IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 02/28/25) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 3,827 4,401 23,717 $56,531,942.19 OUTPATIENT 19,061 55,271 9,729,993 $12,030,586.92 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 87 186 3,707 $3,034,187.73 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 615 2,404 69,051 $25,013,501.24 INTER CARE INT DISABLED 24 177 5,084 $2,776,039.89 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,820 7,909 2,221,313 $22,284,246.98 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 21,284 93,682 328,171 $6,011,933.73 CLINIC SERVICES 7,105 16,762 17,677 $42,284,240.08 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 3,847 8,604 31,120 $1,055,972.76 HABILITATION SERVICES 51 798 9,219 $1,391,629.74 BEHAVIORAL HLTH INTERVENTN SVC 75 949 7,267 $201,488.23 REHAB SUPPORT SERVICES 4 11 152 $14,074.08 AMBULANCE SERVICES 1,090 1,649 1,626 $580,735.49 LOCAL EDUCATION AGENCY 3,524 218,311 964,674 $31,460,569.76 INFANT TODDLER 813 4,180 8,355 $120,398.50 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 7,378 96,452 90,768 $10,507,652.73 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 18,087 71,543 63,543 $154,991.20 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 615 924 1,069 $98,743.72 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 577 570 549 $1,102,373.77 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 827 5,774 5,744 $24,537,963.50 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,815 27,133 27,133 $3,396,773.26 MEDICAL SUPPLIES 3,553 17,063 794,200 $1,345,442.37 HEALTH HOME PROVIDER 168 719 573 $108,144.54 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 812,248 4,850,369 4,835,901 $6,445,457,123.68 OTHER PRACTITIONER 15,642 139,581 487,722 $23,477,193.34 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/22/25 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 02/28/25) 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 680 1,052 1,041 $196,737.05 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,353 1,654 2,017 $97,348.19 CHIROPRACTIC 663 3,515 3,722 $60,261.93 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 907 1,898 3,214 $46,040.54 PREPAID AMBULATORY HEALTH PLAN 796,880 4,893,516 4,884,322 $73,615,560.07 PHYSICAL DISABILITIES SVCS 7 73 4,600 $52,841.19 BRAIN INJ WAIVER SERVICES 145 2,333 60,120 $4,540,254.20 PSYCHIATRIC 1,837 5,833 7,064 $455,579.97 RESIDENTIAL CARE FACILITY 376 2,414 66,946 $600,428.08 ID WAIVER SERVICE 601 7,917 363,376 $26,746,698.95 CHILDRENS MENTAL HEALTH SVC 38 238 29,642 $150,859.26 AIDS WAIVER SERVICES 2 25 2,187 $20,159.52 ELDERLY WAIVER SERVICES 32 595 14,800 $274,821.42 ILL & HANDICAPPED WAIVER SVCS 313 2,716 118,042 $4,903,821.81 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 610 4,662 37,695 $2,435,097.00 UNASSIGNED 7 0 0 $8,722,073.03- * A L L C A T E G O R I E S * 839,699 10,553,863 25,327,116 $6,820,452,385.58 *** END OF REPORT ***