CMS/EIP Fiscal Report Center: 06
Services beginning 04/01/2025 ending 06/30/2025 Date of Report:07/19/2025 Page: 1
List order: No List
Agency Filter:EXT
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 88 88.000000 4400.0000 50.0000
Subtotal (Total Children Is Unduplicated) 88 88.000000 4400.0000 50.0000
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EI Services,Class #03
AUD-92630-AUD REHAB PRELING HEARING LOSS 2 2.000000 138.7000 69.3500
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 53 50.250000 2500.0000 49.7512
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 68 71.500000 3437.5000 48.0769
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 23 22.000000 531.2500 24.1477
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 5 6.500000 325.0000 50.0000
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 7 6.250000 312.5000 50.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 1 2.000000 100.0000 50.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 5 8.000000 400.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 1 1.000000 25.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 2 4.000000 175.0000 43.7500
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 1 0.500000 25.0000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 2 3.500000 175.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 1 3.000000 75.0000 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 886 6738.250000 362829.0000 53.8462
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 209 1111.750000 59494.5000 53.5143
EPIC-99601-Early Steps Professional Development Fee 652 4311.000000 64497.0000 14.9610
INTR-T1013-INTERPRETER 64 540.000000 34885.0000 64.6019
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 428 2865.000000 33936.0000 11.8450
OCCT-97530-OT SESSION BY LICENSED OT 1 7.000000 569.2400 81.3200
OCCT-97530GT-OT SESSION BY LICENSED OT 5 20.000000 1618.3000 80.9150
OCCT-97530HM-OT SESSION BY OT ASST 3 5.000000 325.6000 65.1200
OCCT-97530HMGT-OT SESSION BY OT ASST 1 1.500000 65.1200 43.4133
PHY-97110-PT SESSION BY LICENSED PT 14 128.000000 9430.6400 73.6769
PHY-97110GT-PT SESSION BY LICENSED PT 4 9.500000 772.5400 81.3200
PHY-97110HM-PT SESSION BY PT ASST 9 68.000000 4165.0500 61.2507
PHY-97110HMGT-PT SESSION BY PT ASST 6 24.000000 1410.7100 58.7796
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 28 185.500000 15084.8600 81.3200
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 16 88.000000 7156.1600 81.3200
Subtotal (Total Children Is Unduplicated) 1108 16283.00000 604459.6700 37.1221
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Total 16371.000000 608859.6700 37.1914
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Number of Children (Unduplicated) With at Least One Service 1115
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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 8495 8604.500000 252249.9000 252249.9000
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
7599 7766.500000 356609.7700 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 16094 16371.000000 608859.6700 252249.9000