CMS/EIP Fiscal Report              Statewide 
Services beginning 01/01/2022 ending 03/31/2022                Date of Report:04/16/2022   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                    10994            14813.75000       548044.0000           36.9956
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   398             333.250000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 20022            63913.50000      2363020.5500           36.9722
Subtotal (Total Children Is Unduplicated)              21278            79060.50000      2911064.5500           36.8207
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                      9              10.000000          485.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               12              12.000000          282.0000           23.5000
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             20              20.000000          291.6000           14.5800
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             24              24.000000          234.9600            9.7900
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              25              25.000000          701.8400           28.0736
  AUDE-92582-CONDITIONED PLAY AUDIOMETRY                   1               1.000000           63.1400           63.1400
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               3               3.000000           37.0600           12.3533
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 11              11.000000          229.7900           20.8900
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    1               1.000000           45.0000           45.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                     46              74.750000         3737.5000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                   15              36.000000         1800.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              270             397.500000        19875.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          27              48.500000         3637.5000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         93             169.500000        12712.5000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            13              23.500000         1762.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           69             115.000000         8625.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT             6              11.500000          862.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           40              73.500000         5512.5000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       13              24.500000         1837.5000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      34              59.000000         4400.0000           74.5763
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            60             103.000000         5716.5000           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          133             230.500000        12742.7500           55.2831
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     739            1407.500000       105330.6500           74.8353
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1886            3383.500000       252960.7500           74.7630
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       204             380.500000        28197.5000           74.1064
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT    1045            1750.499998       131140.2500           74.9159
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       288             539.500000        40292.5000           74.6849
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     669            1194.499998        89068.9500           74.5659
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS     901            1713.500000        95099.2500           55.5000
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2646            4785.000000       264930.9500           55.3670
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    349             669.000000        50175.0000           75.0000
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  743            1346.500000       100792.5000           74.8552
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                81              81.000000        11161.0400          137.7906
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 1               1.000000           31.1700           31.1700
  NURS-T1001-NURSING ASSESSMENT                            1               4.000000          200.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                   1               4.000000          200.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     10              11.000000          561.5500           51.0500
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    1               1.000000           51.0500           51.0500
  OCTF-97168TL-OT RE-EVAL EST PLAN CARE                    5               5.000000          255.2500           51.0500
  OCTH-97165-OT EVAL LOW COMPLEXITY                       33              31.500000         1539.1350           48.8614
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      3               3.000000          153.1500           51.0500
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      3               3.000000          153.1500           51.0500
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  47              48.000000         2399.3450           49.9864
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 2               2.000000           82.1000           41.0500
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               2               2.000000          102.1000           51.0500
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      67              68.000000         3471.4000           51.0500
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     3               3.000000          153.1500           51.0500
  OCTH-97167TL-OT EVAL HIGH COMPLEXITY                     7               7.000000          357.3500           51.0500
  OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY                   1               1.000000           51.0500           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     15              15.000000          760.2000           50.6800
  PSTF-97164TL-PT RE-EVAL EST PLAN CARE                    1               1.000000           51.0500           51.0500
  PSTH-97161-PT EVAL LOW COMPLEXITY                       16              14.750000          752.9750           51.0492
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  21              20.500000         1046.5200           51.0498
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 3               3.000000          153.1500           51.0500
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 2               2.000000          102.1000           51.0500
  PSTH-97162TLGT-PT EVAL MODERATE COMPLEXITY               1               1.000000           51.0500           51.0500
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      28              29.000000         1480.4500           51.0500
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     2               2.000000          102.1000           51.0500
  PSTH-97163TL-PT EVAL HIGH COMPLEXITY                     2               2.000000          102.1000           51.0500
  SCREEN-T1023-SCREENING                                  27              28.000000         1350.0000           48.2143
  SPCH-92521-EVAL OF SPEECH FLUENCY                       46              43.250000         2207.9000           51.0497
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      1               1.000000           51.0500           51.0500
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     131             136.000000         6917.2800           50.8624
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    16              16.000000          796.8000           49.8000
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    14              14.000000          714.7000           51.0500
  SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM    3               3.000000          153.1500           51.0500
  SPCH-92524-BEHAV & QUAL ANALYSIS OF VOICE AND RES       18              18.000000          918.9000           51.0500
  SPCH-92524GT-BEHAV & QUAL ANALYSIS OF VOICE AND RES      1               1.000000           51.0500           51.0500
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       7               7.000000          311.8500           44.5500
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION            1               2.000000            1.1600            0.5800
Subtotal (Total Children Is Unduplicated)               5898            19278.75000      1282577.9650           66.5281
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          23              57.000000         9393.4400          164.7972
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 01/01/2022 ending 03/31/2022                Date of Report:04/16/2022   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)                 7               9.000000          412.6600           45.8511
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           566             612.250000        30512.5000           49.8367
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           867             916.000000        45775.0000           49.9727
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               274             266.000000         6650.0000           25.0000
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 685             835.500000        41775.0000           50.0000
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE                945             991.250000        49487.5000           49.9243
  CONIP-CONIP-CONSULT, ITDS PHONE                        103              98.000000         2447.5000           24.9745
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  400             487.500000        24337.5000           49.9231
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  689             528.750000        26425.0000           49.9764
  CONOP-CONOP-CONSULT, OT, PHONE                          77             120.000000         3000.0000           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  191             266.000000        13300.0000           50.0000
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  586             426.750000        18837.5000           44.1418
  CONPP-CONPP-CONSULT, PT, PHONE                          13              11.250000          281.2500           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 435             457.000000        22850.0000           50.0000
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 878             716.000000        35800.0000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         90              82.250000         2056.2500           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            834            2076.000000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              12             161.250000         4031.2500           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION             53             133.250000         6162.5000           46.2477
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         6871            41499.50000      2073894.6000           49.9740
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       2344            9796.000000       489595.0000           49.9791
  INTR-T1013-INTERPRETER                                 230             771.750000        37831.5000           49.0204
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            9624            61157.00000       611960.0000           10.0064
  OCCT-97530-OT SESSION BY LICENSED OT                   977            4223.962766       298021.3300           70.5549
  OCCT-97530GT-OT SESSION BY LICENSED OT                 160             427.000000        30088.4200           70.4647
  OCCT-97530HM-OT SESSION BY OT ASST                     359            1737.749997        98642.5000           56.7645
  OCCT-97530HMGT-OT SESSION BY OT ASST                    21              35.500000         2030.6000           57.2000
  OCCT-97530TL-OT SESSION BY LICENSED OT                  96             329.750000        23557.3400           71.4400
