CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2020 ending 12/31/2020                Date of Report:01/23/2021   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                    11686            15304.75000       565807.7500           36.9694
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   354             292.500000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 21240            72474.50000      2679394.0500           36.9702
Subtotal (Total Children Is Unduplicated)              22396            88071.75000      3245201.8000           36.8473
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     18              22.000000         1018.5000           46.2955
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               10              10.000000          195.4000           19.5400
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             11              11.000000          156.1200           14.1927
  AUDE-92557-COMP AUDIO THRESHOLD EVAL/SPCH RECOG          1               1.000000           23.7000           23.7000
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             10              10.000000           94.3500            9.4350
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              10              11.000000          320.7900           29.1627
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                  8               8.000000          173.1600           21.6450
  EVAL-96111-DEVELOPMENTAL EVALUATION                     80              97.000000         4850.0000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    3               6.000000          300.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              331             576.000000        28800.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          24              37.500000         2812.5000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT        115             185.000000        13863.1600           74.9360
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT             5               9.000000          675.0000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           63             102.000000         7620.7500           74.7132
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT             4               7.000000          525.0000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           37              64.500000         4798.5000           74.3953
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       27              56.000000         4200.0000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      62             113.500000         8512.5000           75.0000
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            61             100.500000         5577.7500           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          162             305.500000        16719.3800           54.7279
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     289             523.500001        39027.5000           74.5511
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  2189            3851.500000       287433.7900           74.6291
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       114             194.000000        14550.0000           75.0000
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT    1189            2032.000000       151905.0000           74.7564
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT        91             167.000000        12525.0000           75.0000
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     745            1313.999999        98070.0000           74.6347
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS     484             889.000000        49339.5000           55.5000
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2641            4741.500000       262464.0400           55.3546
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    195             375.000000        28086.0000           74.8960
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  940            1652.000000       123870.7500           74.9823
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                85              86.000000         8497.5200           98.8084
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 7               7.000000          163.9400           23.4200
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                   8              33.000000         1650.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     11              11.000000          561.5500           51.0500
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    6               6.000000          306.3000           51.0500
  OCTH-97165-OT EVAL LOW COMPLEXITY                        1               1.000000           51.0500           51.0500
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      1               1.000000           51.0500           51.0500
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  19              19.000000          921.8900           48.5205
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                10              10.000000          510.5000           51.0500
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 7               7.000000          357.3500           51.0500
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               4               4.000000          204.2000           51.0500
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      76              76.000000         3867.0400           50.8821
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                    17              17.000000          867.8500           51.0500
  OCTH-97167TL-OT EVAL HIGH COMPLEXITY                     1               1.000000           51.0500           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                      1               1.000000           51.0500           51.0500
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    4               4.000000          204.2000           51.0500
  PSTH-97161-PT EVAL LOW COMPLEXITY                        6               6.000000          306.3000           51.0500
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                   5               5.000000          255.2500           51.0500
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 6               8.000000          405.2500           50.6563
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 2               2.000000          102.1000           51.0500
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      34              34.000000         1710.4400           50.3071
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     8              10.000000          507.3500           50.7350
  PSTH-97163TL-PT EVAL HIGH COMPLEXITY                     2               2.000000          102.1000           51.0500
  SCREEN-T1023-SCREENING                                  45              45.000000         2250.0000           50.0000
  SPCH-92521-EVAL OF SPEECH FLUENCY                        1               1.000000           51.0500           51.0500
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      1               1.000000           51.0500           51.0500
  SPCH-92522-EVAL OF SPCH SOUND PROD                       4               4.000000          204.2000           51.0500
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     106             108.000000         5429.5500           50.2736
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    29              29.000000         1480.4500           51.0500
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    15              15.000000          765.7500           51.0500
  SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM    4               4.000000          204.2000           51.0500
  SPCH-92524-BEHAV & QUAL ANALYSIS OF VOICE AND RES       24              24.000000         1225.2000           51.0500
  SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES      4               5.000000          204.2000           40.8400
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       3               3.000000          146.8200           48.9400
  SPCH-92610GT-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC     1               1.000000           44.5500           44.5500
Subtotal (Total Children Is Unduplicated)               5504            18063.00000      1202270.4900           66.5598
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          22              44.000000        11389.8100          258.8593
  AUD-92593TS-AUDIOLOGY SERVICES (Biaural)                 2               2.000000          100.0000           50.0000
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           470             539.250000        26900.0000           49.8841
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           772             887.750000        44387.5000           50.0000
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               298             321.500000         8037.5000           25.0000
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2020 ending 12/31/2020                Date of Report:01/23/2021   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                 471             574.500000        28693.7500           49.9456
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE               1103            1319.250000        65889.0000           49.9443
  CONIP-CONIP-CONSULT, ITDS PHONE                        137             131.250000         3231.2500           24.6190
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  310             400.750000        20037.5000           50.0000
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  713             622.750000        29925.0000           48.0530
  CONOP-CONOP-CONSULT, OT, PHONE                          56             129.500000         3187.5000           24.6139
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  151             174.500000         8725.0000           50.0000
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  457             354.000000        17675.0000           49.9294
  CONPP-CONPP-CONSULT, PT, PHONE                          19              13.000000          325.0000           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 402             421.750000        21087.5000           50.0000
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 807             810.000000        40500.0000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         99              94.250000         2356.2500           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            202             282.250000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              17             231.500000         5787.5000           25.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         5219            34604.25000      1729203.5000           49.9708
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       3315            16684.75000       833967.5000           49.9838
  INTR-T1013-INTERPRETER                                 199             826.000000        42202.5000           51.0926
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            7295            53680.00000       536270.0100            9.9901
  OCCT-97530-OT SESSION BY LICENSED OT                   847            3898.250000       271349.6300           69.6081
  OCCT-97530GT-OT SESSION BY LICENSED OT                 297            1146.250000        81279.8800           70.9094
  OCCT-97530HM-OT SESSION BY OT ASST                     248            1432.750000        81082.6600           56.5923
  OCCT-97530HMGT-OT SESSION BY OT ASST                    47             225.750000        12912.9000           57.2000
  OCCT-97530TL-OT SESSION BY LICENSED OT                  53             251.500000        17967.1600           71.4400
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               116             462.500000        33041.0000           71.4400
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                   5              15.500000          886.6000           57.2000
  OCCT-97530TLHM-OT SESSION BY OT ASST                     8              16.500000          943.8000           57.2000
  PHY-97110-PT SESSION BY LICENSED PT                    874            4510.249995       315454.8100           69.9418
  PHY-97110GT-PT SESSION BY LICENSED PT                  319            1154.500000        81263.7400           70.3887
  PHY-97110HM-PT SESSION BY PT ASST                       93             516.250000        29508.8500           57.1600
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            18              59.750000         3415.3100           57.1600
  PHY-97110TL-PT SESSION BY LICENSED PT                   45             198.000000        14145.1200           71.4400
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 66             280.250000        20021.0600           71.4400
  PHY-97110TLGTHM-PT SESSION BY PT ASST                    3              14.000000          800.2400           57.1600
  PHY-97110TLHM-PT SESSION BY PT ASST                      7              33.000000         1886.2800           57.1600
  SENS-V5264-EARMOLD                                       5              11.000000          198.0000           18.0000
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1748            9998.000000       695310.1000           69.5449
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        710            3236.500000       229561.2900           70.9289
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST              5              37.000000         2112.6700           57.0992
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           1               2.000000          114.4000           57.2000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        146             685.000000        48936.4000           71.4400
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      125             605.250000        43239.0600           71.4400
  SPL-92508-GROUP SPL SESSION PER CHILD                   13              89.250000         1044.4700           11.7027
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        1               1.000000           13.8800           13.8800
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    282             430.000000        15900.7200           36.9784
  TRAV-TRAVS-Travel by mile                             2433            210022.0000        92401.8800            0.4400
Subtotal (Total Children Is Unduplicated)              13380            352480.7500      5574670.4800           15.8155
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 458615.499995     10022142.7700           21.8530
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      24231
-----------------------------------------------------------------------------------------------------------------------
 
Center 01
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              8       2.000000      74.0000       0.0000 
P           8101   32486.250000  186610.5100  186610.5100 
D            792    3835.000000   20014.7000       0.0000 
S           3712    2426.500000  109668.6700       0.0000 
H           6001    3753.000000  163375.6800  125725.2500 
T           3536   10894.000000   82008.9100   80733.3300 
            5243    3309.250000  137801.5300       0.0000 
Other        367     348.750000   21334.5000       0.0000 
---------------------------------------------------------
Total      27760   57054.750000  720888.5000  393069.0900 
 
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           2633    7814.750000   77704.2200   77433.4400 
             345     313.250000    8924.9000       0.0000 
Other       3701    2177.000000   92816.6400       0.0000 
