CMS/EIP Fiscal Report Center: 52
Services beginning 10/01/2025 ending 12/31/2025 Date of Report:01/07/2026 Page: 1
List order: No List
Agency Filter:EIP DEI DEIP
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
Service Coordination,Class #01
CASE-CASE-NON-TCM CASE MANAGEMENT 576 315.750000 13684.7400 43.3404
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 1 0.500000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 727 1989.750000 89666.1600 45.0640
Subtotal (Total Children Is Unduplicated) 881 2306.000000 103350.9000 44.8183
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Screening, Eval, and Assessment,Class #02
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 6 12.000000 971.7600 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 1 2.000000 161.9600 80.9800
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 3 6.000000 485.8800 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 4 8.000000 479.3600 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 1 2.000000 119.8400 59.9200
IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR 2 4.000000 222.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 50 100.000000 8098.0000 80.9800
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 1 2.000000 161.9600 80.9800
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 20 40.000000 3239.2000 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 20 40.000000 3239.2000 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 84 170.000000 10126.4800 59.5675
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 5 10.000000 599.2000 59.9200
OCTH-97165-OT EVAL LOW COMPLEXITY 1 1.000000 58.1100 58.1100
OCTH-97166-OT EVAL MODERATE COMPLEXITY 1 1.000000 58.1100 58.1100
PSTH-97161TL-PT EVAL LOW COMPLEXITY 1 1.000000 58.1100 58.1100
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 1 1.000000 58.1100 58.1100
SCREEN-T1023-SCREENING 7 7.000000 377.8600 53.9800
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
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 1 1.000000 58.1100 58.1100
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 8 31.000000 1606.7100 51.8294
SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION 3 8.000000 464.8800 58.1100
Subtotal (Total Children Is Unduplicated) 143 449.000000 30761.0600 68.5102
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EI Services,Class #03
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 19 17.750000 887.5000 50.0000
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 21 22.250000 1112.5000 50.0000
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 13 8.750000 218.7500 25.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 22 29.750000 1487.5000 50.0000
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 2 2.500000 125.0000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 1 0.500000 12.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 18 21.750000 1087.5000 50.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 10 13.500000 675.0000 50.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 15 17.750000 887.5000 50.0000
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 146 190.750000 0.0000 0.0000
EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF 2 2.000000 100.0000 50.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 269 1246.750000 67321.5000 53.9976
EPIC-99601-Early Steps Professional Development Fee 236 928.000000 13920.0000 15.0000
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 172 802.000000 9624.0000 12.0000
OCCT-97530-OT SESSION BY LICENSED OT 19 49.000000 3762.0400 76.7763
OCCT-97530GO-OT SESSION BY LICENSED OT 4 19.000000 1322.4400 69.6021
OCCT-97530HM-OT SESSION BY OT ASST 7 25.000000 1530.8800 61.2352
OCCT-97530TL-OT SESSION BY LICENSED OT 1 2.000000 162.6400 81.3200
OCCT-97530TLGO-OT SESSION BY LICENSED OT 12 31.000000 2520.9200 81.3200
OCCT-97530TLHM-OT SESSION BY OT ASST 5 16.000000 1041.9200 65.1200
PHY-97110-PT SESSION BY LICENSED PT 19 77.500000 5432.9700 70.1028
PHY-97110HM-PT SESSION BY PT ASST 3 5.500000 358.1600 65.1200
PHY-97110TL-PT SESSION BY LICENSED PT 14 34.500000 2805.5400 81.3200
PHY-97110TLHM-PT SESSION BY PT ASST 2 7.000000 455.8400 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 20 68.000000 4789.7600 70.4376
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 12 38.000000 3090.1600 81.3200
TRAV-TRAVS-Travel by mile 226 18507.00000 8233.2900 0.4449
Subtotal (Total Children Is Unduplicated) 381 22183.50000 132965.8100 5.9939
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Total 24938.500000 267077.7700 10.7095
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Number of Children (Unduplicated) With at Least One Service 944
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Center 52
Flag Claims Units Chgs Paid
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R 23 15.250000 746.5400 0.0000
U 0 0.000000 0.0000 0.0000
B 852 864.750000 44818.4200 0.0000
P 768 830.750000 47135.4700 45735.4600
D 25 25.750000 2092.6300 0.0000
S 177 160.000000 7229.5000 0.0000
H 62 66.750000 5195.4000 0.0000
T 3461 20734.750000 68416.4900 59388.0720
2992 2191.750000 89222.7800 416.9600
Other 63 48.750000 2220.5400 0.0000
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Total 8423 24938.500000 267077.7700 105540.4920