CMS/EIP Fiscal Report Center: 05
Services beginning 07/01/2024 ending 06/30/2025 Date of Report:07/19/2025 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 1383 975.250000 36297.9000 37.2191
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 598 640.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1846 10497.25000 390469.8000 37.1973
Subtotal (Total Children Is Unduplicated) 1919 12112.75000 426767.7000 35.2329
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Screening, Eval, and Assessment,Class #02
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 1 2.000000 119.8400 59.9200
Subtotal (Total Children Is Unduplicated) 1 2.000000 119.8400 59.9200
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EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 2 2.000000 219.2700 109.6350
Subtotal (Total Children Is Unduplicated) 2 2.000000 219.2700 109.6350
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Total 12116.750000 427106.8100 35.2493
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Number of Children (Unduplicated) With at Least One Service 1919
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Center 05
Flag Claims Units Chgs Paid
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R 32 23.250000 837.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 9348 5190.250000 193077.3000 176603.5800
P 1 2.000000 119.8400 119.8400
D 161 87.750000 3264.3000 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
13169 6456.250000 216518.6700 219.2700
Other 561 357.250000 13289.7000 10146.3000
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Total 23272 12116.750000 427106.8100 187088.9900