CMS/EIP Fiscal Report              Statewide 
Services beginning 04/01/2020 ending 06/30/2020                Date of Report:07/21/2020   Page:   1
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
Service Coordination,Class #01
  CASE-CASE-NON-TCM CASE MANAGEMENT                    12992            16610.75000       614313.0000           36.9829
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   269             247.500000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 22733            77707.50000      2874305.2500           36.9888
Subtotal (Total Children Is Unduplicated)              23985            94565.75000      3488618.2500           36.8909
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     22              22.000000         1067.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY                6               6.000000          116.5600           19.4267
  AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE               1               1.000000           23.5000           23.5000
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)              8               8.000000          115.2200           14.4025
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)              7               7.000000           67.8200            9.6886
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY               8               8.000000          227.9800           28.4975
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               3               3.000000           47.1100           15.7033
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                  3               3.000000           62.6700           20.8900
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    4               4.000000          180.0000           45.0000
  AUDE-V5090-DISPENSING FEE PER HEARING AID                3               6.000000          690.0000          115.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                     48              76.000000         3800.0000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    6               9.000000          450.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              317             519.000000        25950.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          33              51.000000         3825.0000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         91             147.500000        11062.5000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT             8              12.500000          937.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           50              77.500000         5662.5000           73.0645
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            10              13.500000         1012.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           40              70.000000         5100.0000           72.8571
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       12              13.500000         1012.5000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      53              94.000000         7025.0000           74.7340
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            58              92.000000         5106.0000           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          142             254.500000        14124.7500           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     140             242.829867        18212.2400           75.0000
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1625            2864.336800       213569.7000           74.5617
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT        53              95.000000         7125.0000           75.0000
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     711            1204.000001        89151.4700           74.0461
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT        51              80.000000         6000.0000           75.0000
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     725            1296.833333        96683.5000           74.5535
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS     166             274.000000        15207.0000           55.5000
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2061            3581.000000       198310.2700           55.3785
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF     66             114.833333         8612.5000           75.0000
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  731            1364.000000       102300.0000           75.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  13              77.000000         3850.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                      7               7.000000          357.3500           51.0500
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    2               2.000000          102.1000           51.0500
  OCTH-97165-OT EVAL LOW COMPLEXITY                        2               2.000000           52.3700           26.1850
  OCTH-97165TLGT-OT EVAL LOW COMPLEXITY                    1               3.000000          153.1500           51.0500
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                   5               6.000000          255.2500           42.5417
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                12              13.000000          612.6000           47.1231
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 1               1.000000           51.0500           51.0500
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               6               6.000000          306.3000           51.0500
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      27              27.000000         1350.0800           50.0030
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                    24              25.000000         1188.8800           47.5552
  OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY                   2               2.000000          102.1000           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                      4               4.000000          204.2000           51.0500
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    2               2.000000          102.1000           51.0500
  PSTH-97161-PT EVAL LOW COMPLEXITY                        1               1.000000           51.0500           51.0500
  PSTH-97161GT-PT EVAL LOW COMPLEXITY                      2               2.000000          102.1000           51.0500
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                   3               3.000000          153.1500           51.0500
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 8               8.000000          384.8400           48.1050
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      22              24.000000         1174.1500           48.9229
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                    16              16.000000          816.8000           51.0500
  SCREEN-T1023-SCREENING                                  76              79.000000         3900.0000           49.3671
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      1               1.000000           51.0500           51.0500
  SPCH-92522GT-EVAL OF SPCH SOUND PROD                     1               1.000000           51.0500           51.0500
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP      63              63.000000         3161.0600           50.1756
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    36              38.000000         1822.4700           47.9597
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     9               9.000000          459.4500           51.0500
  SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM    8               8.000000          408.4000           51.0500
  SPCH-92524-BEHAV & QUAL ANALYSIS OF VOICE AND RES        8               8.000000          408.4000           51.0500
  SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES     19              22.000000         1023.5300           46.5241
