Summary Report for Family Support Plan Service Authorizations (FSPSAs) Overlapping the Report Period Center: 09
This report estimates subtotals of units and fees for the number of days of overlap between each included
FSPSA record and the user-selected report period. For example, if the FSPSA record authorizes services from
01/01/01 to 08/01/01, and the Report Period is selected as 01/01/01 to 03/01/01, this summary calculates
authorized units/fees for the 28 days of overlap (02/01/01 to 03/01/01). Note that service authorization periods
may range from 1 to 12 months and may vary in intensity from child to child.
FSPSAs overlapping: 10-01-25 and 12-31-25 Date of Report: 01-07-26 Page: 1
Eligibility Filter: Program Patients
With the filters selected there were 824 FSPSA's found
Services Cpt Code Number of Number of Total Units Total Fees Avg Fee
Children Records Overlapping Overlapping Per Unit Auth
Report Period Report Period
Service Coordination, Class # 01
SCONLY-SCONLY *SERVICE COORDINATION ONLY 6 6 12.466667 $0.0000 $0.0000
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Subtotal (Total Children Is Unduplicated) 6 6 12.466667 $0.0000 $0.0000
Screening, Eval, and Assessment, Class # 02
NUTR -97802 NUTRITIONAL EVAL, INITIAL 6 8 50.071429 $2503.5700 $50.0000
NUTR -97803 NUTRITIONAL EVAL, FOLLOW-UP 2 2 18.285714 $914.2900 $50.0000
OCTF -97168 OT RE-EVAL EST PLAN CARE 2 2 2.000000 $116.2200 $58.1100
SPCH -92521 EVAL OF SPEECH FLUENCY 1 1 1.000000 $58.1100 $58.1100
SPL -92526 TREATMENT OF SWALLOWING DYSFUNCTION 5 7 87.999999 $5113.6800 $58.1100
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Subtotal (Total Children Is Unduplicated) 15 20 159.357142 $8705.8700 $54.6300
EI Services, Class # 03
ASST -ASST ASSISTIVE TECHNOLOGY 2 2 2.022222 $10111.0000 $4999.9500
COIFF -COIFF IFSP CONSULT, PROF, FACE TO FACE 69 100 156.912045 $7845.6000 $50.0000
COIFP -COIFP IFSP CONSULT, PROF, BY PHONE 12 13 26.524461 $663.1100 $25.0000
CONIF -CONIF CONSULT, ITDS FACE TO FACE 97 107 109.352381 $5467.6200 $50.0000
CONOF -CONOF CONSULT, OT, FACE TO FACE 53 60 58.611111 $2930.5600 $50.0000
CONPF -CONPF CONSULT, PT, FACE TO FACE 33 35 39.682540 $1984.1300 $50.0000
CONSF -CONSF CONSULT, SLP, FACE TO FACE 56 61 58.555555 $2927.7800 $50.0000
CONSP -CONSP CONSULT, SLP, PHONE 2 2 2.000000 $50.0000 $25.0000
EIIF -T1027SC EI INDIVIDUAL SESSION BY EI PROF 237 311 2284.157123 $123344.6200 $54.0000
OCCT -97530 OT SESSION BY LICENSED OT 22 31 205.076188 $16676.8300 $81.3200
OCCT -97530HM OT SESSION BY OT ASST 3 4 29.428571 $1916.4000 $65.1200
PHY -97110 PT SESSION BY LICENSED PT 25 33 315.976190 $25695.1900 $81.3200
SPL -92507 SPL THERAPY SESSION BY LICENSED SLP 34 39 365.214281 $29699.2600 $81.3200
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Subtotal (Total Children Is Unduplicated) 378 798 3653.512668 $229312.0800 $62.7600
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Total 824 3825.336477 $238017.9500 $62.2200
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Number of Children (Unduplicated) With at Least One Authorization 387