IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 05/31/24) * * * * * 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 826 840 3,593 $25,855,937.54 $7,196.20 $41.58 4.3 $31,302.59 OUTPATIENT 4,811 7,970 1,351,170 $1,846,125.40 $1.37 $2.97 280.9 $383.73 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 19 19 324 $208,790.26 $644.41 $0.34 17.1 $10,988.96 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 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 250 270 7,272 $13,990,093.24 $1,923.83 $22.50 29.1 $55,960.37 INTER CARE INT DISABLED 17 27 769 $397,065.17 $516.34 $0.64 45.2 $23,356.77 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 567 850 344,419 $2,129,830.97 $6.18 $3.43 607.4 $3,756.32 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,832 12,574 47,851 $1,034,574.16 $21.62 $1.66 8.2 $177.40 CLINIC SERVICES 1,385 1,865 1,931 $3,074,957.59 $1,592.42 $4.95 1.4 $2,220.19 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 794 1,209 3,640 $119,409.96 $32.80 $0.19 4.6 $150.39 HABILITATION SERVICES 30 65 843 $118,633.40 $140.73 $0.19 28.1 $3,954.45 BEHAVIORAL HLTH INTERVENTN SVC 38 157 1,001 $26,506.69 $26.48 $0.04 26.3 $697.54 REHAB SUPPORT SERVICES 3 3 66 $3,684.78 $55.83 $0.01 22.0 $1,228.26 AMBULANCE SERVICES 228 271 269 $195,091.46 $725.25 $0.31 1.2 $855.66 LOCAL EDUCATION AGENCY 2,407 50,882 341,310 $8,073,504.22 $23.65 $12.98 141.8 $3,354.18 INFANT TODDLER 315 579 1,158 $17,114.66 $14.78 $0.03 3.7 $54.33 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 2,912 12,125 10,851 $991,444.19 $91.37 $25.46 3.7 $340.47 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 8,835 9,540 8,388 $19,959.24 $2.38 $0.03 .9 $2.26 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 84 90 242 $10,175.78 $42.05 $0.02 2.9 $121.14 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 85 86 86 $171,270.49 $1,991.52 $19.43 1.0 $2,014.95 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 698 706 700 $2,922,262.23 $4,174.66 $4.70 1.0 $4,186.62 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,588 3,438 3,438 $458,506.60 $133.36 $0.74 2.2 $288.73 MEDICAL SUPPLIES 1,377 3,101 128,771 $220,073.54 $1.71 $5.65 93.5 $159.82 HEALTH HOME PROVIDER 93 108 86 $16,838.84 $195.80 $0.03 .9 $181.06 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 744,114 610,444 608,733 $651,355,265.08 $1,070.02 $1,047.49 .8 $875.34 IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/25/24 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 05/31/24) * * * * * 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 5,029 31,540 111,146 $5,761,868.23 $51.84 $9.27 22.1 $1,145.73 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 75 47 22 $5,920.07 $269.09 $0.15 .3 $78.93 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 183 198 245 $15,476.94 $63.17 $0.02 1.3 $84.57 CHIROPRACTIC 247 500 511 $5,255.78 $10.29 $0.13 2.1 $21.28 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 136 184 251 $7,258.43 $28.92 $0.01 1.8 $53.37 PREPAID AMBULATORY HEALTH PLAN 577,716 614,873 613,682 $8,870,587.73 $14.45 $14.27 1.1 $15.35 PHYSICAL DISABILITIES SVCS 8 7 143 $1,664.03 $11.64 $0.00 17.9 $208.00 BRAIN INJ WAIVER SERVICES 135 274 6,913 $521,048.31 $75.37 $0.84 51.2 $3,859.62 PSYCHIATRIC 434 785 907 $57,579.70 $63.48 $0.09 2.1 $132.67 RESIDENTIAL CARE FACILITY 227 273 7,675 $66,237.77 $8.63 $0.11 33.8 $291.80 ID WAIVER SERVICE 518 949 41,325 $2,683,637.11 $64.94 $1,524.79 79.8 $5,180.77 CHILDRENS MENTAL HEALTH SVC 19 24 2,449 $11,887.51 $4.85 $122.55 128.9 $625.66 AIDS WAIVER SERVICES 1 2 286 $1,242.42 $4.34 $414.14 286.0 $1,242.42 ELDERLY WAIVER SERVICES 25 64 1,834 $29,996.77 $16.36 $38.66 73.4 $1,199.87 ILL & HANDICAPPED WAIVER SVCS 239 316 12,907 $570,548.02 $44.20 $1,593.71 54.0 $2,387.23 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 552 611 5,154 $332,948.40 $64.60 $0.54 9.3 $603.17 UNASSIGNED 2 0 0 $10,715,835.39- $0.00 $17.23- .0 $0.00 * A L L C A T E G O R I E S * 761,015 1,367,866 3,672,361 $721,484,437.32 $196.46 $1,160.27 4.8 $948.06 *** END OF REPORT ***