CMS/EIP Fiscal Report Center: 07
Services beginning 01/01/2020 ending 03/31/2020 Date of Report:05/15/2020 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 1705 1851.500000 68487.0000 36.9900
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 729 700.500000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1755 4326.250000 159682.7500 36.9102
Subtotal (Total Children Is Unduplicated) 2025 6878.250000 228169.7500 33.1726
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Screening, Eval, and Assessment,Class #02
EXIT-EXIT-EXIT ASSESSMENT 66 99.250000 4962.5000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 4 8.000000 600.0000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 2 4.000000 300.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 5 10.000000 555.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 98 193.500000 14512.5000 75.0000
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 114 225.500000 12487.5000 55.3769
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 115 232.000000 17400.0000 75.0000
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 1 2.000000 150.0000 75.0000
SCREEN-T1023-SCREENING 20 129.000000 6550.0000 50.7752
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 4 4.000000 204.2000 51.0500
Subtotal (Total Children Is Unduplicated) 309 909.250000 57832.7000 63.6048
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 127 244.750000 0.0000 0.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 4 4.000000 200.0000 50.0000
Subtotal (Total Children Is Unduplicated) 127 248.750000 200.0000 0.8040
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Total 8036.250000 286202.4500 35.6139
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Number of Children (Unduplicated) With at Least One Service 2039
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Center 07
Flag Claims Units Chgs Paid
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R 26 127.000000 6129.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 957 703.500000 27455.0000 0.0000
P 3292 2710.837400 113806.8050 114451.2300
D 61 59.000000 3337.0500 0.0000
S 3 2.250000 96.2500 0.0000
H 25 49.000000 3651.0500 0.0000
T 0 0.000000 0.0000 0.0000
7829 4384.412600 131718.0450 0.0000
Other 1 0.250000 9.2500 0.0000
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Total 12194 8036.250000 286202.4500 114451.2300