IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 5 152 $56,406 2 109 $52,253 7 261 $108,659 APPANOOSE 1 20 $3,321 0 0 $00 1 20 $3,321 AUDUBON 1 31 $11,770 0 0 $00 1 31 $11,770 BENTON 0 0 $00 1 30 $14,900 1 30 $14,900 BLACK HAWK 2 62 $17,757 1 31 $13,505 3 93 $31,263 BOONE 2 53 $17,316 1 31 $43,520 3 84 $60,837 CLARKE 1 31 $6,238 0 0 $00 1 31 $6,238 CLINTON 1 31 $14,546 0 0 $00 1 31 $14,546 CRAWFORD 1 91 $24,406 0 0 $00 1 91 $24,406 DALLAS 0 0 $00 1 27 $14,499 1 27 $14,499 DELAWARE 1 31 $13,395 0 0 $00 1 31 $13,395 DUBUQUE 2 122 $33,253 0 0 $00 2 122 $33,253 FAYETTE 2 89 $29,431 0 0 $00 2 89 $29,431 GRUNDY 1 16 $2,055 1 31 $14,588 2 47 $16,643 HAMILTON 1 5 $1,400 0 0 $00 1 5 $1,400 HENRY 3 123 $42,293 0 0 $00 3 123 $42,293 IOWA 5 155 $65,590 0 0 $00 5 155 $65,590 JASPER 1 27 $14,563 2 56 $27,591 3 83 $42,154 JOHNSON 2 31 $14,166 0 0 $00 2 31 $14,166 KOSSUTH 1 21 $3,824 0 0 $00 1 21 $3,824 LEE 1 31 $11,193 0 0 $00 1 31 $11,193 LINN 4 65 $21,045 0 0 $00 4 65 $21,045 LYON 1 31 $5,963 0 0 $00 1 31 $5,963 MARION 1 31 $7,905 0 0 $00 1 31 $7,905 MARSHALL 164 5,206 $2,152,551 0 0 $00 164 5,206 $2,152,551 MITCHELL 1 30 $7,020 0 0 $00 1 30 $7,020 MUSCATINE 2 71 $11,592 0 0 $00 2 71 $11,592 O BRIEN 0 0 $00 1 31 $14,711 1 31 $14,711 PLYMOUTH 1 36 $5,867 0 0 $00 1 36 $5,867 POLK 5 109 $34,261 1 31 $24,968 6 140 $59,229 POTTAWATTAMIE 20 811 $296,725 0 0 $00 20 811 $296,725 POWESHIEK 1 31 $8,093 0 0 $00 1 31 $8,093 SCOTT 4 302 $83,761 0 0 $00 4 302 $83,761 STORY 0 0 $00 1 28 $14,521 1 28 $14,521 TAYLOR 1 0 $00 0 0 $00 1 0 $00 UNION 1 31 $8,374 0 0 $00 1 31 $8,374 WARREN 1 31 $9,880 0 0 $00 1 31 $9,880 WASHINGTON 1 30 $3,029 0 0 $00 1 30 $3,029 WINNEBAGO 1 25 $4,751 0 0 $00 1 25 $4,751 WOODBURY 5 155 $40,391 1 30 $13,794 6 185 $54,185 WORTH 1 31 $4,590 0 0 $00 1 31 $4,590 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 08/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 08/24/24 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 249 8,148 $3,088,739 13 435 $248,854 262 8,583 $3,337,594 *** END OF REPORT ***