CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2023 ending 12/31/2023                Date of Report:01/14/2024   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                     9567            10606.50000       394496.5000           37.1938
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                   654             594.250000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 18518            54960.00000      2044014.2000           37.1909
Subtotal (Total Children Is Unduplicated)              19781            66160.75000      2438510.7000           36.8574
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  AACIS-92597-AAC INTIAL EVAL BY LICENSED SLP              3               3.000000          310.0800          103.3600
  AACIS-92597TL-AAC INTIAL EVAL BY LICENSED SLP            2               2.000000          206.7200          103.3600
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                     19              20.000000          970.0000           48.5000
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY                6               6.000000          117.0600           19.5100
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)              6               6.000000           88.0800           14.6800
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)              6               6.000000           52.8600            8.8100
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY               7               7.000000          202.4400           28.9200
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)               1               1.000000           13.8100           13.8100
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                  5               5.000000          105.2000           21.0400
  EXIT-EXIT-COS Exit                                     177             259.250000        12962.5000           50.0000
  IPDEF-IPDEF_NM-F/U PSYCH & DEV EVAL BY NON-MED PROF      2               4.000000          222.0000           55.5000
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT         111             207.000000        15525.0000           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         52              89.500000         6673.5000           74.5642
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            26              48.500000         3637.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           25              45.000000         3375.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            22              38.000000         2850.0000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           23              44.500000         3337.5000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       61             100.500000         7462.5000           74.2537
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      20              36.500000         2737.5000           75.0000
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS           132             209.500000        11666.2500           55.6862
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS           76             133.000000         7381.5000           55.5000
  IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR    5               9.000000          499.5000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT    1430            2655.000000       198266.9300           74.6768
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT   955            1709.000000       128079.0000           74.9438
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       462             846.000000        63182.6400           74.6840
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     680            1208.500000        90675.0000           75.0310
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       459             771.000000        57669.4500           74.7982
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     321             587.000000        44100.0000           75.1278
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1632            2939.500000       163092.4500           55.4831
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  1464            2685.500000       149243.2500           55.5737
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    509             924.000000        69213.3000           74.9062
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  440             796.500000        59737.5000           75.0000
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                51              52.000000         6466.1500          124.3490
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     4               5.000000          250.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  15              86.000000         4300.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     20              20.000000          979.2000           48.9600
  OCTH-97165-OT EVAL LOW COMPLEXITY                       42              42.000000         2159.2200           51.4100
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                      1               1.000000           51.4100           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  26              27.000000         1336.6600           49.5059
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                 4               4.000000          205.6400           51.4100
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               2               2.000000          123.3700           61.6850
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      27              28.000000         1439.4800           51.4100
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     2               2.000000          102.8200           51.4100
  PSTF-97164-PT RE-EVAL EST PLAN CARE                      7               7.000000          359.8700           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                       30              30.000000         1542.3000           51.4100
  PSTH-97161GT-PT EVAL LOW COMPLEXITY                      2               2.000000          102.8200           51.4100
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  10              12.000000          555.2000           46.2667
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 3               3.000000          154.2300           51.4100
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 1               1.000000           51.4100           51.4100
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      18              18.000000          925.3800           51.4100
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     2               2.000000          102.8200           51.4100
  SCREEN-T1023-SCREENING                                  20              20.000000         1100.0000           55.0000
  SPCH-92521-EVAL OF SPEECH FLUENCY                       79              91.000000         4667.9300           51.2959
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      7              11.000000          565.5100           51.4100
  SPCH-92521TLGT-EVAL OF SPEECH FLUENCY                    1               1.000000           51.4100           51.4100
  SPCH-92522-EVAL OF SPCH SOUND PROD                       3               3.000000          154.2300           51.4100
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP      83              85.000000         4390.0400           51.6475
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     8               8.000000          411.2800           51.4100
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     7               7.000000          359.8700           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       1               1.000000           51.4100           51.4100
  SPCH-92610TL-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC     1               1.000000           51.4100           51.4100
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           53             246.000000        12271.7000           49.8850
  SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION          6              21.000000         1079.6100           51.4100
Subtotal (Total Children Is Unduplicated)               5423            17242.25000      1150069.8100           66.7007
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  AACFIT-92609-AAC FITTING, ADJUST, TRAINING VISIT         7               7.000000          296.8700           42.4100
  ASST-ASST-ASSISTIVE TECHNOLOGY                          36              58.000000        10499.1800          181.0203
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE           692             779.000000        38587.5000           49.5347
  COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE         736             752.500000        37587.5000           49.9502
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE               267             263.250000         6631.2500           25.1899
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                 734            1106.000000        53600.0000           48.4629
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 10/01/2023 ending 12/31/2023                Date of Report:01/14/2024   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              802             953.500000        45125.0000           47.3256
  CONIP-CONIP-CONSULT, ITDS PHONE                         34              37.250000          931.2500           25.0000
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                  547             637.000000        31762.5000           49.8626
  CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE                542             481.750000        23962.5000           49.7405
  CONOP-CONOP-CONSULT, OT, PHONE                          45              69.000000         1725.0000           25.0000
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  272             350.750000        17537.5000           50.0000
  CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE                423             308.500000        15425.0000           50.0000
  CONPP-CONPP-CONSULT, PT, PHONE                          19              14.000000          350.0000           25.0000
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                 690             819.750000        40962.5000           49.9695
  CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE               638             601.750000        30087.5000           50.0000
  CONSP-CONSP-CONSULT, SLP, PHONE                         37              40.750000         1068.7500           26.2270
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           1096            4152.250000          229.0000            0.0552
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              94            3348.000000        83700.0000           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION             31              84.000000         4200.0000           50.0000
  EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF       18              36.000000         1800.0000           50.0000
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         8462            50240.25000      2508331.0000           49.9267
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       1492            5463.750000       273003.7000           49.9664
  EPIC-99601-Early Steps Professional Development Fee   5435            32195.00000       437580.1000           13.5916
  INTR-T1013-INTERPRETER                                 276             974.000000        49251.6000           50.5663
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE            8735            52834.00000       633701.3500           11.9942
  OCCT-97530-OT SESSION BY LICENSED OT                  1111            5293.520000       375140.2400           70.8678
  OCCT-97530GT-OT SESSION BY LICENSED OT                  88             205.500000        14769.7900           71.8725
  OCCT-97530HM-OT SESSION BY OT ASST                     279            1513.000000        86424.8900           57.1215
  OCCT-97530HMGT-OT SESSION BY OT ASST                    12              31.250000         1771.1800           56.6778
  OCCT-97530TL-OT SESSION BY LICENSED OT                 136             429.980000        30939.9800           71.9568
  OCCT-97530TLGT-OT SESSION BY LICENSED OT                46             115.500000         8275.4000           71.6485
  OCCT-97530TLHM-OT SESSION BY OT ASST                     8              16.000000          921.6000           57.6000
  PHY-97110-PT SESSION BY LICENSED PT                   1086            4821.250000       341831.3200           70.9010
  PHY-97110GT-PT SESSION BY LICENSED PT                   42              74.750000         5217.2100           69.7955
  PHY-97110HM-PT SESSION BY PT ASST                      178             851.797775        48802.4700           57.2935
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            19              49.750000         2863.6100           57.5600
  PHY-97110TL-PT SESSION BY LICENSED PT                  126             543.750000        39128.2500           71.9600
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 28              31.500000         2266.7400           71.9600
  PHY-97110TLHM-PT SESSION BY PT ASST                      6              22.000000         1266.3200           57.5600
  SENS-V5264-EARMOLD                                       2               3.000000           54.3900           18.1300
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1949            10484.94480       743583.3620           70.9191
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        163             550.500000        39437.1500           71.6388
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             56             243.000000        13939.2000           57.3630
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           5              45.000000         2592.0000           57.6000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        136             494.140000        35556.9800           71.9573
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP       29              57.250000         4119.7100           71.9600
  SPL-92508HA-GROUP SPL SESSION PER CHILD                  5              15.000000          209.4000           13.9600
  TRAV-TRAVS-Travel by mile                             4315            318074.0000       141329.8100            0.4443
Subtotal (Total Children Is Unduplicated)              15752            500573.3826      6288377.5520           12.5623
-----------------------------------------------------------------------------------------------------------------------
Total                                                                 583976.382572      9876958.0620           16.9133
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      25454
-----------------------------------------------------------------------------------------------------------------------
 
