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: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 11203 15020.75000 555593.5000 36.9884
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 375 304.500000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 20387 64368.75000 2380197.0000 36.9775
Subtotal (Total Children Is Unduplicated) 21789 79694.00000 2935790.5000 36.8383
-----------------------------------------------------------------------------------------------------------------------
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 33 63.000000 4725.0000 75.0000
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 93 168.000000 12492.7500 74.3616
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 15 28.000000 2100.0000 75.0000
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 56 89.000000 6675.0000 75.0000
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 14 24.500000 1837.5000 75.0000
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 37 68.000000 5050.0000 74.2647
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 19 36.500000 2737.5000 75.0000
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 38 71.000000 5295.7500 74.5880
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 67 120.500000 6687.7500 55.5000
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 141 258.500000 14164.2500 54.7940
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 694 1330.000000 97722.9000 73.4759
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 1973 3465.000000 258646.2800 74.6454
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 235 440.000000 32034.8800 72.8065
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 994 1641.000000 122405.6900 74.5921
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 264 482.500000 36017.5000 74.6477
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 623 1104.500000 82737.5000 74.9095
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 942 1734.500000 95731.8800 55.1928
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 2544 4528.000000 250160.0300 55.2474
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 387 703.000000 52725.0000 75.0000
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 684 1248.000000 93416.7500 74.8532
MED-99201-OUTPATIENT VISIT, NEW, 10 MINS 5 5.000000 151.7500 30.3500
MED-99202-OUTPATIENT VISIT, NEW, 20 MINS 1 1.000000 304.0000 304.0000
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 84 84.000000 8585.9400 102.2136
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 128 132.000000 6678.7400 50.5965
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) 5796 19012.89716 1254740.8000 65.9942
-----------------------------------------------------------------------------------------------------------------------
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:Program Patients
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 750 971.500000 48537.5000 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 185 237.250000 11862.5000 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 545 643.750000 32187.5000 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 752 1554.250000 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 7285 53719.75000 2680344.7500 49.8950
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 2483 11426.75000 571237.5000 49.9912
INTR-T1013-INTERPRETER 256 1001.500000 51593.7500 51.5165
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 10192 81354.00000 813105.0000 9.9947
OCCT-97530-OT SESSION BY LICENSED OT 1035 5578.749992 390799.5500 70.0515
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 2146 12943.50001 899525.8100 69.4963
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 343 1356.250000 96618.6200 71.2395
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 3323 297137.0000 131035.5800 0.4410
Subtotal (Total Children Is Unduplicated) 15779 488490.4603 6968118.8600 14.2646
-----------------------------------------------------------------------------------------------------------------------
Total 587197.357438 11158650.1600 19.0032
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 25691
-----------------------------------------------------------------------------------------------------------------------
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 13859 42926.750000 299626.4000 299626.4000
D 1822 7196.250000 44573.5400 50.0000
S 759 618.500000 35277.9700 0.0000
H 167 204.750000 13159.5600 0.0000
T 1589 5405.750000 30389.2300 30255.5000
442 349.000000 18307.1100 0.0000
Other 114 187.750000 12307.0000 0.0000
---------------------------------------------------------
Total 18753 56889.250000 453659.3100 329931.9000
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 4364 14050.500000 123690.9500 123563.9500
151 2381.500000 3286.7700 0.0000
Other 4517 2734.250000 104915.8800 0.0000
---------------------------------------------------------
Total 9048 19181.750000 232239.3200 123909.6700
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 68 37.000000 1369.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 1864 1806.000000 91634.4000 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 54 452.250000 2245.3500 2245.3500
T 0 0.000000 0.0000 0.0000
6714 21853.000000 201351.3500 0.0000
Other 1498 1040.250000 43221.5300 0.0000
---------------------------------------------------------
