CMS/EIP Fiscal Report Statewide
Services beginning 01/01/2021 ending 03/31/2021 Date of Report:05/04/2021 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 12610 19141.50000 708032.5000 36.9894
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 341 271.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 23244 81709.25000 3022300.7500 36.9885
Subtotal (Total Children Is Unduplicated) 24308 101122.0000 3730333.2500 36.8894
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 30 31.000000 1503.5000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 38 38.000000 747.6200 19.6742
AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE 1 1.000000 23.4900 23.4900
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 45 46.000000 641.5700 13.9472
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 50 51.000000 465.9200 9.1357
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 52 53.000000 1478.5500 27.8972
AUDE-92582-CONDITIONED PLAY AUDIOMETRY 2 2.000000 76.9400 38.4700
AUDE-92585-AUD EVOKED RESPONSE (COMP) 1 1.000000 84.8400 84.8400
AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED) 3 3.000000 50.1000 16.7000
AUDE-92588-OTOACOUSTIC EMISSIONS (COMP) 32 32.000000 710.7600 22.2113
AUDE-V5010-ASSESSMENT FOR HEARING AID 2 2.000000 90.0000 45.0000
AUDE-V5090-DISPENSING FEE PER HEARING AID 3 5.000000 575.0000 115.0000
EVAL-96111-DEVELOPMENTAL EVALUATION 61 71.250000 3562.5000 50.0000
EVAL-96111GT-DEVELOPMENTAL EVALUATION 34 68.500000 3425.0000 50.0000
EXIT-EXIT-EXIT ASSESSMENT 399 632.750600 31637.5300 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 52 93.000000 6975.0000 75.0000
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 122 213.500000 15973.5000 74.8173
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 4 6.000000 450.0000 75.0000
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 68 112.000000 8361.0000 74.6518
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 7 13.500000 1012.5000 75.0000
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 65 122.000000 9150.0000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 41 75.500000 5662.5000 75.0000
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 58 99.000000 7425.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 77 146.000000 8103.0000 55.5000
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 160 297.500000 16511.2500 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 347 646.000000 48174.5800 74.5737
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 2412 4313.000000 322786.3900 74.8403
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 102 185.500000 13912.5000 75.0000
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 1449 2442.000000 182892.2800 74.8945
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 96 177.500000 13312.5000 75.0000
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 940 1668.500000 124892.5000 74.8532
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 489 920.000000 51060.0000 55.5000
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 3176 5788.500000 320763.7900 55.4140
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 206 395.000000 29625.0000 75.0000
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 1066 1859.500000 139723.3100 75.1403
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 100 101.000000 11421.7300 113.0864
MED-99213-OUTPATIENT VISIT, EST, 15 MINS 2 2.000000 46.8400 23.4200
NUTR-97802-NUTRITIONAL EVAL, INITIAL 2 6.000000 300.0000 50.0000
NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP 5 19.000000 950.0000 50.0000
OCTF-97168-OT RE-EVAL EST PLAN CARE 21 21.000000 1072.0500 51.0500
OCTF-97168GT-OT RE-EVAL EST PLAN CARE 1 1.000000 51.0500 51.0500
OCTF-97168TL-OT RE-EVAL EST PLAN CARE 10 10.000000 510.5000 51.0500
OCTF-97168TLGT-OT RE-EVAL EST PLAN CARE 1 1.000000 51.0500 51.0500
OCTH-97165-OT EVAL LOW COMPLEXITY 4 4.000000 181.1300 45.2825
OCTH-97165GT-OT EVAL LOW COMPLEXITY 4 4.000000 204.2000 51.0500
OCTH-97166-OT EVAL MODERATE COMPLEXITY 54 56.000000 2794.9500 49.9098
OCTH-97166GT-OT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
OCTH-97166TL-OT EVAL MODERATE COMPLEXITY 3 3.000000 153.1500 51.0500
OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
OCTH-97167-OT EVAL HIGH COMPLEXITY 119 122.000000 5976.0400 48.9839
