CMS/EIP Fiscal Report              Center: 09 
Services beginning 01/01/2008 ending 12/31/2008                Date of Report:02/17/2009   Page:   1
         Agency Filter:EXT       
      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
  EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF       16             195.00         9750.00           50.00
Subtotal (Total Children Is Unduplicated)                 16             195.00         9750.00           50.00
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Total                                                                    195.00         9750.00           50.00
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Number of Children (Unduplicated) With at Least One Service         16
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Center 09
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 
              61     195.00    9750.00       0.00 
Other          0       0.00       0.00       0.00 
-------------------------------------------------
Total         61     195.00    9750.00       0.00