IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 04/30/25) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 5,416 6,363 33,545 $77,723,722.17 OUTPATIENT 22,071 72,677 12,818,038 $16,795,914.30 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 111 249 4,914 $3,348,264.31 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 710 2,980 85,019 $30,477,640.35 INTER CARE INT DISABLED 26 219 6,242 $3,444,997.06 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,062 9,989 2,643,511 $27,402,877.91 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 24,791 122,743 436,752 $8,305,785.82 CLINIC SERVICES 8,502 21,844 22,698 $57,527,101.58 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 4,502 10,612 38,260 $1,282,054.17 HABILITATION SERVICES 58 1,237 13,676 $1,858,774.43 BEHAVIORAL HLTH INTERVENTN SVC 84 1,204 9,220 $274,834.61 REHAB SUPPORT SERVICES 4 11 152 $14,074.08 AMBULANCE SERVICES 1,458 2,403 2,377 $955,629.33 LOCAL EDUCATION AGENCY 3,870 316,834 1,417,219 $44,854,896.12 INFANT TODDLER 960 5,385 10,447 $150,923.31 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 8,392 124,198 113,690 $13,379,839.90 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 20,023 88,755 79,033 $192,672.94 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 713 1,120 1,266 $120,712.16 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 789 786 761 $1,527,072.70 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 864 7,324 7,274 $31,038,304.82 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,894 34,024 34,024 $4,289,096.54 MEDICAL SUPPLIES 3,943 22,050 1,056,261 $1,906,757.25 HEALTH HOME PROVIDER 175 884 738 $139,461.14 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 834,062 6,058,759 6,041,793 $7,905,860,779.28 OTHER PRACTITIONER 18,216 207,722 696,048 $35,111,292.09 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 04/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 04/26/25 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 04/30/25) 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 818 1,366 1,355 $263,844.94 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,659 2,122 2,582 $127,130.25 CHIROPRACTIC 751 4,403 4,658 $78,625.93 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 1,049 2,508 4,306 $68,922.68 PREPAID AMBULATORY HEALTH PLAN 815,252 6,112,025 6,101,495 $91,603,749.18 PHYSICAL DISABILITIES SVCS 7 90 5,264 $67,533.85 BRAIN INJ WAIVER SERVICES 146 2,963 76,621 $5,783,035.28 PSYCHIATRIC 2,130 7,601 9,273 $595,275.44 RESIDENTIAL CARE FACILITY 424 3,184 87,079 $774,925.17 ID WAIVER SERVICE 614 9,852 447,987 $32,642,750.09 CHILDRENS MENTAL HEALTH SVC 40 301 37,877 $191,675.70 AIDS WAIVER SERVICES 2 29 2,449 $24,009.72 ELDERLY WAIVER SERVICES 33 732 18,307 $356,292.38 ILL & HANDICAPPED WAIVER SVCS 322 3,382 149,454 $6,172,677.64 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 620 5,861 47,880 $3,093,048.00 UNASSIGNED 7 0 0 $9,570,451.70- * A L L C A T E G O R I E S * 863,220 13,276,791 32,569,545 $8,400,256,522.92 *** END OF REPORT ***