CMS/EIP Fiscal Report              Center: 53 
Services beginning 04/01/2010 ending 06/30/2010                Date of Report:08/18/2010   Page:   1
      Payclass Filters:LEA    
    Eligibility Filter:Program Patients
            List order: No List
 
 
Services                                              Number of        Number of    Fee Reported        Avg Fee
                                                      Children         Units                            Per/Unit
 
  
There was no data found using the above listed filters!