CMS/EIP Fiscal Report Center: 07
Services beginning 10/01/2019 ending 12/31/2019 Date of Report:02/01/2020 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 1593 1730.750000 63964.2500 36.9575
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 738 718.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1611 4083.500000 150867.5000 36.9456
Subtotal (Total Children Is Unduplicated) 1991 6532.500000 214831.7500 32.8866
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Screening, Eval, and Assessment,Class #02
EXIT-EXIT-EXIT ASSESSMENT 66 103.250000 5162.5000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 1 2.000000 150.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 2 4.000000 222.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 136 269.500000 20212.5000 75.0000
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 143 284.500000 15789.7500 55.5000
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 125 265.500000 19912.5000 75.0000
SCREEN-T1023-SCREENING 10 12.000000 600.0000 50.0000
Subtotal (Total Children Is Unduplicated) 332 940.750000 62049.2500 65.9572
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 141 223.500000 0.0000 0.0000
Subtotal (Total Children Is Unduplicated) 141 223.500000 0.0000 0.0000
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Total 7696.750000 276881.0000 35.9738
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Number of Children (Unduplicated) With at Least One Service 2002
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Center 07
Flag Claims Units Chgs Paid
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R 112 128.500000 4767.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 596 508.000000 20658.2500 0.0000
P 2900 2605.000000 112601.5000 112578.9500
D 31 28.500000 1091.5000 0.0000
S 0 0.000000 0.0000 0.0000
H 48 96.000000 7200.0000 0.0000
T 0 0.000000 0.0000 0.0000
7323 4328.750000 130451.2500 0.0000
Other 1 2.000000 111.0000 0.0000
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Total 11011 7696.750000 276881.0000 112578.9500