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       2               2.000000           97.8800           48.9400
  SPCH-92610GT-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC     3               3.000000          133.6500           44.5500
  SPCH-92610TLGT-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUN    1               1.000000           44.5500           44.5500
Subtotal (Total Children Is Unduplicated)               4166            13080.83333       865768.9000           66.1861
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          29              53.000000        24381.8500          460.0349
  AUDE-V5160-DISPENSING FEE BINAURAL                       1               1.000000          230.0000          230.0000
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           398             465.250000        23262.5000           50.0000
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           793             977.750000        48862.5000           49.9744
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               677             738.250000        18437.5000           24.9746
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 04/01/2020 ending 06/30/2020                Date of Report:07/21/2020   Page:   2
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 590             604.250000        30162.5000           49.9173
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE               1570            2193.250000       109650.0000           49.9943
  CONIP-CONIP-CONSULT, ITDS PHONE                        184             205.000000         5125.0000           25.0000
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  244             192.500000         9625.0000           50.0000
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  979             850.500000        42488.0000           49.9565
  CONOP-CONOP-CONSULT, OT, PHONE                          95             113.750000         2843.7500           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  181             152.250000         7612.5000           50.0000
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  588             510.750000        25537.5000           50.0000
  CONPP-CONPP-CONSULT, PT, PHONE                          62              34.250000          850.0000           24.8175
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 342             311.750000        15437.5000           49.5188
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                1193            1287.000000        64337.5000           49.9903
  CONSP-CONSP-CONSULT, SLP, PHONE                        143             134.750000         3368.7500           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL             55              57.250000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              10              69.500000         1737.5000           25.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         2940            14979.00000       739340.0000           49.3584
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       5932            36863.75000      1841598.1600           49.9569
  INTR-T1013-INTERPRETER                                 152             620.500000        31000.2500           49.9601
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            4108            21696.00000       216815.0000            9.9933
  OCCT-97530-OT SESSION BY LICENSED OT                   438            1833.750000       127771.0200           69.6774
  OCCT-97530GT-OT SESSION BY LICENSED OT                 597            2764.000000       193950.8800           70.1704
  OCCT-97530HM-OT SESSION BY OT ASST                     112             381.750000        21383.5000           56.0144
  OCCT-97530HMGT-OT SESSION BY OT ASST                   107             474.500000        27141.4000           57.2000
  OCCT-97530TL-OT SESSION BY LICENSED OT                  24              53.750000         3768.4600           70.1109
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               132             500.750000        35773.5800           71.4400
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                   8              28.000000         1601.6000           57.2000
  OCCT-97530TLHM-OT SESSION BY OT ASST                     3               4.000000          228.8000           57.2000
  PHY-97110-PT SESSION BY LICENSED PT                    577            2475.000000       169819.5100           68.6139
  PHY-97110GT-PT SESSION BY LICENSED PT                  644            2755.576282       191784.2500           69.5986
  PHY-97110HM-PT SESSION BY PT ASST                       57             359.750000        20563.3100           57.1600
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            24              65.250001         3729.6900           57.1600
  PHY-97110TL-PT SESSION BY LICENSED PT                   36              79.750000         5697.3400           71.4400
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 97             400.250000        28533.0200           71.2880
  SENS-V5050-IN EAR MONAURAL HEARING AID                   2               4.000000         1456.0000          364.0000
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               1               1.000000          456.0000          456.0000
  SENS-V5264-EARMOLD                                       7              12.000000          202.0600           16.8383
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1011            4618.863098       324903.3497           70.3427
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP       1384            7154.620661       498233.7500           69.6380
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             20              47.250000         2551.9400           54.0093
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           1               2.000000          114.4000           57.2000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP         71             211.500000        15109.5600           71.4400
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      160             587.250000        41953.1400           71.4400
  SPL-92508-GROUP SPL SESSION PER CHILD                    1               0.500000           35.7200           71.4400
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        9              10.500000          145.7400           13.8800
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    824            1433.750000        53048.7500           37.0000
  TRAV-TRAVS-Travel by mile                             1799            113808.0000        50272.6900            0.4417
Subtotal (Total Children Is Unduplicated)              12524            223178.5600      5082932.7197           22.7752
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 330825.143376      9437319.8697           28.5266
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      25016
-----------------------------------------------------------------------------------------------------------------------
 
Center 01
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       0.750000      27.7500       0.0000 
P           4286    9979.000000  150106.6000  150106.6000 
D            531    1671.750000   13039.2200       0.0000 
S           4400    2928.000000  119991.7900       0.0000 
H           7592    5379.750000  238056.2800  200601.3100 
T           4070   13378.500000  109609.2200  109164.6000 
            7636    4804.000000  195001.5900       0.0000 
Other         77     127.000000    8999.5000       0.0000 
---------------------------------------------------------
Total      28593   38268.750000  834831.9500  459872.5100 
 
Center 02
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
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              0       0.000000       0.0000       0.0000 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T           1333    2261.750000   52752.7500   52752.7500 
            1099    3043.750000   38247.2900       0.0000 
