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     
    Payclass Filters:GR    
    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            1851.000000        68468.5000           36.9900
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   729             700.500000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                   524            1348.000000        49663.2500           36.8422
Subtotal (Total Children Is Unduplicated)               1877            3899.500000       118131.7500           30.2941
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Screening, Eval, and Assessment,Class #02
  EXIT-EXIT-EXIT ASSESSMENT                               66              99.250000         4962.5000           50.0000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT      15              27.833000         2087.4750           75.0000
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS      34              67.000000         3718.5000           55.5000
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF     17              29.079600         2180.9700           75.0000
  SCREEN-T1023-SCREENING                                   4               4.000000          200.0000           50.0000
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP       1               1.000000           51.0500           51.0500
Subtotal (Total Children Is Unduplicated)                120             228.162600        13200.4950           57.8556
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EI Services,Class #03
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            126             243.500000            0.0000            0.0000
Subtotal (Total Children Is Unduplicated)                126             243.500000            0.0000            0.0000
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Total                                                                   4371.162600       131332.2450           30.0452
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Number of Children (Unduplicated) With at Least One Service       1890
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Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              5       3.250000     120.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B              0       0.000000       0.0000       0.0000 
P              0       0.000000       0.0000       0.0000 
D             45      28.000000    1036.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              7      14.000000    1050.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            7756    4325.912600  129125.9950       0.0000 
Other          0       0.000000       0.0000       0.0000 
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Total       7813    4371.162600  131332.2450       0.0000