IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 01/31/25) * * * * * 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 481 477 2,539 $7,188,914.64 $2,831.40 $11.55 5.3 $14,945.77 OUTPATIENT 4,167 6,003 1,156,914 $1,394,068.36 $1.20 $2.24 277.6 $334.55 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 24 24 541 $576,992.25 $1,066.53 $0.93 22.5 $24,041.34 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 257 310 9,104 $3,544,149.91 $389.30 $5.69 35.4 $13,790.47 INTER CARE INT DISABLED 19 30 868 $471,241.68 $542.91 $0.76 45.7 $24,802.19 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 664 926 229,989 $3,055,469.92 $13.29 $4.91 346.4 $4,601.61 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 4,802 9,547 32,613 $590,206.62 $18.10 $0.95 6.8 $122.91 CLINIC SERVICES 1,260 1,639 2,037 $5,099,207.16 $2,503.29 $8.19 1.6 $4,046.99 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 584 875 2,991 $102,722.53 $34.34 $0.16 5.1 $175.89 HABILITATION SERVICES 35 97 922 $120,421.06 $130.61 $0.19 26.3 $3,440.60 BEHAVIORAL HLTH INTERVENTN SVC 45 132 1,043 $31,616.37 $30.31 $0.05 23.2 $702.59 REHAB SUPPORT SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 AMBULANCE SERVICES 113 127 126 $22,182.39 $176.05 $0.04 1.1 $196.30 LOCAL EDUCATION AGENCY 2,176 37,019 181,932 $5,214,891.14 $28.66 $8.38 83.6 $2,396.55 INFANT TODDLER 153 225 422 $6,846.09 $16.22 $0.01 2.8 $44.75 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 2,790 11,420 11,107 $1,314,196.28 $118.32 $36.15 4.0 $471.04 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 8,293 8,921 8,255 $20,810.42 $2.52 $0.03 1.0 $2.51 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 98 107 258 $13,549.64 $52.52 $0.02 2.6 $138.26 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 49 43 41 $80,552.36 $1,964.69 $11.49 .8 $1,643.93 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 807 720 700 $3,246,728.78 $4,638.18 $5.21 .9 $4,023.21 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,532 3,423 3,423 $445,618.36 $130.18 $0.72 2.2 $290.87 MEDICAL SUPPLIES 1,159 1,781 78,960 $136,272.56 $1.73 $3.75 68.1 $117.58 HEALTH HOME PROVIDER 73 90 89 $16,672.06 $187.33 $0.03 1.2 $228.38 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 635,848 608,275 606,426 $948,993,624.99 $1,564.90 $1,524.16 1.0 $1,492.49 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 01/31/25) * * * * * 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 4,699 21,989 66,544 $4,082,252.60 $61.35 $6.56 14.2 $868.75 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 82 95 95 $12,498.80 $131.57 $0.34 1.2 $152.42 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 157 179 211 $14,872.87 $70.49 $0.02 1.3 $94.73 CHIROPRACTIC 208 385 408 $7,706.83 $18.89 $0.21 2.0 $37.05 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 142 193 335 $6,262.05 $18.69 $0.01 2.4 $44.10 PREPAID AMBULATORY HEALTH PLAN 580,053 613,224 612,606 $9,044,388.42 $14.76 $14.53 1.1 $15.59 PHYSICAL DISABILITIES SVCS 7 8 468 $7,674.02 $16.40 $0.01 66.9 $1,096.29 BRAIN INJ WAIVER SERVICES 133 281 5,121 $513,763.74 $100.32 $0.83 38.5 $3,862.89 PSYCHIATRIC 387 671 854 $53,864.65 $63.07 $0.09 2.2 $139.19 RESIDENTIAL CARE FACILITY 255 549 15,638 $128,084.76 $8.19 $0.21 61.3 $502.29 ID WAIVER SERVICE 502 869 37,566 $2,870,454.69 $76.41 $0.00 74.8 $5,718.04 CHILDRENS MENTAL HEALTH SVC 18 22 2,093 $11,307.69 $5.40 $11,307.69 116.3 $628.21 AIDS WAIVER SERVICES 2 3 267 $2,630.54 $9.85 $0.00 133.5 $1,315.27 ELDERLY WAIVER SERVICES 26 76 2,609 $36,622.09 $14.04 $0.00 100.3 $1,408.54 ILL & HANDICAPPED WAIVER SVCS 238 329 9,642 $615,137.30 $63.80 $0.00 40.5 $2,584.61 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 529 551 4,561 $294,640.60 $64.60 $0.47 8.6 $556.98 UNASSIGNED 2 0 0 $155,767.97- $0.00 $0.25- .0 $77,883.99- * A L L C A T E G O R I E S * 652,643 1,331,635 3,090,318 $999,233,349.25 $323.34 $1,604.85 4.7 $1,531.06 *** END OF REPORT ***