CMS/EIP Fiscal Report Center: 57
Services beginning 01/01/2009 ending 03/31/2009 Date of Report:05/18/2009 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 86 13887.0 129740.00 9.34
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 4 61.00 3050.00 50.00
OCCT-97530-OT SESSION BY LICENSED OT 45 197.00 13372.36 67.88
OCCT-97530HM-OT SESSION BY OT ASST 3 16.00 271.52 16.97
PHY-97110-PT SESSION BY LICENSED PT 28 99.75 6771.03 67.88
PHY-97110HM-PT SESSION BY PT ASST 2 9.50 339.40 35.73
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 57 261.75 17767.59 67.88
SPL-92508-GROUP SPL SESSION PER CHILD 5 32.00 535.50 16.73
TRAN-TRAN-FAMILY TRANSPORTATION 5 134.00 1722.00 12.85
TRAV-TRAV-PROVIDER TRAVEL TO NATURAL ENVIRONMENT 2 138.00 69.00 0.50
Subtotal (Total Children Is Unduplicated) 95 14836.0 173638.40 11.70
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Total 14836.00 173638.40 11.70
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Number of Children (Unduplicated) With at Least One Service 95
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Center 57
Flag Claims Units Chgs Paid
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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 9 278.25 2395.01 2344.10
518 14557.75 171243.39 700.00
Other 0 0.00 0.00 0.00
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Total 527 14836.00 173638.40 3044.10