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
Payclass Filters:TPIN
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
IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR 1 2.000000 111.0000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 14 28.000000 2267.4400 80.9800
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 2 4.000000 323.9200 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 9 18.000000 1457.6400 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 13 26.000000 1557.9200 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 1 2.000000 119.8400 59.9200
SCREEN-T1023-SCREENING 1 1.000000 53.9800 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
Subtotal (Total Children Is Unduplicated) 31 115.000000 7672.7800 66.7198
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EI Services,Class #03
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 95 432.750000 23379.0000 54.0243
OCCT-97530-OT SESSION BY LICENSED OT 15 41.000000 3111.4800 75.8898
OCCT-97530GO-OT SESSION BY LICENSED OT 4 19.000000 1322.4400 69.6021
OCCT-97530HM-OT SESSION BY OT ASST 6 23.000000 1400.6400 60.8974
PHY-97110-PT SESSION BY LICENSED PT 15 62.500000 4213.1700 67.4107
PHY-97110HM-PT SESSION BY PT ASST 1 2.000000 130.2400 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 19 67.000000 4708.4400 70.2752
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 1 3.000000 243.9600 81.3200
Subtotal (Total Children Is Unduplicated) 136 650.250000 38509.3700 59.2224
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Total 765.250000 46182.1500 60.3491
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Number of Children (Unduplicated) With at Least One Service 157
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Center 52
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 54 53.250000 3072.6400 1919.1900
D 25 25.750000 2092.6300 0.0000
S 0 0.000000 0.0000 0.0000
H 62 66.750000 5195.4000 0.0000
T 508 506.000000 28574.9100 21097.4900
90 113.500000 7246.5700 0.0000
Other 0 0.000000 0.0000 0.0000
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Total 739 765.250000 46182.1500 23016.6800