Other       4837    2509.000000  106050.0000       0.0000 
---------------------------------------------------------
Total       7269    7814.500000  197050.0400   52752.7500 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            179     147.500000    5954.9600       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3213    2142.250000   83145.2500       0.0000 
P            367    1746.000000   13475.7800   13475.7800 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             83     937.500000    3019.8000    3019.8000 
T              0       0.000000       0.0000       0.0000 
            6318   15977.500000  189967.0400       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      10160   20950.750000  295562.8300   16495.5800 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            450     592.500000   21922.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3026    4382.250000  162128.2500       0.0000 
P           1978    5838.000000  148719.4600  137991.8200 
D              3       5.500000     203.5000       0.0000 
S              2       2.500000      92.5000       0.0000 
H           1735    5980.250000  302306.1400     900.0000 
T              0       0.000000       0.0000       0.0000 
            3775    3599.000000  150255.2500       0.0000 
Other         48     121.500000    8072.9100    1676.9700 
---------------------------------------------------------
Total      11017   20521.500000  793700.5100  140568.7900 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             28      33.500000    2121.8200       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3137    2012.250000   75627.4000   44146.0000 
P           3407   32386.250000  136392.9600  136392.9600 
D             36      25.250000    1048.2500       0.0000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            2827    3657.500000   63152.3800    8568.1300 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       9435   38114.750000  278342.8100  189107.0900 
 
Center 06
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
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           6076    5458.250000  190380.3500  190380.3500 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           21188   15274.000000  646579.2100       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      27264   20732.250000  836959.5600  190380.3500 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             18      17.500000     647.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1116     807.000000   32059.2500       0.0000 
P           4733    6654.500000  251923.4600  251876.5100 
D             35      16.750000     619.7500       0.0000 
S              1       1.250000      46.2500       0.0000 
H              6      12.000000     900.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            7235    3719.500000  142596.2500       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      13144   11228.500000  428792.4600  251876.5100 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             40      51.500000    2183.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            626     701.250000   27478.0000       0.0000 
P          12912   30284.500000  688747.5300  689538.0400 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            318     434.500000   24167.7500       0.0000 
T              3      13.000000     481.0000     425.5000 
            6784   29691.000000  600889.5200       9.2500 
Other        188     365.500000   26593.5000       0.0000 
---------------------------------------------------------
Total      20871   61541.250000 1370540.8000  689972.7900 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            491     376.000000   14234.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2754    2032.750000   82689.5000       0.0000 
P          11792   15870.250000  693172.8600  692275.2650 
D            106      76.000000    3090.5400       0.0000 
S            162     288.750000   18907.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            8529   13794.250000  712475.5000       0.0000 
Other         37      58.250000    3951.2500       0.0000 
---------------------------------------------------------
Total      23871   32496.250000 1528520.6500  692275.2650 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             15       8.000000     296.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            932     719.250000   28839.1700       0.0000 
P            306     966.500000   41524.2900   41499.2900 
D             15      13.000000     481.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            1590    1385.250000   64041.7300      10.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       2858    3092.000000  135182.1900   41509.2900 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              3       6.000000     450.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1373    1417.500000   63314.7000       0.0000 
P            302     292.500000   11893.5900   11801.9100 
D              0       0.000000       0.0000       0.0000 
S            337     367.000000   14432.5000      46.7500 
H             50      59.750000    4105.0200       0.0000 
T           2554   13872.250000  116431.6700  109389.4500 
            3158    3439.750000  174984.9500      92.5000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       7777   19454.750000  385612.4300  121330.6100 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             27      17.000000     760.0700       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2559    2183.250000  104161.2100       0.0000 
P            974     863.340000   41834.1900   42090.2000 
D            184     153.000000    7059.8200       0.0000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T            456     322.000000   14006.7700   14006.7700 
            8848    6043.000000  279678.8100       0.0000 
Other         27      26.500000    1893.1600       0.0000 
---------------------------------------------------------
Total      13075    9608.090000  449394.0300   56096.9700 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              7       4.500000     261.2100       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2461    2054.750000   92940.9600       9.2500 
P           1611    1323.500000   57440.9100   57303.8400 
D             89      67.000000    3477.7600       9.2500 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T           1513    1437.920000   42151.1700   42123.4200 
           13579    9929.830000  468419.0400       0.0000 
Other         29      28.000000    1965.8800       0.0000 
---------------------------------------------------------
Total      19289   14845.500000  666656.9300   99445.7600 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2631    2254.583333   99733.0900      92.5000 
P           5757    6701.273121  150551.5900  151420.9100 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             53      83.250000    5847.1900       0.0000 
T              0       0.000000       0.0000       0.0000 
            9739    8293.860122  349415.4697       0.0000 
Other          1       0.836800      62.7600       0.0000 
---------------------------------------------------------
Total      18181   17333.803376  605610.0997  151513.4100 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       0.250000       9.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            687     798.250000   31330.7500     157.2500 
P           4342    4376.000000  171226.2500  168574.5500 
D              2       1.750000      64.7500      64.7500 
S              5       5.500000     242.5000     242.5000 
H              2       2.000000     150.0000       0.0000 
T           1119    2364.750000  112149.3800  112149.3800 
            5878    7260.500000  314734.2000  158339.9500 
Other         10      13.500000     655.5000     655.5000 
---------------------------------------------------------
Total      12046   14822.500000  630562.5800  440183.8800