2,227 $44,219.52 $19.86 $10.83 89.1 $1,768.78 ILL & HANDICAPPED WAIVER SVCS 243 331 16,730 $629,230.44 $37.61 $433.95 68.8 $2,589.43 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 590 607 4,825 $311,695.00 $64.60 $0.48 8.2 $528.30 UNASSIGNED 2 0 0 $649,339.25- $0.00 $1.00- .0 $324,669.63- * A L L C A T E G O R I E S * 616,225 1,383,273 2,774,173 $654,295,789.75 $235.85 $1,012.15 4.5 $1,061.78 *** END OF REPORT ***