IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/28/25 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 06/30/25) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 6,532 7,825 40,169 $104,775,899.56 OUTPATIENT 24,449 89,079 16,179,111 $20,699,203.17 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 130 297 5,875 $3,684,080.20 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 809 3,573 101,612 $36,152,325.71 INTER CARE INT DISABLED 26 260 7,377 $4,056,349.56 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 2,271 12,049 3,061,761 $32,003,192.19 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 27,443 149,118 546,146 $15,331,359.19 CLINIC SERVICES 9,591 26,549 27,259 $68,886,484.94 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 5,159 12,543 45,202 $1,485,225.98 HABILITATION SERVICES 61 1,461 15,564 $2,223,779.18 BEHAVIORAL HLTH INTERVENTN SVC 90 1,572 11,841 $351,678.00 REHAB SUPPORT SERVICES 4 14 217 $19,528.23 AMBULANCE SERVICES 1,802 3,070 3,038 $1,271,302.91 LOCAL EDUCATION AGENCY 4,299 458,431 2,069,226 $64,862,520.09 INFANT TODDLER 1,069 6,449 12,447 $178,759.19 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 9,136 148,243 135,466 $16,233,196.00 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 21,622 105,525 94,110 $229,348.69 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 818 1,356 1,653 $144,142.23 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 949 954 929 $1,824,847.40 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 899 8,823 8,771 $37,439,827.96 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 1,920 39,952 39,952 $5,067,185.97 MEDICAL SUPPLIES 4,309 26,585 1,283,533 $2,313,636.61 HEALTH HOME PROVIDER 177 1,010 864 $163,691.65 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 850,387 7,257,019 7,237,264 $9,236,460,202.77 OTHER PRACTITIONER 20,513 301,740 1,044,442 $53,338,782.03 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/28/25 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 06/30/25) 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 914 1,565 1,555 $311,486.55 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,885 2,506 3,069 $146,235.77 CHIROPRACTIC 832 5,459 5,763 $94,373.44 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 1,169 3,145 5,536 $90,675.82 PREPAID AMBULATORY HEALTH PLAN 832,151 7,320,776 7,307,889 $110,063,829.83 PHYSICAL DISABILITIES SVCS 8 105 5,653 $22,724,524.31- BRAIN INJ WAIVER SERVICES 147 3,558 90,276 $6,984,181.13 PSYCHIATRIC 2,386 9,188 11,187 $710,402.39 RESIDENTIAL CARE FACILITY 445 3,889 105,763 $937,782.68 ID WAIVER SERVICE 621 11,769 534,655 $38,980,529.98 CHILDRENS MENTAL HEALTH SVC 40 359 45,613 $231,744.52 AIDS WAIVER SERVICES 2 37 3,091 $29,388.84 ELDERLY WAIVER SERVICES 36 877 21,688 $442,738.15 ILL & HANDICAPPED WAIVER SVCS 332 4,074 174,369 $7,442,230.77 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 629 7,002 58,137 $3,755,973.20 UNASSIGNED 8 0 0 $9,458,135.36- * A L L C A T E G O R I E S * 880,689 16,037,806 40,348,073 $9,847,235,462.81 *** END OF REPORT ***