Center 01
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       1.500000      75.0000      75.0000 
P           7670   21275.750000  179795.8500  179795.8500 
D            248     528.750000    8341.7500       0.0000 
S             15      16.000000    1116.3400       0.0000 
H           1003    1320.000000   88340.9600   57574.7200 
T           5531   13145.750000  122498.7200  122623.1400 
             454     499.000000   29144.4500      12.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      14922   36786.750000  429313.0700  360080.7100 
 
Center 02
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              0       0.000000       0.0000       0.0000 
P              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           3844   10971.000000  107910.9900  107672.2200 
             604    1114.250000   15988.1100     150.0000 
Other       1311    2761.750000   30317.8500     178.9700 
---------------------------------------------------------
Total       5759   14847.000000  154216.9500  108001.1900 
 
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            871    6340.000000   19150.1300   19150.1300 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             21     241.000000     634.1200     634.1200 
T              0       0.000000       0.0000       0.0000 
            8503   42491.250000  216367.7600       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       9395   49072.250000  236152.0100   19784.2500 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             89     159.500000    6597.4500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1379    2309.250000   90570.0000       0.0000 
P           3223   11052.000000  265088.1300  263836.8300 
D             22      38.750000    1479.3000       0.0000 
S              1       0.250000       9.3000       0.0000 
H           1521    5818.500000  292273.4300     225.0000 
T              0       0.000000       0.0000       0.0000 
            2626    6249.500000  227097.7500       0.0000 
Other        154     320.000000   21675.0700     727.9300 
---------------------------------------------------------
Total       9015   25947.750000  904790.4300  264789.7600 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             27      18.500000     688.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2281    1451.500000   53995.8000   27369.9800 
P           4956   51209.750000  164564.6500  164564.6500 
D              8       4.250000     158.1000       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 
            3429    4250.250000   65130.9600   10118.4600 
Other         68      53.000000    1971.6000       0.0000 
---------------------------------------------------------
Total      10769   56987.250000  286509.3100  202053.0900 
 
