CMS/EIP Fiscal Report Statewide
Services beginning 04/01/2022 ending 06/30/2022 Date of Report:08/08/2022 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 12368 16179.75000 598512.0000 36.9914
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 646 603.500000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 22928 73478.25000 2717988.4900 36.9904
Subtotal (Total Children Is Unduplicated) 24413 90261.50000 3316500.4900 36.7432
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 40 44.000000 2134.0000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 46 47.000000 1100.7000 23.4191
AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE 1 1.000000 23.5000 23.5000
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 50 51.000000 743.5800 14.5800
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 49 51.000000 499.2900 9.7900
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 51 52.000000 1493.4400 28.7200
AUDE-92582-CONDITIONED PLAY AUDIOMETRY 3 3.000000 134.2800 44.7600
AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED) 3 3.000000 41.1300 13.7100
AUDE-92588-OTOACOUSTIC EMISSIONS (COMP) 48 50.000000 1044.5000 20.8900
AUDE-92651-AEP HEARING STATUS DETER I&R 1 1.000000 83.1300 83.1300
AUDE-92652-AEP THRSHLD EST MLT FREQ I&R 2 2.000000 149.2000 74.6000
AUDE-V5090-DISPENSING FEE PER HEARING AID 1 2.000000 130.0000 65.0000
EVAL-96111-DEVELOPMENTAL EVALUATION 36 68.250000 3412.5000 50.0000
EVAL-96111GT-DEVELOPMENTAL EVALUATION 7 16.000000 800.0000 50.0000
EXIT-EXIT-EXIT ASSESSMENT 284 480.250000 24012.5000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 68 123.000000 9112.5000 74.0854
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 95 174.500000 13048.5000 74.7765
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 17 30.000000 2250.0000 75.0000
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 58 96.500000 7237.5000 75.0000
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 26 45.500000 3412.5000 75.0000
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 35 64.500000 4837.5000 75.0000
IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF 34 60.000000 4500.0000 75.0000
IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF 26 49.500000 3712.5000 75.0000
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS 112 173.000000 9414.5000 54.4191
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 122 215.000000 11932.5000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 1080 2039.499999 151745.0000 74.4030
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 1905 3463.499999 259266.9600 74.8569
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 375 689.500000 51032.5000 74.0138
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 1065 1776.500000 133097.7100 74.9213
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 413 747.500000 55827.5000 74.6856
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 619 1089.000000 81567.7500 74.9015
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 1173 2189.000000 120982.5000 55.2684
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 2874 5247.500000 290441.5000 55.3485
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 489 861.500000 64490.0100 74.8578
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 755 1308.500000 97995.0000 74.8911
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 92 92.000000 10326.8800 112.2487
MED-99213-OUTPATIENT VISIT, EST, 15 MINS 1 1.000000 193.0000 193.0000
NUTR-97802-NUTRITIONAL EVAL, INITIAL 1 7.000000 350.0000 50.0000
NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP 2 8.000000 400.0000 50.0000
OCTF-97168-OT RE-EVAL EST PLAN CARE 27 27.000000 1378.3500 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 3 3.000000 153.1500 51.0500
OCTF-97168TLGT-OT RE-EVAL EST PLAN CARE 3 3.000000 153.1500 51.0500
OCTH-97165-OT EVAL LOW COMPLEXITY 65 68.000000 3450.5900 50.7440
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 1 1.000000 51.0500 51.0500
OCTH-97166-OT EVAL MODERATE COMPLEXITY 53 58.000000 2858.8000 49.2897
OCTH-97166GT-OT EVAL MODERATE COMPLEXITY 9 9.000000 419.4500 46.6056
OCTH-97166TL-OT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY 2 2.000000 102.1000 51.0500
OCTH-97167-OT EVAL HIGH COMPLEXITY 56 56.000000 2837.0100 50.6609
OCTH-97167GT-OT EVAL HIGH COMPLEXITY 4 5.000000 204.2000 40.8400
