IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 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 01/31/25) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 3,406 3,895 21,179 $48,962,613.17 OUTPATIENT 17,844 48,567 8,299,774 $10,570,687.73 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 80 163 3,241 $2,821,843.56 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 564 2,093 60,194 $22,631,604.00 INTER CARE INT DISABLED 24 163 4,678 $2,352,530.68 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,698 6,851 1,778,365 $19,180,480.46 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 19,882 82,358 292,977 $5,056,709.33 CLINIC SERVICES 6,468 14,869 15,831 $38,571,169.83 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 3,485 7,582 27,401 $933,974.77 HABILITATION SERVICES 48 704 8,290 $1,208,617.59 BEHAVIORAL HLTH INTERVENTN SVC 72 857 6,608 $180,611.03 REHAB SUPPORT SERVICES 4 11 152 $14,074.08 AMBULANCE SERVICES 926 1,357 1,335 $497,899.80 LOCAL EDUCATION AGENCY 3,334 176,099 787,517 $24,842,121.59 INFANT TODDLER 640 3,031 6,347 $94,905.77 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 6,849 84,136 79,847 $9,651,529.44 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 17,177 62,693 55,442 $135,288.30 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 565 826 971 $87,565.75 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 512 507 490 $972,927.21 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 812 5,050 5,020 $21,451,883.68 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,777 24,110 24,110 $3,035,204.14 MEDICAL SUPPLIES 3,365 15,324 709,500 $1,176,195.32 HEALTH HOME PROVIDER 166 643 497 $93,812.80 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 803,254 4,243,434 4,230,381 $5,770,255,262.89 OTHER PRACTITIONER 14,268 111,620 399,032 $18,748,278.36 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 01/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 01/25/25 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 01/31/25) 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 486 702 692 $106,560.65 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,189 1,419 1,724 $80,022.12 CHIROPRACTIC 619 3,079 3,260 $49,820.34 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 852 1,684 2,841 $39,939.16 PREPAID AMBULATORY HEALTH PLAN 787,647 4,281,246 4,272,637 $64,584,824.15 PHYSICAL DISABILITIES SVCS 7 65 4,132 $43,057.97 BRAIN INJ WAIVER SERVICES 145 2,046 53,452 $3,985,251.00 PSYCHIATRIC 1,684 5,019 6,078 $381,826.67 RESIDENTIAL CARE FACILITY 362 2,089 57,745 $514,705.34 ID WAIVER SERVICE 598 6,939 324,048 $23,897,238.53 CHILDRENS MENTAL HEALTH SVC 37 216 26,733 $135,946.45 AIDS WAIVER SERVICES 2 22 1,888 $17,419.02 ELDERLY WAIVER SERVICES 31 517 12,861 $230,937.67 ILL & HANDICAPPED WAIVER SVCS 295 2,373 106,205 $4,375,296.93 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 603 4,074 32,593 $2,105,507.80 UNASSIGNED 7 0 0 $8,977,953.10- * A L L C A T E G O R I E S * 829,916 9,208,433 21,726,068 $6,095,098,191.98 *** END OF REPORT ***