CMS/EIP Fiscal Report Center: 09
Services beginning 07/01/2024 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 479 1027.750000 38232.3000 37.2000
TCM-T1017TL-TARGETED CASE MANAGEMENT 732 2324.750000 86499.3000 37.2080
Subtotal (Total Children Is Unduplicated) 737 3352.500000 124731.6000 37.2055
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Screening, Eval, and Assessment,Class #02
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 9 14.500000 1174.2100 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 6 11.000000 869.8500 79.0773
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 2 4.000000 311.9600 77.9900
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 13 24.500000 1918.2300 78.2951
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 7 13.000000 1016.8600 78.2200
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 2 3.500000 283.4300 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 14 24.500000 1441.5200 58.8376
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 19 36.000000 2106.2900 58.5081
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 121 192.000000 15066.7700 78.4728
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 154 257.500000 20516.9600 79.6775
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 102 188.000000 14886.3700 79.1828
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 299 526.500000 41547.1000 78.9119
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 64 117.000000 9286.2900 79.3700
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 46 81.000000 6481.6400 80.0202
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 254 435.000000 25668.4400 59.0079
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 457 779.000000 46108.3400 59.1891
Subtotal (Total Children Is Unduplicated) 763 2707.000000 188684.2600 69.7023
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 2 5.000000 250.0000 50.0000
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 2 3.000000 0.0000 0.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 2 47.000000 2466.0000 52.4681
EPIC-99601-Early Steps Professional Development Fee 2 31.000000 465.0000 15.0000
INTR-T1013-INTERPRETER 44 189.000000 9450.0000 50.0000
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 1 1.000000 12.0000 12.0000
TRAV-TRAVS-Travel by mile 22 1312.000000 583.7300 0.4449
Subtotal (Total Children Is Unduplicated) 67 1588.000000 13226.7300 8.3292
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Total 7647.500000 326642.5900 42.7123
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Number of Children (Unduplicated) With at Least One Service 777
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Center 09
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 2503 4519.500000 154741.3500 151889.8500
D 9 70.000000 100.9200 0.0000
S 8 15.500000 1213.0700 0.0000
H 1556 2369.250000 126954.3600 79546.7500
T 45 70.750000 3715.4600 3715.4600
245 393.500000 24723.8000 13071.2100
Other 113 209.000000 15193.6300 0.0000
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Total 4479 7647.500000 326642.5900 248223.2700