CMS/EIP Fiscal Report Center: 01
Services beginning 01/01/2020 ending 03/31/2020 Date of Report:05/15/2020 Page: 1
List order: No List
Agency Filter:EXT
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 9 9.000000 436.5000 48.5000
EXIT-EXIT-EXIT ASSESSMENT 177 342.000000 17100.0000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 10 17.500000 1230.4000 70.3086
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 1 2.000000 150.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 4 6.500000 360.7500 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 79 139.000000 10374.0000 74.6331
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 175 292.000000 16206.0000 55.5000
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 1 2.000000 111.0000 55.5000
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 48 71.500000 5362.5000 75.0000
SPCH-92521-EVAL OF SPEECH FLUENCY 1 1.000000 51.0500 51.0500
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 4 4.000000 204.2000 51.0500
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 1 1.000000 51.0500 51.0500
Subtotal (Total Children Is Unduplicated) 434 887.500000 51637.4500 58.1830
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EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 1 1.000000 195.0000 195.0000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 232 298.250000 14872.5000 49.8659
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 33 36.750000 918.7500 25.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 59 117.000000 5850.0000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 19 14.750000 368.7500 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 21 31.000000 1550.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 1 1.000000 25.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 19 25.000000 1250.0000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 49 92.000000 4450.0000 48.3696
CONSP-CONSP-CONSULT, SLP, PHONE 4 4.000000 100.0000 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 444 2765.250000 138182.5000 49.9711
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 84 102.500000 5125.0000 50.0000
INTR-T1013-INTERPRETER 96 424.250000 21212.5000 50.0000
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 1526 11568.00000 115364.3000 9.9727
OCCT-97530-OT SESSION BY LICENSED OT 28 205.000000 14555.5900 71.0029
OCCT-97530GT-OT SESSION BY LICENSED OT 7 8.750000 625.1000 71.4400
PHY-97110-PT SESSION BY LICENSED PT 33 193.500000 13720.2500 70.9057
PHY-97110GT-PT SESSION BY LICENSED PT 4 4.000000 284.6300 71.1575
PHY-97110HM-PT SESSION BY PT ASST 1 1.000000 57.1600 57.1600
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 88 488.500000 34896.6800 71.4364
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 10 12.000000 857.2800 71.4400
SPL-92508-GROUP SPL SESSION PER CHILD 1 1.000000 13.8800 13.8800
TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE 19 12.750000 471.7500 37.0000
TRAV-TRAVS-Travel by mile 981 76616.00000 31908.9000 0.4165
Subtotal (Total Children Is Unduplicated) 1579 93023.25000 406855.5200 4.3737
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Total 93910.750000 458492.9700 4.8822
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Number of Children (Unduplicated) With at Least One Service 1648
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Center 01
Flag Claims Units Chgs Paid
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R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 0 0.000000 0.0000 0.0000
P 21412 89060.750000 395166.1500 395166.1500
D 644 1448.000000 20718.8700 0.0000
S 1 1.000000 71.4400 0.0000
H 1 1.000000 71.4400 0.0000
T 862 3051.500000 21712.2200 21374.5800
3 31.500000 224.6000 0.0000
Other 194 317.000000 20528.2500 0.0000
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Total 23117 93910.750000 458492.9700 416540.7300