CMS/EIP Fiscal Report Center: 57
Services beginning 07/01/2008 ending 09/30/2008 Date of Report:11/18/2008 Page: 1
Payclass Filters:LEA
Eligibility Filter:Part C (excluding not eligible)
List order: No List
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
EI Services,Class #03
ECE-ECE-EARLY CHILDHOOD EDUCATION 97 8352.00 75168.00 9.00
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 4 18.00 900.00 50.00
OCCT-97530-OT SESSION BY LICENSED OT 41 86.50 5871.62 67.88
OCCT-97530HM-OT SESSION BY OT ASST 1 8.00 434.56 54.32
PHY-97110-PT SESSION BY LICENSED PT 25 57.50 3896.32 67.76
PHY-97110HM-PT SESSION BY PT ASST 1 4.00 217.28 54.32
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 52 106.50 7229.22 67.88
Subtotal (Total Children Is Unduplicated) 103 8632.50 93717.00 10.86
----------------------------------------------------------------------------------------------------------------
Total 8632.50 93717.00 10.86
----------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 103
----------------------------------------------------------------------------------------------------------------
Center 57
Flag Claims Units Chgs Paid
-------------------------------------------------
R 0 0.00 0.00 0.00
U 0 0.00 0.00 0.00
B 0 0.00 0.00 0.00
P 0 0.00 0.00 0.00
D 0 0.00 0.00 0.00
S 0 0.00 0.00 0.00
H 0 0.00 0.00 0.00
T 0 0.00 0.00 0.00
361 8632.50 93717.00 0.00
Other 0 0.00 0.00 0.00
-------------------------------------------------
Total 361 8632.50 93717.00 0.00