IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 12/31/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED INPATIENT 568 581 3,418 $14,508,949.82 $4,244.87 $23.28 6.0 $25,543.93 OUTPATIENT 4,670 7,404 1,351,447 $1,543,461.67 $1.14 $2.48 289.4 $330.51 CHILD PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT PART HOSP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 SKILLED NURSING FACILITY 34 29 545 $178,814.73 $328.10 $0.29 16.0 $5,259.26 IHAWP IOWA PLAN LITE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP IOWA PLAN FULL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP HMO 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP PCP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 INTERMEDIATE CARE FACILITY 272 308 8,749 $3,293,279.25 $376.42 $5.28 32.2 $12,107.64 INTER CARE INT DISABLED 17 39 1,101 $564,502.11 $512.72 $0.91 64.8 $33,206.01 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 713 1,036 550,258 $2,870,331.48 $5.22 $4.60 771.8 $4,025.71 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 12,121 12,812 50,413 $333,473.27 $6.61 $0.53 4.2 $27.51 CLINIC SERVICES 1,641 2,335 2,417 $6,162,535.41 $2,549.66 $9.89 1.5 $3,755.35 MEP CASE MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 LAB AND RADIOLOGICAL 745 1,209 4,791 $143,594.59 $29.97 $0.23 6.4 $192.74 HABILITATION SERVICES 36 103 1,378 $240,312.62 $174.39 $0.39 38.3 $6,675.35 BEHAVIORAL HLTH INTERVENTN SVC 35 83 542 $15,703.67 $28.97 $0.03 15.5 $448.68 REHAB SUPPORT SERVICES 2 1 21 $1,762.11 $83.91 $0.00 10.5 $881.06 AMBULANCE SERVICES 141 174 172 $27,999.82 $162.79 $0.04 1.2 $198.58 LOCAL EDUCATION AGENCY 2,147 41,930 185,400 $6,359,145.00 $34.30 $10.20 86.4 $2,961.87 INFANT TODDLER 451 1,446 2,889 $43,104.60 $14.92 $0.07 6.4 $95.58 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PRESCRIBED DRUGS 2,855 12,485 12,011 $1,472,700.38 $122.61 $35.49 4.2 $515.83 IOWA-PLAN-PMIC 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DRUG CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 NEMT SERVICES 8,232 8,786 7,341 $17,411.27 $2.37 $0.03 .9 $2.12 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 325 103 101 $1,823.67 $18.06 $0.00 .3 $5.61 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 EPSDT SCREENING 81 71 69 $157,709.42 $2,285.64 $16.62 .9 $1,947.03 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 714 714 714 $3,041,673.19 $4,260.05 $4.88 1.0 $4,260.05 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,569 3,612 3,612 $447,260.63 $123.83 $0.72 2.3 $285.06 MEDICAL SUPPLIES 1,376 2,507 90,314 $169,990.95 $1.88 $4.10 65.6 $123.54 HEALTH HOME PROVIDER 72 94 94 $17,877.58 $190.19 $0.03 1.3 $248.30 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 IHAWP QHP 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MCO 647,823 604,375 601,545 $604,218,894.37 $1,004.45 $969.35 .9 $932.69 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 12/31/24) * * * * * A V E R A G E S * * * * * * * COST PER COST PER UNITS PER COST PER CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL UNIT OF ELIGIBLE RECIPIENT RECIPIENT SERVED CLAIMS SERVICE PAYMENT SERVICE RECIPIENT SERVED SERVED OTHER PRACTITIONER 8,198 28,896 85,407 $4,961,268.54 $58.09 $7.96 10.4 $605.18 FAMILY CENTERED PROGRAM 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 DENTAL 104 129 129 $19,436.66 $150.67 $0.47 1.2 $186.89 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 334 188 237 $2,918.13 $12.31 $0.00 .7 $8.74 CHIROPRACTIC 224 424 447 $7,537.17 $16.86 $0.18 2.0 $33.65 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 502 294 585 $6,308.08- $10.78- $0.01- 1.2 $12.57- PREPAID AMBULATORY HEALTH PLAN 578,560 609,873 608,947 $8,999,437.68 $14.78 $14.44 1.1 $15.55 PHYSICAL DISABILITIES SVCS 6 8 468 $6,611.42 $14.13 $0.01 78.0 $1,101.90 BRAIN INJ WAIVER SERVICES 134 303 6,828 $561,967.85 $82.30 $0.90 51.0 $4,193.79 PSYCHIATRIC 578 806 991 $49,759.59 $50.21 $0.08 1.7 $86.09 RESIDENTIAL CARE FACILITY 199 237 6,386 $52,079.06 $8.16 $0.08 32.1 $261.70 ID WAIVER SERVICE 526 963 40,632 $2,884,630.54 $70.99 $0.00 77.2 $5,484.09 CHILDRENS MENTAL HEALTH SVC 23 41 4,883 $24,694.71 $5.06 $24,694.71 212.3 $1,073.68 AIDS WAIVER SERVICES 2 3 221 $2,195.64 $9.94 $0.00 110.5 $1,097.82 ELDERLY WAIVER SERVICES 28 79 1,626 $36,452.09 $22.42 $0.00 58.1 $1,301.86 ILL & HANDICAPPED WAIVER SVCS 250 348 15,855 $630,095.18 $39.74 $0.00 63.4 $2,520.38 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 521 558 4,325 $279,395.00 $64.60 $0.45 8.3 $536.27 UNASSIGNED 1 0 0 $2,016,435.57- $0.00 $3.23- .0 $0.00 * A L L C A T E G O R I E S * 668,973 1,345,387 3,657,309 $662,328,047.22 $181.10 $1,062.57 5.5 $990.07 *** END OF REPORT ***