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
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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