CMS/EIP Fiscal Report Statewide
Services beginning 07/01/2021 ending 09/30/2021 Date of Report:10/13/2021 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 11830 15785.00000 583685.5000 36.9772
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 361 337.000000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 20875 73394.50000 2714104.0000 36.9797
Subtotal (Total Children Is Unduplicated) 22133 89516.50000 3297789.5000 36.8400
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Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 13 14.000000 679.0000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 11 12.000000 232.7800 19.3983
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 20 21.000000 299.0800 14.2419
AUDE-92557-COMP AUDIO THRESHOLD EVAL/SPCH RECOG 1 1.000000 23.5000 23.5000
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 22 23.000000 217.3600 9.4504
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 21 22.000000 622.0500 28.2750
AUDE-92582-CONDITIONED PLAY AUDIOMETRY 1 1.000000 44.7600 44.7600
AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED) 2 2.000000 33.4000 16.7000
AUDE-92588-OTOACOUSTIC EMISSIONS (COMP) 9 9.000000 189.5200 21.0578
AUDE-V5010-ASSESSMENT FOR HEARING AID 2 2.000000 90.0000 45.0000
AUDE-V5090-DISPENSING FEE PER HEARING AID 1 1.000000 115.0000 115.0000
EVAL-96111-DEVELOPMENTAL EVALUATION 51 70.500000 3547.0000 50.3121
EVAL-96111GT-DEVELOPMENTAL EVALUATION 5 9.000000 450.0000 50.0000
EXIT-EXIT-EXIT ASSESSMENT 251 401.500000 20075.0000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 36 71.000000 5305.5000 74.7254
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 103 179.500000 13337.2500 74.3022
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 10 16.500000 1237.5000 75.0000
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 38 59.000000 4387.5000 74.3644
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 6 10.500000 787.5000 75.0000
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 29 51.500000 3862.5000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 11 21.500000 1573.5000 73.1860
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 37 64.500000 4808.2500 74.5465
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 71 126.500000 7020.7500 55.5000
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 143 257.500000 14291.2500 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 710 1343.000000 99655.0000 74.2033
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 2337 4097.499997 306015.3197 74.6834
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 295 535.000000 39635.0000 74.0841
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 902 1533.499999 114276.0400 74.5198
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 296 549.500000 41042.5000 74.6906
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 667 1183.500000 88752.5000 74.9916
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 939 1762.000000 97130.7600 55.1253
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 2811 4938.000000 272960.1100 55.2775
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 423 807.000000 60486.0000 74.9517
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 724 1244.500000 93250.5000 74.9301
MED-99201-OUTPATIENT VISIT, NEW, 10 MINS 11 12.000000 783.1500 65.2625
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 75 75.000000 9565.1400 127.5352
MED-99213-OUTPATIENT VISIT, EST, 15 MINS 4 4.000000 263.2600 65.8150
NUTR-97802-NUTRITIONAL EVAL, INITIAL 2 8.000000 400.0000 50.0000
NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP 2 4.000000 200.0000 50.0000
OCTF-97168-OT RE-EVAL EST PLAN CARE 15 16.000000 816.8000 51.0500
OCTF-97168TL-OT RE-EVAL EST PLAN CARE 4 4.000000 204.2000 51.0500
OCTH-97165-OT EVAL LOW COMPLEXITY 9 9.000000 415.9500 46.2167
OCTH-97165GT-OT EVAL LOW COMPLEXITY 4 4.000000 204.2000 51.0500
OCTH-97165TL-OT EVAL LOW COMPLEXITY 1 1.000000 51.0500 51.0500
OCTH-97165TLGT-OT EVAL LOW COMPLEXITY 2 2.000000 102.1000 51.0500
OCTH-97166-OT EVAL MODERATE COMPLEXITY 46 54.000000 2705.6500 50.1046
OCTH-97166GT-OT EVAL MODERATE COMPLEXITY 3 3.000000 110.6500 36.8833
