CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2021 ending 12/31/2021                Date of Report:02/04/2022   Page:   1
            List order: No List
    Eligibility Filter:Part C (excluding not eligible)
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
Service Coordination,Class #01
  CASE-CASE-NON-TCM CASE MANAGEMENT                    10377            14037.25000       519213.2500           36.9882
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   313             254.500000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 18871            58094.25000      2148408.2500           36.9814
Subtotal (Total Children Is Unduplicated)              20237            72386.00000      2667621.5000           36.8527
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     14              14.000000          679.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               21              22.000000          447.1300           20.3241
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             25              26.000000          377.6600           14.5254
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             24              24.000000          232.8300            9.7013
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              25              25.000000          715.4500           28.6180
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               2               2.000000           33.4000           16.7000
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 20              21.000000          419.3100           19.9671
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    2               2.000000           90.0000           45.0000
  AUDE-V5090-DISPENSING FEE PER HEARING AID                1               2.000000          230.0000          115.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                     22              26.250000         1312.5000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    6              12.000000          600.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              311             514.500000        25725.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          23              44.000000         3300.0000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         66             120.500000         8959.5000           74.3527
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT             9              17.500000         1312.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           41              64.000000         4800.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            11              19.500000         1462.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           29              54.500000         4037.5000           74.0826
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       14              27.000000         2025.0000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      29              56.500000         4208.2500           74.4823
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            49              87.500000         4856.2500           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          106             198.000000        10806.5000           54.5783
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     550            1069.500000        78932.9000           73.8036
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1462            2612.500000       195079.1300           74.6714
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       202             382.500000        27947.3800           73.0650
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     761            1274.500000        95168.1900           74.6710
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       207             383.500000        28592.5000           74.5567
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     432             784.000000        58800.0000           75.0000
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS     737            1374.500000        76152.7500           55.4040
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  1896            3469.000000       191703.0000           55.2617
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    313             575.000000        43125.0000           75.0000
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  536             996.500000        74633.5000           74.8956
  MED-99201-OUTPATIENT VISIT, NEW, 10 MINS                 3               3.000000           91.0500           30.3500
  MED-99202-OUTPATIENT VISIT, NEW, 20 MINS                 1               1.000000          304.0000          304.0000
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                67              67.000000         6500.3500           97.0201
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 5               5.000000          124.8500           24.9700
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     1               6.000000          300.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                   2               5.000000          250.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     17              16.999999          867.8500           51.0500
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    4               4.000000          204.2000           51.0500
  OCTF-97168TL-OT RE-EVAL EST PLAN CARE                    5               5.000000          255.2500           51.0500
  OCTH-97165-OT EVAL LOW COMPLEXITY                       12              12.000000          612.6000           51.0500
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      5               5.000000          255.2500           51.0500
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      2               2.000000          102.1000           51.0500
  OCTH-97165TLGT-OT EVAL LOW COMPLEXITY                    2               2.000000          102.1000           51.0500
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  51              52.000000         2603.5500           50.0683
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 4               4.000000          204.2000           51.0500
