Summary Report for Family Support Plan Service Authorizations (FSPSAs) Overlapping the Report Period                                             Center: 06

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: 10-01-19 and 12-31-19                  Date of Report: 02-01-20                  Page: 1

Eligibility Filter: Program Patients
   
With the filters selected there were 3566 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                  93        102          115.665878           $0.0000            $0.0000
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                       93        102          115.665878           $0.0000            $0.0000


Screening, Eval, and Assessment, Class # 02
 EXIT  -EXIT        EXIT ASSESSMENT                            108        109          215.104110       $10755.2100           $50.0000
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                      108        109          215.104110       $10755.2100           $50.0000


EI Services, Class # 03
 ASST  -ASST        ASSISTIVE TECHNOLOGY                         2          2            2.000000       $10000.0000         $5000.0000
 AUD   -92593TS     AUDIOLOGY SERVICES (Biaural)                 2          3            3.533334         $176.6700           $50.0000
 COIFF -COIFF       IFSP CONSULT, PROF, FACE TO FACE           192        203           54.765875        $2738.4900           $50.0000
 COIFP -COIFP       IFSP CONSULT, PROF, BY PHONE                10         10            2.534725          $63.3800           $25.0000
 CONIF -CONIF       CONSULT, ITDS FACE TO FACE                  25         27           48.723807        $2436.1800           $50.0000
 CONIP -CONIP       CONSULT, ITDS PHONE                         23         26           40.666667        $1016.6700           $25.0000
 CONOF -CONOF       CONSULT, OT, FACE TO FACE                   16         17           27.940475        $1397.0200           $50.0000
 CONOP -CONOP       CONSULT, OT, PHONE                          12         16           22.990475         $574.7600           $25.0000
 CONPF -CONPF       CONSULT, PT, FACE TO FACE                    8         10           20.878572        $1043.9300           $50.0000
 CONPP -CONPP       CONSULT, PT, PHONE                           1          1            0.100000           $2.5000           $25.0000
 CONSF -CONSF       CONSULT, SLP, FACE TO FACE                  20         22           39.948808        $1997.4300           $50.0000
 CONSP -CONSP       CONSULT, SLP, PHONE                         12         12            9.366668         $234.1700           $25.0000
 EIGF  -T1027TTSC   EI GROUP SESSION BY EI PROF                  2          2           41.714286        $1042.8600           $25.0000
 EIIF  -T1027SC     EI INDIVIDUAL SESSION BY EI PROF           449        551         4367.066639      $218353.6100           $50.0000
 INTR  -T1013       INTERPRETER                                 29         33          316.933332       $15846.6600           $50.0000
 NESF  -99600       NATURAL ENVIRONMENT SUPPORT FEE           1584       2288        17795.238781      $177952.6000           $10.0000
 OCCT  -97530       OT SESSION BY LICENSED OT                   20         25           97.533335        $6967.7800           $71.4400
 OCCT  -97530HM     OT SESSION BY OT ASST                        4          4           30.114286        $1722.5400           $57.2000
 PHY   -97110       PT SESSION BY LICENSED PT                   25         32          125.907147        $8994.7900           $71.4400
 PHY   -97110HM     PT SESSION BY PT ASST                        2          2           26.285715        $1502.4900           $57.1600
 SENS  -V5264       EARMOLD                                      1          1            0.777778          $14.0000           $18.0000
 SPL   -92507       SPL THERAPY SESSION BY LICENSED SLP         56         67          355.964289       $25430.0800           $71.4400
 TRAV  -TRAVS       Travel by mile                               1          1            7.857143           $3.5000            $0.4400
                                                         ----------------------------------------------------------------------------
Subtotal (Total Children Is Unduplicated)                     1619       3355        23438.842137      $479512.0700           $20.4600


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Total                                                                    3566        23769.612125      $490267.2700           $20.6300
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Number of Children (Unduplicated) With at Least One Authorization      1693