IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 05/31/25) * * * * * 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 640 644 2,865 $18,396,553.15 $6,421.14 $29.77 4.5 $28,744.61 OUTPATIENT 4,920 7,276 1,424,464 $1,715,556.82 $1.20 $2.78 289.5 $348.69 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 20 21 523 $189,883.80 $363.07 $0.31 26.2 $9,494.19 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 253 292 8,161 $3,008,712.89 $368.67 $4.87 32.3 $11,892.15 INTER CARE INT DISABLED 21 21 569 $334,556.00 $587.97 $0.54 27.1 $15,931.24 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 633 903 191,611 $2,166,407.77 $11.31 $3.51 302.7 $3,422.45 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 5,874 12,054 42,554 $966,228.69 $22.71 $1.56 7.2 $164.49 CLINIC SERVICES 1,578 2,206 2,066 $5,359,422.59 $2,594.11 $8.67 1.3 $3,396.34 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 577 854 2,790 $78,838.62 $28.26 $0.13 4.8 $136.64 HABILITATION SERVICES 40 91 865 $161,622.55 $186.85 $0.26 21.6 $4,040.56 BEHAVIORAL HLTH INTERVENTN SVC 46 142 1,158 $36,841.16 $31.81 $0.06 25.2 $800.89 REHAB SUPPORT SERVICES 1 2 43 $3,608.13 $83.91 $0.01 43.0 $3,608.13 AMBULANCE SERVICES 304 389 384 $275,261.70 $716.83 $0.45 1.3 $905.47 LOCAL EDUCATION AGENCY 2,621 51,832 239,083 $7,867,162.21 $32.91 $12.73 91.2 $3,001.59 INFANT TODDLER 304 472 919 $13,586.70 $14.78 $0.02 3.0 $44.69 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 2,693 11,022 9,833 $986,583.86 $100.33 $24.94 3.7 $366.35 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 7,914 8,363 8,140 $19,785.17 $2.43 $0.03 1.0 $2.50 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 94 106 107 $12,028.64 $112.42 $0.02 1.1 $127.96 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 71 73 73 $116,994.72 $1,602.67 $12.42 1.0 $1,647.81 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 734 736 734 $3,137,473.53 $4,274.49 $5.08 1.0 $4,274.49 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,501 3,249 3,249 $432,398.75 $133.09 $0.70 2.2 $288.07 MEDICAL SUPPLIES 1,304 2,142 110,335 $215,726.88 $1.96 $5.45 84.6 $165.43 HEALTH HOME PROVIDER 58 65 65 $12,448.91 $191.52 $0.02 1.1 $214.64 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 608,103 601,445 600,150 $670,111,256.35 $1,116.57 $1,084.50 1.0 $1,101.97 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 05/31/25) * * * * * 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 5,952 37,801 98,771 $6,524,752.36 $66.06 $10.56 16.6 $1,096.23 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 65 76 77 $18,981.35 $246.51 $0.48 1.2 $292.02 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 163 176 217 $9,209.42 $42.44 $0.01 1.3 $56.50 CHIROPRACTIC 240 540 565 $8,357.32 $14.79 $0.21 2.4 $34.82 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 216 314 545 $14,824.67 $27.20 $0.02 2.5 $68.63 PREPAID AMBULATORY HEALTH PLAN 576,259 606,724 606,151 $8,950,528.88 $14.77 $14.49 1.1 $15.53 PHYSICAL DISABILITIES SVCS 5 8 195 $7,281.10 $37.34 $0.01 39.0 $1,456.22 BRAIN INJ WAIVER SERVICES 135 282 6,611 $590,061.72 $89.25 $0.95 49.0 $4,370.83 PSYCHIATRIC 464 721 841 $56,495.49 $67.18 $0.09 1.8 $121.76 RESIDENTIAL CARE FACILITY 243 255 6,273 $53,500.70 $8.53 $0.09 25.8 $220.17 ID WAIVER SERVICE 506 904 37,779 $3,107,131.36 $82.24 $0.00 74.7 $6,140.58 CHILDRENS MENTAL HEALTH SVC 22 23 2,944 $14,786.67 $5.02 $14,786.67 133.8 $672.12 AIDS WAIVER SERVICES 2 5 391 $2,824.38 $7.22 $0.00 195.5 $1,412.19 ELDERLY WAIVER SERVICES 31 79 1,759 $35,815.76 $20.36 $0.00 56.7 $1,155.35 ILL & HANDICAPPED WAIVER SVCS 236 322 10,083 $633,950.84 $62.87 $0.00 42.7 $2,686.23 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 541 575 5,091 $328,878.60 $64.60 $0.53 9.4 $607.91 UNASSIGNED 2 0 0 $10,994.75- $0.00 $0.02- .0 $5,497.38- * A L L C A T E G O R I E S * 625,986 1,353,205 3,429,034 $735,965,325.46 $214.63 $1,191.08 5.5 $1,175.69 *** END OF REPORT ***