CMS/EIP Fiscal Report              Center: 53 
Services beginning 01/01/2014 ending 03/31/2014                Date of Report:06/03/2014   Page:   1
            List order: No List
    Eligibility Filter:Not Part C
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  
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