OCTH-97167TL-OT EVAL HIGH COMPLEXITY 9 9.000000 459.4500 51.0500
OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY 2 2.000000 102.1000 51.0500
PSTF-97164-PT RE-EVAL EST PLAN CARE 17 17.000000 867.8500 51.0500
PSTF-97164GT-PT RE-EVAL EST PLAN CARE 3 3.000000 153.1500 51.0500
PSTF-97164TL-PT RE-EVAL EST PLAN CARE 1 1.000000 51.0500 51.0500
PSTH-97161-PT EVAL LOW COMPLEXITY 47 44.000000 2176.4300 49.4643
PSTH-97161GT-PT EVAL LOW COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97162-PT EVAL MODERATE COMPLEXITY 16 16.000000 809.1100 50.5694
PSTH-97162GT-PT EVAL MODERATE COMPLEXITY 1 1.000000 51.0500 51.0500
PSTH-97163-PT EVAL HIGH COMPLEXITY 18 18.000000 868.9000 48.2722
PSTH-97163GT-PT EVAL HIGH COMPLEXITY 4 4.000000 204.2000 51.0500
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 4 4.000000 204.2000 51.0500
SCREEN-T1023-SCREENING 82 84.000000 4150.0000 49.4048
SPCH-92521-EVAL OF SPEECH FLUENCY 85 90.250000 4463.7450 49.4598
SPCH-92521GT-EVAL OF SPEECH FLUENCY 3 2.000000 102.0950 51.0475
SPCH-92521TL-EVAL OF SPEECH FLUENCY 1 1.000000 51.0500 51.0500
SPCH-92522-EVAL OF SPCH SOUND PROD 1 1.000000 51.0500 51.0500
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 133 136.000000 6855.4300 50.4076
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 9 10.000000 510.5000 51.0500
SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 15 15.000000 765.7500 51.0500
CMS/EIP Fiscal Report Statewide
Services beginning 04/01/2022 ending 06/30/2022 Date of Report:08/08/2022 Page: 2
List order: No List
Eligibility Filter:Program Patients
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM 2 2.000000 102.1000 51.0500
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 4 4.000000 178.2000 44.5500
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 6 29.000000 1295.3900 44.6686
SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION 3 8.000000 420.5600 52.5700
Subtotal (Total Children Is Unduplicated) 6615 22169.25000 1460140.9200 65.8633
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 39 87.000000 10174.1400 116.9441
AUD-92593TS-AUDIOLOGY SERVICES (Biaural) 9 11.000000 550.0000 50.0000
AUDE-V5160-DISPENSING FEE BINAURAL 1 4.242869 975.8600 230.0000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 931 991.250000 49485.0000 49.9218
COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE 1033 1101.000000 55050.0000 50.0000
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 390 367.750000 9143.7500 24.8640
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 907 1326.750000 66285.0000 49.9604
CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE 873 978.750000 48937.5000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 92 94.500000 2362.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 513 746.250000 37312.5000 50.0000
CONOF-CONOFGT-CONSULT,OT,FACE TO FACE 609 515.500000 25762.5000 49.9758
CONOP-CONOP-CONSULT, OT, PHONE 55 129.750000 3243.7500 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 259 387.500000 19375.0000 50.0000
CONPF-CONPFGT-CONSULT,PT,FACE TO FACE 514 345.250000 17262.5000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 7 4.000000 100.0000 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 659 889.750000 42037.5000 47.2464
CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE 846 750.500000 37525.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 92 81.250000 2006.2500 24.6923
DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL 1143 2662.500000 0.0000 0.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 50 1845.000000 46125.0000 25.0000
EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION 120 289.500000 14475.0000 50.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 8065 59547.50000 2974680.3100 49.9547
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 2427 12354.25000 617582.5000 49.9895
INTR-T1013-INTERPRETER 309 995.250000 51028.7500 51.2723
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 11680 95422.20000 954990.0000 10.0080
OCCT-97530-OT SESSION BY LICENSED OT 1109 6184.000160 434819.3586 70.3136
OCCT-97530GT-OT SESSION BY LICENSED OT 145 520.250000 36185.3540 69.5538
OCCT-97530HM-OT SESSION BY OT ASST 360 2292.351894 129830.9286 56.6366
OCCT-97530HMGT-OT SESSION BY OT ASST 15 33.499999 1916.2000 57.2000