OCTH-97166TL-OT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
OCTH-97167-OT EVAL HIGH COMPLEXITY 61 84.000000 4269.7900 50.8308
OCTH-97167GT-OT EVAL HIGH COMPLEXITY 7 7.000000 357.3500 51.0500
OCTH-97167TL-OT EVAL HIGH COMPLEXITY 8 8.000000 408.4000 51.0500
OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY 2 2.000000 102.1000 51.0500
PSTF-97164-PT RE-EVAL EST PLAN CARE 4 4.000000 204.2000 51.0500
PSTF-97164TL-PT RE-EVAL EST PLAN CARE 1 1.000000 51.0500 51.0500
PSTH-97161-PT EVAL LOW COMPLEXITY 7 7.000000 357.3500 51.0500
PSTH-97161GT-PT EVAL LOW COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97161TL-PT EVAL LOW COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97162-PT EVAL MODERATE COMPLEXITY 19 21.000000 1068.9000 50.9000
PSTH-97162GT-PT EVAL MODERATE COMPLEXITY 3 3.000000 153.1500 51.0500
PSTH-97162TL-PT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97162TLGT-PT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97163-PT EVAL HIGH COMPLEXITY 29 29.000000 1455.1900 50.1790
PSTH-97163TLGT-PT EVAL HIGH COMPLEXITY 1 1.000000 51.0500 51.0500
SCREEN-T1023-SCREENING 45 46.000000 2300.0000 50.0000
SPCH-92521-EVAL OF SPEECH FLUENCY 1 1.000000 51.0500 51.0500
SPCH-92522-EVAL OF SPCH SOUND PROD 2 2.000000 102.1000 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 113 116.000000 5818.4100 50.1587
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 8 8.000000 408.4000 51.0500
SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 18 19.000000 969.9500 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 26 29.000000 1429.4000 49.2897
SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES 4 4.000000 204.2000 51.0500
CMS/EIP Fiscal Report Statewide
Services beginning 07/01/2021 ending 09/30/2021 Date of Report:10/13/2021 Page: 2
List order: No List
Eligibility Filter:Program Patients
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 2 2.000000 76.0700 38.0350
Subtotal (Total Children Is Unduplicated) 6167 20041.50000 1332655.4897 66.4948
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 18 24.000000 6372.8700 265.5363
AUD-92593TS-AUDIOLOGY SERVICES (Biaural) 1 1.000000 50.0000 50.0000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 575 654.000000 32687.5000 49.9809
COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE 789 1837.250000 41862.5000 22.7854
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 225 232.750000 5818.7500 25.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 608 754.750000 37725.0000 49.9834
CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE 925 947.250000 47362.5000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 123 105.250000 2631.2500 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 387 474.250000 23712.5000 50.0000
CONOF-CONOFGT-CONSULT,OT,FACE TO FACE 752 590.000000 29500.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 50 70.000000 1750.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 166 191.000000 9550.0000 50.0000
CONPF-CONPFGT-CONSULT,PT,FACE TO FACE 467 281.000000 14050.0000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 9 7.250000 181.2500 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 483 605.750000 30287.5000 50.0000
CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE 842 739.500000 36975.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 101 82.000000 2050.0000 25.0000
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 629 1042.750000 0.0000 0.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 18 216.500000 5412.5000 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 6605 38291.50000 1913859.0000 49.9813
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 2425 10741.25000 537049.5000 49.9988
INTR-T1013-INTERPRETER 278 827.000000 41769.0000 50.5067
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 9199 58049.00000 580194.6800 9.9949
OCCT-97530-OT SESSION BY LICENSED OT 975 4061.749991 284298.4000 69.9941
OCCT-97530GT-OT SESSION BY LICENSED OT 197 612.250000 43383.1500 70.8586
OCCT-97530HM-OT SESSION BY OT ASST 311 1365.999997 77543.1900 56.7666
