CMS/EIP Fiscal Report              Statewide 
Services beginning 01/01/2023 ending 03/31/2023                Date of Report:04/20/2023   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                    11947            15187.25000       564716.5000           37.1836
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   792             799.250000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 22705            71682.75000      2665964.7000           37.1912
Subtotal (Total Children Is Unduplicated)              24039            87669.25000      3230681.2000           36.8508
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     17              19.000000          921.5000           48.5000
  AUDE-92550-TYMPANOMETRY & REFLEX THRESH                  3               3.000000           41.4000           13.8000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               42              42.000000          819.4200           19.5100
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             57              57.000000          830.4700           14.5696
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             59              59.000000          424.8000            7.2000
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              57              57.000000         1648.4400           28.9200
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               8               8.000000          110.4800           13.8100
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 43              43.000000          904.7200           21.0400
  AUDE-92652-AEP THRSHLD EST MLT FREQ I&R                  1               1.000000           75.1300           75.1300
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    1               2.000000           56.9900           28.4950
  AUDE-V5090-DISPENSING FEE PER HEARING AID                1               1.000000          115.8100          115.8100
  EVAL-96111-DEVELOPMENTAL EVALUATION                     45              70.000000         3500.0000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    6              10.500000          525.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                              262             377.250000        18806.2500           49.8509
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          75             140.500000        10537.5000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         97             169.000000        12675.0000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            19              32.500000         2437.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           59             107.000000         8025.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            24              44.000000         3300.0000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           28              51.500000         3823.5000           74.2427
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       30              54.000000         3911.6700           72.4383
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      27              45.500000         3412.5000           75.0000
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            86             146.000000         8103.0000           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          149             263.000000        14596.5000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT    1122            2088.999996       155333.0000           74.3576
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1518            2681.999999       200725.6900           74.8418
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       372             648.000000        48316.4900           74.5625
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     909            1605.500000       120367.6500           74.9721
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       331             616.000000        46005.5400           74.6843
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     590            1034.500000        77587.5000           75.0000
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1565            2871.500000       159312.7500           55.4807
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2418            4328.000000       240054.0000           55.4653
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    661            1166.500000        87450.0000           74.9679
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  501             985.000000        73812.4950           74.9365
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                91              91.000000        13309.4500          146.2577
  MED-99205-OUTPATIENT VISIT, NEW, 60 MINS                 1               1.000000          142.2300          142.2300
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 1               1.000000           31.4700           31.4700
  NURS-T1001-NURSING ASSESSMENT                            2               3.000000          150.0000           50.0000
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     5              28.000000         1400.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  22             154.000000         7700.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     28              28.000000         1439.4800           51.4100
  OCTH-97165-OT EVAL LOW COMPLEXITY                       54              55.000000         2781.8300           50.5787
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      1               1.000000           51.4100           51.4100
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      6               6.000000          308.4600           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  41              42.000000         2159.2200           51.4100
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 4               4.000000          205.6400           51.4100
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 1               1.000000           51.4100           51.4100