OCCT-97530TL-OT SESSION BY LICENSED OT 133 561.750000 40131.4200 71.4400
OCCT-97530TLGT-OT SESSION BY LICENSED OT 81 230.750000 16484.7800 71.4400
OCCT-97530TLGTHM-OT SESSION BY OT ASST 6 23.500000 1344.2000 57.2000
OCCT-97530TLHM-OT SESSION BY OT ASST 25 205.000000 11726.0000 57.2000
PHY-97110-PT SESSION BY LICENSED PT 1135 6811.249999 475377.1400 69.7929
PHY-97110GT-PT SESSION BY LICENSED PT 133 474.250000 32145.6300 67.7820
PHY-97110HM-PT SESSION BY PT ASST 203 1268.527465 72524.7100 57.1724
PHY-97110HMGT-PT SESSION BY LICENSED PT ASST 16 31.250000 1669.0900 53.4109
PHY-97110TL-PT SESSION BY LICENSED PT 138 625.500000 44685.7200 71.4400
PHY-97110TLGT-PT SESSION BY LICENSED PT 53 83.000000 5929.5200 71.4400
PHY-97110TLGTHM-PT SESSION BY PT ASST 1 1.000000 57.1600 57.1600
PHY-97110TLHM-PT SESSION BY PT ASST 15 97.000000 5544.5200 57.1600
SENS-V5264-EARMOLD 7 12.000000 202.2900 16.8575
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 2235 14261.55386 1001861.8566 70.2491
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 331 1086.499994 76161.2600 70.0978
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 68 310.750000 17774.9000 57.2000
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 254 1207.000000 86156.6400 71.3808
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 99 267.250000 19092.3400 71.4400
SPL-92508HA-GROUP SPL SESSION PER CHILD 8 12.000000 166.5600 13.8800
TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE 158 178.250000 6595.2500 37.0000
TRAV-TRAVS-Travel by mile 4469 410940.0000 180657.2400 0.4396
Subtotal (Total Children Is Unduplicated) 16796 629646.3762 7785510.3778 12.3649
-----------------------------------------------------------------------------------------------------------------------
Total 742077.126233 12562151.7878 16.9284
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 27308
-----------------------------------------------------------------------------------------------------------------------
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 22183 68801.000000 465471.4100 465462.3000
D 1425 7631.000000 22714.5600 0.0000
S 1703 1127.750000 50739.4500 0.0000
H 3551 2589.000000 112143.3100 98729.5100
T 23 204.250000 367.4300 358.1800
2819 1869.500000 77542.2900 0.0000
Other 286 388.750000 25834.7500 0.0000
---------------------------------------------------------
Total 31990 82611.250000 754813.2000 564549.9900
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 1 0.500000 -35.7200 0.0000
H 0 0.000000 0.0000 0.0000
T 3292 12445.500000 85573.6400 85374.6100
1200 5597.000000 32347.5200 0.0000
Other 5792 8329.750000 131092.7000 0.0000
---------------------------------------------------------
Total 10285 26372.750000 248978.1400 85374.6100
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 35 25.000000 925.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 3872 3008.250000 132823.5200 0.0000
P 1322 10595.500000 32193.4100 32121.9700
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 12 75.000000 343.1300 343.1300
T 0 0.000000 0.0000 0.0000
10312 45751.250000 298866.0600 0.0000
Other 667 585.750000 25566.2200 0.0000
---------------------------------------------------------
Total 16220 60040.750000 490717.3400 32465.1000
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 31 36.750000 1595.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 1271 1998.750000 82955.2500 0.0000
P 5383 15435.250000 344030.7500 333608.9800
D 131 211.250000 8735.7500 0.0000
S 0 0.000000 0.0000 0.0000
H 2446 8930.250000 451483.8600 100.0000
T 0 0.000000 0.0000 0.0000
3776 5431.750000 216716.4600 0.0000
Other 90 204.500000 14120.4400 167.7000
---------------------------------------------------------
Total 13128 32248.500000 1119638.0100 333876.6800
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.250000 9.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 2646 1783.000000 65971.0000 36373.6400
P 5098 58206.750000 171330.4800 171330.4800
D 17 8.250000 305.2500 111.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
3294 5098.500000 70070.5700 11610.5700
Other 12 4.750000 175.7500 0.0000
---------------------------------------------------------
Total 11068 65101.500000 307862.3000 219425.6900
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 9794 9596.000000 205341.4300 205341.4300
