CMS/EIP Fiscal Report Center: 07
Services beginning 04/01/2025 ending 06/30/2025 Date of Report:07/19/2025 Page: 1
List order: No List
Eligibility Filter:Not Part C
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Service Coordination,Class #01
CASE-CASE-NON-TCM CASE MANAGEMENT 91 123.500000 4622.1000 37.4259
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 20 23.750000 74.4000 3.1326
TCM-T1017TL-TARGETED CASE MANAGEMENT 90 287.500000 10695.0000 37.2000
Subtotal (Total Children Is Unduplicated) 95 434.750000 15391.5000 35.4031
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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-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 1 2.000000 161.9600 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 1 2.000000 119.8400 59.9200
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 13 26.000000 1843.7300 70.9127
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 9 18.000000 1457.6400 80.9800
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 12 24.000000 1943.5200 80.9800
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 5 10.000000 809.8000 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 11 22.000000 1781.5600 80.9800
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 2 4.000000 323.9200 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 40 80.000000 4793.6000 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 11 22.000000 1318.2400 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 7 14.000000 1133.7200 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 3 6.000000 485.8800 80.9800
Subtotal (Total Children Is Unduplicated) 65 232.000000 16335.3700 70.4111
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EI Services,Class #03
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 18 25.750000 0.0000 0.0000
EPIC-99601-Early Steps Professional Development Fee 2 2.000000 30.0000 15.0000
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 18 23.000000 276.0000 12.0000
Subtotal (Total Children Is Unduplicated) 34 50.750000 306.0000 6.0296
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Total 717.500000 32032.8700 44.6451
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Number of Children (Unduplicated) With at Least One Service 97
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Center 07
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 33 40.750000 2356.0200 0.0000
P 224 277.000000 14011.6100 13940.3700
D 1 2.000000 161.9600 0.0000
S 0 0.000000 0.0000 0.0000
H 3 6.000000 485.8800 0.0000
T 0 0.000000 0.0000 0.0000
509 391.500000 15008.1000 0.0000
Other 1 0.250000 9.3000 0.0000
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Total 771 717.500000 32032.8700 13940.3700