OCTH-97167GT-OT EVAL HIGH COMPLEXITY 10 10.000000 510.5000 51.0500
OCTH-97167TL-OT EVAL HIGH COMPLEXITY 9 9.000000 459.4500 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 3 3.000000 153.1500 51.0500
PSTH-97161-PT EVAL LOW COMPLEXITY 5 5.000000 255.2500 51.0500
PSTH-97161GT-PT EVAL LOW COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97162-PT EVAL MODERATE COMPLEXITY 32 30.500000 1557.0250 51.0500
PSTH-97162GT-PT EVAL MODERATE COMPLEXITY 6 6.000000 306.3000 51.0500
PSTH-97162TLGT-PT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97163-PT EVAL HIGH COMPLEXITY 36 37.000000 1888.8500 51.0500
PSTH-97163GT-PT EVAL HIGH COMPLEXITY 8 9.000000 429.4500 47.7167
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 3 3.000000 153.1500 51.0500
PSTH-97163TLGT-PT EVAL HIGH COMPLEXITY 3 4.000000 204.2000 51.0500
SCREEN-T1023-SCREENING 48 49.000000 2450.0000 50.0000
SPCH-92521GT-EVAL OF SPEECH FLUENCY 1 1.000000 51.0500 51.0500
SPCH-92522GT-EVAL OF SPCH SOUND PROD 2 2.000000 102.1000 51.0500
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 145 145.000000 7304.1000 50.3731
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 33 33.000000 1669.6500 50.5955
SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 14 14.000000 714.7000 51.0500
SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM 9 9.000000 459.4500 51.0500
SPCH-92524-BEHAV & QUAL ANALYSIS OF VOICE AND RES 42 43.500000 2118.5650 48.7026
SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES 7 7.000000 357.3500 51.0500
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 8 10.000000 445.5000 44.5500
CMS/EIP Fiscal Report Statewide
Services beginning 01/01/2021 ending 03/31/2021 Date of Report:05/04/2021 Page: 2
List order: No List
Eligibility Filter:Program Patients
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
SPCH-92610TL-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 1 1.000000 44.5500 44.5500
SPCH-92610TLGT-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUN 1 1.000000 44.5500 44.5500
Subtotal (Total Children Is Unduplicated) 6407 21401.00060 1417639.9000 66.2418
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 40 77.000000 28347.2800 368.1465
AUD-92593TS-AUDIOLOGY SERVICES (Biaural) 4 4.000000 200.0000 50.0000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 646 710.250000 35062.5000 49.3664
COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE 1024 1175.750000 58762.5000 49.9787
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 284 298.250000 7431.2500 24.9162
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 637 772.750000 38575.0000 49.9191
CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE 1133 1347.500000 67288.0000 49.9354
CONIP-CONIP-CONSULT, ITDS PHONE 119 135.500000 3387.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 384 515.000000 25750.0000 50.0000
CONOF-CONOFGT-CONSULT,OT,FACE TO FACE 922 770.500000 38512.5000 49.9838
CONOP-CONOP-CONSULT, OT, PHONE 58 126.500000 3162.5000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 185 223.750000 11162.5000 49.8883
CONPF-CONPFGT-CONSULT,PT,FACE TO FACE 586 405.250000 20237.5000 49.9383
CONPP-CONPP-CONSULT, PT, PHONE 8 5.500000 137.5000 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 533 616.750000 30812.5000 49.9595
CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE 1024 1037.000000 51850.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 101 98.750000 2468.7500 25.0000
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 264 480.000000 0.0000 0.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 18 492.250000 12306.2500 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 5911 44146.75000 2206577.5000 49.9828
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 3178 16321.75000 815612.5000 49.9709
INTR-T1013-INTERPRETER 267 959.500000 49526.1200 51.6166
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 8337 70683.00000 706761.3200 9.9990
OCCT-97530-OT SESSION BY LICENSED OT 940 5061.749999 356288.3600 70.3884
OCCT-97530GT-OT SESSION BY LICENSED OT 317 1204.749996 85064.7900 70.6078
OCCT-97530HM-OT SESSION BY OT ASST 316 1828.750000 104157.8900 56.9558
OCCT-97530HMGT-OT SESSION BY OT ASST 31 144.000000 8090.1600 56.1817
OCCT-97530TL-OT SESSION BY LICENSED OT 74 287.750000 20556.8600 71.4400
OCCT-97530TLGT-OT SESSION BY LICENSED OT 128 448.000000 31830.9400 71.0512
