CMS/EIP Fiscal Report Center: 07
Services beginning 01/01/2025 ending 03/31/2025 Date of Report:04/06/2025 Page: 1
List order: No List
Agency Filter:EIP DEI DEIP
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Service Coordination,Class #01
CASE-CASE-NON-TCM CASE MANAGEMENT 1612 2351.000000 87401.4000 37.1763
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 84 86.500000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1522 3051.250000 113506.5000 37.2000
Subtotal (Total Children Is Unduplicated) 1833 5488.750000 200907.9000 36.6036
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Screening, Eval, and Assessment,Class #02
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 1 2.000000 161.9600 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 2 4.000000 323.9200 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 1 2.000000 161.9600 80.9800
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 3 6.000000 485.8800 80.9800
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 1 2.000000 161.9600 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 3 6.000000 359.5200 59.9200
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 35 70.000000 5668.6000 80.9800
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 24 48.000000 3887.0400 80.9800
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 60 120.000000 9717.6000 80.9800
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 31 62.000000 5020.7600 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 47 94.000000 7612.1200 80.9800
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 25 50.000000 4049.0000 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 76 152.000000 9107.8400 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 75 150.000000 8988.0000 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 39 78.000000 6316.4400 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 18 36.000000 2915.2800 80.9800
SCREEN-T1023-SCREENING 3 3.000000 161.9400 53.9800
Subtotal (Total Children Is Unduplicated) 258 885.000000 65099.8200 73.5591
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 85 129.500000 0.0000 0.0000
PHY-97110GT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
Subtotal (Total Children Is Unduplicated) 85 130.500000 81.3200 0.6231
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Total 6504.250000 266089.0400 40.9100
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Number of Children (Unduplicated) With at Least One Service 1844
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Center 07
Flag Claims Units Chgs Paid
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R 43 37.250000 1914.3800 0.0000
U 0 0.000000 0.0000 0.0000
B 829 676.500000 28925.2800 0.0000
P 1672 1486.049400 69765.2554 69080.5700
D 30 23.000000 1205.8400 0.0000
S 0 0.000000 0.0000 0.0000
H 10 19.000000 1538.9600 0.0000
T 0 0.000000 0.0000 0.0000
7204 4181.950600 159290.1446 0.0000
Other 181 80.500000 3449.1800 0.0000
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Total 9969 6504.250000 266089.0400 69080.5700