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 3               3.000000          153.1500           51.0500
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               2               2.000000          102.1000           51.0500
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      98              99.500000         5044.5200           50.6987
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     7               7.000000          357.3500           51.0500
  OCTH-97167TL-OT EVAL HIGH COMPLEXITY                     4               4.000000          204.2000           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     12              13.000000          663.6500           51.0500
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    1               1.000000           51.0500           51.0500
  PSTF-97164TL-PT RE-EVAL EST PLAN CARE                    5               5.000000          255.2500           51.0500
  PSTH-97161-PT EVAL LOW COMPLEXITY                        8               8.000000          428.7900           53.5988
  PSTH-97161TL-PT EVAL LOW COMPLEXITY                      1               1.000000           51.0500           51.0500
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  41              41.000000         2034.7700           49.6285
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 5               5.000000          255.2500           51.0500
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 2               2.000000          102.1000           51.0500
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      30              33.897159         1730.4500           51.0500
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     1               1.000000           51.0500           51.0500
  PSTH-97163TL-PT EVAL HIGH COMPLEXITY                     3               3.000000          153.1500           51.0500
  SCREEN-T1023-SCREENING                                  42              43.000000         2100.0000           48.8372
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     127             131.000000         6627.6900           50.5931
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    11              12.000000          612.6000           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    3               3.000000          146.6500           48.8833
  SPCH-92524-BEHAV & QUAL ANALYSIS OF VOICE AND RES       63              66.250000         3228.9000           48.7381
  SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES      3               3.000000          153.1500           51.0500
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       6               6.000000          267.3000           44.5500
Subtotal (Total Children Is Unduplicated)               4582            14999.89716       985081.9000           65.6726
-----------------------------------------------------------------------------------------------------------------------
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2021 ending 12/31/2021                Date of Report:02/04/2022   Page:   2
            List order: No List
    Eligibility Filter:Part C (excluding not eligible)
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          28              50.000000         8930.6200          178.6124
  AUD-92593TS-AUDIOLOGY SERVICES (Biaural)                 2               2.000000          100.0000           50.0000
  AUDE-V5160-DISPENSING FEE BINAURAL                       1               1.000000          230.0000          230.0000
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           691             805.750000        40162.5000           49.8449
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           878             967.250000        48343.7500           49.9806
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               293             303.250000         7581.2500           25.0000
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 749             971.000000        48512.5000           49.9614
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE                998            1324.000000        66200.0000           50.0000
  CONIP-CONIP-CONSULT, ITDS PHONE                        108             115.750000         2881.2500           24.8920
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  440             562.500000        28125.0000           50.0000
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  645             569.500000        28475.0000           50.0000
  CONOP-CONOP-CONSULT, OT, PHONE                          59              90.500000         2262.5000           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  184             236.250000        11812.5000           50.0000
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  525             345.250000        17243.7500           49.9457
  CONPP-CONPP-CONSULT, PT, PHONE                          27              19.250000          481.2500           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 544             642.250000        32112.5000           50.0000
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 959             913.500000        45675.0000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         82              91.250000         2268.7500           24.8630
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            735            1528.250000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              14             271.000000         6775.0000           25.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         7283            53692.75000      2678994.7500           49.8949
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       2481            11419.75000       570887.5000           49.9912
  INTR-T1013-INTERPRETER                                 231             927.750000        47906.2500           51.6370
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           10112            81184.00000       811405.0000            9.9946
  OCCT-97530-OT SESSION BY LICENSED OT                  1032            5566.749992       389942.2700           70.0485
  OCCT-97530GT-OT SESSION BY LICENSED OT                 170             565.750000        39659.1500           70.1001
