CMS/EIP Fiscal Report              Statewide 
Services beginning 07/01/2023 ending 09/30/2023                Date of Report:11/06/2023   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                    10414            12568.50000       468210.4500           37.2527
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   777             767.250000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 19769            59076.00000      2196667.8500           37.1838
Subtotal (Total Children Is Unduplicated)              21092            72411.75000      2664878.3000           36.8017
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  AACIS-92597-AAC INTIAL EVAL BY LICENSED SLP              3               3.000000          310.0800          103.3600
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     22              24.000000         1164.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               27              28.000000          546.2800           19.5100
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             36              37.000000          543.1600           14.6800
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             34              35.000000          308.3500            8.8100
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              33              34.000000          983.2800           28.9200
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               5               5.000000           69.0500           13.8100
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 27              28.000000          589.1200           21.0400
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    1               1.000000           45.3200           45.3200
  AUDE-V5090-DISPENSING FEE PER HEARING AID                2               2.000000          231.6200          115.8100
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                    5              15.000000          750.0000           50.0000
  EXIT-EXIT-COS Exit                                     318             498.750000        24912.5000           49.9499
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          68             131.000000         9660.2000           73.7420
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         72             133.500000        10012.5000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            25              45.500000         3412.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           47              85.500000         6412.5000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            14              27.500000         2062.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           26              48.000000         3600.0000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       39              66.500000         4987.5000           75.0000
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      18              36.000000         2650.0000           73.6111
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS            89             151.000000         8380.5000           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          107             194.000000        10767.0000           55.5000
  IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR    2               4.000000          222.0000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT    1234            2320.500000       172147.8500           74.1857
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1315            2337.000000       175024.7500           74.8929
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       482             878.500000        65684.5600           74.7690
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     759            1340.000000       100500.0000           75.0000
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       351             649.000000        48390.4000           74.5615
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     390             694.500000        52011.0000           74.8898
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1439            2672.500000       148224.0000           55.4627
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  1888            3396.500000       188574.0000           55.5201
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    445             744.500000        55937.5000           75.1343
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  376             679.500000        50796.9300           74.7563
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                54              54.000000         7985.5500          147.8806
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 1               1.000000           31.4700           31.4700
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     14              15.000000          771.1500           51.4100
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    1               1.000000           51.4100           51.4100
  OCTH-97165-OT EVAL LOW COMPLEXITY                       55              54.750000         2814.7000           51.4100
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      4               4.000000          205.6400           51.4100
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      1               1.000000           51.4100           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  35              37.000000         1799.3500           48.6311
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 2               2.000000          102.8200           51.4100
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               2               2.000000          102.8200           51.4100
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      34              34.000000         1747.9400           51.4100
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     1               1.000000           51.4100           51.4100
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     10               9.999999          514.1000           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                       40              40.000000         1960.0500           49.0013
  PSTH-97161TL-PT EVAL LOW COMPLEXITY                      1               1.000000           51.4100           51.4100
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                   6               6.000000          308.4600           51.4100
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      12              14.000000          719.7400           51.4100
  PSTH-97163TLGT-PT EVAL HIGH COMPLEXITY                   1               1.000000           51.4100           51.4100
  SCREEN-T1023-SCREENING                                  28              28.000000         1362.5000           48.6607
  SPCH-92521-EVAL OF SPEECH FLUENCY                       97              99.000000         5057.4200           51.0851
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      2               2.000000          102.8200           51.4100
  SPCH-92521TL-EVAL OF SPEECH FLUENCY                      1               1.000000           51.4100           51.4100
  SPCH-92522-EVAL OF SPCH SOUND PROD                       1               1.000000           51.4100           51.4100
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP      63              67.000000         3424.2100           51.1076
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    12              16.000000          822.5600           51.4100
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     6               6.000000          308.4600           51.4100
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       2               2.000000           96.2700           48.1350
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           46             213.500000        10827.3500           50.7136
  SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION          6              17.000000          873.9700           51.4100
