IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 06/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/28/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS ADAIR 3 93 $38,437 0 0 $00 3 93 $38,437 AUDUBON 1 31 $12,235 0 0 $00 1 31 $12,235 BLACK HAWK 4 64 $20,935 1 31 $13,818 5 95 $34,753 BUCHANAN 1 12 $911 0 0 $00 1 12 $911 BUENA VISTA 0 0 $00 1 29 $14,249 1 29 $14,249 BUTLER 1 0 $4,914 0 0 $00 1 0 $4,914 CALHOUN 1 31 $8,955 1 29 $14,939 2 60 $23,894 CERRO GORDO 1 30 $4,150 0 0 $00 1 30 $4,150 CHICKASAW 2 43 $11,136 0 0 $00 2 43 $11,136 CLARKE 1 59 $11,519 0 0 $00 1 59 $11,519 CLAY 1 28 $7,762 0 0 $00 1 28 $7,762 DALLAS 0 0 $00 3 135 $70,482 3 135 $70,482 DELAWARE 1 31 $13,811 0 0 $00 1 31 $13,811 DES MOINES 2 54 $15,028 0 0 $00 2 54 $15,028 DICKINSON 2 91 $26,878 0 0 $00 2 91 $26,878 DUBUQUE 3 92 $21,927 3 89 $44,769 6 181 $66,697 EMMET 2 90 $20,708 0 0 $00 2 90 $20,708 GRUNDY 1 19 $4,897 1 31 $14,984 2 50 $19,882 HAMILTON 1 19 $5,653 0 0 $00 1 19 $5,653 HARRISON 2 60 $15,765 0 0 $00 2 60 $15,765 HENRY 1 31 $14,640 0 0 $00 1 31 $14,640 IOWA 4 155 $51,703 0 0 $00 4 155 $51,703 JACKSON 1 30 $8,492 0 0 $00 1 30 $8,492 JASPER 2 33 $14,395 0 0 $00 2 33 $14,395 JOHNSON 0 0 $00 1 31 $14,920 1 31 $14,920 JONES 1 0 $1,985 0 0 $00 1 0 $1,985 KEOKUK 1 59 $14,299 0 0 $00 1 59 $14,299 LEE 2 48 $22,794 0 0 $00 2 48 $22,794 LINN 8 451 $92,531 0 0 $00 8 451 $92,531 LYON 1 31 $5,940 0 0 $00 1 31 $5,940 MAHASKA 1 89 $23,815 0 0 $00 1 89 $23,815 MARSHALL 168 4,976 $2,201,248 0 0 $00 168 4,976 $2,201,248 POLK 6 323 $79,990 1 7 $5,530 7 330 $85,521 POTTAWATTAMIE 15 513 $190,815 0 0 $00 15 513 $190,815 POWESHIEK 1 46 $13,591 0 0 $00 1 46 $13,591 SCOTT 4 154 $35,443 1 31 $14,986 5 185 $50,429 SIOUX 1 62 $17,307 0 0 $00 1 62 $17,307 STORY 0 0 $00 1 29 $14,939 1 29 $14,939 UNION 1 120 $27,633 0 0 $00 1 120 $27,633 VAN BUREN 2 50 $10,298 0 0 $00 2 50 $10,298 WARREN 1 0 $4,566 0 0 $00 1 0 $4,566 WASHINGTON 1 153 $25,311 0 0 $00 1 153 $25,311 WEBSTER 2 28 $4,862 1 31 $12,966 3 59 $17,829 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 06/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/28/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS WOODBURY 3 93 $24,554 3 93 $40,209 6 186 $64,763 WRIGHT 1 53 $15,716 0 0 $00 1 53 $15,716 IAMM3800-R001 IOWA DEPARTMENT OF HUMAN SERVICES PAGE 3 AS OF 06/30/25 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 06/28/25 ICF & ICF-ID VENDOR PAYMENTS BY COUNTY ICF ICF-ID TOTAL COUNTY RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL RECIPIENT UNITS OF TOTAL SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS SERVED SERVICE PAYMENTS STATE TOTAL 258 8,345 $3,147,567 18 566 $276,796 276 8,911 $3,424,363 *** END OF REPORT ***