IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 5 148 $52,789 1 28 $14,476 6 176 $67,266 AUDUBON 1 30 $11,302 0 0 $00 1 30 $11,302 BENTON 0 0 $00 1 30 $14,508 1 30 $14,508 BLACK HAWK 3 150 $43,945 1 30 $13,066 4 180 $57,012 BOONE 0 0 $00 1 30 $42,136 1 30 $42,136 BUTLER 1 54 $11,909 0 0 $00 1 54 $11,909 CALHOUN 0 0 $00 1 30 $14,118 1 30 $14,118 CASS 1 31 $8,292 0 0 $00 1 31 $8,292 CERRO GORDO 1 33 $9,070 0 0 $00 1 33 $9,070 CLINTON 1 30 $14,038 0 0 $00 1 30 $14,038 DALLAS 0 0 $00 1 27 $14,051 1 27 $14,051 DELAWARE 1 30 $12,888 0 0 $00 1 30 $12,888 FAYETTE 1 30 $15,233 0 0 $00 1 30 $15,233 FREMONT 1 61 $12,857 0 0 $00 1 61 $12,857 GRUNDY 0 0 $00 1 30 $14,118 1 30 $14,118 GUTHRIE 2 122 $25,031 0 0 $00 2 122 $25,031 HARRISON 2 29 $8,175 0 0 $00 2 29 $8,175 HENRY 2 34 $14,756 0 0 $00 2 34 $14,756 IOWA 4 120 $49,971 0 0 $00 4 120 $49,971 JASPER 1 28 $14,644 0 0 $00 1 28 $14,644 JOHNSON 1 30 $13,481 0 0 $00 1 30 $13,481 LEE 2 56 $30,037 0 0 $00 2 56 $30,037 LINN 4 274 $80,151 0 0 $00 4 274 $80,151 LUCAS 1 0 $175- 0 0 $00 1 0 $175- LYON 1 30 $5,746 0 0 $00 1 30 $5,746 MAHASKA 1 18 $5,651 0 0 $00 1 18 $5,651 MARION 1 30 $7,650 0 0 $00 1 30 $7,650 MARSHALL 157 5,276 $2,243,445 0 0 $00 157 5,276 $2,243,445 MITCHELL 1 30- $7,020- 0 0 $00 1 30- $7,020- MUSCATINE 1 30 $7,766 0 0 $00 1 30 $7,766 O BRIEN 0 0 $00 1 30 $14,236 1 30 $14,236 PLYMOUTH 1 20 $3,815 0 0 $00 1 20 $3,815 POLK 8 399 $132,323 2 56 $38,191 10 455 $170,514 POTTAWATTAMIE 13 591 $174,675 0 0 $00 13 591 $174,675 POWESHIEK 1 31 $8,462 0 0 $00 1 31 $8,462 SAC 1 0 $00 0 0 $00 1 0 $00 SCOTT 4 216 $57,566 1 24 $12,732 5 240 $70,298 TAMA 1 30 $8,618 0 0 $00 1 30 $8,618 UNION 1 30 $8,104 0 0 $00 1 30 $8,104 WAPELLO 2 121 $20,361 0 0 $00 2 121 $20,361 WEBSTER 1 31 $5,753 0 0 $00 1 31 $5,753 WOODBURY 5 150 $38,997 0 0 $00 5 150 $38,997 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 10/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 10/26/24 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 235 8,263 $3,150,322 11 315 $191,635 246 8,578 $3,341,958 *** END OF REPORT ***