CMS/EIP Fiscal Report              Statewide 
Services beginning 04/01/2021 ending 06/30/2021                Date of Report:07/15/2021   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                    12636            16320.00000       603443.5000           36.9757
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   437             369.750000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 22299            69261.25000      2561095.2500           36.9773
Subtotal (Total Children Is Unduplicated)              23781            85951.00000      3164538.7500           36.8179
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     17              20.000000          970.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               22              22.000000          427.1600           19.4164
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             28              30.000000          430.3000           14.3433
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             27              29.000000          293.9600           10.1366
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              32              34.000000          925.3300           27.2156
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               5               5.000000           83.5000           16.7000
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 18              18.000000          363.2200           20.1789
  AUDE-V5090-DISPENSING FEE PER HEARING AID                2               4.000000          460.0000          115.0000
  BEHV-H0031HO-COMP BEHAVIORAL HEALTH ASSESSMENT           1               1.000000          125.0000          125.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                     46              60.250000         3012.5000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                   39              76.250000         3812.5000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              288             501.000000        25050.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          40              69.500000         5144.2500           74.0180
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT        121             212.500000        15781.5000           74.2659
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            13              25.000000         1875.0000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           58             100.000000         7500.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            16              28.500000         2137.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           34              56.000000         4170.7500           74.4777
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       28              51.000000         3825.0000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      42              67.500000         5062.5000           75.0000
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            71             116.500000         6549.0000           56.2146
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          124             215.000000        11932.5000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     526             994.500000        74247.5000           74.6581
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  2341            4130.500000       308964.6400           74.8008
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       242             451.000000        33714.5000           74.7550
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT    1185            2007.500000       150407.4000           74.9227
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       224             432.000000        32400.0000           75.0000
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     841            1494.000000       112012.5000           74.9749
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS     735            1390.000000        77063.7500           55.4415
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2888            5153.000000       285403.0500           55.3858
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    330             648.500100        48608.2575           74.9549
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  848            1464.000000       109800.0000           75.0000
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                84              84.000000         9114.9700          108.5115
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 6               6.000000          140.5200           23.4200
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     2               4.000000          200.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                   3               8.000000          400.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     13              13.000000          663.6500           51.0500
  OCTF-97168TL-OT RE-EVAL EST PLAN CARE                    3               3.000000          153.1500           51.0500
  OCTH-97165-OT EVAL LOW COMPLEXITY                        4               4.000000          204.2000           51.0500
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      3               3.000000          153.1500           51.0500
  OCTH-97165TLGT-OT EVAL LOW COMPLEXITY                    1               1.000000           51.0500           51.0500
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  23              23.250000         1193.0625           51.3145
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 7               6.500000          281.8250           43.3577
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 1               1.000000           51.0500           51.0500
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               1               1.000000           51.0500           51.0500
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      82              83.000000         4145.2500           49.9428
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     7               7.000000          357.3500           51.0500
  OCTH-97167TL-OT EVAL HIGH COMPLEXITY                     6               6.000000          306.3000           51.0500
  OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY                   1               1.000000           51.0500           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                      7               7.000000          357.3500           51.0500
  PSTF-97164TL-PT RE-EVAL EST PLAN CARE                    4               4.000000          204.2000           51.0500
  PSTH-97161-PT EVAL LOW COMPLEXITY                        3               3.000000          153.1500           51.0500
  PSTH-97161GT-PT EVAL LOW COMPLEXITY                      1               1.000000           51.0500           51.0500
  PSTH-97161TL-PT EVAL LOW COMPLEXITY                      3               3.000000          153.1500           51.0500
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  17              17.500000          844.3050           48.2460
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 6               6.000000          306.3000           51.0500
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 1               1.000000           51.0500           51.0500
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      36              36.000000         1837.8000           51.0500
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     5               5.000000          255.2500           51.0500
  PSTH-97163TL-PT EVAL HIGH COMPLEXITY                     1               1.000000           51.0500           51.0500
  SCREEN-T1023-SCREENING                                  36              39.000000         1900.0000           48.7179
  SPCH-92521-EVAL OF SPEECH FLUENCY                        1               1.000000           51.0500           51.0500
  SPCH-92522-EVAL OF SPCH SOUND PROD                       1               1.000000           51.0500           51.0500
