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
Payclass Filters:GR
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 333 1992.250000 105610.5000 53.0107
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 90 377.250000 19075.5000 50.5646
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-97530GT-OT SESSION BY LICENSED OT 2 7.000000 406.6000 58.0857
PHY-97110-PT SESSION BY LICENSED PT 1 7.000000 569.2400 81.3200
PHY-97110GPGT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110HMGT-PT SESSION BY PT ASST 1 6.000000 390.7200 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 4 34.000000 2764.8800 81.3200
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 4 17.750000 1199.4700 67.5758
Subtotal (Total Children Is Unduplicated) 933 8288.000000 226509.8000 27.3299
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Total 8381.000000 231055.3300 27.5689
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Number of Children (Unduplicated) With at Least One Service 949
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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 4664 4718.000000 127341.9400 127341.9400
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
3568 3663.000000 103713.3900 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 8232 8381.000000 231055.3300 127341.9400