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
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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
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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
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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