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               5               5.000000          257.0500           51.4100
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      59              65.000000         3290.2700           50.6195
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     1               1.000000           51.4100           51.4100
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     15              18.000000          911.2700           50.6261
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    3               3.000000          154.2300           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                       29              28.500000         1375.2150           48.2532
  PSTH-97161TL-PT EVAL LOW COMPLEXITY                      2               2.000000          102.8200           51.4100
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                   7               7.000000          359.8700           51.4100
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 1               1.000000           51.4100           51.4100
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      17              17.000000          873.9700           51.4100
  PSTH-97163TLGT-PT EVAL HIGH COMPLEXITY                   1               1.000000           51.4100           51.4100
  SCREEN-T1023-SCREENING                                  62              62.000000         3100.0000           50.0000
  SPCH-92521-EVAL OF SPEECH FLUENCY                      137             141.250001         7143.8475           50.5759
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                     10              10.000000          514.1000           51.4100
  SPCH-92521TL-EVAL OF SPEECH FLUENCY                      2               2.000000          102.8200           51.4100
  SPCH-92521TLGT-EVAL OF SPEECH FLUENCY                    1               1.000000           51.4100           51.4100
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP      85              87.069830         4434.9400           50.9354
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    10              10.000000          514.1000           51.4100
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     3               3.000000          154.2300           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       2               2.000000           76.8300           38.4150
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           34             118.000000         5589.8800           47.3719
  SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION          9              31.000000         1640.8300           52.9300
Subtotal (Total Children Is Unduplicated)               6427            20860.56983      1369151.6175           65.6335
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                          42              88.000000        23654.6800          268.8032
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 01/01/2023 ending 03/31/2023                Date of Report:04/20/2023   Page:   2
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  AUDE-V5160-DISPENSING FEE BINAURAL                       1               1.000000          231.6200          231.6200
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           721             791.000000        39137.5000           49.4785
  COIFF-COIFFGT-IFSP CONSULT,PROF,FACE TO FACE           729             762.750000        37987.5000           49.8033
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               326             332.500000         8068.7500           24.2669
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 688             922.250000        45031.2500           48.8276
  CONIF-CONIFGT-CONSULT,ITDS,FACE TO FACE                822             784.250000        38360.0000           48.9130
  CONIP-CONIP-CONSULT, ITDS PHONE                         72              69.750000         1731.2500           24.8208
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  496             589.750000        29487.5000           50.0000
  CONOF-CONOFGT-CONSULT,OT,FACE TO FACE                  600             465.000000        23212.5000           49.9194
  CONOP-CONOP-CONSULT, OT, PHONE                          53              97.750000         2443.7500           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  238             330.250000        16468.7500           49.8675
  CONPF-CONPFGT-CONSULT,PT,FACE TO FACE                  532             373.750000        18687.5000           50.0000
  CONPP-CONPP-CONSULT, PT, PHONE                           8               5.500000          137.5000           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 537             631.500000        31025.0000           49.1291
  CONSF-CONSFGT-CONSULT,SLP,FACE TO FACE                 704             607.750000        30387.5000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         45              46.000000         1150.0000           25.0000
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           1172            3183.000000            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              10             294.000000         7350.0000           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION            134             465.500000        22562.5000           48.4694
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         7474            46004.00000      2296820.7300           49.9265
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       2086            8470.750000       423195.5000           49.9596
  INTR-T1013-INTERPRETER                                 281            1036.750000        47126.0100           45.4555
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           11114            72498.00000       721745.0000            9.9554
  OCCT-97530-OT SESSION BY LICENSED OT                  1081            5327.750003       378129.1700           70.9735
  OCCT-97530GT-OT SESSION BY LICENSED OT                 138             366.000000        25607.7600           69.9666
  OCCT-97530HM-OT SESSION BY OT ASST                     297            1791.250001       102994.4600           57.4987