OCCT-97530HMGT-OT SESSION BY OT ASST 15 42.000000 2406.5700 57.2993
OCCT-97530TL-OT SESSION BY LICENSED OT 84 273.750000 19538.8400 71.3748
OCCT-97530TLGT-OT SESSION BY LICENSED OT 118 344.500000 24611.0800 71.4400
OCCT-97530TLGTHM-OT SESSION BY OT ASST 3 9.000000 514.8000 57.2000
OCCT-97530TLHM-OT SESSION BY OT ASST 47 208.500000 11926.2000 57.2000
PHY-97110-PT SESSION BY LICENSED PT 944 3945.000000 275596.2300 69.8596
PHY-97110GT-PT SESSION BY LICENSED PT 193 752.750000 53453.9600 71.0116
PHY-97110HM-PT SESSION BY PT ASST 156 823.000000 46830.7800 56.9025
PHY-97110HMGT-PT SESSION BY LICENSED PT ASST 5 6.000000 342.9600 57.1600
PHY-97110TL-PT SESSION BY LICENSED PT 76 232.000000 16574.0800 71.4400
PHY-97110TLGT-PT SESSION BY LICENSED PT 80 242.500000 17324.2000 71.4400
PHY-97110TLHM-PT SESSION BY PT ASST 12 76.250000 4358.4500 57.1600
SENS-V5264-EARMOLD 2 3.000000 54.0000 18.0000
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 1921 9587.450168 672016.2700 70.0933
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 418 1536.000000 109138.7400 71.0539
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 59 306.250000 17517.5000 57.2000
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 233 1076.750000 76923.0200 71.4400
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 170 621.250000 44192.0000 71.1340
SPL-92508-GROUP SPL SESSION PER CHILD 13 30.250000 419.6700 13.8734
TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE 198 215.250000 7964.2500 37.0000
TRAV-TRAVS-Travel by mile 3125 242917.0000 106900.3400 0.4401
Subtotal (Total Children Is Unduplicated) 14806 386053.4502 5314679.9800 13.7667
-----------------------------------------------------------------------------------------------------------------------
Total 495611.450152 9945124.9697 20.0664
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 25896
-----------------------------------------------------------------------------------------------------------------------
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 9697 33176.500000 204682.5100 204622.5100
D 1405 12195.500000 23253.1000 0.0000
S 1105 1033.000000 64082.2400 0.0000
H 198 231.500000 14648.2400 0.0000
T 3604 14273.500000 78235.8700 77759.5750
779 823.000000 46777.6000 0.0000
Other 243 387.000000 24460.2500 0.0000
---------------------------------------------------------
Total 17031 62120.000000 456139.8100 282382.0850
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 7 7.500000 235.0000 272.5000
H 0 0.000000 0.0000 0.0000
T 3229 11829.500000 89669.6400 89609.6500
389 1464.250000 11103.0900 0.0000
Other 4193 2536.750000 102404.0200 0.0000
---------------------------------------------------------
Total 7818 15838.000000 203411.7500 89882.1500
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 3 0.750000 27.7500 0.0000
U 0 0.000000 0.0000 0.0000
B 2711 2293.250000 110816.9700 0.0000
P 1 1.000000 71.4400 71.4400
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
8608 42918.500000 273726.5400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 11323 45213.500000 384642.7000 71.4400
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 2218 3549.250000 139445.2500 0.0000
P 2989 9084.750000 185031.7700 184585.2600
D 7 10.000000 370.0000 0.0000
S 2 3.750000 138.7500 0.0000
H 1634 5985.250000 299723.9700 660.0000
T 0 0.000000 0.0000 0.0000
3615 7625.000000 311936.3000 0.0000
Other 81 198.000000 11346.3300 2220.4300
---------------------------------------------------------
Total 10546 26456.000000 947992.3700 187465.6900
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 2843 1995.750000 75292.4600 37263.8200
P 4090 20967.500000 145949.6700 145949.6700
D 4 3.500000 232.8200 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
2621 2275.000000 59876.8800 5422.1300
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 9558 25241.750000 281351.8300 188635.6200
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 7509 7329.000000 155349.6800 155349.6800
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
19719 15564.750000 676955.4700 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 27228 22893.750000 832305.1500 155349.6800
