CMS/EIP Fiscal Report Statewide
Services beginning 07/01/2019 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 32494 62893.00000 2326257.5000 36.9875
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 19445 22473.25000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 48334 315073.5000 11651633.0000 36.9807
Subtotal (Total Children Is Unduplicated) 49808 400439.7500 13977890.5000 34.9064
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 95 114.000000 5529.0000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 254 292.000000 5665.7700 19.4033
AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE 11 13.000000 275.5100 21.1931
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 303 352.000000 5068.2200 14.3984
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 289 331.000000 3109.0600 9.3929
AUDE-92568-ACOUSTIC REFLEX TESTING (MEMR) 6 6.000000 59.7600 9.9600
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 313 361.000000 10192.2400 28.2334
AUDE-92582-CONDITIONED PLAY AUDIOMETRY 2 2.000000 76.9400 38.4700
AUDE-92585-AUD EVOKED RESPONSE (COMP) 7 7.000000 575.5600 82.2229
AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED) 112 113.000000 1722.2600 15.2412
AUDE-92588-OTOACOUSTIC EMISSIONS (COMP) 103 122.000000 2550.9500 20.9094
AUDE-V5010-ASSESSMENT FOR HEARING AID 9 13.000000 585.0000 45.0000
AUDE-V5090-DISPENSING FEE PER HEARING AID 8 14.000000 1455.0000 103.9286
EVAL-96111-DEVELOPMENTAL EVALUATION 303 405.250000 20273.5000 50.0271
EVAL-96111GT-DEVELOPMENTAL EVALUATION 6 9.000000 450.0000 50.0000
EXIT-EXIT-EXIT ASSESSMENT 3335 5216.750000 260262.5000 49.8898
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 625 974.500000 72700.7999 74.6032
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 93 150.500000 11287.5000 75.0000
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 274 416.500532 31042.5400 74.5318
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 53 82.000000 6000.0000 73.1707
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 159 259.000000 19209.5000 74.1680
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 396 687.000000 54173.1500 78.8547
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 56 100.000000 7475.0000 74.7500
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 875 1404.000000 77841.0000 55.4423
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 146 260.000000 14430.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 8858 14560.78280 1082131.4700 74.3182
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 1664 2921.503467 217857.2000 74.5702
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 3961 6416.899736 477322.3204 74.3852
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 746 1255.000001 92976.4700 74.0848
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 2874 4546.999467 339426.9800 74.6486
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 737 1314.333333 97996.0000 74.5595
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 11645 18781.79000 1039957.3700 55.3705
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 2125 3691.500000 204332.0200 55.3520
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 4388 7204.491700 559232.1775 77.6227
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 750 1398.000000 104850.0000 75.0000
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 42 42.000000 4925.1200 117.2648
MED-99204-OUTPATIENT VISIT, NEW, 45 MINS 5 5.000000 1263.8700 252.7740
MED-99213-OUTPATIENT VISIT, EST, 15 MINS 6 6.000000 140.5200 23.4200
MED-99214-OUTPATIENT VISIT, EST, 25 MINS 1 1.000000 36.4900 36.4900
NUTR-97802-NUTRITIONAL EVAL, INITIAL 4 22.000000 1100.0000 50.0000
NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP 21 241.000000 12050.0000 50.0000
OCTF-97168-OT RE-EVAL EST PLAN CARE 68 73.000000 3602.9600 49.3556
OCTF-97168GT-OT RE-EVAL EST PLAN CARE 2 2.000000 102.1000 51.0500
OCTH-97165-OT EVAL LOW COMPLEXITY 41 41.000000 1980.9900 48.3168
OCTH-97165TLGT-OT EVAL LOW COMPLEXITY 1 3.000000 153.1500 51.0500
OCTH-97166-OT EVAL MODERATE COMPLEXITY 165 173.000000 8517.4300 49.2337
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 590 630.000000 31585.2800 50.1354
OCTH-97167GT-OT EVAL HIGH COMPLEXITY 26 27.000000 1290.9800 47.8141
OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY 2 2.000000 102.1000 51.0500
PSTF-97164-PT RE-EVAL EST PLAN CARE 43 45.000000 2077.9700 46.1771
PSTF-97164GT-PT RE-EVAL EST PLAN CARE 2 2.000000 102.1000 51.0500
PSTH-97161-PT EVAL LOW COMPLEXITY 23 22.000000 1123.1000 51.0500
