CMS/EIP Fiscal Report Center: 57
Services beginning 01/01/2010 ending 03/31/2010 Date of Report:05/17/2010 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
ECE-ECE-EARLY CHILDHOOD EDUCATION 81 8244.00 74196.00 9.00
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 9 346.00 8650.00 25.00
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 5 100.00 5000.00 50.00
OCCT-97530-OT SESSION BY LICENSED OT 41 155.00 10521.40 67.88
PHY-97110-PT SESSION BY LICENSED PT 22 79.00 5362.52 67.88
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 53 205.25 13932.37 67.88
SPL-92508-GROUP SPL SESSION PER CHILD 8 26.00 343.20 13.20
TRAV-TRAV-PROVIDER TRAVEL TO NATURAL ENVIRONMENT 1 74.00 37.00 0.50
Subtotal (Total Children Is Unduplicated) 99 9229.25 118042.49 12.79
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Total 9229.25 118042.49 12.79
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Number of Children (Unduplicated) With at Least One Service 99
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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 0 0.00 0.00 0.00
403 9229.25 118042.49 0.00
Other 0 0.00 0.00 0.00
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Total 403 9229.25 118042.49 0.00