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           8424    8500.250000  210282.3000  210282.3000 
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              2       2.500000      93.0000       0.0000 
           16419   25990.750000  596393.2600       0.0000 
Other        480     287.500000   10685.7000       0.0000 
---------------------------------------------------------
Total      25325   34781.000000  817454.2600  210282.3000 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             59      38.750000    1478.1000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            746     642.500000   30023.3000       0.0000 
P          13569   17533.197800  461143.5050  461100.3000 
D             43      46.000000    2389.2000       0.0000 
S              2       0.500000      18.6000       0.0000 
H             10      20.000000    1500.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
            6259    3630.052200  138324.7150       0.0000 
Other        385    -273.750000    -355.5000   -4680.0000 
---------------------------------------------------------
Total      21073   21637.250000  634521.9200  456420.3000 
 
Center 09
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          12027  122070.750000  709876.0100  709864.0500 
D            159    1510.000000    6831.7400       0.0000 
S              0       0.000000       0.0000       0.0000 
H           2434    2826.500000  129418.1300  104734.8800 
T              0       0.000000       0.0000       0.0000 
            3050   13868.250000  351237.3900     130.2000 
Other        142     261.250000   17457.5500       0.0000 
---------------------------------------------------------
Total      17812  140536.750000 1214820.8200  814729.1300 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             47      32.750000    1218.3000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8885    8002.000000  346828.6500       0.0000 
P          11400   23601.000000  720098.7300  718701.8300 
D             26      26.500000     865.1000       0.0000 
S             64      82.000000    3042.8800     100.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           11899   17265.250000  927969.5900       0.0000 
Other        404     293.250000   11021.1000       0.0000 
---------------------------------------------------------
Total      32725   49302.750000 2011044.3500  718801.8300 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              1       1.000000      55.5000       0.0000 
U              0       0.000000       0.0000       0.0000 
B             10       9.000000     527.2500       0.0000 
P           1354    3968.500000  114882.2200  114782.2200 
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 
             321    1015.000000   60577.9300      45.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       1686    4993.500000  176042.9000  114827.2200 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             44      41.250000    2184.6600       0.0000 
U              0       0.000000       0.0000       0.0000 
B            642     667.500000   34253.8400     174.2600 
P           1439    1458.750000   71322.0600   69967.9700 
D             86      89.750000    6537.6500       0.0000 
S            361     295.750000   11845.2000     210.0200 
H             97     125.750000    9156.2000       0.0000 
T           6393   31883.750000  142154.6300  133166.6200 
            3738    4322.750000  133285.7400     346.4300 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      12800   38885.250000  410739.9800  203865.3000 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             27      23.250000     903.3000       0.0000 
U              0       0.000000       0.0000       0.0000 
B            487     451.750000   24339.0000       0.0000 
P           2539    2398.680000  119772.6800  119580.0800 
D            285     245.690000   13326.9900       0.0000 
S            146     152.130000    6120.9500       0.0000 
H             92      95.000000    6806.4700       0.0000 
T           1875   12311.000000   36645.7800   36636.4800 
           10177    9696.750000  245277.6500       0.0000 
Other        169     136.000000    6413.7500     203.7000 
---------------------------------------------------------
Total      15797   25510.250000  459606.5700  156420.2600 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             33      29.000000    1113.5600       0.0000 
U              0       0.000000       0.0000       0.0000 
B            627     608.750000   27687.8900       0.0000 
P           3746    3502.330000  160312.4900  160165.2500 
D            302     242.050000   11627.6200       0.0000 
S             24      22.890000    1379.0300       0.0000 
H            126     133.480000    9162.9600       0.0000 
T           3242   19650.390000   68496.5300   68086.1300 
           10761   12097.110000  287090.5200       0.0000 
Other        155     128.750000    5895.6200       0.0000 
---------------------------------------------------------
Total      19016   36414.750000  572766.2200  228251.3800 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1808    1833.500000   82221.6400       0.0000 
P           6881   12091.193313  203709.7500  201933.7500 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H             41      77.500000    5801.8600       0.0000 
T              0       0.000000       0.0000       0.0000 
            8103    6995.939259  335473.6320       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      16833   20998.132572  627206.8820  201933.7500 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1739    2640.500000  116664.0000       0.0000 
P             28      33.104924    2219.9900    1663.2500 
D            162     187.540857    6507.1000       0.0000 
S              6       9.000000     587.2500       0.0000 
H            270     401.750000   14945.1000   14945.1000 
T           5018    6853.750000  143821.9900  143821.9900 
           13256   16922.354219  648437.5800     200.0000 
Other        219     227.750000    8589.3800       0.0000 
---------------------------------------------------------
Total      20698   27275.750000  941772.3900  160630.3400