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
22808 19280.000000 809780.1700 0.0000
Other 216 139.750000 5170.7500 0.0000
---------------------------------------------------------
Total 32818 29015.750000 1020292.3500 205341.4300
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 4 4.000000 148.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 549 537.250000 25294.2500 0.0000
P 11272 24814.361900 582759.2425 582637.8100
D 21 32.750000 1971.7500 0.0000
S 0 0.000000 0.0000 0.0000
H 16 32.000000 2400.0000 0.0000
T 0 0.000000 0.0000 0.0000
7133 3890.138100 145031.1075 0.0000
Other 496 241.000000 8996.7500 0.0000
---------------------------------------------------------
Total 19491 29551.500000 766601.1000 582637.8100
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 1511 1650.750000 69418.2100 120.2500
P 19932 158264.000000 1105125.3040 1105188.8700
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 347 514.500000 29093.5000 0.0000
T 1 1.000000 51.0500 63.1400
2679 14572.750000 456357.3100 0.0000
Other 222 395.000000 26863.6300 0.0000
---------------------------------------------------------
Total 24692 175398.000000 1686909.0040 1105372.2600
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 66 52.500000 2244.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 9637 8428.500000 355353.7500 0.0000
P 7928 22049.750000 682990.2250 682228.3150
D 76 71.750000 3429.8700 0.0000
S 28 45.000000 2061.1600 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
12123 21093.000000 1140317.6550 0.0000
Other 404 343.250000 14119.7500 0.0000
---------------------------------------------------------
Total 30262 52083.750000 2200516.9100 682228.3150
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 4 4.500000 249.7500 0.0000
P 2089 6146.250000 158903.4500 158903.4500
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
466 1542.000000 93128.8100 458.6400
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 2559 7692.750000 252282.0100 159362.0900
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 10 6.500000 253.5000 0.0000
U 0 0.000000 0.0000 0.0000
B 543 587.000000 32650.4800 196.7900
P 1794 1977.750000 90539.3000 89097.1000
D 204 251.250000 13598.1300 260.0000
S 295 282.750000 11638.7500 521.9400
H 158 207.500000 13283.7300 40.0000
T 4834 47388.250000 149751.8100 142208.7200
3497 4051.500000 201903.4300 204.2400
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 11335 54752.500000 513619.1300 232528.7900
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 19 28.500000 1916.0100 0.0000
P 670 728.250000 39823.6300 39823.6300
D 56 46.500000 2880.5800 0.0000
S 606 324.000000 12110.2500 0.0000
H 58 56.750000 2568.5100 0.0000
T 896 6309.000000 13790.9200 13790.9200
15015 20339.000000 448063.4300 0.0000
Other 82 69.000000 3366.2300 0.0000
---------------------------------------------------------
Total 17402 27901.000000 524519.5600 53614.5500
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 54 64.250000 3745.5700 0.0000
P 650 722.750000 39873.7600 39873.8600
D 45 36.000000 1991.9600 0.0000
S 353 320.750000 13292.2500 0.0000
H 6 5.250000 354.5700 0.0000
T 1664 9630.330000 38973.2800 38973.2800
19070 29951.670000 600544.1500 0.0000
Other 182 132.250000 5735.7100 196.2500
---------------------------------------------------------
Total 22024 40863.250000 704511.2500 79043.3900
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 2.250000 83.2500 0.0000
U 0 0.000000 0.0000 0.0000
B 1248 1412.500000 69451.9100 0.0000
P 7766 9180.594174 205054.2400 203341.8800
D 0 0.000000 0.0000 0.0000
S 4 4.030266 264.2700 0.0000
H 49 63.000000 4430.0100 0.0000
T 0 0.000000 0.0000 0.0000
13441 12454.661820 548602.7686 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 22509 23117.036260 827886.4486 203341.8800
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 2 2.000000 74.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 1506 2302.750000 101700.2500 90.0000
P 2020 2988.196098 126252.1297 126145.5200
D 8 15.000000 969.0000 261.0000
S 20 37.000000 834.5900 834.5900
H 0 0.000000 0.0000 0.0000
T 4469 17352.619075 312249.5155 311713.9800
6152 12370.324800 591910.3900 407062.8400
Other 186 257.950000 8940.1600 2688.9100
---------------------------------------------------------
Total 14363 35325.839973 1142930.0352 848796.8400