Summary Report for Family Support Plan Service Authorizations (FSPSAs) Overlapping the Report Period                                             Center: 04

This report estimates subtotals of units and fees for the number of days of overlap between each included
FSPSA record and the user-selected report period.  For example, if the FSPSA record authorizes services from
01/01/01 to 08/01/01, and the Report Period is selected as 01/01/01 to 03/01/01, this summary calculates
authorized units/fees for the 28 days of overlap (02/01/01 to 03/01/01).  Note that service authorization periods
may range from 1 to 12 months and may vary in intensity from child to child.
 
FSPSAs overlapping: 07-01-19 and 09-30-19                  Date of Report: 11-04-19                  Page: 1

Eligibility Filter: Program Patients
   
With the filters selected there were 2671 FSPSA's found 


Services  Cpt Code                                       Number of   Number of       Total Units      Total Fees          Avg Fee   
                                                         Children    Records         Overlapping      Overlapping       Per Unit Auth
                                                                                   Report Period     Report Period                



Service Coordination, Class # 01
 SCONLY-SCONLY      *SERVICE COORDINATION ONLY                  69         84           51.114282           $0.0000            $0.0000
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                       69         84           51.114282           $0.0000            $0.0000


Screening, Eval, and Assessment, Class # 02
 ASTE  -ASTE        ASSISTIVE TECHNOLOGY EVAL                   10         12            4.127778         $200.2000           $48.5000
 OCTH  -97167       OT EVAL HIGH COMPLEXITY                     13         17            7.433332         $379.4700           $51.0500
 PSTH  -97162       PT EVAL MODERATE COMPLEXITY                  1          1            0.511111          $26.0900           $51.0500
 PSTH  -97163       PT EVAL HIGH COMPLEXITY                     14         19            5.277778         $269.4300           $51.0500
 SPCH  -92523       EVAL OF SPCH SOUND PROD; EVAL LANG          15         15            5.955555         $304.0300           $51.0500
 SPCH  -92524       BEHAV & QUAL ANALYSIS OF VOICE AND           1          1            0.016667           $0.8500           $51.1500
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                       44         65           23.322221        $1180.0700           $50.6000


EI Services, Class # 03
 AUD   -92593TS     AUDIOLOGY SERVICES (Biaural)                 1          2            2.000000         $100.0000           $50.0000
 COIFF -COIFF       IFSP CONSULT, PROF, FACE TO FACE            47        124           48.495236        $2424.7500           $50.0000
 CONIF -CONIF       CONSULT, ITDS FACE TO FACE                   6          6           13.530158         $676.5100           $50.0000
 CONOF -CONOF       CONSULT, OT, FACE TO FACE                    2          3            1.244444          $62.2200           $50.0000
 CONPF -CONPF       CONSULT, PT, FACE TO FACE                    6          7            6.392063         $319.6000           $50.0000
 CONSF -CONSF       CONSULT, SLP, FACE TO FACE                   1          1            1.022222          $51.1100           $50.0000
 CONSP -CONSP       CONSULT, SLP, PHONE                          1          2            2.433334          $60.8400           $25.0000
 EIGF  -T1027TTSC   EI GROUP SESSION BY EI PROF                 11         13           92.142857        $2303.5800           $25.0000
 EIIF  -T1027SC     EI INDIVIDUAL SESSION BY EI PROF           241        299         2620.142844      $131007.3300           $50.0000
 NESF  -99600       NATURAL ENVIRONMENT SUPPORT FEE           1409       2011        17780.196000      $177802.1200           $10.0000
 OCCT  -97530       OT SESSION BY LICENSED OT                    6          6           38.571428        $2755.5400           $71.4400
 OCCT  -97530HM     OT SESSION BY OT ASST                        9         11           54.714286        $3129.6500           $57.2000
 PHY   -97110       PT SESSION BY LICENSED PT                    7          8           55.142856        $3939.4100           $71.4400
 PHY   -97110HM     PT SESSION BY PT ASST                        9         13           89.714286        $5128.0800           $57.1600
 SPL   -92507       SPL THERAPY SESSION BY LICENSED SLP          8          8           79.285714        $5664.1800           $71.4400
 SPL   -92508       GROUP SPL SESSION PER CHILD                  8          8           75.000000        $1041.0000           $13.8800
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                     1474       2522        20960.027728      $336465.9100           $16.0500


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Total                                                                    2671        21034.464231      $337645.9700           $16.0500
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Number of Children (Unduplicated) With at Least One Authorization      1533