  OCCT-97530HMGT-OT SESSION BY OT ASST                    11              30.250000         1741.5000           57.5702
  OCCT-97530TL-OT SESSION BY LICENSED OT                 128             468.750000        33731.2500           71.9600
  OCCT-97530TLGT-OT SESSION BY LICENSED OT                58             137.500000         9894.5000           71.9600
  OCCT-97530TLHM-OT SESSION BY OT ASST                    10              57.000000         3283.2000           57.6000
  PHY-97110-PT SESSION BY LICENSED PT                   1059            5066.499998       360665.5100           71.1863
  PHY-97110GT-PT SESSION BY LICENSED PT                   79             203.000000        13979.9400           68.8667
  PHY-97110HM-PT SESSION BY PT ASST                      126             680.250000        39064.6500           57.4269
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            18              37.750000         2183.6900           57.8461
  PHY-97110TL-PT SESSION BY LICENSED PT                  140             606.750000        43661.7300           71.9600
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 32              44.250000         3184.2300           71.9600
  PHY-97110TLHM-PT SESSION BY PT ASST                      9              45.750000         2633.3700           57.5600
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               2               2.000000          604.0600          302.0300
  SENS-V5264-EARMOLD                                       5               7.000000          102.6800           14.6686
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         2005            11085.75000       785222.3800           70.8317
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        260             856.500000        60374.4600           70.4897
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST              2               6.750000          388.8000           57.6000
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           1               9.750000          561.6000           57.6000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        147             578.500000        41538.8600           71.8044
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP       51             134.500000         9606.6600           71.4250
  SPL-92508HA-GROUP SPL SESSION PER CHILD                  1               1.000000           13.9600           13.9600
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE     84              87.000000         3219.0000           37.0000
  TRAV-TRAVS-Travel by mile                             4537            349477.0000       154847.0400            0.4431
Subtotal (Total Children Is Unduplicated)              15099            515959.2500      5943236.7500           11.5188
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 624489.069831     10543069.5675           16.8827
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      26951
-----------------------------------------------------------------------------------------------------------------------
 
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           2483    8958.250000   53716.1100   53716.1100 
D            239     946.500000    6446.0900       0.0000 
S           4010    2951.000000  134931.3200       0.0000 
H            258     308.750000   20973.7200       0.0000 
T           3488   10389.250000   73723.4100   73374.7800 
            2202    1608.500000   73981.7700      60.0000 
Other        270     389.250000   25613.5500       0.0000 
---------------------------------------------------------
Total      12950   25551.500000  389385.9700  127150.8900 
 
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       1.000000      10.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T           3527   13568.500000  102048.0500  102079.9960 
             847    1689.500000   18591.8600       0.0000 
Other       5239   13576.000000  124633.3600       0.0000 
---------------------------------------------------------
Total       9614   28835.000000  245283.2700  102079.9960 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             49      63.500000    2362.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1969    1331.000000   50937.6500       0.0000 
P            234     500.250000    6264.1800    6193.4800 
D             18      13.500000     710.1000       0.0000 
S             15     128.000000     707.8100     707.8100 
H             29     250.000000     483.2200     483.2200 
T              0       0.000000       0.0000       0.0000 
            9634   53796.250000  234992.5000       0.0000 
Other        186     170.750000    6560.9000       0.0000 
---------------------------------------------------------
Total      12134   56253.250000  303018.5600    7384.5100 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2331    3444.500000  135460.6500       0.0000 
P           2726    8607.750000  175674.1500  175114.7000 
D            114     133.000000    5114.1000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           1431    5320.000000  266798.1600     260.0000 
T              0       0.000000       0.0000       0.0000 
            4258    4882.500000  220870.4000       0.0000 
Other        120     275.500000   18974.5500     240.0000 
---------------------------------------------------------
Total      10980   22663.250000  822892.0100  175614.7000 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3378    2070.750000   77031.9000   14756.4500 
P           5765   60326.750000  185624.4800  185624.4800 
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 
            3770    3345.500000   74824.1700    7566.8700 
Other         95      67.000000    2492.4000       0.0000 
---------------------------------------------------------
Total      13008   65810.000000  339972.9500  207947.8000 
 
Center 06
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       0.500000      18.6000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              0       0.000000       0.0000       0.0000 
