IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/25/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS ADAIR 4 124 $47,019 1 26 $27,026 5 150 $74,045 AUDUBON 1 31 $11,159 0 0 $00 1 31 $11,159 BLACK HAWK 5 229 $60,488 1 31 $16,169 6 260 $76,657 BOONE 1 31 $6,866 1 31 $45,324 2 62 $52,191 BUENA VISTA 0 0 $00 1 0 $1,662 1 0 $1,662 CALHOUN 0 0 $00 2 31 $16,938 2 31 $16,938 CARROLL 1 0 $473- 0 0 $00 1 0 $473- CEDAR 1 9 $2,410 0 0 $00 1 9 $2,410 CERRO GORDO 4 164 $40,727 0 0 $00 4 164 $40,727 CHEROKEE 1 92 $17,143 0 0 $00 1 92 $17,143 CLINTON 1 31 $6,662 0 0 $00 1 31 $6,662 DALLAS 0 0 $00 3 77 $45,535 3 77 $45,535 DECATUR 1 30 $7,109 0 0 $00 1 30 $7,109 DELAWARE 1 31 $12,760 0 0 $00 1 31 $12,760 DES MOINES 1 91 $25,793 0 0 $00 1 91 $25,793 DUBUQUE 2 138 $24,738 0 0 $00 2 138 $24,738 FLOYD 1 31 $7,173 0 0 $00 1 31 $7,173 FRANKLIN 1 31 $7,161 0 0 $00 1 31 $7,161 FREMONT 3 90 $19,386 0 0 $00 3 90 $19,386 GRUNDY 0 0 $00 1 31 $17,336 1 31 $17,336 GUTHRIE 1 61 $14,183 0 0 $00 1 61 $14,183 HARDIN 2 61 $17,766 0 0 $00 2 61 $17,766 HARRISON 1 30 $7,404 0 0 $00 1 30 $7,404 HENRY 1 31 $13,793 0 0 $00 1 31 $13,793 IOWA 5 128 $45,998 0 0 $00 5 128 $45,998 JASPER 1 29 $14,597 2 0 $396 3 29 $14,993 JEFFERSON 1 0 $1,024 0 0 $00 1 0 $1,024 JOHNSON 1 31 $13,370 0 0 $00 1 31 $13,370 KEOKUK 2 47 $9,841 0 0 $00 2 47 $9,841 LEE 3 50 $21,736 0 0 $00 3 50 $21,736 LINN 3 157 $41,686 0 0 $00 3 157 $41,686 LUCAS 1 4 $883 0 0 $00 1 4 $883 LYON 1 31 $5,940 0 0 $00 1 31 $5,940 MADISON 1 31 $8,270 0 0 $00 1 31 $8,270 MAHASKA 1 37 $7,356 0 0 $00 1 37 $7,356 MARION 1 31 $6,678 0 0 $00 1 31 $6,678 MARSHALL 169 5,147 $2,053,238 0 0 $00 169 5,147 $2,053,238 MILLS 3 135 $33,468 0 0 $00 3 135 $33,468 MITCHELL 1 14 $4,133 0 0 $00 1 14 $4,133 MUSCATINE 2 60 $13,671 0 0 $00 2 60 $13,671 O BRIEN 0 0 $00 1 31 $14,966 1 31 $14,966 POLK 6 191 $52,368 3 60 $29,702 9 251 $82,071 POTTAWATTAMIE 14 371 $134,024 0 0 $00 14 371 $134,024 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/25/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SCOTT 1 39 $13,609 1 29 $14,803 2 68 $28,413 STORY 0 0 $00 3 28 $14,032 3 28 $14,032 TAMA 1 64 $12,252 0 0 $00 1 64 $12,252 UNION 1 31 $8,335 0 0 $00 1 31 $8,335 WAPELLO 1 92 $17,228 0 0 $00 1 92 $17,228 WEBSTER 0 0 $00 1 0 $4,802 1 0 $4,802 WOODBURY 8 404 $88,929 4 31 $35,776 12 435 $124,705 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 02/28/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 02/25/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS STATE TOTAL 262 8,460 $2,957,919 25 406 $284,474 287 8,866 $3,242,394 *** END OF REPORT ***