CMS/EIP Fiscal Report Center: 07
Services beginning 07/01/2019 ending 09/30/2019 Date of Report:11/04/2019 Page: 1
List order: No List
Agency Filter:EIP DEI DEIP
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Service Coordination,Class #01
CASE-CASE-NON-TCM CASE MANAGEMENT 1418 1449.000000 53594.5000 36.9872
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 714 707.750000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1578 3982.000000 146936.2500 36.9001
Subtotal (Total Children Is Unduplicated) 1857 6138.750000 200530.7500 32.6664
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Screening, Eval, and Assessment,Class #02
EXIT-EXIT-EXIT ASSESSMENT 89 136.750000 6825.0000 49.9086
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 8 16.000000 1200.0000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 8 16.000000 1200.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 8 16.000000 888.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 129 254.000000 19050.0000 75.0000
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 148 295.500000 16400.2500 55.5000
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 141 279.500000 20962.5000 75.0000
SCREEN-T1023-SCREENING 5 5.000000 250.0000 50.0000
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 3 6.000000 306.3000 51.0500
Subtotal (Total Children Is Unduplicated) 375 1024.750000 67082.0500 65.4619
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 187 211.500000 0.0000 0.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 2 2.000000 100.0000 50.0000
Subtotal (Total Children Is Unduplicated) 187 213.500000 100.0000 0.4684
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Total 7377.000000 267712.8000 36.2902
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Number of Children (Unduplicated) With at Least One Service 1872
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Center 07
Flag Claims Units Chgs Paid
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R 9 9.750000 360.7500 0.0000
U 0 0.000000 0.0000 0.0000
B 2035 1740.250000 73773.7000 129.5000
P 1398 1335.463300 57110.5000 57297.0000
D 13 10.000000 459.0000 0.0000
S 53 29.500000 1121.2500 0.0000
H 17 32.500000 2437.5000 0.0000
T 0 0.000000 0.0000 0.0000
6941 4219.536700 132450.1000 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 10466 7377.000000 267712.8000 57426.5000