CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2022 ending 12/31/2022                Date of Report:01/23/2023   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                    11213            13589.50000       505190.3500           37.1751
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   603             540.750000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 21214            63588.00000      2363713.7500           37.1723
Subtotal (Total Children Is Unduplicated)              22729            77718.25000      2868904.1000           36.9142
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     21              24.000000         1463.8000           60.9917
  AUD-92626-EVAL OF AUD REHAB STATUS                       1               1.000000           56.1000           56.1000
  AUDE-92550-TYMPANOMETRY & REFLEX THRESH                  1               1.000000           13.8000           13.8000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               32              33.000000          643.8300           19.5100
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             36              37.000000          543.1600           14.6800
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             38              39.000000          280.8000            7.2000
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              35              36.000000         1041.1200           28.9200
  AUDE-92582-CONDITIONED PLAY AUDIOMETRY                   2               2.000000           90.1600           45.0800
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               2               2.000000           27.6200           13.8100
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 29              30.000000          631.2000           21.0400
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    3               3.000000          135.9600           45.3200
  AUDE-V5090-DISPENSING FEE PER HEARING AID                2               3.000000          347.4300          115.8100
  EVAL-96111-DEVELOPMENTAL EVALUATION                     50              80.750000         4037.5000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    7              16.000000          800.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              278             401.500000        20075.0000           50.0000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          48              92.000000         6900.0000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         68             124.000000         9261.0000           74.6855
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            10              20.000000         1500.0000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           58             103.500000         7733.2500           74.7174
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            18              32.500000         2437.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           30              54.000000         4050.0000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       19              39.000000         2925.0000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      21              38.500000         2858.2500           74.2403
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            55              95.500000         5300.2500           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          125             229.000000        12557.6100           54.8367
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     763            1473.500000       109425.0000           74.2620
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1453            2580.500000       193373.2500           74.9363
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       288             538.500000        39912.5000           74.1179
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     882            1491.500000       111728.5000           74.9102
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       263             502.000000        37442.5000           74.5867
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     553             999.000000        74845.5000           74.9204
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1017            1900.500000       105422.2500           55.4708
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2351            4213.500000       233802.2500           55.4888
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    438             818.500000        61387.5000           75.0000
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  497             904.500000        67697.4300           74.8451
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                82              82.000000        10345.6000          126.1659
  MED-99205-OUTPATIENT VISIT, NEW, 60 MINS                 3               3.000000          334.5600          111.5200
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 3               3.000000          417.4700          139.1567
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     2              13.000000          650.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  21             145.000000         7250.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     24              24.999999         1285.2500           51.4100
  OCTH-97165-OT EVAL LOW COMPLEXITY                       42              42.000000         2134.2200           50.8148
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      3               3.000000          154.2300           51.4100
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      2               2.000000          102.8200           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  31              33.000000         1515.1900           45.9148
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 7               7.000000          359.8700           51.4100
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               1               1.000000           51.4100           51.4100
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      63              63.000000         3238.8300           51.4100
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     1               1.000000           51.4100           51.4100
  OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY                   1               2.000000          102.8200           51.4100
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     16              16.000000          774.1200           48.3825
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    1               1.000000           51.4100           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                       23              22.500000         1080.0950           48.0042
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                   7               7.000000          359.8700           51.4100
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 1               1.000000           51.4100           51.4100
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 1               1.000000           51.4100           51.4100
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      15              15.000000          771.1500           51.4100
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     1               1.000000           51.4100           51.4100
  SCREEN-T1023-SCREENING                                  59              60.000000         2954.0000           49.2333
  SPCH-92521-EVAL OF SPEECH FLUENCY                       88              89.750000         4611.8775           51.3858
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      1               1.000000           51.4100           51.4100
  SPCH-92522GT-EVAL OF SPCH SOUND PROD                     1               1.000000           51.4100           51.4100
  SPCH-92522TL-EVAL OF SPCH SOUND PROD                     2               2.000000          102.8200           51.4100
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP      75              76.250000         3784.6900           49.6353
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    12              12.000000          616.9200           51.4100