  OCCT-97530HM-OT SESSION BY OT ASST                     380            2068.499998       117025.0600           56.5748
  OCCT-97530HMGT-OT SESSION BY OT ASST                    24              65.250000         3732.3000           57.2000
  OCCT-97530TL-OT SESSION BY LICENSED OT                  77             309.500000        22110.6800           71.4400
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               106             328.000000        23432.3200           71.4400
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                   3              21.000000         1201.2000           57.2000
  OCCT-97530TLHM-OT SESSION BY OT ASST                    46             355.750000        20348.9000           57.2000
  PHY-97110-PT SESSION BY LICENSED PT                   1030            5962.470045       416170.1900           69.7983
  PHY-97110GT-PT SESSION BY LICENSED PT                  168             624.250035        44220.2000           70.8373
  PHY-97110HM-PT SESSION BY PT ASST                      165            1006.675645        57271.2900           56.8915
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            12              20.814556         1175.5000           56.4749
  PHY-97110TL-PT SESSION BY LICENSED PT                  110             395.250000        28236.6600           71.4400
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 56             167.000000        11930.4800           71.4400
  PHY-97110TLHM-PT SESSION BY PT ASST                     13             102.000000         5830.3200           57.1600
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               1               1.000000          456.0000          456.0000
  SENS-V5264-EARMOLD                                       2               3.000000           54.0000           18.0000
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         2143            12930.00001       898561.3700           69.4943
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        342            1355.250000        96547.1800           71.2394
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             40             157.500000         9009.0000           57.2000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        244            1234.500000        88192.6800           71.4400
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      132             539.000000        38319.6400           71.0940
  SPL-92508HA-GROUP SPL SESSION PER CHILD                  6              20.000000          277.6000           13.8800
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        2               2.000000           27.7600           13.8800
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    166             185.250000         6854.2500           37.0000
  TRAV-TRAVS-Travel by mile                             3269            295493.0000       130304.1500            0.4410
Subtotal (Total Children Is Unduplicated)              15615            486513.2103      6958256.7700           14.3023
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 573899.107438     10610960.1700           18.4892
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      24011
-----------------------------------------------------------------------------------------------------------------------
 
Center 01
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       0.500000      18.5000       0.0000 
P          13824   42813.000000  297064.0600  297064.0600 
D           1812    7169.750000   43828.9700      50.0000 
S            714     564.500000   31775.7200       0.0000 
H            158     191.750000   12272.3100       0.0000 
T           1580    5391.250000   29664.2300   29530.5000 
             418     316.250000   16351.1100       0.0000 
Other         92     154.750000   10183.0000       0.0000 
---------------------------------------------------------
Total      18599   56601.750000  441157.9000  326644.5600 
 
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             16      15.500000     345.7200     345.7200 
H              0       0.000000       0.0000       0.0000 
T           4334   13312.750000  121858.2400  121731.2400 
             148    2323.500000    3111.8500       0.0000 
Other       3962    2375.500000   89768.1300       0.0000 
---------------------------------------------------------
Total       8460   18027.250000  215083.9400  122076.9600 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             67      35.000000    1295.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1725    1598.500000   80643.9000       0.0000 
P           1701   14620.250000   44198.0900   44198.0900 
D              2       2.000000     100.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             52     441.250000    1695.3500    1695.3500 
T              0       0.000000       0.0000       0.0000 
            6502   21589.500000  187147.8500       0.0000 
Other       1418     935.250000   38125.0300       0.0000 
---------------------------------------------------------
Total      11467   39221.750000  353205.2200   45893.4400 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             13      24.500000     906.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2661    4375.250000  174099.2500       0.0000 
P           3982   12665.250000  248122.9000  239990.5400 
D              9       9.000000     333.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           2391    8594.000000  432448.6900     430.0000 
T              0       0.000000       0.0000       0.0000 
            2913    3264.000000  147254.2500       0.0000 
Other         99     245.000000   15566.3400    2020.4800 
---------------------------------------------------------
Total      12068   29177.000000 1018730.9300  242441.0200 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             11       9.000000     333.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2348    1541.000000   57017.0000   24341.3800 
P           4494   25775.250000  152033.0300  152033.0300 
D              1       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 
            2165    2028.750000   45123.1600    4589.6600 
Other         30      23.000000     851.0000       0.0000 
