CMS/EIP Fiscal Report Center: 06
Services beginning 01/01/2025 ending 03/31/2025 Date of Report:04/06/2025 Page: 1
List order: No List
Agency Filter:EXT
Payclass Filters:GR
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Screening, Eval, and Assessment,Class #02
EXIT-EXIT-COS Exit 64 64.000000 3200.0000 50.0000
Subtotal (Total Children Is Unduplicated) 64 64.000000 3200.0000 50.0000
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 47 46.250000 2302.0000 49.7730
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 58 60.250000 2975.0000 49.3776
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 35 36.500000 875.0000 23.9726
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 1 1.000000 50.0000 50.0000
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 5 4.000000 200.0000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 1 0.500000 12.5000 25.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 5 5.000000 250.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 2 1.750000 62.5000 35.7143
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 2 3.000000 150.0000 50.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 347 2297.750000 123283.5000 53.6540
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 76 305.000000 16456.5000 53.9557
EPIC-99601-Early Steps Professional Development Fee 465 3126.000000 46557.0000 14.8935
INTR-T1013-INTERPRETER 42 296.000000 20400.0000 68.9189
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 408 2607.000000 31047.0000 11.9091
OCCT-97530-OT SESSION BY LICENSED OT 2 8.000000 325.2800 40.6600
PHY-97110-PT SESSION BY LICENSED PT 2 4.000000 325.2800 81.3200
PHY-97110HM-PT SESSION BY PT ASST 1 7.000000 439.5600 62.7943
PHY-97110HMGT-PT SESSION BY PT ASST 1 2.000000 130.2400 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 7 47.500000 3862.7000 81.3200
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 2 12.000000 975.8400 81.3200
Subtotal (Total Children Is Unduplicated) 915 8870.500000 250679.9000 28.2600
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Total 8934.500000 253879.9000 28.4157
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Number of Children (Unduplicated) With at Least One Service 922
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Center 06
Flag Claims Units Chgs Paid
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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 3977 4060.750000 115806.8500 115806.8500
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
4791 4873.750000 138073.0500 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 8768 8934.500000 253879.9000 115806.8500