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 68 49.500000 1831.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 886 736.750000 31401.7500 0.0000
P 6381 12069.000000 309924.2200 309514.8200
D 29 20.250000 977.2500 0.0000
S 1 0.250000 9.2500 0.0000
H 44 88.000000 6600.0000 0.0000
T 0 0.000000 0.0000 0.0000
7234 4017.000000 149528.2500 50.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 14643 16980.750000 500272.2200 309564.8200
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 1.250000 46.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 777 811.750000 32125.6300 0.0000
P 14693 90240.750000 765751.5100 766404.3400
D 2 3.250000 120.2500 0.0000
S 0 0.000000 0.0000 0.0000
H 345 535.500000 30052.2500 0.0000
T 11 12.000000 450.8000 98.0500
6270 23997.750000 527870.2000 79.2500
Other 256 495.000000 34824.0000 412.5000
---------------------------------------------------------
Total 22355 116097.250000 1391240.8900 766994.1400
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 13 12.000000 444.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 9146 8368.750000 356136.5000 0.0000
P 4984 13881.250000 396313.6600 394561.9200
D 186 177.000000 8612.0000 0.0000
S 43 67.000000 2467.9900 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
8439 14738.500000 792770.7100 240.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 22811 37244.500000 1556744.8600 394801.9200
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 19 22.000000 1445.2500 0.0000
P 1574 5569.000000 123736.0600 123736.0600
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 4 15.000000 702.9600 702.9600
T 0 0.000000 0.0000 0.0000
1553 2473.500000 137567.5000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3150 8079.500000 263451.7700 124439.0200
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.500000 18.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 630 695.000000 34442.5300 0.0000
P 2447 2526.000000 112298.7300 109824.7700
D 150 181.750000 9659.5000 130.0000
S 143 131.750000 6089.5900 243.5500
H 203 280.500000 18520.4000 328.9600
T 3852 35945.250000 132617.3300 126277.7400
3942 3962.250000 190449.4000 48.7900
Other 1 0.250000 9.2500 0.0000
---------------------------------------------------------
Total 11369 43723.250000 504105.2300 236853.8100
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 31 31.000000 1550.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 2434 2211.250000 106224.9400 74.0000
P 1776 1598.750000 76567.9100 76192.2100
D 73 74.250000 4923.6700 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 69 107.000000 3738.9100 3738.9100
8059 7231.250000 246372.9100 0.0000
Other 92 86.250000 5171.9900 0.0000
---------------------------------------------------------
Total 12534 11339.750000 444550.3300 80005.1200
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 3043 2667.000000 118460.7600 0.0000
P 2594 2222.000000 98642.3900 98570.9520
D 20 18.000000 990.8800 0.0000
S 1 1.000000 50.0000 0.0000
H 1 1.000000 71.4400 0.0000
T 665 3737.580000 24857.6000 24857.6000
9003 6975.170000 307038.6700 0.0000
Other 114 105.500000 6557.9200 0.0000
---------------------------------------------------------
Total 15441 15727.250000 556669.6600 123428.5520
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 4249 3552.000000 150145.7900 0.0000
P 4953 7407.608974 110429.9100 110429.9100
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 109 163.548000 11702.4600 0.0000
T 0 0.000000 0.0000 0.0000
9428 7607.793178 367542.9397 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 18739 18730.950152 639821.0997 110429.9100
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 4 11.000000 407.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 3263 4398.000000 179097.2500 0.0000
P 250 314.500000 13729.6300 13518.5000
D 10 11.000000 737.2500 0.0000
S 46 114.250000 1936.3400 1917.8400
H 0 0.000000 0.0000 0.0000
T 3051 12279.750000 219492.2900 219908.5400
4336 12774.500000 566471.9900 296432.9900
Other 14 22.250000 553.5500 553.5500
---------------------------------------------------------
Total 10974 29925.250000 982425.3000 532331.4200