CMS/EIP Fiscal Report Center: 09
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
EXIT-EXIT-COS Exit 76 152.000000 7600.0000 50.0000
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 1 2.000000 119.8400 59.9200
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 3 5.500000 445.3900 80.9800
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 7 13.500000 1093.2300 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 5 9.500000 769.3100 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 4 8.000000 479.3600 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 5 10.000000 599.2000 59.9200
NUTR-97802-NUTRITIONAL EVAL, INITIAL 22 73.000000 3650.0000 50.0000
NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP 13 47.000000 2350.0000 50.0000
PSTH-97162-PT EVAL MODERATE COMPLEXITY 1 1.000000 58.1100 58.1100
SPCH-92521-EVAL OF SPEECH FLUENCY 1 1.000000 58.1100 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 8 60.000000 3486.6000 58.1100
Subtotal (Total Children Is Unduplicated) 147 387.500000 21091.1800 54.4289
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 91 156.000000 7800.0000 50.0000
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 49 53.500000 1337.5000 25.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 5 5.000000 250.0000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 1 1.000000 25.0000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 2 2.000000 50.0000 25.0000
CONOP-CONOP-CONSULT, OT, PHONE 1 1.000000 25.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 9 9.000000 450.0000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 19 24.000000 1200.0000 50.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 503 2284.500000 123147.0000 53.9054
EPIC-99601-Early Steps Professional Development Fee 940 4910.000000 73605.0000 14.9908
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 457 2057.000000 24276.0000 11.8017
OCCT-97530-OT SESSION BY LICENSED OT 68 248.000000 19760.7600 79.6805
OCCT-97530GO-OT SESSION BY LICENSED OT 2 8.250000 670.8900 81.3200
OCCT-97530HM-OT SESSION BY OT ASST 13 77.000000 4965.8300 64.4913
OCCT-97530HMGT-OT SESSION BY OT ASST 1 4.000000 260.4800 65.1200
PHY-97110-PT SESSION BY LICENSED PT 83 341.000000 27730.1200 81.3200
PHY-97110HM-PT SESSION BY PT ASST 7 46.000000 2995.5200 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 103 391.750000 31674.1400 80.8529
TRAV-TRAVS-Travel by mile 482 39702.00000 17660.2200 0.4448
Subtotal (Total Children Is Unduplicated) 1358 50321.00000 337883.4600 6.7146
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Total 50708.500000 358974.6400 7.0792
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Number of Children (Unduplicated) With at Least One Service 1402
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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 8482 33043.500000 223191.4200 223191.4200
D 96 252.000000 4912.1200 0.0000
S 1 1.000000 54.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 2706 7522.000000 74235.1300 74235.1300
2083 9872.000000 55292.8100 0.0000
Other 9 18.000000 1289.1600 0.0000
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Total 13377 50708.500000 358974.6400 297426.5500