IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 02/28/25) * * * * * 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 528 506 2,538 $7,569,329.02 $2,982.40 $12.11 4.8 $14,335.85 OUTPATIENT 4,524 6,704 1,430,219 $1,459,899.19 $1.02 $2.34 316.1 $322.70 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 25 23 466 $212,344.17 $455.67 $0.34 18.6 $8,493.77 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 263 311 8,857 $2,381,897.24 $268.93 $3.81 33.7 $9,056.64 INTER CARE INT DISABLED 20 14 406 $423,509.21 $1,043.13 $0.68 20.3 $21,175.46 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 693 1,058 442,948 $3,103,766.52 $7.01 $4.97 639.2 $4,478.74 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,450 11,324 35,194 $955,224.40 $27.14 $1.53 6.5 $175.27 CLINIC SERVICES 1,420 1,893 1,846 $3,713,070.25 $2,011.41 $5.94 1.3 $2,614.84 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 684 1,022 3,719 $121,997.99 $32.80 $0.20 5.4 $178.36 HABILITATION SERVICES 37 94 929 $183,012.15 $197.00 $0.29 25.1 $4,946.27 BEHAVIORAL HLTH INTERVENTN SVC 35 92 659 $20,877.20 $31.68 $0.03 18.8 $596.49 REHAB SUPPORT SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 AMBULANCE SERVICES 226 292 291 $82,835.69 $284.66 $0.13 1.3 $366.53 LOCAL EDUCATION AGENCY 2,242 42,212 177,157 $6,618,448.17 $37.36 $10.59 79.0 $2,952.03 INFANT TODDLER 493 1,149 2,008 $25,492.73 $12.70 $0.04 4.1 $51.71 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 2,920 12,316 10,921 $856,123.29 $78.39 $23.30 3.7 $293.19 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 8,235 8,850 8,101 $19,702.90 $2.43 $0.03 1.0 $2.39 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 93 98 98 $11,177.97 $114.06 $0.02 1.1 $120.19 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 69 63 59 $129,446.56 $2,194.01 $17.97 .9 $1,876.04 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 725 724 724 $3,086,079.82 $4,262.54 $4.94 1.0 $4,256.66 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,490 3,023 3,023 $361,569.12 $119.61 $0.58 2.0 $242.66 MEDICAL SUPPLIES 1,133 1,739 84,700 $169,247.05 $2.00 $4.61 74.8 $149.38 HEALTH HOME PROVIDER 61 76 76 $14,331.74 $188.58 $0.02 1.2 $234.95 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 620,752 606,935 605,520 $675,201,860.79 $1,115.08 $1,080.17 1.0 $1,087.72 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 02/28/25) * * * * * 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 5,297 27,961 88,690 $4,728,914.98 $53.32 $7.57 16.7 $892.75 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 218 350 349 $90,176.40 $258.39 $2.45 1.6 $413.65 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 210 235 293 $17,326.07 $59.13 $0.03 1.4 $82.51 CHIROPRACTIC 200 436 462 $10,441.59 $22.60 $0.28 2.3 $52.21 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 164 214 373 $6,101.38 $16.36 $0.01 2.3 $37.20 PREPAID AMBULATORY HEALTH PLAN 581,732 612,270 611,685 $9,030,735.92 $14.76 $14.45 1.1 $15.52 PHYSICAL DISABILITIES SVCS 7 8 468 $9,783.22 $20.90 $0.02 66.9 $1,397.60 BRAIN INJ WAIVER SERVICES 133 287 6,668 $555,003.20 $83.23 $0.89 50.1 $4,172.96 PSYCHIATRIC 478 814 986 $73,753.30 $74.80 $0.12 2.1 $154.30 RESIDENTIAL CARE FACILITY 248 325 9,201 $85,722.74 $9.32 $0.14 37.1 $345.66 ID WAIVER SERVICE 518 978 39,328 $2,849,460.42 $72.45 $0.00 75.9 $5,500.89 CHILDRENS MENTAL HEALTH SVC 21 22 2,909 $14,912.81 $5.13 $14,912.81 138.5 $710.13 AIDS WAIVER SERVICES 2 3 299 $2,740.50 $9.17 $0.00 149.5 $1,370.25 ELDERLY WAIVER SERVICES 27 78 1,939 $43,883.75 $22.63 $0.00 71.8 $1,625.32 ILL & HANDICAPPED WAIVER SVCS 272 343 11,837 $528,524.88 $44.65 $0.00 43.5 $1,943.11 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 537 588 5,102 $329,589.20 $64.60 $0.53 9.5 $613.76 UNASSIGNED 1 0 0 $255,880.07 $0.00 $0.41 .0 $255,880.07 * A L L C A T E G O R I E S * 638,282 1,345,430 3,601,048 $725,354,193.60 $201.43 $1,160.40 5.6 $1,136.42 *** END OF REPORT ***