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               120             409.250000        29236.8200           71.4400
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                   4              20.000000         1144.0000           57.2000
  OCCT-97530TLHM-OT SESSION BY OT ASST                    29             134.500000         7693.4000           57.2000
  PHY-97110-PT SESSION BY LICENSED PT                   1059            4814.750000       341007.0900           70.8255
  PHY-97110GT-PT SESSION BY LICENSED PT                  153             515.000000        36549.6700           70.9702
  PHY-97110HM-PT SESSION BY PT ASST                      172             909.489999        51864.2684           57.0257
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            14              31.500000         1800.5400           57.1600
  PHY-97110TL-PT SESSION BY LICENSED PT                  115             395.250000        28236.6600           71.4400
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 83             198.750000        14198.7000           71.4400
  PHY-97110TLGTHM-PT SESSION BY PT ASST                    1               1.000000           57.1600           57.1600
  PHY-97110TLHM-PT SESSION BY PT ASST                     10              56.250000         3215.2500           57.1600
  SENS-V5060-BEHIND EAR HEARING AID                        1               1.000000          228.0000          228.0000
  SENS-V5264-EARMOLD                                       7               8.000000          138.6500           17.3313
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1981            10157.79997       719089.0700           70.7918
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        367            1312.500000        92792.9500           70.6994
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             67             208.000000        11897.6000           57.2000
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           2               9.000000          514.8000           57.2000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        218             825.000000        58852.2000           71.3360
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      127             462.750000        33058.8600           71.4400
  SPL-92508HA-GROUP SPL SESSION PER CHILD                  2               9.000000          124.9200           13.8800
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        3               4.000000           55.5200           13.8800
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    165             179.500000         6641.5000           37.0000
  TRAV-TRAVS-Travel by mile                             3163            246714.0000       109049.8500            0.4420
Subtotal (Total Children Is Unduplicated)              15015            396605.5027      5556603.6184           14.0104
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 494944.752730      9750246.1334           19.6997
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      25312
-----------------------------------------------------------------------------------------------------------------------
 
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           7034   17204.500000  161265.1400  161215.1400 
D           1269    5358.750000   32045.4300       0.0000 
S            636     577.000000   31986.1700       0.0000 
H            124     137.750000    8930.7600       0.0000 
T           4232   12969.250000   95233.3400   94717.5700 
             350     319.750000   17670.2200       0.0000 
Other        113     179.750000   11479.0000       0.0000 
---------------------------------------------------------
Total      13758   36746.750000  358610.0600  255932.7100 
 
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              1       0.250000       9.2500       0.0000 
D              0       0.000000       0.0000       0.0000 
S              1       1.000000      71.4400      71.4400 
H              0       0.000000       0.0000       0.0000 
T           2703    8439.000000   74431.6700   74431.6700 
             785    2719.500000   17804.9000       0.0000 
Other       4784    3239.250000  107314.1700       0.0000 
---------------------------------------------------------
Total       8274   14399.000000  199631.4300   74503.1100 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              4       3.250000     154.6900       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1976    1732.250000   86144.0200       0.0000 
P             88      83.250000    4346.8400    4346.8400 
D              5       6.250000     373.5000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             19     181.250000     587.6900     587.6900 
T              0       0.000000       0.0000       0.0000 
            6268   26620.250000  206837.6400       0.0000 
Other        115     129.500000    5397.0000       0.0000 
---------------------------------------------------------
Total       8475   28756.000000  303841.3800    4934.5300 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             13      17.000000    1044.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2922    4559.250000  181535.0700       0.0000 
P           2817    8365.000000  166612.3800  163640.6200 
D             34      42.000000    1554.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           1615    5378.500000  272573.1700       0.0000 
T              0       0.000000       0.0000       0.0000 
            3252    3470.000000  158577.6400       0.0000 
Other         61     121.000000    8283.4600       0.0000 
---------------------------------------------------------
Total      10714   21952.750000  790179.7200  163640.6200 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             58      40.250000    1489.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2393    1568.750000   58043.7500   16372.5000 
P           4106   30860.250000  140955.3700  140955.3700 
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 
            3176    3437.500000   66520.3700    6469.3700 
Other         70      52.250000    1933.2500       0.0000 
---------------------------------------------------------
Total       9803   35959.000000  268941.9900  163797.2400 
 