---------------------------------------------------------
Total       9049   29377.500000  255375.6900  180964.0700 
 
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           8197    7950.000000  166805.1700  166805.1700 
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 
           19896   16508.750000  689135.7000       0.0000 
Other        193     142.000000    5254.0000       0.0000 
---------------------------------------------------------
Total      28286   24600.750000  861194.8700  166805.1700 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              4       2.000000      74.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            375     302.500000   11944.5000       0.0000 
P           8541   17592.454900  429902.9875  429502.1000 
D             23      24.750000    1256.7500       0.0000 
S              3       4.500000     318.5000       0.0000 
H              5      10.000000     750.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            6714    3742.795100  140566.6325     290.0000 
Other        308     178.250000    6886.0000       0.0000 
---------------------------------------------------------
Total      15973   21857.250000  591699.3700  429792.1000 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            368     401.000000   16178.5700     166.5000 
P          20165  147142.250000 1074987.2300 1075559.0420 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            183     304.500000   17295.7500       0.0000 
T            296    6381.250000   26091.1500   26307.6500 
            2623    7960.750000  444731.9200       0.0000 
Other        111     206.750000   13832.2500       0.0000 
---------------------------------------------------------
Total      23746  162396.500000 1593116.8700 1102033.1920 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             73      55.750000    2062.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8661    7459.250000  308249.7500       0.0000 
P           6901   20172.250000  561644.4100  555697.8600 
D             34      31.500000    1670.6500       0.0000 
S             64     101.500000    3083.7300       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            9670   18331.250000  996155.2100       0.0000 
Other        405     302.500000   11843.2500       0.0000 
---------------------------------------------------------
Total      25808   46454.000000 1884709.7500  555697.8600 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B             23      30.000000    2045.2500       0.0000 
P           1862    8783.750000  152308.6800  152308.6800 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              6      22.000000    1228.7600    1228.7600 
T              0       0.000000       0.0000       0.0000 
             793    2082.250000  124391.0500     308.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       2684   10918.000000  279973.7400  153845.4400 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            601     616.250000   27850.7200     252.1000 
P           1880    2045.750000   96938.6600   99472.4700 
D            204     221.750000   11246.2500     130.0000 
S             19      23.250000    1125.3200     231.7500 
H            161     205.000000   13001.3200      35.0000 
T           4878   47701.250000  159615.3000  153395.2100 
            3647    4113.000000  204480.3000      32.9900 
Other         18      11.250000     416.2500       0.0000 
---------------------------------------------------------
Total      11408   54937.500000  514674.1200  253549.5200 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             34      31.750000    1588.0300       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1937    1766.250000   87334.6900    1055.0000 
P           1312    1254.500000   59858.8900   59840.3900 
D             61      64.250000    4090.2200       0.0000 
S            174     143.750000    8337.0600    1646.5000 
H              0       0.000000       0.0000       0.0000 
T            103     104.500000    5130.5600    5130.5600 
            8643    7678.250000  238412.7300       0.0000 
Other        242     204.000000   11670.3100       0.0000 
---------------------------------------------------------
Total      12506   11247.250000  416422.4900   67672.4500 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              3       4.250000     157.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3179    2678.000000  123228.4500    1959.2500 
P           1645    1439.500000   66853.5600   66734.5900 
D             32      31.500000    2035.9600       0.0000 
S             24      18.000000     687.1900       0.0000 
H              0       0.000000       0.0000       0.0000 
T            576    2168.890000   23895.2200   23895.2200 
            9297    9473.860000  318501.1300       0.0000 
Other        252     191.500000    9293.2200       0.0000 
---------------------------------------------------------
Total      15008   16005.500000  544651.9800   92589.0600 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       2.000000     150.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2731    2180.500000   90573.4600       0.0000 
P           7665   10810.797693  168254.5700  168254.5700 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             92     126.000000    9016.9800       0.0000 
T              0       0.000000       0.0000       0.0000 
           10438    9700.559694  439397.0600       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      20927   22819.857387  707392.0700  168254.5700 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       0.500000      18.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            725     955.500000   40454.7500       0.0000 
P           2083    2779.890472  114432.6800  114782.3700 
D              0       0.000000       0.0000       0.0000 
S             21      24.500000    1120.3500    1007.8500 
H              0       0.000000       0.0000       0.0000 
T           4177   16002.109579  293296.5700  289575.1000 
            4365   10435.000000  482806.5900  335984.1500 
Other         35      59.750000    1441.7900    1377.0400 
---------------------------------------------------------
Total      11407   30257.250051  933571.2300  742726.5100