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: 01-01-25 and 03-31-25 Date of Report: 04-06-25 Page: 1
Eligibility Filter: Program Patients
With the filters selected there were 1072 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 26 29 43.042857 $0.0000 $0.0000
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Subtotal (Total Children Is Unduplicated) 26 29 43.042857 $0.0000 $0.0000
Screening, Eval, and Assessment, Class # 02
NUTR -97802 NUTRITIONAL EVAL, INITIAL 7 8 28.231746 $1411.5900 $50.0000
NUTR -97803 NUTRITIONAL EVAL, FOLLOW-UP 10 10 75.657144 $3782.8500 $50.0000
SPCH -92523 EVAL OF SPCH SOUND PROD; EVAL LANG 1 1 1.000000 $58.1100 $58.1100
SPL -92526 TREATMENT OF SWALLOWING DYSFUNCTION 9 12 98.666667 $5733.5300 $58.1100
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Subtotal (Total Children Is Unduplicated) 27 31 203.555557 $10986.0700 $53.9700
EI Services, Class # 03
COIFF -COIFF IFSP CONSULT, PROF, FACE TO FACE 116 185 220.528568 $11026.4400 $50.0000
COIFP -COIFP IFSP CONSULT, PROF, BY PHONE 29 33 36.178572 $904.4700 $25.0000
CONIF -CONIF CONSULT, ITDS FACE TO FACE 162 172 158.676191 $7933.8200 $50.0000
CONIP -CONIP CONSULT, ITDS PHONE 1 1 1.000000 $25.0000 $25.0000
CONOF -CONOF CONSULT, OT, FACE TO FACE 91 98 100.855556 $5042.7800 $50.0000
CONOP -CONOP CONSULT, OT, PHONE 1 1 1.000000 $25.0000 $25.0000
CONPF -CONPF CONSULT, PT, FACE TO FACE 40 43 40.265080 $2013.2600 $50.0000
CONSF -CONSF CONSULT, SLP, FACE TO FACE 85 89 83.900000 $4195.0000 $50.0000
CONSP -CONSP CONSULT, SLP, PHONE 4 4 3.072222 $76.8100 $25.0000
EIIF -T1027SC EI INDIVIDUAL SESSION BY EI PROF 230 290 2066.490494 $111590.3600 $54.0000
OCCT -97530 OT SESSION BY LICENSED OT 17 22 200.500000 $16304.6700 $81.3200
OCCT -97530HM OT SESSION BY OT ASST 3 3 32.857143 $2139.6500 $65.1200
PHY -97110 PT SESSION BY LICENSED PT 23 30 270.323811 $21982.7500 $81.3200
SPL -92507 SPL THERAPY SESSION BY LICENSED SLP 34 41 316.168255 $25710.8000 $81.3200
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Subtotal (Total Children Is Unduplicated) 461 1012 3531.815892 $208970.7900 $59.1700
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Total 1072 3778.414306 $219956.8600 $58.2100
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Number of Children (Unduplicated) With at Least One Authorization 493