IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/25) * * * * * 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 836 818 3,759 $8,655,624.24 $2,302.64 $14.01 4.5 $10,353.62 OUTPATIENT 5,573 9,126 1,936,609 $2,187,732.05 $1.13 $3.54 347.5 $392.56 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 27 27 438 $145,932.09 $333.18 $0.24 16.2 $5,404.89 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 263 301 8,432 $2,665,972.47 $316.17 $4.31 32.1 $10,136.78 INTER CARE INT DISABLED 18 20 566 $276,796.50 $489.04 $0.45 31.4 $15,377.58 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HOME HEALTH 738 1,157 226,639 $2,433,906.51 $10.74 $3.94 307.1 $3,297.98 LEAD INSPECTION AGENCY 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PHYSICIAN 6,526 14,321 66,840 $6,059,344.68 $90.65 $9.81 10.2 $928.49 CLINIC SERVICES 1,744 2,499 2,495 $5,999,960.77 $2,404.79 $9.71 1.4 $3,440.34 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 735 1,077 4,152 $124,333.19 $29.95 $0.20 5.6 $169.16 HABILITATION SERVICES 35 133 1,023 $203,382.20 $198.81 $0.33 29.2 $5,810.92 BEHAVIORAL HLTH INTERVENTN SVC 54 226 1,463 $40,002.23 $27.34 $0.06 27.1 $740.78 REHAB SUPPORT SERVICES 1 1 22 $1,846.02 $83.91 $0.00 22.0 $1,846.02 AMBULANCE SERVICES 240 278 277 $40,411.88 $145.89 $0.07 1.2 $168.38 LOCAL EDUCATION AGENCY 3,290 89,765 412,924 $12,140,461.76 $29.40 $19.65 125.5 $3,690.11 INFANT TODDLER 360 592 1,081 $14,249.18 $13.18 $0.02 3.0 $39.58 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 2,737 13,023 11,943 $1,866,772.24 $156.31 $46.77 4.4 $682.05 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 8,026 8,407 6,937 $16,890.58 $2.43 $0.03 .9 $2.10 INDIAN HEALTH SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 FAMILY PLANNING SERVICES 119 130 280 $11,401.43 $40.72 $0.02 2.4 $95.81 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 96 95 95 $180,779.98 $1,902.95 $18.65 1.0 $1,883.12 HMO SERVICES 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PACE SERVICES 741 763 763 $3,264,049.61 $4,277.92 $5.28 1.0 $4,404.93 PATIENT MANAGEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 HEALTH INS PREMIUM PAYMENT 1,410 2,679 2,679 $345,690.68 $129.04 $0.56 1.9 $245.17 MEDICAL SUPPLIES 1,427 2,393 116,937 $191,152.48 $1.63 $4.79 81.9 $133.95 HEALTH HOME PROVIDER 55 61 61 $11,781.60 $193.14 $0.02 1.1 $214.21 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 570,629 596,815 595,321 $660,488,167.14 $1,109.47 $1,068.80 1.0 $1,157.47 IAMM2200-R002 (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) (MONTHLY TOTALS AS OF 06/30/25) * * * * * 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 7,047 56,217 249,623 $11,702,737.58 $46.88 $18.94 35.4 $1,660.67 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 92 123 123 $28,660.26 $233.01 $0.72 1.3 $311.52 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 OPTOMETRIST 191 208 270 $9,896.10 $36.65 $0.02 1.4 $51.81 CHIROPRACTIC 249 516 540 $7,390.19 $13.69 $0.19 2.2 $29.68 IOWA-PLAN-HAB 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 PODIATRIC 224 323 685 $6,928.47 $10.11 $0.01 3.1 $30.93 PREPAID AMBULATORY HEALTH PLAN 576,077 602,027 600,243 $9,509,551.77 $15.84 $15.39 1.0 $16.51 PHYSICAL DISABILITIES SVCS 7 7 194 $22,799,339.26- $0.00 $36.89- 27.7 $0.00 BRAIN INJ WAIVER SERVICES 135 313 7,044 $611,084.13 $86.75 $0.99 52.2 $4,526.55 PSYCHIATRIC 531 866 1,073 $58,631.46 $54.64 $0.09 2.0 $110.42 RESIDENTIAL CARE FACILITY 290 450 12,411 $109,356.81 $8.81 $0.18 42.8 $377.09 ID WAIVER SERVICE 519 1,013 48,889 $3,230,648.53 $66.08 $0.00 94.2 $6,224.76 CHILDRENS MENTAL HEALTH SVC 19 35 4,792 $25,282.15 $5.28 $25,282.15 252.2 $1,330.64 AIDS WAIVER SERVICES 2 3 251 $2,554.74 $10.18 $0.00 125.5 $1,277.37 ELDERLY WAIVER SERVICES 29 66 1,622 $50,630.01 $31.21 $0.00 55.9 $1,745.86 ILL & HANDICAPPED WAIVER SVCS 261 370 14,832 $635,602.29 $42.85 $0.00 56.8 $2,435.26 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 $0.00 $0.00 .0 $0.00 MEP SERVICES 521 566 5,166 $334,046.60 $64.66 $0.54 9.9 $641.16 UNASSIGNED 1 0 0 $123,311.09 $0.00 $0.20 .0 $123,311.09 * A L L C A T E G O R I E S * 589,701 1,407,810 4,349,494 $711,013,614.43 $163.47 $1,150.56 7.4 $1,205.72 *** END OF REPORT ***