IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 03/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/29/25 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 4 108 $40,024 1 27 $13,373 5 135 $53,397 APPANOOSE 2 62 $15,434 0 0 $00 2 62 $15,434 AUDUBON 1 28 $9,597 0 0 $00 1 28 $9,597 BENTON 2 14 $8,078 0 0 $00 2 14 $8,078 BLACK HAWK 7 236 $61,222 1 28 $12,541 8 264 $73,764 BOONE 1 91 $15,428 1 28 $41,057 2 119 $56,485 CALHOUN 0 0 $00 1 28 $13,534 1 28 $13,534 CERRO GORDO 1 30 $7,198 0 0 $00 1 30 $7,198 CHICKASAW 1 7 $2,148 0 0 $00 1 7 $2,148 DALLAS 1 92 $29,855 3 86 $42,008 4 178 $71,864 DECATUR 1 47 $12,626 0 0 $00 1 47 $12,626 DELAWARE 1 28 $11,293 0 0 $00 1 28 $11,293 DES MOINES 1 30 $8,620 0 0 $00 1 30 $8,620 DICKINSON 1 5 $166 0 0 $00 1 5 $166 DUBUQUE 1 28 $4,777 3 162 $79,547 4 190 $84,325 EMMET 1 52 $11,240 0 0 $00 1 52 $11,240 FAYETTE 1 60 $18,271 0 0 $00 1 60 $18,271 FRANKLIN 1 45 $12,310 0 0 $00 1 45 $12,310 FREMONT 1 0 $2,260 0 0 $00 1 0 $2,260 GRUNDY 0 0 $00 1 28 $13,534 1 28 $13,534 HARDIN 1 28 $16,045 0 0 $00 1 28 $16,045 HARRISON 1 28 $8,407 0 0 $00 1 28 $8,407 HENRY 5 138 $36,162 0 0 $00 5 138 $36,162 IOWA 4 176 $56,099 0 0 $00 4 176 $56,099 JASPER 2 54 $19,516 0 0 $00 2 54 $19,516 JEFFERSON 1 52 $11,032 0 0 $00 1 52 $11,032 JOHNSON 2 28 $12,165 0 0 $00 2 28 $12,165 LEE 1 28 $8,928 0 0 $00 1 28 $8,928 LINN 1 0 $34- 0 0 $00 1 0 $34- LYON 1 28 $5,291 0 0 $00 1 28 $5,291 MARION 2 123 $30,049 0 0 $00 2 123 $30,049 MARSHALL 160 4,676 $1,790,667 0 0 $00 160 4,676 $1,790,667 MONONA 1 63 $16,041 0 0 $00 1 63 $16,041 MUSCATINE 1 92 $20,545 0 0 $00 1 92 $20,545 O BRIEN 0 0 $00 1 28 $13,518 1 28 $13,518 PAGE 1 31 $8,113 0 0 $00 1 31 $8,113 POLK 8 265 $69,873 1 28 $20,969 9 293 $90,843 POTTAWATTAMIE 18 558 $191,258 0 0 $00 18 558 $191,258 SCOTT 6 229 $65,664 1 28 $13,536 7 257 $79,200 SIOUX 2 104 $19,566 0 0 $00 2 104 $19,566 STORY 0 0 $00 2 167 $86,808 2 167 $86,808 WEBSTER 1 30 $7,084 0 0 $00 1 30 $7,084 WINNEBAGO 1 92 $18,985 0 0 $00 1 92 $18,985 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 03/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/29/25 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 WOODBURY 7 179 $60,100 1 28 $20,037 8 207 $80,138 WRIGHT 1 90 $17,970 0 0 $00 1 90 $17,970 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 03/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/29/25 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 257 8,055 $2,760,089 17 666 $370,467 274 8,721 $3,130,557 *** END OF REPORT ***