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     115             118.000000         5955.1400           50.4673
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    15              15.000000          765.7500           51.0500
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    22              22.000000         1123.1000           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         1194.5300           49.7721
  SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES      1               1.000000           51.0500           51.0500
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       8               8.000000          362.9000           45.3625
Subtotal (Total Children Is Unduplicated)               6166            20479.25010      1365994.1200           66.7014
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          14              22.000000         6949.7300          315.8968
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 04/01/2021 ending 06/30/2021                Date of Report:07/15/2021   Page:   2
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  AUD-92593TS-AUDIOLOGY SERVICES (Biaural)                 3               4.000000          200.0000           50.0000
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           488             658.500000        26737.5000           40.6036
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           795             854.500000        42725.0000           50.0000
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               216             222.750000         5562.5000           24.9719
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 557             759.000000        35475.0000           46.7391
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE               1070            1188.000000        59350.0000           49.9579
  CONIP-CONIP-CONSULT, ITDS PHONE                        120             118.500000         2962.5000           25.0000
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  377             464.500000        23225.0000           50.0000
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  883             695.250000        34725.0000           49.9461
  CONOP-CONOP-CONSULT, OT, PHONE                          62             110.250000         2756.2500           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  139             165.000000         8250.0000           50.0000
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  525             338.000000        16900.0000           50.0000
  CONPP-CONPP-CONSULT, PT, PHONE                           8               4.000000          100.0000           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 471             544.750000        27237.5000           50.0000
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 965             862.500000        43112.5000           49.9855
  CONSP-CONSP-CONSULT, SLP, PHONE                         86              72.250000         1806.2500           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            456             837.750000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              18             168.000000         4200.0000           25.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         6240            38644.00000      1930022.4100           49.9437
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       2608            12170.75000       608437.5000           49.9918
  INTR-T1013-INTERPRETER                                 234             864.000000        46228.5000           53.5052
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            8819            61850.00000       617194.1700            9.9789
  OCCT-97530-OT SESSION BY LICENSED OT                   943            4050.250000       284777.4700           70.3111
  OCCT-97530GT-OT SESSION BY LICENSED OT                 221             754.500000        53715.3300           71.1933
  OCCT-97530HM-OT SESSION BY OT ASST                     321            1480.660840        84359.8900           56.9745
  OCCT-97530HMGT-OT SESSION BY OT ASST                    17              52.000000         2974.4000           57.2000
  OCCT-97530TL-OT SESSION BY LICENSED OT                  63             228.250000        16306.1800           71.4400
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               125             422.250000        30104.8100           71.2962
  OCCT-97530TLHM-OT SESSION BY OT ASST                    45             235.250000        13456.3000           57.2000
  PHY-97110-PT SESSION BY LICENSED PT                    963            4571.800112       320591.2300           70.1236
  PHY-97110GT-PT SESSION BY LICENSED PT                  194             641.750000        45728.3300           71.2557
  PHY-97110HM-PT SESSION BY PT ASST                      132             645.250000        36882.4900           57.1600
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST             4              10.000000          571.6000           57.1600
  PHY-97110TL-PT SESSION BY LICENSED PT                   77             234.000000        16716.9600           71.4400
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 80             316.000000        22575.0400           71.4400
  PHY-97110TLHM-PT SESSION BY PT ASST                     13              68.000000         3886.8800           57.1600
  SENS-V5050-IN EAR MONAURAL HEARING AID                   2               4.000000          912.0000          228.0000
  SENS-V5264-EARMOLD                                       3               6.000000          108.0000           18.0000
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1934            10171.00000       712307.6498           70.0332
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        473            1911.250000       135865.7600           71.0874
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             39             125.250000         7164.3000           57.2000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        199             860.750000        61491.9800           71.4400
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      148             598.750000        42717.1400           71.3439
  SPL-92508-GROUP SPL SESSION PER CHILD                    7              24.250000          336.5900           13.8800
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    181             205.500000         7603.5000           37.0000
  TRAV-TRAVS-Travel by mile                             2912            232314.0000       102417.4000            0.4409
Subtotal (Total Children Is Unduplicated)              14543            381548.9609      5547728.5398           14.5400
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 487979.211049     10078261.4098           20.6531
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      26052
-----------------------------------------------------------------------------------------------------------------------
 
Center 01
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              2       0.500000      18.5000       0.0000 
P          10551   35182.750000  233742.4000  233742.4000 
D           1682   13861.750000   28519.1100       0.0000 
S           4753    2952.250000  130191.9700       0.0000 
H            146     176.000000   11476.8900       0.0000 
T           6456   22712.250000  136394.3100  136037.7300 
            2543    1623.000000   68562.1700       0.0000 
Other        207     272.000000   16700.0000       0.0000 
---------------------------------------------------------
Total      26340   76780.500000  625605.3500  369780.1300 
 
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              2       1.750000      63.5800      -7.8600 
H              0       0.000000       0.0000       0.0000 
T           2529    7841.250000   74593.8200   74376.2600 
             894    1356.500000   25369.2700      50.0000 
Other       3982    2506.000000  108737.2500       0.0000 