P           8003    7851.750000  173932.6000  173932.6000 
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 
           21144   36797.750000  694235.3900       0.0000 
Other        270     177.000000    7475.6200       0.0000 
---------------------------------------------------------
Total      29418   44827.000000  875662.2100  173932.6000 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              7       6.000000     223.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            944     852.000000   39189.6000       0.0000 
P           6758   14101.799400  364536.9200  364397.4200 
D              2       1.500000      55.8000       0.0000 
S              1       0.500000      18.6000       0.0000 
H              5      10.000000     750.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            6534    3499.450600  131129.1950       0.0000 
Other        328     185.000000    7497.2000       0.0000 
---------------------------------------------------------
Total      14579   18656.250000  543400.5150  364397.4200 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3507    3795.250000  150734.1500     211.0000 
P          11808   92509.250000  666416.9800  666334.9400 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            396     511.500000   28592.8500       0.0000 
T            316   10710.250000   30708.2200   30708.2200 
            6765   29607.250000  561158.8300       0.0000 
Other        280     539.750000   38602.2500       0.0000 
---------------------------------------------------------
Total      23072  137673.250000 1476213.2800  697254.1600 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              8       6.750000     251.1000       0.0000 
U              0       0.000000       0.0000       0.0000 
B          10149    8829.250000  370133.7000       0.0000 
P           7239   20948.500000  616101.4300  615781.7100 
D            200     239.750000   13749.0400       0.0000 
S             80     101.000000    2532.6900       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           10777   18039.500000  967154.4825      40.0000 
Other        401     301.250000   11206.5000       0.0000 
---------------------------------------------------------
Total      28854   48466.000000 1981128.9425  615821.7100 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              7      13.000000     750.7500       0.0000 
P           1347    4245.500000  116236.4100  116236.4100 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H              1       8.000000     575.6800     575.6800 
T              0       0.000000       0.0000       0.0000 
             376    1129.250000   68920.4200       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       1731    5395.750000  186483.2600  116812.0900 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             19      20.000000     883.0400       0.0000 
U              0       0.000000       0.0000       0.0000 
B            875     908.250000   46050.9400       0.0000 
P           1685    1789.250000   83698.0000   82245.9800 
D            279     307.000000   16651.0000     515.0000 
S            160     135.750000    6467.1200     782.3000 
H            240     299.000000   17836.3000       0.0000 
T           3852   32505.750000  117801.8100  109132.4900 
            3227    3081.750000  141880.3300     195.3400 
Other          1       2.000000     100.0000     100.0000 
---------------------------------------------------------
Total      10338   39048.750000  431368.5400  192971.1100 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              6       5.250000     246.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            601     564.500000   29660.8800       0.0000 
P           2539    2410.500000  120903.8300  120850.4900 
D            271     203.250000   10236.4300       0.0000 
S            238     182.000000    7145.7000       0.0000 
H             42      42.000000    2821.6300       0.0000 
T           1318   11570.500000   17530.2700   17530.2700 
           12150   17164.750000  288356.1600       0.0000 
Other        242     202.500000    8865.2400       0.0000 
---------------------------------------------------------
Total      17407   32345.250000  485766.6400  138380.7600 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             16      18.750000     842.6200       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1083    1029.500000   50927.2200     109.1600 
P           4842    4540.750000  208083.0300  207779.7200 
D            238     203.250000   11113.3000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             83      87.000000    5855.6900       0.0000 
T           2579   18226.750000   47678.4400   47678.4400 
           13692   22458.750000  356309.3700       0.0000 
Other        162     128.000000    5674.4000     889.7200 
---------------------------------------------------------
Total      22695   46692.750000  686484.0700  256457.0400 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2729    2819.750000  125792.6500       0.0000 
P           6497    7622.205680  176440.8100  176440.8100 
D              0       0.000000       0.0000       0.0000 
S              2       3.273600     245.5200       0.0000 
H             92     155.000000   11411.0700       0.0000 
T              0       0.000000       0.0000       0.0000 
           11237    9919.340544  425420.3900       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      20557   20519.569824  739310.4400  176440.8100 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2569    3802.500000  160312.9500     334.3500 
P           1222    1853.413243   84192.9600   83673.0200 
D              3       5.500000     373.5000       0.0000 
S             16      24.500000    1042.7100    1042.7100 
H             13      13.000000     904.8700     904.8700 
T           3866   15328.836764  287097.2000  286384.7600 
            5514   10460.750000  493903.5000  321086.9400 
Other        212     263.000000    8871.2200     612.8200 
---------------------------------------------------------
Total      13415   31751.500007 1036698.9100  694039.4700