CMS/EIP Fiscal Report Center: 55
Services beginning 01/01/2025 ending 03/31/2025 Date of Report:04/06/2025 Page: 1
List order: No List
Payclass Filters:OTHER
Eligibility Filter:Program Patients
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
EI Services,Class #03
EPIC-99601-Early Steps Professional Development Fee 1 2.000000 30.0000 15.0000
Subtotal (Total Children Is Unduplicated) 1 2.000000 30.0000 15.0000
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Total 2.000000 30.0000 15.0000
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Number of Children (Unduplicated) With at Least One Service 1
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Center 55
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 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 0 0.000000 0.0000 0.0000
2 2.000000 30.0000 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 2 2.000000 30.0000 0.0000