PSTH-97161GT-PT EVAL LOW COMPLEXITY 2 2.000000 102.1000 51.0500
PSTH-97162-PT EVAL MODERATE COMPLEXITY 98 108.000000 5341.5900 49.4592
PSTH-97162GT-PT EVAL MODERATE COMPLEXITY 9 9.000000 394.8400 43.8711
PSTH-97163-PT EVAL HIGH COMPLEXITY 303 331.000000 16498.8600 49.8455
PSTH-97163GT-PT EVAL HIGH COMPLEXITY 17 17.000000 857.8500 50.4618
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 1 1.000000 51.0500 51.0500
SCREEN-T1023-SCREENING 567 737.000000 36850.0000 50.0000
SPCH-92521-EVAL OF SPEECH FLUENCY 13 14.000000 643.6500 45.9750
SPCH-92521GT-EVAL OF SPEECH FLUENCY 1 1.000000 51.0500 51.0500
SPCH-92522-EVAL OF SPCH SOUND PROD 27 27.000000 1244.4400 46.0904
SPCH-92522GT-EVAL OF SPCH SOUND PROD 2 2.000000 102.1000 51.0500
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 742 808.000000 40773.4600 50.4622
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 39 41.000000 1975.6200 48.1859
SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 10 10.000000 510.5000 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 117 123.000000 6218.2900 50.5552
SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES 19 22.000000 1023.5300 46.5241
CMS/EIP Fiscal Report Statewide
Services beginning 07/01/2019 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
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 32 37.000000 1661.0600 44.8935
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) 24740 77524.80104 5019203.4678 64.7432
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 136 398.000000 91416.0500 229.6886
AUD-92592TS-AUDIOLOGY SERVICES (Monaural) 2 2.000000 100.0000 50.0000
AUD-92593TS-AUDIOLOGY SERVICES (Biaural) 6 6.000000 300.0000 50.0000
AUDE-V5160-DISPENSING FEE BINAURAL 8 9.000000 1899.0000 211.0000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 4671 6603.000000 328607.7700 49.7664
COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE 830 1036.000000 51775.0000 49.9759
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 1119 1180.250000 29468.7500 24.9682
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 4399 9700.500000 484478.7500 49.9437
CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE 1673 2343.750000 117137.5000 49.9787
CONIP-CONIP-CONSULT, ITDS PHONE 693 1043.250000 26062.4500 24.9820
CONOF-CONOF-CONSULT, OT, FACE TO FACE 2466 3450.250000 172500.0000 49.9964
CONOF-CONOFGT-CONSULT,OT,FACE TO FACE 1007 888.750000 44400.5000 49.9584
CONOP-CONOP-CONSULT, OT, PHONE 295 661.250000 16468.7500 24.9055
CONPF-CONPF-CONSULT, PT, FACE TO FACE 1592 2268.500000 111912.5000 49.3333
CONPF-CONPFGT-CONSULT,PT,FACE TO FACE 606 530.750000 26537.5000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 160 87.750000 2187.5000 24.9288
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 3508 5320.250000 265637.5000 49.9295
CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE 1221 1329.500000 66462.5000 49.9906
CONSP-CONSP-CONSULT, SLP, PHONE 480 641.000000 16000.0000 24.9610
COUN-H2019HR-INDIVIDUAL/FAMILY THERAPY 1 2.000000 146.6400 73.3200
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 4521 14816.00000 0.0000 0.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 212 5971.500000 149287.5000 25.0000
EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION 2 52.750000 2637.5000 50.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 17177 268306.5700 13365705.6200 49.8151
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 6177 39717.00000 1984260.6600 49.9600
INTR-T1013-INTERPRETER 1299 5055.910000 253288.4900 50.0975
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 23108 404340.0000 4037976.6950 9.9866
OCCT-97530-OT SESSION BY LICENSED OT 2583 26243.22074 1828448.7959 69.6732
OCCT-97530GT-OT SESSION BY LICENSED OT 637 3044.250000 213199.1900 70.0334
OCCT-97530HM-OT SESSION BY OT ASST 953 9781.688462 557239.1100 56.9676
OCCT-97530HMGT-OT SESSION BY OT ASST 128 541.750000 30959.5000 57.1472
OCCT-97530TL-OT SESSION BY LICENSED OT 33 68.750000 4840.0600 70.4009
OCCT-97530TLGT-OT SESSION BY LICENSED OT 134 510.750000 36487.9800 71.4400
OCCT-97530TLGTHM-OT SESSION BY OT ASST 9 29.000000 1658.8000 57.2000
OCCT-97530TLHM-OT SESSION BY OT ASST 3 4.000000 228.8000 57.2000
PHY-97110-PT SESSION BY LICENSED PT 2369 28533.06692 1982682.4985 69.4872
PHY-97110GT-PT SESSION BY LICENSED PT 679 3044.076282 211283.6100 69.4081
PHY-97110HM-PT SESSION BY PT ASST 355 3727.091677 212222.7000 56.9406
PHY-97110HMGT-PT SESSION BY LICENSED PT ASST 25 65.750001 3758.2700 57.1600
