IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 5 150 $54,978 1 56 $26,575 6 206 $81,554 ADAMS 1 18 $2,934 0 0 $00 1 18 $2,934 AUDUBON 1 30 $11,273 0 0 $00 1 30 $11,273 BENTON 0 0 $00 1 89 $43,152 1 89 $43,152 BLACK HAWK 3 197 $66,509 1 30 $12,893 4 227 $79,403 BOONE 0 0 $00 1 30 $43,351 1 30 $43,351 BREMER 2 123 $30,967 0 0 $00 2 123 $30,967 BUENA VISTA 1 0 $773 0 0 $00 1 0 $773 CHICKASAW 2 120 $28,789 0 0 $00 2 120 $28,789 CLINTON 1 30 $14,038 0 0 $00 1 30 $14,038 DALLAS 1 91 $25,458 0 0 $00 1 91 $25,458 DELAWARE 1 30 $12,888 0 0 $00 1 30 $12,888 DES MOINES 1 8 $1,932 0 0 $00 1 8 $1,932 DUBUQUE 3 96 $15,266 1 26 $13,511 4 122 $28,777 FAYETTE 1 30 $15,233 0 0 $00 1 30 $15,233 FRANKLIN 1 0 $1,069 0 0 $00 1 0 $1,069 GRUNDY 0 0 $00 1 30 $13,976 1 30 $13,976 HENRY 4 154 $46,114 0 0 $00 4 154 $46,114 IOWA 5 150 $64,239 0 0 $00 5 150 $64,239 JASPER 2 51 $26,963 1 30 $13,976 3 81 $40,940 JOHNSON 2 30 $13,658 0 0 $00 2 30 $13,658 LEE 2 61 $19,003 0 0 $00 2 61 $19,003 LINN 2 120 $57,080 0 0 $00 2 120 $57,080 LYON 2 113 $19,056 0 0 $00 2 113 $19,056 MARION 1 30 $8,472 0 0 $00 1 30 $8,472 MARSHALL 157 4,460 $1,819,834 0 0 $00 157 4,460 $1,819,834 MITCHELL 1 91 $22,808 0 0 $00 1 91 $22,808 MONROE 1 60 $14,425 0 0 $00 1 60 $14,425 MUSCATINE 2 152 $38,440 0 0 $00 2 152 $38,440 O BRIEN 0 0 $00 1 30 $13,958 1 30 $13,958 POLK 8 160 $43,082 1 30 $24,162 9 190 $67,245 POTTAWATTAMIE 13 611 $217,419 0 0 $00 13 611 $217,419 POWESHIEK 2 46 $7,455 0 0 $00 2 46 $7,455 SCOTT 1 29 $7,609 0 0 $00 1 29 $7,609 SHELBY 1 21 $00 0 0 $00 1 21 $00 STORY 0 0 $00 1 28 $13,932 1 28 $13,932 UNION 1 61 $16,479 0 0 $00 1 61 $16,479 WAPELLO 1 30 $15,233 0 0 $00 1 30 $15,233 WAYNE 1 1 $00 0 0 $00 1 1 $00 WOODBURY 8 176 $42,771 3 90 $35,866 11 266 $78,638 WRIGHT 1 23 $5,479 0 0 $00 1 23 $5,479 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 07/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 07/27/24 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 242 7,553 $2,787,742 13 469 $255,358 255 8,022 $3,043,100 *** END OF REPORT ***