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     8               8.000000          411.2800           51.4100
  SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM    1               1.000000           51.4100           51.4100
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       3               3.000000          134.5800           44.8600
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           19              61.000000         3070.7000           50.3393
  SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION          5              14.000000          741.0200           52.9300
Subtotal (Total Children Is Unduplicated)               5505            17777.75000      1168513.6925           65.7290
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          31              65.000000        17769.2800          273.3735
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2022 ending 12/31/2022                Date of Report:01/23/2023   Page:   2
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           666             774.250000        38431.2500           49.6367
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           801             841.500000        41950.0000           49.8515
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               264             264.750000         6493.7500           24.5279
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 593             732.000000        36487.5000           49.8463
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE                710             697.750000        34875.0000           49.9821
  CONIP-CONIP-CONSULT, ITDS PHONE                         70              77.000000         1868.7500           24.2695
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  384             462.000000        23050.0000           49.8918
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  591             438.750000        21925.0000           49.9715
  CONOP-CONOP-CONSULT, OT, PHONE                          42              77.000000         1875.0000           24.3506
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  209             273.500000        13637.5000           49.8629
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  494             342.500000        17125.0000           50.0000
  CONPP-CONPP-CONSULT, PT, PHONE                           7               4.750000          118.7500           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 464             510.500000        25525.0000           50.0000
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 670             576.250000        28812.5000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         47              45.250000         1131.2500           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL            992            2773.250000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              13             279.000000         6975.0000           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION            119             337.750000        16887.5000           50.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         7620            46993.00000      2346234.7300           49.9273
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       1754            7261.000000       363050.0000           50.0000
  INTR-T1013-INTERPRETER                                 276             972.500000        49150.7500           50.5406
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           10871            68634.00000       686757.6700           10.0061
  OCCT-97530-OT SESSION BY LICENSED OT                  1071            5152.708460       366576.9300           71.1426
  OCCT-97530GT-OT SESSION BY LICENSED OT                 104             246.750000        17210.1700           69.7474
  OCCT-97530HM-OT SESSION BY OT ASST                     300            1698.515103        95830.8300           56.4204
  OCCT-97530HMGT-OT SESSION BY OT ASST                    10              25.000000         1425.5800           57.0232
  OCCT-97530TL-OT SESSION BY LICENSED OT                 102             380.250000        27362.7900           71.9600
  OCCT-97530TLGT-OT SESSION BY LICENSED OT                39              82.000000         5900.7200           71.9600
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                   1               0.500000           28.8000           57.6000
  OCCT-97530TLHM-OT SESSION BY OT ASST                    12              82.000000         4723.2000           57.6000
  PHY-97110-PT SESSION BY LICENSED PT                   1018            4819.249988       339591.3900           70.4656
  PHY-97110GT-PT SESSION BY LICENSED PT                   77             222.000000        15319.3300           69.0060
  PHY-97110HM-PT SESSION BY PT ASST                      137             733.750000        42145.3500           57.4383
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            17              38.250000         2143.5100           56.0395
  PHY-97110TL-PT SESSION BY LICENSED PT                  132             498.250000        35854.0700           71.9600
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 21              26.500000         1906.9400           71.9600
  PHY-97110TLGTHM-PT SESSION BY PT ASST                    1               1.000000           57.5600           57.5600
  PHY-97110TLHM-PT SESSION BY PT ASST                      6              35.000000         2014.6000           57.5600
  SENS-V5050-IN EAR MONAURAL HEARING AID                   1               2.000000          456.0000          228.0000
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               1               1.000000          459.2200          459.2200
  SENS-V5264-EARMOLD                                       5               9.000000          162.9100           18.1011
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1939            11065.75044       780789.6000           70.5591
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        236             720.000000        50997.4800           70.8298
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             17              58.500000         3369.6000           57.6000
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           1               2.000000          115.2000           57.6000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        150             668.500000        48042.7800           71.8665
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP       46             110.750000         7969.5700           71.9600
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        2               2.000000           27.9200           13.9600
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    145             131.500000         4865.5000           37.0000
  TRAV-TRAVS-Travel by mile                             4666            336872.0000       147813.9200            0.4388
Subtotal (Total Children Is Unduplicated)              15053            497117.9740      5783292.6500           11.6336
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 592613.973993      9820710.4425           16.5719
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      26065
-----------------------------------------------------------------------------------------------------------------------
 
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           5277   24026.000000  102143.9800  102143.9800 
D            609    3194.500000   11840.6800       0.0000 
S           3587    2422.500000  104456.6200       0.0000 
H            165     198.000000   13446.7700       0.0000 
T           5191   12671.750000  106278.4300  106124.8500 
            1782    1166.500000   48181.3300       0.0000 
Other        142     199.250000   13501.5000       0.0000 
---------------------------------------------------------
Total      16753   43878.500000  399849.3100  208268.8300 
 
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              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T           2835   11821.500000   81133.5200   81106.1000 
             463    1436.500000   13175.4800       0.0000 
Other       3822    7561.000000   92089.7200       0.0000 
---------------------------------------------------------
