IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 03/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/29/25 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 03/31/25) * * * * * 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 1,027 1,045 5,647 $11,256,417.57 $1,993.34 $18.06 5.5 $10,960.48 OUTPATIENT 6,066 9,878 1,791,316 $2,614,839.63 $1.46 $4.20 295.3 $431.06 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 32 41 770 $208,185.81 $270.37 $0.33 24.1 $6,505.81 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 260 302 8,083 $2,609,236.92 $322.81 $4.19 31.1 $10,035.53 INTER CARE INT DISABLED 18 25 666 $370,529.55 $556.35 $0.59 37.0 $20,584.98 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 765 1,236 237,727 $3,008,234.60 $12.65 $4.83 310.8 $3,932.33 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 7,138 15,754 60,548 $1,311,504.78 $21.66 $2.10 8.5 $183.74 CLINIC SERVICES 1,907 2,710 2,731 $7,981,078.11 $2,922.40 $12.81 1.4 $4,185.15 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 707 1,114 4,257 $116,664.16 $27.41 $0.19 6.0 $165.01 HABILITATION SERVICES 41 245 2,317 $212,321.50 $91.64 $0.34 56.5 $5,178.57 BEHAVIORAL HLTH INTERVENTN SVC 38 164 1,120 $41,908.96 $37.42 $0.07 29.5 $1,102.87 REHAB SUPPORT SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 AMBULANCE SERVICES 319 452 449 $271,470.48 $604.61 $0.44 1.4 $851.00 LOCAL EDUCATION AGENCY 2,686 55,830 246,548 $7,288,400.41 $29.56 $11.70 91.8 $2,713.48 INFANT TODDLER 243 425 689 $10,081.61 $14.63 $0.02 2.8 $41.49 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 3,306 16,423 12,649 $1,520,254.64 $120.19 $37.05 3.8 $459.85 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 8,076 8,742 8,095 $19,686.70 $2.43 $0.03 1.0 $2.44 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 92 103 103 $10,897.18 $105.80 $0.02 1.1 $118.45 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 125 123 121 $260,293.53 $2,151.19 $26.39 1.0 $2,082.35 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 732 732 732 $3,119,930.32 $4,262.20 $5.01 1.0 $4,262.20 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,514 3,240 3,240 $414,165.68 $127.83 $0.66 2.1 $273.56 MEDICAL SUPPLIES 1,443 2,780 144,500 $260,724.83 $1.80 $6.35 100.1 $180.68 HEALTH HOME PROVIDER 62 78 78 $14,903.24 $191.07 $0.02 1.3 $240.37 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 581,046 605,035 603,979 $525,886,553.17 $870.70 $843.91 1.0 $905.07 IAMM2200-R002 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 03/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 03/29/25 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 03/31/25) * * * * * 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 5,699 38,587 107,957 $6,554,659.60 $60.72 $10.52 18.9 $1,150.14 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 137 198 198 $46,260.85 $233.64 $1.13 1.4 $337.67 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 221 250 309 $14,503.70 $46.94 $0.02 1.4 $65.63 CHIROPRACTIC 227 435 455 $9,510.30 $20.90 $0.23 2.0 $41.90 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 239 346 545 $14,516.15 $26.64 $0.02 2.3 $60.74 PREPAID AMBULATORY HEALTH PLAN 577,110 609,891 609,362 $9,002,245.23 $14.77 $14.45 1.1 $15.60 PHYSICAL DISABILITIES SVCS 7 9 469 $7,710.75 $16.44 $0.01 67.0 $1,101.54 BRAIN INJ WAIVER SERVICES 135 333 10,193 $641,216.94 $62.91 $1.03 75.5 $4,749.76 PSYCHIATRIC 556 1,070 1,298 $82,797.00 $63.79 $0.13 2.3 $148.92 RESIDENTIAL CARE FACILITY 283 485 11,841 $99,679.25 $8.42 $0.16 41.8 $352.22 ID WAIVER SERVICE 521 1,009 43,133 $2,933,106.27 $68.00 $0.00 82.8 $5,629.76 CHILDRENS MENTAL HEALTH SVC 23 34 4,814 $23,356.64 $4.85 $23,356.64 209.3 $1,015.51 AIDS WAIVER SERVICES 2 2 57 $1,774.80 $31.14 $0.00 28.5 $887.40 ELDERLY WAIVER SERVICES 27 67 1,958 $38,730.12 $19.78 $0.00 72.5 $1,434.45 ILL & HANDICAPPED WAIVER SVCS 254 335 17,782 $639,084.87 $35.94 $0.00 70.0 $2,516.08 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 544 577 4,938 $318,994.80 $64.60 $0.51 9.1 $586.39 UNASSIGNED 1 0 0 $1,053,147.25 $0.00 $1.69 .0 $0.00 * A L L C A T E G O R I E S * 600,867 1,380,105 3,951,674 $590,289,577.90 $149.38 $947.26 6.6 $982.40 *** END OF REPORT ***