Subtotal (Total Children Is Unduplicated)               5622            18077.00000      1192210.1700           65.9518
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  AACFIT-92609-AAC FITTING, ADJUST, TRAINING VISIT         8               9.000000          381.6900           42.4100
  AACFIT-92609TL-AAC FITTING, ADJUST, TRAINING VISIT       1               3.000000          127.2300           42.4100
  ASST-ASST-ASSISTIVE TECHNOLOGY                          44             113.000000        25203.1300          223.0365
  AUD-92630-AUD REHAB PRELING HEARING LOSS                 2               5.000000          346.7500           69.3500
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           670             743.750000        37051.4100           49.8170
  COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE         707             708.250000        35362.5000           49.9294
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               254             231.500000         5825.0000           25.1620
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 713            1401.250000        50571.3300           36.0902
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 07/01/2023 ending 09/30/2023                Date of Report:11/06/2023   Page:   2
            List order: No List
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE              768             851.500000        38150.0000           44.8033
  CONIP-CONIP-CONSULT, ITDS PHONE                         53              49.750000         1243.7500           25.0000
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  438             602.750000        27039.5000           44.8602
  CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE                690             656.250000        30712.5000           46.8000
  CONOP-CONOP-CONSULT, OT, PHONE                          41              72.500000         1812.5000           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  240             332.500000        16625.0000           50.0000
  CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE                497             350.000000        17487.5000           49.9643
  CONPP-CONPP-CONSULT, PT, PHONE                          12               6.250000          156.2500           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 550             712.250000        31462.5000           44.1734
  CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE               617             558.750000        27975.0000           50.0671
  CONSP-CONSP-CONSULT, SLP, PHONE                         42              41.500000         1062.5000           25.6024
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           1149            4290.750000           75.0000            0.0175
  EIGF-EIGF_NM-EI GROUP SESSION BY NONMED PROF             1               1.000000           15.0000           15.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              60            1031.000000        25775.0000           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION            119             294.750000        13800.8000           46.8221
  EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF        5               7.000000          350.0000           50.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         8150            44623.75000      2220799.7000           49.7672
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       1696            5864.750000       293099.7000           49.9765
  EPIC-99601-Early Steps Professional Development Fee   4520            23753.00000       342003.0000           14.3983
  INTR-T1013-INTERPRETER                                 240             765.750000        38236.5200           49.9334
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            9006            50740.00000       606486.0000           11.9528
  OCCT-97530-OT SESSION BY LICENSED OT                  1104            4702.475680       331809.2200           70.5605
  OCCT-97530GT-OT SESSION BY LICENSED OT                 129             271.500000        19603.9900           72.2062
  OCCT-97530HM-OT SESSION BY OT ASST                     287            1503.000000        86564.0400           57.5942
  OCCT-97530HMGT-OT SESSION BY OT ASST                    12              38.500000         2217.5600           57.5990
  OCCT-97530TL-OT SESSION BY LICENSED OT                 134             438.000000        31518.4800           71.9600
  OCCT-97530TLGT-OT SESSION BY LICENSED OT                52             111.000000         7987.5600           71.9600
  OCCT-97530TLHM-OT SESSION BY OT ASST                     5               9.000000          518.4000           57.6000
  PHY-97110-PT SESSION BY LICENSED PT                   1039            4293.033070       300143.6600           69.9141
  PHY-97110GT-PT SESSION BY LICENSED PT                   63             107.500000         7573.7900           70.4539
  PHY-97110HM-PT SESSION BY PT ASST                      181             811.500000        46744.7600           57.6029
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            26              75.750000         4264.1900           56.2929
  PHY-97110TL-PT SESSION BY LICENSED PT                  142             658.000000        47349.6800           71.9600
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 32              42.000000         3022.3200           71.9600
  PHY-97110TLHM-PT SESSION BY PT ASST                      7              34.750000         2043.4100           58.8032
  SENS-V5050-IN EAR MONAURAL HEARING AID                   2               2.000000          459.2200          229.6100
  SENS-V5264-EARMOLD                                       4               4.000000           72.5200           18.1300
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1846            8743.250000       615376.4700           70.3830
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        195             518.000000        40278.4500           77.7576
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             40             116.750000         6577.1500           56.3353
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           5              17.250000          993.6000           57.6000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        148             457.250000        32903.7100           71.9600
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP       48              84.250000         6062.6300           71.9600
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE      1               1.000000           37.0000           37.0000
  TRAV-TRAVS-Travel by mile                             4159            289384.0000       121151.4000            0.4187
Subtotal (Total Children Is Unduplicated)              15740            451244.2588      5604509.9700           12.4201
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 541733.008749      9461598.4400           17.4654
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      26011
-----------------------------------------------------------------------------------------------------------------------
 
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          11163   43356.750000  248792.6700  248792.6700 
D            284    1256.500000    8251.4600       0.0000 
S             26      28.500000    1964.3900      75.0000 
H            996    1058.750000   66424.7300   43100.2700 
T           1477    5872.500000   26165.1200   26165.1200 
             524     509.500000   28354.5300     316.2000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      14470   52082.500000  379952.9000  318449.2600 
 
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           3227    8605.000000   95816.5200   95681.7900 
             640    2297.500000   18148.9900       0.0000 
Other       5023   11287.000000  118764.9500       0.0000 
---------------------------------------------------------
Total       8890   22189.500000  232730.4600   95681.7900 
 
Center 03