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           8921    8660.250000  187509.4500  187509.4500 
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 
           17135   14656.250000  654593.5900       0.0000 
Other        448     336.000000   12413.5000       0.0000 
---------------------------------------------------------
Total      26504   23652.500000  854516.5400  187509.4500 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             93      84.750000    3135.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            993     966.750000   45570.5000       0.0000 
P           6080   12487.941940  310801.7555  310661.1500 
D             17      17.750000    1073.7500       0.0000 
S              1       0.250000       9.2500       0.0000 
H             10      20.000000    1500.0000       0.0000 
T              1       0.250000       9.2500       0.0000 
            6527    3578.808060  131676.6045       0.0000 
Other        306     157.000000    5922.0000       0.0000 
---------------------------------------------------------
Total      14028   17313.500000  499698.8600  310661.1500 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             10       8.500000     314.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1095    1172.500000   47257.2600      37.0000 
P          14484   94115.250000  759882.1100  760186.5750 
D             11      11.000000     550.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            300     459.500000   26777.0000       0.0000 
T             13      15.750000     808.7500     729.5000 
            7544   49329.750000  675090.7500     225.0000 
Other        328     601.500000   41203.0000       0.0000 
---------------------------------------------------------
Total      23785  145713.750000 1551883.3700  761178.0750 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             66      72.500000    3365.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8677    7560.500000  318240.7500       0.0000 
P           5641   15711.750000  452051.3300  449690.7300 
D             25      24.000000    1032.8800       0.0000 
S             52     108.250000    3816.9800       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           10113   16826.750000  903199.1750       0.0000 
Other       1219     987.750000   39518.0000       0.0000 
---------------------------------------------------------
Total      25793   41291.500000 1721224.6150  449690.7300 
 
Center 51
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           1334    4289.750000  109936.5100  109936.5100 
D              1       1.250000      81.3000      81.3000 
S              0       0.000000       0.0000       0.0000 
H              3       7.000000     315.7600     315.7600 
T              0       0.000000       0.0000       0.0000 
             376    1183.250000   70213.9100       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       1714    5481.250000  180547.4800  110333.5700 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             42      43.000000    2416.5200       0.0000 
U              0       0.000000       0.0000       0.0000 
B            576     633.750000   31148.8300      37.0000 
P           1656    1771.750000   80293.1800   78916.5400 
D            177     201.250000   10376.5000       0.0000 
S             33      39.750000    1706.6300      59.2500 
H             94     120.750000    7581.7500      46.7500 
T           3671   34809.000000  110632.3500  104957.3400 
            3319    3774.000000  179099.7800    2359.8600 
Other          4       2.750000     101.7500       0.0000 
---------------------------------------------------------
Total       9572   41396.000000  423357.2900  186376.7400 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             36      35.000000    1415.8800       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1668    1578.500000   79670.1100       9.2500 
P            743     728.500000   34954.0200   34954.0600 
D             35      32.750000    2219.1200       0.0000 
S            293     151.750000    6201.3900       0.0000 
H              0       0.000000       0.0000       0.0000 
T            140     492.500000    5306.8600    5306.8600 
           10105    7727.250000  295577.5600       0.0000 
Other        388     294.250000   13389.8300       0.0000 
---------------------------------------------------------
Total      13408   11040.500000  438734.7700   40270.1700 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            121     168.250000   10390.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2823    2491.750000  111546.1500       0.0000 
P            925     905.000000   42533.0400   42533.0400 
D             21      19.500000     995.5300       0.0000 
S            217     174.000000    6320.8000       0.0000 
H              1       1.000000      71.4400       0.0000 
T           1085    6922.750000   31690.4200   31690.4200 
           12707   14648.750000  400513.3500       0.0000 
Other        315     238.000000    9748.8000     155.6900 
---------------------------------------------------------
Total      18215   25569.000000  613809.5300   74379.1500 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3119    2997.250000  132240.1500       0.0000 
P           5605    8183.059546  125449.7000  125449.7000 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             93     156.000000   11293.2000       0.0000 
T              0       0.000000       0.0000       0.0000 
           10931    9143.693184  433435.5784       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      19748   20480.002730  702418.6284  125449.7000 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            962    1516.750000   63268.2500       0.0000 
P           1882    2575.500000  111138.7500  119585.7200 
D              0       0.000000       0.0000       0.0000 
S             14      14.500000     746.9000     746.9000 
H              0       0.000000       0.0000       0.0000 
T           2859   10729.250000  193925.0200  193511.7200 
            5177   10313.000000  472132.3000  251971.7200 
Other         38      44.250000    1639.2500     640.2500 
---------------------------------------------------------
Total      10932   25193.250000  842850.4700  566456.3100