OCCT-97530TLGTHM-OT SESSION BY OT ASST 4 15.000000 858.0000 57.2000
OCCT-97530TLHM-OT SESSION BY OT ASST 40 256.000000 14643.2000 57.2000
PHY-97110-PT SESSION BY LICENSED PT 987 5775.500000 407413.0900 70.5416
PHY-97110GT-PT SESSION BY LICENSED PT 287 1164.500000 82822.5400 71.1228
PHY-97110HM-PT SESSION BY PT ASST 93 635.750000 36333.4700 57.1506
PHY-97110HMGT-PT SESSION BY LICENSED PT ASST 11 54.249989 3100.9300 57.1600
PHY-97110TL-PT SESSION BY LICENSED PT 59 236.750000 16913.4200 71.4400
PHY-97110TLGT-PT SESSION BY LICENSED PT 82 322.250000 23021.5400 71.4400
PHY-97110TLGTHM-PT SESSION BY PT ASST 1 6.000000 342.9600 57.1600
PHY-97110TLHM-PT SESSION BY PT ASST 14 73.750000 4215.5500 57.1600
SENS-V5050-IN EAR MONAURAL HEARING AID 1 2.000000 456.0000 228.0000
SENS-V5140-BEHIND EAR BINAURAL HEARING AID 1 2.000000 912.0000 456.0000
SENS-V5264-EARMOLD 8 14.000000 252.0000 18.0000
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 1991 12508.00000 877263.4600 70.1362
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 652 3047.250000 215458.1800 70.7058
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 25 97.000000 5524.0000 56.9485
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 207 1286.500000 91907.5600 71.4400
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 127 576.250000 41145.8600 71.4028
SPL-92508-GROUP SPL SESSION PER CHILD 8 17.500000 300.4600 17.1691
TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE 204 269.500000 9971.5000 37.0000
TRAV-TRAVS-Travel by mile 2705 251655.0000 110315.1400 0.4384
Subtotal (Total Children Is Unduplicated) 14461 428393.0000 6763091.3300 15.7871
-----------------------------------------------------------------------------------------------------------------------
Total 550916.000583 11911064.4800 21.6205
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 25826
-----------------------------------------------------------------------------------------------------------------------
Center 01
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 13029 39859.750000 302776.9100 302645.5600
D 1181 10045.500000 23182.1500 1932.9700
S 6327 4164.750000 185280.7100 337.5000
H 4721 2999.750000 133972.5000 108974.8600
T 1327 5107.500000 27918.1500 27516.0700
5834 3673.500000 156566.3300 150.0000
Other 397 524.250000 33358.7500 7437.7500
---------------------------------------------------------
Total 32816 66375.000000 863055.5000 448994.7100
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 3357 11265.250000 102332.9400 101869.9900
76 709.500000 2072.5900 0.0000
Other 4258 2637.000000 113709.5000 0.0000
---------------------------------------------------------
Total 7691 14611.750000 218115.0300 101869.9900
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 23 24.250000 910.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 4336 3141.750000 133745.7600 0.0000
P 1910 13688.250000 55327.9900 55327.9900
D 5 5.000000 336.8100 0.0000
S 0 0.000000 0.0000 0.0000
H 20 240.000000 697.6300 697.6300
T 0 0.000000 0.0000 0.0000
8540 22267.250000 268359.0600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 14834 39366.500000 459377.5000 56025.6200
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 109 154.750000 6537.7500 0.0000
U 0 0.000000 0.0000 0.0000
B 1812 3004.250000 118290.0000 64.7500
P 5032 14028.250000 309783.9700 302086.4200
D 46 68.750000 4868.7500 0.0000
S 0 0.000000 0.0000 0.0000
H 2358 8473.000000 428531.5300 568.8000
T 0 0.000000 0.0000 0.0000
4117 4237.750000 196371.6500 153.1500
Other 211 514.250000 34353.0400 1013.0000
---------------------------------------------------------
Total 13685 30481.000000 1098736.6900 303886.1200
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 16 10.750000 439.9000 0.0000
U 0 0.000000 0.0000 0.0000
B 3285 2256.750000 86112.7700 58930.6100
P 5170 31446.250000 187969.1100 187969.1100
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
2653 2045.750000 66747.9100 6613.6600
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 11125 35760.250000 341297.4400 253513.3800
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 6532 6185.000000 143842.9500 143842.9500
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
24641 19096.000000 768009.9200 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 31173 25281.000000 911852.8700 143842.9500