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           2978   21931.750000   73715.6000   73715.6000 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           3031   21788.000000   72214.3000   72214.3000 
T              0       0.000000       0.0000       0.0000 
            3044    3181.500000   83960.9900       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       9053   46901.250000  229890.8900  145929.9000 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              2       4.000000     148.8000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2073    3384.000000  135571.3000       0.0000 
P           2840   10100.500000  235526.3600  231411.0800 
D            111     162.750000    6081.7500       0.0000 
S              2       3.750000     139.5000       0.0000 
H           1502    5827.500000  292743.2100     105.0000 
T              0       0.000000       0.0000       0.0000 
            3326    4795.000000  204435.0800       0.0000 
Other         60     117.750000    8124.7000     215.8800 
---------------------------------------------------------
Total       9916   24395.250000  882770.7000  231731.9600 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             84      68.750000    2557.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2701    1722.250000   64067.7000   46211.7000 
P           4937   53673.500000  169373.1800  169373.1800 
D             41      22.250000     827.7000      55.8000 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            3204    3337.500000   58636.1700    3821.9700 
Other         54      35.250000    1311.3000       0.0000 
---------------------------------------------------------
Total      11021   58859.500000  296773.5500  219462.6500 
 
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           5366    5292.250000  126359.4600  126359.4600 
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              3       3.750000     139.5000       0.0000 
           19744   28478.250000  669702.4800       0.0000 
Other        362     223.000000    8351.7000       0.0000 
---------------------------------------------------------
Total      25476   33997.750000  804571.7400  126359.4600 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             31      19.500000     725.4000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            855     780.500000   38084.2000       0.0000 
P          11355   17526.673300  447188.1475  447188.1400 
D             10       3.250000     120.9000       0.0000 
S              1       0.250000       9.3000       0.0000 
H              4       8.000000     600.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            6329    3484.076700  131717.2525      49.0000 
Other        279     164.500000    6948.6000       0.0000 
---------------------------------------------------------
Total      18864   21986.750000  625393.8000  447237.1400 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            103      98.500000    3819.6800       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3199    3471.250000  144134.3300       0.0000 
P          19419   76741.250000  578238.9400  578342.1800 
D            450    3290.000000    7582.4700    4521.6600 
S              0       0.000000       0.0000       0.0000 
H            333     464.000000   25950.1500       0.0000 
T           1944   11899.750000   54321.0200   54321.0200 
            4874    5144.250000  267013.7700       0.0000 
Other        265     503.500000   34928.5500       0.0000 
---------------------------------------------------------
Total      30587  101612.500000 1115988.9100  637184.8600 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            322     274.750000   10586.2500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           7841    7064.250000  309000.0000       0.0000 
P           9107   19796.000000  615713.6300  614344.6300 
D            108      97.000000    4066.2900       0.0000 
S             78      92.750000    3381.4500     100.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           10903   16110.000000  858381.1000       0.0000 
Other        461     355.500000   13495.5000       0.0000 
---------------------------------------------------------
Total      28820   43790.250000 1814624.2200  614444.6300 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B             29      29.500000    1637.2500       0.0000 
P           1116    3071.500000   86700.9200   86700.8800 
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 
             400    1210.500000   75060.6500       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       1545    4311.500000  163398.8200   86700.8800 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             34      34.000000    1986.1200       0.0000 
U              0       0.000000       0.0000       0.0000 
B            863     854.750000   40751.5600      50.0000 
P           1425    1433.250000   71031.7400   69892.4300 
D             88      99.500000    7171.8700       0.0000 
S            200     171.750000    7068.4000     297.2000 
H             90     123.250000    9043.8100      48.0000 
T           5791   26402.500000  125420.5300  118682.2600 
            3915    4552.750000  139120.8900       0.0000 
Other          1       0.250000       9.3000       9.3000 
---------------------------------------------------------
Total      12407   33672.000000  401604.2200  188979.1900 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             80      64.750000    3757.9500       0.0000 
U              0       0.000000       0.0000       0.0000 
B            736     671.250000   34949.1800       0.0000 
P           2230    2056.500000  100720.0500  100704.4900 
D            266     244.250000   12558.0500       0.0000 
S             37      40.750000    2715.3700       0.0000 
H            138     141.000000   10140.4400       0.0000 
T           1492    9582.000000   26239.7100   26073.2100 
           10243   11455.500000  232082.6600       0.0000 
Other        242     205.750000   10883.5400       0.0000 
---------------------------------------------------------
Total      15464   24461.750000  434046.9500  126777.7000 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             72      76.750000    4589.6000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1007    1018.000000   47980.9000     109.1600 
P           3393    3177.000000  147575.4900  146745.1400 
D            279     244.000000   13087.6000       0.0000 
S             12      11.000000     599.4400       0.0000 
H            132     134.000000    9106.4600       0.0000 
T           2549   14200.940000   56051.4700   56042.1700 
           10137    9537.060000  262978.5000       0.0000 
Other        266     220.000000   10361.9900      90.0000 
---------------------------------------------------------
Total      17847   28618.750000  552331.4500  202986.4700 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1907    1951.750000   84546.6500       0.0000 
P           3884    5318.430547  114534.5600  113609.5100 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             61     119.000000    8815.8800       0.0000 
T              0       0.000000       0.0000       0.0000 
           11819   12970.078202  458007.5700       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      17671   20359.258749  665904.6600  113609.5100 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            189     271.000000   10081.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2976    4258.000000  183306.1500       0.0000 
P             64      64.437605    3286.4100    3286.4100 
D              4       8.000000     522.0000       0.0000 
S             30      30.000000    1399.0000    1399.0000 
H              3       3.000000     363.5500     363.5500 
T           9302   10221.749860  219238.5400  219583.7200 
            8638    9291.562535  431852.3500  248414.4000 
Other        345     346.750000   11565.9700    4470.0700 
---------------------------------------------------------
Total      21551   24494.500000  861615.1700  477517.1500