---------------------------------------------------------
Total       7407   11705.500000  208763.9200   74418.4000 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            165     133.000000    5257.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2695    2028.500000   97117.3500      18.5000 
P            286    2279.750000    9291.4600    9291.4600 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            289    1915.250000    7454.8100    7454.8100 
T              0       0.000000       0.0000       0.0000 
            8008   32122.750000  255371.5600       0.0000 
Other         13       8.250000     311.7500       0.0000 
---------------------------------------------------------
Total      11456   38487.500000  374804.1800   16764.7700 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            181     308.250000   13093.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            433     632.750000   30350.7500       0.0000 
P           2872    9432.750000  182892.0800  176055.8300 
D             25      38.250000    2030.5000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           1783    6637.500000  334060.5200     650.0000 
T              0       0.000000       0.0000       0.0000 
            5447    7430.750000  306244.7400       0.0000 
Other        149     357.500000   23855.1300     250.0000 
---------------------------------------------------------
Total      10890   24837.750000  892527.2200  176955.8300 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            254     177.000000    6549.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2844    1998.250000   76095.0200   40932.3200 
P           3822   21294.750000  133001.8400  133001.8400 
D              2       0.500000      18.5000       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 
            3245    5741.250000   88344.2800   30226.5300 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      10167   29211.750000  304008.6400  204160.6900 
 
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           3654    3495.500000   73374.4900   73374.4900 
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 
           24352   19899.250000  783488.1600       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      28006   23394.750000  856862.6500   73374.4900 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            320     235.750000    8722.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            680     578.250000   25729.0000       0.0000 
P           6480   12589.797800  319622.2050  319659.9400 
D             27      36.000000    2357.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             24      46.500000    3468.5000       0.0000 
T              0       0.000000       0.0000       0.0000 
            7523    4206.952300  157199.9225      10.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      15054   17693.250100  517099.3775  319669.9400 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            298     306.500000   11481.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            983    1039.500000   40716.7500       0.0000 
P          14170   83969.750000  766811.1200  767076.4500 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            393     613.000000   34226.0000       0.0000 
T             14      24.500000    1525.2800     335.7200 
            6108   18407.250000  501358.9600      47.8600 
Other        346     675.000000   47144.2500       0.0000 
---------------------------------------------------------
Total      22312  105035.500000 1403263.6100  767460.0300 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            296     261.750000   10069.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8180    7043.750000  297180.5000       0.0000 
P           5166   15005.000000  421109.2300  419797.9800 
D            122     107.000000    3905.8600       0.0000 
S            193     348.500000   21334.6300       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            8678   16054.000000  864091.0125       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      22635   38820.000000 1617690.7325  419797.9800 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B             90      93.000000    5844.0000       0.0000 
P           1459    6695.750000  129717.5000  129662.0000 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              6      20.000000     605.7600     605.7600 
T              0       0.000000       0.0000       0.0000 
            1201    2258.000000  128256.0400       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       2756    9066.750000  264423.3000  130267.7600 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            222     259.500000   14744.9000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1457    1411.250000   61432.2600     111.0000 
P           1389    1372.250000   60126.7800   58539.1200 
D             86     105.500000    5617.5000       0.0000 
S            273     242.000000   10355.9600       0.0000 
H            176     246.500000   16391.9200     115.0000 
T           3577   36556.500000  130392.6100  123836.9400 
            3820    3732.750000  179208.3100     115.0000 
Other          1       2.500000      92.5000       0.0000 
---------------------------------------------------------
Total      11001   43928.750000  478362.7400  182717.0600 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R           2467    2237.000000  107346.8400       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1756    1520.750000   73390.1800       0.0000 
P           1205    1122.500000   53247.5400   53247.5400 
D             41      42.250000    2533.0300       0.0000 
S            166     176.750000   11534.0100       0.0000 
H              0       0.000000       0.0000       0.0000 
T            133     316.000000    6457.4100    6383.4100 
            8513    6265.750000  257962.2700       0.0000 
Other         48      48.750000    3154.3700       0.0000 
---------------------------------------------------------
Total      14329   11729.750000  515625.6500   59630.9500 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             63      47.500000    2559.6400       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1720    1453.750000   64650.8400      87.0000 
P           1828    1644.750000   74581.0900   81418.6900 
D             13      14.500000    1028.1400       0.0000 
S             19      24.250000    1777.2100       0.0000 
H              1       0.250000       9.2500       9.2500 
T            502     547.210000   25068.6000   25068.6000 
           12116    9571.790000  422670.1000       0.0000 
Other         60      58.000000    3805.0600     214.2500 
---------------------------------------------------------
Total      16322   13362.000000  596149.9300  106797.7900 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           4390    3788.750000  161203.8700       0.0000 
P           5008    7109.126172  109568.5301  109568.5300 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             97     148.226267   10825.9400       0.0000 
T              0       0.000000       0.0000       0.0000 
           10075    8930.608510  384254.7197     105.9300 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      19570   19976.710949  665853.0598  109674.4600 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            509     726.500000   27323.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            683     912.500000   38879.5000      46.2500 
P           1501    1919.750000   80949.2500   79971.6000 
D             12      19.000000     760.0000       0.0000 
S             69     256.000000    3122.3200    3122.3200 
H              2       2.500000     187.5000       0.0000 
T           3007   11767.750000  215817.9100  215817.9100 
            4873    8218.500000  385623.7700  254895.0800 
Other         85     126.250000    4557.3000    3123.5500 
---------------------------------------------------------
Total      10741   23948.750000  757221.0500  556976.7100