CMS/EIP Fiscal Report Center: 06
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
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 1 1.000000 21.4600 21.4600
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 1 1.000000 16.1500 16.1500
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 1 1.000000 7.9200 7.9200
EXIT-EXIT-COS Exit 89 90.000000 4500.0000 50.0000
Subtotal (Total Children Is Unduplicated) 90 93.000000 4545.5300 48.8767
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 46 49.250000 2462.5000 50.0000
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 74 78.250000 3787.5000 48.4026
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 15 16.250000 406.2500 25.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 4 5.000000 250.0000 50.0000
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 10 12.500000 625.0000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 2 2.000000 50.0000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 1 1.000000 50.0000 50.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 8 13.000000 650.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 1 1.000000 50.0000 50.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 1 1.000000 50.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 2 2.500000 125.0000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 1 1.000000 25.0000 25.0000
CONSP-CONSP-CONSULT, SLP, PHONE 1 1.000000 25.0000 25.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 835 5285.250000 282546.7000 53.4595
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 227 1028.750000 54094.5000 52.5827
EPIC-99601-Early Steps Professional Development Fee 663 4329.000000 64365.0000 14.8683
INTR-T1013-INTERPRETER 31 151.000000 9357.0000 61.9669
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 218 1181.000000 14052.0000 11.8984
OCCT-97530-OT SESSION BY LICENSED OT 4 20.000000 1545.0800 77.2540
OCCT-97530GT-OT SESSION BY LICENSED OT 3 11.000000 569.2400 51.7491
OCCT-97530HM-OT SESSION BY OT ASST 2 5.000000 325.6000 65.1200
OCCT-97530HMGT-OT SESSION BY OT ASST 1 0.750000 48.8400 65.1200
PHY-97110-PT SESSION BY LICENSED PT 8 74.000000 6017.6800 81.3200
PHY-97110GPGT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 3 3.000000 243.9600 81.3200
PHY-97110HM-PT SESSION BY PT ASST 5 33.250000 2018.7200 60.7134
PHY-97110HMGT-PT SESSION BY PT ASST 4 23.000000 1497.7600 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 15 103.500000 7945.7400 76.7704
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 10 49.500000 3781.3800 76.3915
Subtotal (Total Children Is Unduplicated) 1018 12482.75000 457046.7700 36.6143
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Total 12575.750000 461592.3000 36.7050
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Number of Children (Unduplicated) With at Least One Service 1025
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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 4766 4818.000000 134308.9600 134308.9600
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
7648 7757.750000 327283.3400 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 12414 12575.750000 461592.3000 134308.9600