IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 04/30/25) * * * * * 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 899 917 4,181 $9,935,362.41 $2,376.31 $16.00 4.7 $11,051.57 OUTPATIENT 5,013 7,528 1,296,729 $2,150,487.75 $1.66 $3.46 258.7 $428.98 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 26 22 437 $105,890.77 $242.31 $0.17 16.8 $4,072.72 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 243 274 7,885 $2,854,902.19 $362.07 $4.60 32.4 $11,748.57 INTER CARE INT DISABLED 17 17 492 $298,427.62 $606.56 $0.48 28.9 $17,554.57 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 629 844 184,471 $2,110,396.33 $11.44 $3.40 293.3 $3,355.16 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,351 13,307 48,033 $982,347.31 $20.45 $1.58 7.6 $154.68 CLINIC SERVICES 1,625 2,372 2,290 $7,261,783.39 $3,171.08 $11.69 1.4 $4,468.79 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 603 894 2,883 $109,417.25 $37.95 $0.18 4.8 $181.45 HABILITATION SERVICES 42 194 2,140 $254,823.19 $119.08 $0.41 51.0 $6,067.22 BEHAVIORAL HLTH INTERVENTN SVC 47 91 833 $31,437.42 $37.74 $0.05 17.7 $668.88 REHAB SUPPORT SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 AMBULANCE SERVICES 249 302 302 $103,423.36 $342.46 $0.17 1.2 $415.35 LOCAL EDUCATION AGENCY 2,429 42,693 205,997 $6,105,925.95 $29.64 $9.83 84.8 $2,513.76 INFANT TODDLER 393 780 1,403 $20,443.20 $14.57 $0.03 3.6 $52.02 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 2,802 11,323 10,273 $1,351,932.53 $131.60 $33.38 3.7 $482.49 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 8,065 8,470 7,395 $17,995.04 $2.43 $0.03 .9 $2.23 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 86 93 94 $11,071.26 $117.78 $0.02 1.1 $128.74 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 95 93 91 $164,405.40 $1,806.65 $16.84 1.0 $1,730.58 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 746 818 798 $3,380,411.00 $4,236.10 $5.44 1.1 $4,531.38 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,531 3,651 3,651 $478,157.60 $130.97 $0.77 2.4 $312.32 MEDICAL SUPPLIES 1,275 2,207 117,561 $300,590.05 $2.56 $7.42 92.2 $235.76 HEALTH HOME PROVIDER 66 87 87 $16,413.36 $188.66 $0.03 1.3 $248.69 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 622,009 603,355 601,913 $934,517,102.43 $1,552.58 $1,504.73 1.0 $1,502.42 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 04/30/25) * * * * * 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 5,728 29,554 100,369 $5,079,439.15 $50.61 $8.18 17.5 $886.77 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 97 116 116 $20,847.04 $179.72 $0.51 1.2 $214.92 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 204 218 256 $15,278.36 $59.68 $0.02 1.3 $74.89 CHIROPRACTIC 234 453 481 $8,853.70 $18.41 $0.22 2.1 $37.84 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 194 264 547 $8,365.99 $15.29 $0.01 2.8 $43.12 PREPAID AMBULATORY HEALTH PLAN 576,311 608,618 607,811 $8,985,943.88 $14.78 $14.47 1.1 $15.59 PHYSICAL DISABILITIES SVCS 6 8 195 $6,981.91 $35.80 $0.01 32.5 $1,163.65 BRAIN INJ WAIVER SERVICES 136 297 6,308 $601,564.14 $95.37 $0.97 46.4 $4,423.27 PSYCHIATRIC 464 698 911 $56,898.47 $62.46 $0.09 2.0 $122.63 RESIDENTIAL CARE FACILITY 244 285 8,292 $74,817.84 $9.02 $0.12 34.0 $306.63 ID WAIVER SERVICE 529 926 41,478 $2,962,944.87 $71.43 $0.00 78.4 $5,601.03 CHILDRENS MENTAL HEALTH SVC 23 29 3,421 $17,459.80 $5.10 $17,459.80 148.7 $759.12 AIDS WAIVER SERVICES 2 2 205 $2,075.40 $10.12 $0.00 102.5 $1,037.70 ELDERLY WAIVER SERVICES 29 70 1,549 $42,740.84 $27.59 $0.00 53.4 $1,473.82 ILL & HANDICAPPED WAIVER SVCS 254 331 13,630 $629,770.96 $46.20 $0.00 53.7 $2,479.41 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 546 622 5,247 $338,956.20 $64.60 $0.55 9.6 $620.80 UNASSIGNED 1 0 0 $1,901,525.92- $0.00 $3.06- .0 $0.00 * A L L C A T E G O R I E S * 640,374 1,342,823 3,290,755 $989,514,559.44 $300.70 $1,593.29 5.1 $1,545.21 *** END OF REPORT ***