---------------------------------------------------------
Total       6679   10305.000000  179445.7600   77433.4400 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3664    2743.250000  116992.6700       0.0000 
P           2047   16602.000000   55358.4300   55311.4300 
D             53      33.750000    1248.7500       0.0000 
S              0       0.000000       0.0000       0.0000 
H            126    1175.750000    2518.6300    2518.6300 
T              0       0.000000       0.0000       0.0000 
            5557    7739.500000  173776.1100       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      11447   28294.250000  349894.5900   57830.0600 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             87     135.250000    5061.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2518    4067.250000  159728.7500       0.0000 
P           3024    8964.750000  199665.9400  194688.1400 
D             97     160.250000    6314.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           1618    5888.000000  297573.2700     870.0800 
T              0       0.000000       0.0000       0.0000 
            3621    3776.000000  166114.4600       0.0000 
Other         87     224.500000   14174.7800    1657.2800 
---------------------------------------------------------
Total      11052   23216.000000  848632.4500  197215.5000 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              5       3.750000     233.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2821    2048.250000   78415.1600   13449.5050 
P           4241   23038.500000  156837.4600  156837.4600 
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 
            2440    1875.750000   61110.5200    6457.7700 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       9507   26966.250000  296596.8900  176744.7350 
 
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           7718    7266.250000  180630.4900  180630.4900 
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 
           20962   15361.500000  648706.0100       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      28680   22627.750000  829336.5000  180630.4900 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             14      20.500000    1366.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            733     599.500000   23677.0000       0.0000 
P           6553   13976.000000  326974.9700  326701.1700 
D             18      18.500000     988.5000       0.0000 
S              1       1.000000      50.0000       0.0000 
H             44      87.500000    6505.5000       0.0000 
T              0       0.000000       0.0000       0.0000 
            7501    4100.500000  153375.2500       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      14864   18803.500000  512937.7200  326701.1700 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             12      10.500000     370.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            800     878.250000   33354.5000       0.0000 
P          11942   67069.750000  682788.0100  683251.8700 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            270     432.000000   23998.7500       0.0000 
T           4580   33382.750000  262747.4300  261681.1800 
            2211    6746.750000  382276.7100       0.0000 
Other        211     412.500000   28948.5000       0.0000 
---------------------------------------------------------
Total      20026  108932.500000 1414483.9000  944933.0500 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            305     227.750000    8898.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1525    1207.750000   47606.5000       0.0000 
P          12392   20178.250000  705092.9400  706839.5300 
D             90     112.000000    6993.7500       0.0000 
S            171     289.000000   16967.2600       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            8164   14946.000000  807759.6400       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      22647   36960.750000 1593318.8400  706839.5300 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       2.000000       0.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B             20      16.250000    1102.0000       0.0000 
P           1246    7268.750000  117831.7200  117824.4100 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             11      30.000000    1209.0700    1209.0700 
T              0       0.000000       0.0000       0.0000 
            1283    2229.750000  126605.4700      20.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       2561    9546.750000  246749.0100  119053.4800 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              6       6.250000     307.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            449     478.250000   24824.6200       0.0000 
P           1622    1741.250000   78035.5900   77257.0600 
D            106     137.000000    7334.8200       0.0000 
S            439     433.250000   17718.9600     188.8000 
H            104     132.000000    8646.2300      40.0000 
T           4183   41367.750000  159293.9000  151992.2300 
            3281    3836.750000  197697.1200      86.8700 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      10190   48132.500000  493858.4900  229564.9600 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             11      11.750000     469.1900       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3414    3075.750000  145865.0400       0.0000 
P           1376    1337.250100   62490.3955   62180.6400 
D             85      83.250000    4563.4200       0.0000 
S             14       9.500000     475.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T            163     152.000000    7382.2600    5406.7600 
            7175    4953.749900  228233.7845       0.0000 
Other         46      42.000000    2714.2600      37.0000 
---------------------------------------------------------
Total      12284    9665.250000  452193.3500   67624.4000 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             35      44.750000    1655.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           4012    3694.500000  167516.4900     105.0500 
P           1915    1684.250000   75607.6500   75404.1500 
D             66      59.750000    3952.7800       0.0000 
S              1       1.000000      24.8300       0.0000 
H              0       0.000000       0.0000       0.0000 
T            538     548.250000   26415.4000   26415.4000 
            8957    6741.250000  319860.8200       0.0000 
Other         48      50.250000    3144.3700     177.2500 
---------------------------------------------------------
Total      15572   12824.000000  598178.0900  102101.8500 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3404    2934.500000  127662.3200       0.0000 
P           6420    8923.947774  149335.2200  170749.5200 
D              0       0.000000       0.0000       0.0000 
S              1       0.836800      62.7600       0.0000 
H             46      80.500000    5929.7300       0.0000 
T              0       0.000000       0.0000       0.0000 
            9630    8357.215421  383841.1400       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      19501   20296.999995  666831.1700  170749.5200 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              8       8.750000     323.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            740     903.000000   34858.5600     148.0000 
P           3728    4383.750000  180274.9400  179122.1900 
D              0       0.000000       0.0000       0.0000 
S              4       5.000000      90.0000      90.0000 
H              0       0.000000       0.0000       0.0000 
T           2910   10819.000000  198305.6100  198295.6100 
            5412    8848.250000  404130.9900  246648.7700 
Other         12      21.500000     813.6600     813.6600 
---------------------------------------------------------
Total      12814   24989.250000  818797.5100  625118.2300