Total 11901 39810.750000 384119.7200 46443.4400
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 13 24.500000 906.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 2792 4585.000000 183114.2500 0.0000
P 4038 12750.500000 251815.4000 243683.4300
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
3145 3546.500000 162109.0400 0.0000
Other 103 258.500000 16530.7800 2020.4800
---------------------------------------------------------
Total 12491 29768.000000 1047257.6600 246133.9100
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 11 9.000000 333.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 2545 1735.250000 64204.2500 27088.6300
P 4632 26119.250000 160861.3000 160861.3000
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
2542 2377.500000 55900.0400 4867.7900
Other 30 23.000000 851.0000 0.0000
---------------------------------------------------------
Total 9761 30264.500000 282168.0900 192817.7200
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 8237 7996.000000 168202.9200 168202.9200
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
21103 17780.500000 749669.9500 0.0000
Other 231 174.000000 6438.0000 0.0000
---------------------------------------------------------
Total 29571 25950.500000 924310.8700 168202.9200
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 12 11.500000 538.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 399 336.250000 13382.2500 0.0000
P 8825 17948.374000 445615.4200 445214.5300
D 24 26.750000 1406.7500 0.0000
S 4 6.500000 468.5000 0.0000
H 6 12.000000 900.0000 0.0000
T 0 0.000000 0.0000 0.0000
7187 4112.626000 154329.7000 290.0000
Other 329 199.000000 7653.7500 0.0000
---------------------------------------------------------
Total 16786 22653.000000 624294.8700 445504.5300
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 377 415.250000 16967.8200 166.5000
P 20816 148081.250000 1117264.4800 1117902.3320
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 333 525.000000 29724.0000 0.0000
T 298 6385.250000 26391.1500 26607.6500
2702 8095.750000 453184.9200 0.0000
Other 150 275.250000 18554.5000 0.0000
---------------------------------------------------------
Total 24676 163777.750000 1662086.8700 1144676.4820
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 74 56.250000 2081.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 9029 7875.750000 327143.5000 0.0000
P 6910 20187.750000 562558.9100 557370.2600
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
10028 18804.250000 1019860.9600 0.0000
Other 435 332.750000 13265.5000 0.0000
---------------------------------------------------------
Total 26574 47389.750000 1929664.5000 557370.2600
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 28 35.500000 2438.2500 0.0000
P 1887 8819.250000 153134.0600 153134.0600
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
818 2112.750000 126235.6900 308.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 2739 10989.500000 283036.7600 154670.8200
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 628 657.500000 29680.9700 252.1000
P 1999 2247.500000 107103.7500 109517.7700
D 215 243.750000 12506.2500 130.0000
S 21 27.250000 1386.3200 231.7500
H 179 241.000000 15506.3200 35.0000
T 4945 48326.250000 163240.7300 156618.6400
3804 4324.000000 213266.0500 86.6000
Other 19 11.750000 434.7500 0.0000
---------------------------------------------------------
Total 11810 56079.000000 543125.1400 266871.8600
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 34 31.750000 1588.0300 0.0000
U 0 0.000000 0.0000 0.0000
B 2051 1892.500000 93358.4400 1055.0000
P 1440 1401.500000 66480.6400 66462.1400
D 61 64.250000 4090.2200 0.0000
S 178 146.750000 8505.0600 1665.0000
H 0 0.000000 0.0000 0.0000
T 103 104.500000 5130.5600 5130.5600
8971 7955.750000 250599.2300 0.0000
Other 249 210.250000 11901.5600 0.0000
---------------------------------------------------------
Total 13087 11807.250000 441653.7400 74312.7000
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 3 4.250000 157.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 3476 3012.750000 138675.9500 2109.2500
P 1754 1580.250000 73499.3100 73380.3400
D 33 33.500000 2185.9600 0.0000
S 24 18.000000 687.1900 0.0000
H 0 0.000000 0.0000 0.0000
T 584 2182.990000 24833.7200 24833.7200
9684 9877.010000 337264.6300 0.0000
Other 261 197.250000 9542.9700 0.0000
---------------------------------------------------------
Total 15819 16906.000000 586846.9800 100323.3100
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 2.000000 150.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 3206 2777.000000 118754.9600 0.0000
P 7682 10844.397693 170579.5700 170579.5700
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 103 148.000000 10666.9800 0.0000
T 0 0.000000 0.0000 0.0000
11082 10301.959694 469760.0600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 22074 24073.357387 769911.5700 170579.5700
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.500000 18.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 780 1051.750000 45074.2500 0.0000
P 2316 3232.890472 134625.9300 135138.5800
D 2 2.000000 130.5000 0.0000
S 21 24.500000 1120.3500 1007.8500
H 0 0.000000 0.0000 0.0000
T 4208 16086.359579 296367.6000 291502.3500
4822 11191.000000 515190.5900 335984.1500
Other 39 68.000000 1747.0400 1377.0400
---------------------------------------------------------
Total 12189 31657.000051 994274.7600 765009.9700