Summary Report for Family Support Plan Service Authorizations (FSPSAs) Overlapping the Report Period Center: 09
This report estimates subtotals of units and fees for the number of days of overlap between each included
FSPSA record and the user-selected report period. For example, if the FSPSA record authorizes services from
01/01/01 to 08/01/01, and the Report Period is selected as 01/01/01 to 03/01/01, this summary calculates
authorized units/fees for the 28 days of overlap (02/01/01 to 03/01/01). Note that service authorization periods
may range from 1 to 12 months and may vary in intensity from child to child.
FSPSAs overlapping: 07-01-24 and 09-30-24 Date of Report: 04-06-25 Page: 1
Eligibility Filter: Program Patients
With the filters selected there were 944 FSPSA's found
Services Cpt Code Number of Number of Total Units Total Fees Avg Fee
Children Records Overlapping Overlapping Per Unit Auth
Report Period Report Period
Service Coordination, Class # 01
SCONLY-SCONLY *SERVICE COORDINATION ONLY 39 39 61.341272 $0.0000 $0.0000
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Subtotal (Total Children Is Unduplicated) 39 39 61.341272 $0.0000 $0.0000
Screening, Eval, and Assessment, Class # 02
NUTR -97802 NUTRITIONAL EVAL, INITIAL 2 2 5.209524 $260.4800 $50.0000
NUTR -97803 NUTRITIONAL EVAL, FOLLOW-UP 7 8 57.938095 $2896.9200 $50.0000
PSTH -97162 PT EVAL MODERATE COMPLEXITY 1 1 1.000000 $58.1100 $58.1100
SPL -92526 TREATMENT OF SWALLOWING DYSFUNCTION 6 7 66.428571 $3860.1800 $58.1100
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Subtotal (Total Children Is Unduplicated) 16 18 130.576190 $7075.6800 $54.1900
EI Services, Class # 03
COIFF -COIFF IFSP CONSULT, PROF, FACE TO FACE 84 126 205.392857 $10269.6500 $50.0000
COIFP -COIFP IFSP CONSULT, PROF, BY PHONE 11 11 11.000000 $275.0000 $25.0000
CONIF -CONIF CONSULT, ITDS FACE TO FACE 146 159 134.405553 $6720.2700 $50.0000
CONOF -CONOF CONSULT, OT, FACE TO FACE 79 87 77.600000 $3880.0000 $50.0000
CONPF -CONPF CONSULT, PT, FACE TO FACE 37 39 32.266667 $1613.3400 $50.0000
CONSF -CONSF CONSULT, SLP, FACE TO FACE 85 92 82.816666 $4140.8300 $50.0000
EIIF -T1027SC EI INDIVIDUAL SESSION BY EI PROF 224 281 2104.999996 $113670.1600 $54.0000
OCCT -97530 OT SESSION BY LICENSED OT 22 26 219.571428 $17855.5800 $81.3200
OCCT -97530HM OT SESSION BY OT ASST 2 2 2.000000 $130.2400 $65.1200
PHY -97110 PT SESSION BY LICENSED PT 27 33 285.890474 $23248.6500 $81.3200
SPL -92507 SPL THERAPY SESSION BY LICENSED SLP 29 31 243.026191 $19762.9300 $81.3200
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Subtotal (Total Children Is Unduplicated) 415 887 3398.969832 $201566.6300 $59.3000
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Total 944 3590.887294 $208642.3200 $58.1000
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Number of Children (Unduplicated) With at Least One Authorization 459