PHY-97110TL-PT SESSION BY LICENSED PT 36 80.750000 5768.7800 71.4400
PHY-97110TLGT-PT SESSION BY LICENSED PT 101 408.250000 29104.5400 71.2910
SENS-HA_INS-SENSORY AID INSURANCE PER EAR 1 1.000000 525.0000 525.0000
SENS-V5014-*HEARING AID REPAIR BY MANUFACTURER 1 2.000000 228.0000 114.0000
SENS-V5050-IN EAR MONAURAL HEARING AID 4 8.000000 2368.0000 296.0000
SENS-V5060-BEHIND EAR HEARING AID 1 1.000000 228.0000 228.0000
SENS-V5140-BEHIND EAR BINAURAL HEARING AID 4 4.000000 1824.0000 456.0000
SENS-V5264-EARMOLD 22 51.000000 904.0600 17.7267
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 4985 62217.49986 4333659.0491 69.6534
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 1480 7877.370661 548926.3700 69.6840
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 165 1030.500000 58416.7000 56.6877
SPL-92507HMGT-SPL THERAPY SESSION BY SLP ASST 2 3.500000 200.2000 57.2000
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 75 236.500000 16895.5600 71.4400
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 166 601.500000 42971.1600 71.4400
SPL-92508-GROUP SPL SESSION PER CHILD 81 192.000000 2748.9600 14.3175
SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP 9 10.500000 145.7400 13.8800
TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE 1138 1884.250000 69717.2500 37.0000
TRAV-TRAVS-Travel by mile 11724 2009057.000 883097.1000 0.4396
Subtotal (Total Children Is Unduplicated) 30460 2935021.495 32727392.9085 11.1506
-----------------------------------------------------------------------------------------------------------------------
Total 3412986.045646 51724486.8763 15.1552
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 50576
-----------------------------------------------------------------------------------------------------------------------
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 82773 307075.250000 1676560.9000 1674025.2000
D 2740 9125.500000 77647.3000 20.0900
S 4638 3205.500000 134712.1300 0.0000
H 30997 22820.250000 1035230.5400 910287.6700
T 4143 13455.500000 115051.2800 114606.6600
30387 19895.250000 728917.0200 0.0000
Other 1005 1568.000000 101604.7500 129.5000
---------------------------------------------------------
Total 156684 377146.000000 3869751.6700 2699069.1200
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 17501 55709.500000 450087.7100 449749.7800
1116 3057.750000 39051.9100 0.0000
Other 23440 56751.500000 494376.9400 0.0000
---------------------------------------------------------
Total 42057 115518.750000 983516.5600 449749.7800
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 200 161.500000 6650.9600 0.0000
U 0 0.000000 0.0000 0.0000
B 14459 10188.000000 422775.7800 0.0000
P 23656 220913.000000 571803.2600 571803.2600
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 496 4289.500000 14051.9300 14051.9300
T 835 7246.500000 18192.7500 18192.7500
25240 34619.500000 652746.6000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 64886 277418.000000 1686221.2800 604047.9400
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 503 635.250000 23504.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 5094 7364.000000 278608.0000 37.0000
P 27742 71510.000000 1781150.6800 1705163.3200
D 41 58.000000 2278.5000 0.0000
S 4 6.500000 240.5000 0.0000
H 10636 39411.750000 2002334.4800 2390.0000
T 0 0.000000 0.0000 0.0000
17454 18734.000000 734360.0200 0.0000
Other 201 442.500000 28744.4000 2369.0700
---------------------------------------------------------
Total 61675 138162.000000 4851220.8300 1709959.3900
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 30 34.750000 2168.0700 0.0000
U 0 0.000000 0.0000 0.0000
B 11887 7919.250000 304407.8400 254953.8000
P 28081 306215.250000 995796.1200 995818.1200
D 241 172.750000 6771.4600 0.0000
S 0 0.000000 0.0000 0.0000
H 1 0.500000 25.0000 25.0000
T 0 0.000000 0.0000 0.0000
12592 10324.500000 234750.4200 11074.1700
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 52832 324667.000000 1543918.9100 1261871.0900
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 58161 54989.000000 1321361.1000 1321361.1000
D 1 0.750000 27.7500 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
79698 59229.000000 2647537.5600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 137860 114218.750000 3968926.4100 1321361.1000
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 133 119.750000 5258.7500 0.0000
U 0 0.000000 0.0000 0.0000
B 2350 1786.250000 71363.7000 0.0000
