CMS/EIP Fiscal Report Center: 01
Services beginning 10/01/2025 ending 12/31/2025 Date of Report:01/07/2026 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
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 3 3.000000 145.5000 48.5000
EXIT-EXIT-COS Exit 89 86.750000 4275.0000 49.2795
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 1 2.000000 161.9600 80.9800
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 1 2.000000 161.9600 80.9800
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 2 4.000000 196.7300 49.1825
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 9 17.000000 1237.8700 72.8159
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 3 6.000000 485.8800 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 24 46.500000 2786.2800 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 20 39.000000 2336.8800 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 10 19.000000 1538.6200 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 7 13.000000 1006.5300 77.4254
OCTH-97166GT-OT EVAL MODERATE COMPLEXITY 1 1.000000 58.1100 58.1100
OCTH-97167-OT EVAL HIGH COMPLEXITY 1 1.000000 58.1100 58.1100
PSTF-97164-PT RE-EVAL EST PLAN CARE 1 1.000000 58.1100 58.1100
PSTH-97162-PT EVAL MODERATE COMPLEXITY 1 1.000000 58.1100 58.1100
SPCH-92521-EVAL OF SPEECH FLUENCY 2 2.000000 116.2200 58.1100
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 1 1.000000 58.1100 58.1100
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 1 3.000000 174.3300 58.1100
Subtotal (Total Children Is Unduplicated) 169 248.250000 14914.3100 60.0778
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 71 73.000000 3653.0000 50.0411
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 115 121.000000 6050.0000 50.0000
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 43 41.000000 1041.6600 25.4063
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 34 40.500000 2031.0000 50.1481
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 131 226.750000 11337.5000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 8 7.250000 181.2500 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 1 1.000000 50.0000 50.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 17 31.000000 1550.0000 50.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 10 10.500000 525.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 29 40.750000 2037.5000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 21 23.500000 1175.0000 50.0000
CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE 68 91.000000 4550.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 1 1.000000 25.0000 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 558 3046.000000 163400.0000 53.6441
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 71 180.250000 9733.5000 54.0000
EPIC-99601-Early Steps Professional Development Fee 454 2925.000000 43875.0000 15.0000
INTR-T1013-INTERPRETER 126 275.750000 13673.4500 49.5864
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 1156 7260.000000 87135.0000 12.0021
OCCT-97530-OT SESSION BY LICENSED OT 11 60.000000 4879.2000 81.3200
OCCT-97530GT-OT SESSION BY LICENSED OT 1 1.000000 81.3200 81.3200
PHY-97110-PT SESSION BY LICENSED PT 48 303.750000 24213.4500 79.7151
PHY-97110GP-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 3 2.750000 223.6300 81.3200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 59 304.500000 23790.5420 78.1299
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 5 22.000000 1789.0400 81.3200
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 2 7.000000 455.8400 65.1200
TRAV-TRAVS-Travel by mile 419 33233.00000 14603.8500 0.4394
Subtotal (Total Children Is Unduplicated) 1692 48330.25000 422142.0520 8.7345
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Total 48578.500000 437056.3620 8.9969
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Number of Children (Unduplicated) With at Least One Service 1736
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Center 01
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 14326 40145.500000 346426.9220 346426.9200
D 474 604.250000 19223.2300 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 3038 7824.750000 71136.2500 70953.9600
3 4.000000 269.9600 54.0000
Other 0 0.000000 0.0000 0.0000
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Total 17841 48578.500000 437056.3620 417434.8800