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 41 40.500000 1611.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 435 346.000000 13363.7500 0.0000
P 9227 18828.337100 452891.8525 453534.4900
D 41 49.750000 2978.7500 0.0000
S 0 0.000000 0.0000 0.0000
H 20 40.000000 3000.0000 0.0000
T 0 0.000000 0.0000 0.0000
8757 4656.912900 172863.7175 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 18521 23961.500000 646709.5700 453534.4900
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 8 10.750000 397.7500 0.0000
U 0 0.000000 0.0000 0.0000
B 152 157.000000 6365.6000 18.5000
P 18682 107195.250000 1041515.5400 1043898.7500
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 267 423.000000 23655.0000 0.0000
T 5 4.750000 175.9300 330.4400
2752 13349.000000 424612.9200 0.0000
Other 263 572.000000 35178.7000 0.0000
---------------------------------------------------------
Total 22129 121711.750000 1531901.4400 1044247.6900
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 80 64.250000 2528.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 2871 2230.500000 86846.7500 18.5000
P 14540 23943.500000 819219.0400 818753.7500
D 74 60.250000 2695.4500 411.0000
S 169 294.500000 17892.0200 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
10482 18267.250000 1001066.5900 0.0000
Other 2 0.500000 18.5000 18.5000
---------------------------------------------------------
Total 28218 44860.750000 1930266.6000 819201.7500
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 1.000000 75.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 113 112.000000 6623.0000 0.0000
P 1534 7956.750000 140401.1300 140176.1300
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 1 2.000000 20.0000 20.0000
T 0 0.000000 0.0000 0.0000
1838 2823.500000 149502.9700 0.0000
Other 1 6.000000 60.0000 60.0000
---------------------------------------------------------
Total 3488 10901.250000 296682.1000 140256.1300
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 4 4.250000 187.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 319 350.500000 19675.8500 0.0000
P 2444 2416.500000 108163.4800 107087.8300
D 119 156.250000 8372.8200 0.0000
S 382 387.750000 16111.9400 18.5000
H 229 311.750000 20791.4600 71.4400
T 4677 45196.500000 185935.0400 178164.0400
3749 4167.500000 209570.3700 3347.5400
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 11923 52991.000000 568807.9600 288689.3500
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 56 58.750000 2311.5100 0.0000
U 0 0.000000 0.0000 0.0000
B 2776 2543.750000 123329.4900 0.0000
P 2196 1953.000000 92973.6000 92973.6000
D 297 237.500000 11626.8600 0.0000
S 87 65.000000 2880.7600 0.0000
H 0 0.000000 0.0000 0.0000
T 86 85.500000 4294.2500 4219.2500
8335 5915.500000 272841.2700 0.0000
Other 43 39.750000 2399.4800 101.7500
---------------------------------------------------------
Total 13876 10898.750000 512657.2200 97294.6000
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 8 7.000000 272.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 3509 3164.750000 146241.0700 0.0000
P 2959 2589.750000 115603.2100 115584.7100
D 146 145.000000 6387.6800 0.0000
S 0 0.000000 0.0000 0.0000
H 1 0.250000 9.2500 9.2500
T 492 519.350000 25521.6600 25521.6600
9205 6713.650000 316253.7600 0.0000
Other 40 37.750000 2392.1900 101.7500
---------------------------------------------------------
Total 16360 13177.500000 612680.8200 141217.3700
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 4467 3862.500000 166132.9800 0.0000
P 6114 9918.119458 133840.6900 133701.9520
D 0 0.000000 0.0000 0.0000
S 3 4.666666 274.0000 0.0000
H 79 116.500000 8394.5400 0.0000
T 0 0.000000 0.0000 0.0000
12947 11517.214473 510698.0600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 23610 25419.000597 819340.2700 133701.9520
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 7 7.000000 276.2200 0.0000
U 0 0.000000 0.0000 0.0000
B 160 190.500000 7889.0400 0.0000
P 3900 4972.192040 203358.2700 200783.4800
D 0 0.000000 0.0000 0.0000
S 49 160.500000 2020.8200 2020.8200
H 0 0.000000 0.0000 0.0000
T 4002 16237.945646 280031.6700 280031.6700
5540 13542.112300 605631.6500 348121.4700
Other 8 8.750000 375.8000 311.0500
---------------------------------------------------------
Total 13666 35118.999986 1099583.4700 831268.4900