CMS/EIP Fiscal Report Center: 07
Services beginning 01/01/2022 ending 03/31/2022 Date of Report:04/16/2022 Page: 1
List order: No List
Agency Filter:EIP DEI DEIP
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 1470 1746.500000 64620.5000 37.0000
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 43 47.000000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1412 2899.750000 107189.0000 36.9649
Subtotal (Total Children Is Unduplicated) 1715 4693.250000 171809.5000 36.6078
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Screening, Eval, and Assessment,Class #02
EXIT-EXIT-EXIT ASSESSMENT 6 8.000000 400.0000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 2 4.000000 300.0000 75.0000
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 3 6.000000 450.0000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 1 2.000000 150.0000 75.0000
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 1 2.000000 150.0000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 3 8.000000 444.0000 55.5000
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 2 4.000000 222.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 56 112.000000 8400.0000 75.0000
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 24 48.000000 3600.0000 75.0000
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 73 146.000000 8103.0000 55.5000
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 72 143.500000 7964.2500 55.5000
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 60 124.000000 9300.0000 75.0000
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 71 148.000000 11100.0000 75.0000
Subtotal (Total Children Is Unduplicated) 257 755.500000 50583.2500 66.9533
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 43 152.500000 0.0000 0.0000
Subtotal (Total Children Is Unduplicated) 43 152.500000 0.0000 0.0000
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Total 5601.250000 222392.7500 39.7041
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Number of Children (Unduplicated) With at Least One Service 1750
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Center 07
Flag Claims Units Chgs Paid
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R 90 78.500000 2904.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 906 840.250000 39351.0000 0.0000
P 1472 1268.441940 54071.3955 53967.5400
D 17 17.750000 1073.7500 0.0000
S 1 0.250000 9.2500 0.0000
H 7 14.000000 1050.0000 0.0000
T 1 0.250000 9.2500 0.0000
6068 3232.808060 118334.6045 0.0000
Other 296 149.000000 5589.0000 0.0000
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Total 8858 5601.250000 222392.7500 53967.5400