CMS/EIP Fiscal Report Center: 09
Services beginning 10/01/2013 ending 12/31/2013 Date of Report:02/18/2014 Page: 1
List order: No List
Agency Filter:EXT
Payclass Filters:OTHER
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 3 3.500000 175.0000 50.0000
CONIF-CONIF-CONSULT ITDS, FACE TO FACE 52 44.750000 2237.5000 50.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 19 19.250000 962.5000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 1 1.000000 25.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 19 17.500000 875.0000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 36 29.750000 1487.5000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 2 0.500000 12.5000 25.0000
TRAV-TRAV-PROV TRAVEL TO NATURAL ENV PER MINUTE 884 74014.00000 37007.0000 0.5000
Subtotal (Total Children Is Unduplicated) 887 74130.25000 42782.0000 0.5771
-----------------------------------------------------------------------------------------------------------------------
Total 74130.250000 42782.0000 0.5771
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 887
-----------------------------------------------------------------------------------------------------------------------
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 0 0.000000 0.0000 0.0000
P 1326 71602.250000 41270.5000 41270.5000
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
44 2528.000000 1511.5000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 1370 74130.250000 42782.0000 41270.5000