P 38562 82944.018300 2138958.8100 2140660.9500
D 493 461.250000 24556.3000 150.0000
S 4 3.500000 142.5000 0.0000
H 55 109.000000 8075.0500 0.0000
T 0 0.000000 0.0000 0.0000
30829 17496.650600 563441.6725 17.8300
Other 1 2.000000 111.0000 0.0000
---------------------------------------------------------
Total 72427 102922.418900 2811907.7825 2140828.7800
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 42 53.000000 2239.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 814 876.000000 34171.7500 0.0000
P 86585 614523.500000 4264358.9400 4266319.7500
D 148 138.250000 5957.8900 0.0000
S 0 0.000000 0.0000 0.0000
H 1840 2570.500000 130367.7500 0.0000
T 4 18.500000 684.5000 573.5000
15187 55110.750000 2050080.6400 9.2500
Other 906 1578.000000 115273.2500 0.0000
---------------------------------------------------------
Total 105526 674868.500000 6603133.7200 4266902.5000
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 492 377.000000 14271.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 4190 3163.500000 128692.2500 83.2500
P 77568 138319.500000 4202205.9900 4208623.3530
D 300 265.000000 10106.9200 0.0000
S 407 636.500000 31724.2800 0.0000
H 1 3.000000 150.0000 0.0000
T 0 0.000000 0.0000 0.0000
45845 77103.000000 3875782.4600 0.0000
Other 591 1048.250000 70986.2500 0.0000
---------------------------------------------------------
Total 129394 220915.750000 8333919.1500 4208706.6030
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 15 8.000000 296.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 4347 3211.500000 130383.0800 0.0000
P 11487 43606.250000 878748.5500 878546.5500
D 73 52.000000 2309.4600 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
14332 17407.750000 857885.3400 397.2000
Other 2 2.000000 126.9400 0.0000
---------------------------------------------------------
Total 30256 64287.500000 1869749.3700 878943.7500
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 3 6.000000 450.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 1669 1684.750000 76023.3400 175.0000
P 6841 6996.000000 332689.2500 320655.1900
D 9 10.000000 533.4900 462.0500
S 1132 1140.000000 43024.8400 564.2000
H 226 282.500000 19265.1600 460.4200
T 21963 180330.750000 793492.4200 749558.9410
12889 15736.750000 769458.8100 1007.4700
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 44732 206186.750000 2034937.3100 1072883.2710
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 39 30.500000 1548.0900 0.0000
U 0 0.000000 0.0000 0.0000
B 3701 3214.250000 153777.9000 149.1900
P 12702 11685.570000 542362.1700 546871.2800
D 1610 1572.020000 90038.0560 0.0000
S 20 161.750000 755.5100 0.0000
H 43 42.500000 2827.1600 50.0000
T 20145 148800.034306 279191.1800 278271.6800
51312 40333.225694 1144507.9500 37.0000
Other 572 584.500000 39300.2600 0.0000
---------------------------------------------------------
Total 90144 206424.350000 2254308.2760 825379.1500
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 18 15.500000 1047.0500 0.0000
U 0 0.000000 0.0000 0.0000
B 3477 2887.000000 134763.5500 157.2500
P 20510 16869.502900 755706.5260 757589.6100
D 1461 1365.895708 91393.6100 95.8000
S 27 364.000000 701.7800 0.0000
H 51 52.220000 3531.0100 0.0000
T 40507 236957.670000 568664.1404 567385.7500
64730 51409.760000 1607237.7340 112.0800
Other 500 484.000000 32596.1300 133.2500
---------------------------------------------------------
Total 131281 310405.548608 3195641.5304 1325473.7400
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 7 7.250000 240.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 3834 3275.333333 143679.2900 281.2500
P 53864 78710.366284 1388876.4601 1407683.1300
D 0 0.000000 0.0000 0.0000
S 2 3.333333 250.0000 0.0000
H 59 92.750000 6433.6200 0.0000
T 534 713.500000 9998.2900 9998.2900
44394 36800.358188 1826638.5073 0.0000
Other 3 2.836800 205.6400 0.0000
---------------------------------------------------------
Total 102697 119605.727938 3376322.3074 1417962.6700
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.250000 9.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 1289 1468.250000 58684.0000 157.2500
P 17315 18573.916200 750650.3800 744184.8000
D 14 11.000000 425.5000 370.0000
S 248 217.000000 9280.9600 9280.9600
H 21 28.250000 1197.2500 27.7500
T 19489 91572.584000 1290641.0300 1290641.0300
27077 47645.000000 2206929.3100 1602048.3900
Other 585 722.750000 23194.0900 23194.0900
---------------------------------------------------------
Total 66039 160239.000200 4341011.7700 3669904.2700