IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 05/31/25) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 5,909 7,007 36,410 $96,120,275.32 OUTPATIENT 23,173 79,953 14,242,502 $18,511,471.12 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 117 270 5,437 $3,538,148.11 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 759 3,272 93,180 $33,486,353.24 INTER CARE INT DISABLED 26 240 6,811 $3,779,553.06 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,162 10,892 2,835,122 $29,569,285.68 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 26,030 134,797 479,306 $9,272,014.51 CLINIC SERVICES 9,019 24,050 24,764 $62,886,524.17 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 4,809 11,466 41,050 $1,360,892.79 HABILITATION SERVICES 60 1,328 14,541 $2,020,396.98 BEHAVIORAL HLTH INTERVENTN SVC 86 1,346 10,378 $311,675.77 REHAB SUPPORT SERVICES 4 13 195 $17,682.21 AMBULANCE SERVICES 1,651 2,792 2,761 $1,230,891.03 LOCAL EDUCATION AGENCY 4,043 368,666 1,656,302 $52,722,058.33 INFANT TODDLER 1,019 5,857 11,366 $164,510.01 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 8,780 135,220 123,523 $14,366,423.76 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 20,788 97,118 87,173 $212,458.11 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 763 1,226 1,373 $132,740.80 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 856 859 834 $1,644,067.42 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 880 8,060 8,008 $34,175,778.35 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,911 37,273 37,273 $4,721,495.29 MEDICAL SUPPLIES 4,102 24,192 1,166,596 $2,122,484.13 HEALTH HOME PROVIDER 175 949 803 $151,910.05 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 842,702 6,660,204 6,641,943 $8,575,972,035.63 OTHER PRACTITIONER 19,279 245,523 794,819 $41,636,044.45 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 05/31/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 05/24/25 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 05/31/25) 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 858 1,442 1,432 $282,826.29 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,765 2,298 2,799 $136,339.67 CHIROPRACTIC 785 4,943 5,223 $86,983.25 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 1,110 2,822 4,851 $83,747.35 PREPAID AMBULATORY HEALTH PLAN 824,184 6,718,749 6,707,646 $100,554,278.06 PHYSICAL DISABILITIES SVCS 7 98 5,459 $74,814.95 BRAIN INJ WAIVER SERVICES 147 3,245 83,232 $6,373,097.00 PSYCHIATRIC 2,249 8,322 10,114 $651,770.93 RESIDENTIAL CARE FACILITY 430 3,439 93,352 $828,425.87 ID WAIVER SERVICE 617 10,756 485,766 $35,749,881.45 CHILDRENS MENTAL HEALTH SVC 40 324 40,821 $206,462.37 AIDS WAIVER SERVICES 2 34 2,840 $26,834.10 ELDERLY WAIVER SERVICES 35 811 20,066 $392,108.14 ILL & HANDICAPPED WAIVER SVCS 328 3,704 159,537 $6,806,628.48 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 625 6,436 52,971 $3,421,926.60 UNASSIGNED 8 0 0 $9,581,446.45- * A L L C A T E G O R I E S * 872,272 14,629,996 35,998,579 $9,136,221,848.38 *** END OF REPORT ***