IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 6 157 $57,949 0 0 $00 6 157 $57,949 AUDUBON 1 31 $11,781 0 0 $00 1 31 $11,781 BENTON 0 0 $00 1 31 $14,760 1 31 $14,760 BLACK HAWK 2 183 $50,673 1 31 $13,359 3 214 $64,033 BOONE 2 122 $33,618 1 31 $44,817 3 153 $78,435 BUTLER 1 30 $6,161 0 0 $00 1 30 $6,161 CARROLL 1 60 $18,389 0 0 $00 1 60 $18,389 CEDAR 2 101 $23,260 0 0 $00 2 101 $23,260 CHEROKEE 1 62 $11,414 0 0 $00 1 62 $11,414 CLINTON 1 31 $14,546 0 0 $00 1 31 $14,546 DECATUR 1 31 $6,061 0 0 $00 1 31 $6,061 DUBUQUE 2 86 $20,857 2 115 $56,008 4 201 $76,865 FAYETTE 1 99 $50,185 0 0 $00 1 99 $50,185 FRANKLIN 1 29 $7,726 0 0 $00 1 29 $7,726 GRUNDY 0 0 $00 1 31 $14,442 1 31 $14,442 GUTHRIE 1 31 $13,395 0 0 $00 1 31 $13,395 HARRISON 2 97 $24,031 0 0 $00 2 97 $24,031 HENRY 2 62 $25,890 0 0 $00 2 62 $25,890 IOWA 4 124 $52,002 0 0 $00 4 124 $52,002 JASPER 1 31 $15,741 1 31 $14,442 2 62 $30,184 JEFFERSON 1 5 $1,280 0 0 $00 1 5 $1,280 JOHNSON 2 62 $26,794 0 0 $00 2 62 $26,794 LEE 3 47 $16,336 0 0 $00 3 47 $16,336 LINN 5 215 $68,321 0 0 $00 5 215 $68,321 LUCAS 1 36 $10,667 0 0 $00 1 36 $10,667 LYON 1 31 $5,963 0 0 $00 1 31 $5,963 MARION 1 31 $8,755 0 0 $00 1 31 $8,755 MARSHALL 151 4,949 $2,068,823 0 0 $00 151 4,949 $2,068,823 MITCHELL 1 73 $21,360 0 0 $00 1 73 $21,360 O BRIEN 0 0 $00 1 29 $14,246 1 29 $14,246 PAGE 1 10 $2,325 0 0 $00 1 10 $2,325 POLK 3 154 $43,123 1 24 $37,417 4 178 $80,541 POTTAWATTAMIE 14 486 $173,932 0 0 $00 14 486 $173,932 SCOTT 1 14 $4,247 1 31 $14,702 2 45 $18,949 SHELBY 1 14 $00 0 0 $00 1 14 $00 STORY 0 0 $00 1 30 $14,420 1 30 $14,420 WAPELLO 2 96 $14,655 0 0 $00 2 96 $14,655 WARREN 2 24 $7,213 0 0 $00 2 24 $7,213 WAYNE 1 50 $9,323 0 0 $00 1 50 $9,323 WOODBURY 6 155 $40,175 5 154 $65,331 11 309 $105,507 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/22/24 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 229 7,819 $2,966,984 16 538 $303,951 245 8,357 $3,270,936 *** END OF REPORT ***