IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 5 133 $47,397 1 24 $13,038 6 157 $60,435 AUDUBON 1 31 $11,709 0 0 $00 1 31 $11,709 BENTON 0 0 $00 1 31 $14,991 1 31 $14,991 BLACK HAWK 1 31 $12,302 1 31 $13,505 2 62 $25,808 BOONE 1 30 $10,110 1 31 $43,580 2 61 $53,690 BREMER 1 30 $6,659 0 0 $00 1 30 $6,659 BUENA VISTA 0 0 $00 1 59 $27,464 1 59 $27,464 CALHOUN 2 40 $9,633 1 31 $14,588 3 71 $24,221 CERRO GORDO 1 31 $7,151 0 0 $00 1 31 $7,151 CLAY 2 56 $18,181 0 0 $00 2 56 $18,181 CLINTON 1 31 $14,546 0 0 $00 1 31 $14,546 DALLAS 2 152 $44,140 1 93 $48,798 3 245 $92,939 DELAWARE 1 31 $13,395 0 0 $00 1 31 $13,395 DUBUQUE 1 31 $5,289 2 148 $68,152 3 179 $73,442 FAYETTE 2 67 $26,478 0 0 $00 2 67 $26,478 FREMONT 2 122 $24,759 0 0 $00 2 122 $24,759 GREENE 1 30 $5,534 0 0 $00 1 30 $5,534 GRUNDY 0 0 $00 1 31 $14,588 1 31 $14,588 HARRISON 1 12 $3,603 0 0 $00 1 12 $3,603 HENRY 3 93 $33,735 0 0 $00 3 93 $33,735 IOWA 5 124 $50,770 0 0 $00 5 124 $50,770 JASPER 3 36 $16,892 0 0 $00 3 36 $16,892 JOHNSON 4 120 $44,979 0 0 $00 4 120 $44,979 LEE 2 31 $11,193 0 0 $00 2 31 $11,193 LINN 3 122 $36,299 0 0 $00 3 122 $36,299 LOUISA 1 90 $19,713 0 0 $00 1 90 $19,713 LUCAS 1 30 $6,531 0 0 $00 1 30 $6,531 LYON 1 31 $5,963 0 0 $00 1 31 $5,963 MAHASKA 2 83 $21,006 0 0 $00 2 83 $21,006 MARION 1 30 $7,650 0 0 $00 1 30 $7,650 MARSHALL 151 5,363 $2,287,062 0 0 $00 151 5,363 $2,287,062 MUSCATINE 2 108 $27,250 0 0 $00 2 108 $27,250 O BRIEN 0 0 $00 1 31 $14,711 1 31 $14,711 PAGE 1 30 $5,306 0 0 $00 1 30 $5,306 POLK 7 305 $94,015 2 59 $39,490 9 364 $133,505 POTTAWATTAMIE 16 552 $195,296 0 0 $00 16 552 $195,296 POWESHIEK 1 1 $00 0 0 $00 1 1 $00 SCOTT 2 47 $11,332 0 0 $00 2 47 $11,332 SIOUX 1 30 $8,256 0 0 $00 1 30 $8,256 STORY 1 360 $77,270 0 0 $00 1 360 $77,270 TAMA 1 47 $13,501 0 0 $00 1 47 $13,501 UNION 1 31 $8,374 0 0 $00 1 31 $8,374 WAPELLO 1 91 $19,063 0 0 $00 1 91 $19,063 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 WEBSTER 0 0 $00 1 31 $11,348 1 31 $11,348 WINNEBAGO 1 88 $13,433 0 0 $00 1 88 $13,433 WOODBURY 6 157 $40,391 2 124 $44,059 8 281 $84,450 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 09/30/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 09/28/24 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 243 8,858 $3,316,186 16 724 $368,318 259 9,582 $3,684,504 *** END OF REPORT ***