IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/28/24 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 12/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 3,019 3,418 18,640 $41,773,698.53 OUTPATIENT 16,681 42,564 7,142,860 $9,176,619.37 CHILD PART HOSP 0 0 0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 ADULT PART HOSP 0 0 0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 SKILLED NURSING FACILITY 69 139 2,700 $2,244,851.31 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 IHAWP HMO 0 0 0 $0.00 IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 516 1,783 51,090 $19,087,454.09 INTER CARE INT DISABLED 23 133 3,810 $1,881,289.00 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,574 5,925 1,548,376 $16,125,010.54 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 18,557 72,811 260,364 $4,466,502.71 CLINIC SERVICES 5,907 13,230 13,794 $33,471,962.67 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 3,146 6,707 24,410 $831,252.24 HABILITATION SERVICES 46 607 7,368 $1,088,196.53 BEHAVIORAL HLTH INTERVENTN SVC 66 725 5,565 $148,994.66 REHAB SUPPORT SERVICES 4 11 152 $14,074.08 AMBULANCE SERVICES 851 1,230 1,209 $475,717.41 LOCAL EDUCATION AGENCY 3,118 139,080 605,585 $19,627,230.45 INFANT TODDLER 600 2,806 5,925 $88,059.68 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 6,346 72,716 68,740 $8,337,333.16 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 16,085 53,772 47,187 $114,477.88 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 508 719 713 $74,016.11 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 EPSDT SCREENING 468 464 449 $892,374.85 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 783 4,330 4,320 $18,205,154.90 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,766 20,687 20,687 $2,589,585.78 MEDICAL SUPPLIES 3,185 13,543 630,540 $1,039,922.76 HEALTH HOME PROVIDER 162 553 408 $77,140.74 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 793,038 3,635,159 3,623,955 $4,821,261,637.90 OTHER PRACTITIONER 13,160 89,631 332,488 $14,666,025.76 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 12/31/24 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/28/24 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 12/31/24) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT FAMILY CENTERED PROGRAM 0 0 0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 DENTAL 427 607 597 $94,061.85 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,066 1,240 1,513 $65,149.25 CHIROPRACTIC 582 2,694 2,852 $42,113.51 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 809 1,491 2,506 $33,677.11 PREPAID AMBULATORY HEALTH PLAN 777,003 3,668,022 3,660,031 $55,540,435.73 PHYSICAL DISABILITIES SVCS 7 57 3,664 $35,383.95 BRAIN INJ WAIVER SERVICES 145 1,765 48,331 $3,471,487.26 PSYCHIATRIC 1,547 4,348 5,224 $327,962.02 RESIDENTIAL CARE FACILITY 324 1,540 42,107 $386,620.58 ID WAIVER SERVICE 594 6,070 286,482 $21,026,783.84 CHILDRENS MENTAL HEALTH SVC 36 194 24,640 $124,638.76 AIDS WAIVER SERVICES 2 19 1,621 $14,788.48 ELDERLY WAIVER SERVICES 31 441 10,252 $194,315.58 ILL & HANDICAPPED WAIVER SVCS 293 2,044 96,563 $3,760,159.63 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 595 3,523 28,032 $1,810,867.20 UNASSIGNED 6 0 0 $8,822,185.13- * A L L C A T E G O R I E S * 819,018 7,876,798 18,635,750 $5,095,864,842.73 *** END OF REPORT ***