Total       7120   20819.000000  186398.7200   81106.1000 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             46      27.500000    1023.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2134    1542.500000   59636.0000       0.0000 
P           2552   18500.750000   62116.9900   62116.9900 
D              3       4.250000     214.8000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             74     471.000000    1684.3200    1684.3200 
T              0       0.000000       0.0000       0.0000 
            3845   10184.000000   97663.2300       0.0000 
Other        167     177.000000    6917.9500       0.0000 
---------------------------------------------------------
Total       8821   30907.000000  229256.2900   63801.3100 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             86     118.000000    4671.9000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1782    2648.000000  106442.1000       0.0000 
P           3194    9682.750000  206235.8500  198363.6400 
D             56      70.750000    2851.5000       0.0000 
S              1       0.750000      27.9000       0.0000 
H           1592    5883.500000  295148.4400     497.8600 
T              0       0.000000       0.0000       0.0000 
            3449    3515.750000  158961.3700       0.0000 
Other         41      81.500000    5720.8900     107.9400 
---------------------------------------------------------
Total      10201   22001.000000  780059.9500  198969.4400 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              6       3.000000     111.6000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2937    1814.750000   67462.1000   31536.1400 
P           4545   47898.250000  147673.6200  147673.6200 
D              1       0.250000       9.2500       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 
            3470    2318.500000   68677.3300    3141.8800 
Other         40      27.250000    1012.6000       0.0000 
---------------------------------------------------------
Total      10999   52062.000000  284946.5000  182351.6400 
 
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           8143    8037.750000  173976.7300  173976.7300 
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 
           22050   38458.500000  711056.4100       0.0000 
Other        270     190.000000    7242.2300       0.0000 
---------------------------------------------------------
Total      30463   46686.250000  892275.3700  173976.7300 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             15      12.250000     455.7000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1028     825.750000   36201.7000       0.0000 
P           6174   13705.400000  336285.7500  343529.0500 
D             11      12.250000     758.1000       0.0000 
S             16      14.500000     539.4000       0.0000 
H             11      22.000000    1650.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            5693    3168.100000  118720.1000     120.0000 
Other        365     183.250000    6812.6000       0.0000 
---------------------------------------------------------
Total      13313   17943.500000  501423.3500  343649.0500 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              8       6.000000     259.8000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1792    2024.750000   82251.6700    5241.5600 
P          13095  103546.250000  747194.9700  747358.3700 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            369     530.500000   29705.8500       0.0000 
T           5189   50219.750000  296204.3600  296203.7600 
            2219    6933.250000  385444.7200       0.0000 
Other        214     408.500000   28611.2000       0.0000 
---------------------------------------------------------
Total      22886  163669.000000 1569672.5700 1048803.6900 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             49      42.250000    1796.1000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8558    7520.250000  321693.0500       0.0000 
P           6364   18685.000000  546873.9000  545386.3800 
D            130     161.750000    9145.3700       0.0000 
S            440     311.000000   11695.0200       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            9862   17038.500000  914833.7325     100.0000 
Other        640     606.500000   25803.1500       0.0000 
---------------------------------------------------------
Total      26043   44365.250000 1831840.3225  545486.3800 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B             10      14.500000     999.7500       0.0000 
P           1362    3967.000000  108374.0100  108374.0100 
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 
             389    1149.000000   70567.8200      40.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       1761    5130.500000  179941.5800  108414.0100 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             37      40.750000    2754.7200       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1068    1071.000000   51655.2400      27.9000 
P            885     951.750000   46501.5900  165463.6600 
D            241     265.250000   14236.7600       0.0000 
S            127      92.750000    3487.3500       0.0000 
H            136     178.750000   11769.2800       0.0000 
T           3510   28879.750000   94757.9500   88872.3300 
            3316    3257.500000  152495.3800      80.0000 
Other          1       1.000000      37.2000       0.0000 
---------------------------------------------------------
Total       9321   34738.500000  377695.4700  254443.8900 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             46      45.250000    2766.2800       0.0000 
U              0       0.000000       0.0000       0.0000 
B            838     787.000000   41522.6200      18.6000 
P           1912    1757.250000   87316.8500   87284.2800 
D            274     189.000000    8011.1100       0.0000 
S            137     130.500000    4779.3400       0.0000 
H             10      10.000000     675.6800       0.0000 
T           1354   10788.750000   19177.6800   19177.6800 
           10450   13172.250000  249603.9500       0.0000 
Other        143     114.000000    4542.5900       0.0000 
---------------------------------------------------------
Total      15164   26994.000000  418396.1000  106480.5600 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             39      43.000000    2752.9200       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1148    1093.750000   51758.8600      46.5000 
P           4110    3651.000000  167992.6100  167775.1000 
D            268     234.750000   12038.5900       0.0000 
S              0       0.000000       0.0000       0.0000 
H             23      22.500000    1619.1000       0.0000 
T           2273   13635.510000   40264.5400   39814.5400 
           12754   19530.740000  333548.5400       0.0000 
Other        155     119.500000    5201.8100    1285.9500 
---------------------------------------------------------
Total      20770   38330.750000  615176.9700  208922.0900 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2053    1819.250000   80171.9100       0.0000 
P           6666    7689.453489  171262.5300  171262.3800 
D              0       0.000000       0.0000       0.0000 
S              1       1.333333     100.0000       0.0000 
H             48      72.500000    5126.5900       0.0000 
T              0       0.000000       0.0000       0.0000 
            9970    8181.228265  381488.2200       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      18738   17763.765087  638149.2500  171262.3800 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            148     213.750000    7951.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2057    3058.500000  131236.5000       0.0000 
P            944    1459.787128   67169.0700   67431.3560 
D              0       0.000000       0.0000       0.0000 
S             23      63.500000    1741.7600    1741.7600 
H             10      10.000000     219.9500     219.9500 
T           3301   12497.957490  240794.6300  240677.9900 
            5312    9609.535159  451990.2100  272605.1100 
Other        315     411.429129   14506.4700    3905.1200 
---------------------------------------------------------
Total      12110   27324.458906  915610.0900  586581.2860