CMS/EIP Fiscal Report Center: 53
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 1010 1338.750000 57505.8000 42.9548
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 61 47.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 1058 2580.250000 114753.8800 44.4739
Subtotal (Total Children Is Unduplicated) 1268 3966.250000 172259.6800 43.4314
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Screening, Eval, and Assessment,Class #02
AACIS-92597TL-AAC INTIAL EVAL BY LICENSED SLP 2 2.000000 233.6600 116.8300
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 3 4.000000 194.0000 48.5000
EXIT-EXIT-COS Exit 1 1.000000 50.0000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 6 11.500000 931.2700 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 2 4.000000 323.9200 80.9800
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 4 7.500000 607.3500 80.9800
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 1 1.500000 121.4700 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 5 10.000000 599.2000 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 2 3.000000 179.7600 59.9200
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 1 2.000000 161.9600 80.9800
IPDEF-T1024TSTLGT-F/U PHYC AND DEV EVAL BY EI PROF 1 2.000000 161.9600 80.9800
IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR 2 3.000000 166.5000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 45 84.500000 6761.8300 80.0217
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 31 58.000000 4615.8600 79.5838
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 16 29.500000 2388.9100 80.9800
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 6 11.500000 931.2700 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 41 69.500000 5628.1100 80.9800
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 8 13.500000 1093.2300 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 48 85.000000 5084.3600 59.8160
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 13 22.000000 1318.2400 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 14 26.500000 2145.9700 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 4 7.500000 607.3500 80.9800
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 3 11.000000 639.2100 58.1100
SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION 3 23.000000 1336.5300 58.1100
Subtotal (Total Children Is Unduplicated) 198 493.000000 36281.9200 73.5942
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EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 2 4.000000 297.6000 74.4000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 8 5.750000 287.5000 50.0000
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 14 8.750000 437.5000 50.0000
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 4 5.000000 250.0000 50.0000
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 109 70.000000 3500.0000 50.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 34 21.000000 1050.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 2 1.000000 25.0000 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 12 9.000000 450.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 150 90.250000 4512.5000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 20 7.750000 193.7500 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 10 7.500000 362.5000 48.3333
CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE 143 107.250000 5362.5000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 4 1.750000 43.7500 25.0000
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 429 1170.500000 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 99 355.000000 19170.0000 54.0000
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 22 34.000000 1836.0000 54.0000
EPIC-99601-Early Steps Professional Development Fee 419 1673.000000 25110.0000 15.0090
INTR-T1013-INTERPRETER 1 1.000000 50.0000 50.0000
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 43 87.000000 1044.0000 12.0000
OCCT-97530-OT SESSION BY LICENSED OT 18 30.750000 2500.5900 81.3200
OCCT-97530GO-OT SESSION BY LICENSED OT 12 58.000000 4716.5600 81.3200
OCCT-97530GT-OT SESSION BY LICENSED OT 2 2.000000 162.6400 81.3200
OCCT-97530TL-OT SESSION BY LICENSED OT 2 2.000000 162.6400 81.3200
OCCT-97530TLGO-OT SESSION BY LICENSED OT 50 172.250000 14007.3700 81.3200
OCCT-97530TLGOGT-OT SESSION BY LICENSED OT 13 12.500000 1016.5000 81.3200
PHY-97110-PT SESSION BY LICENSED PT 47 206.000000 16910.6000 82.0903
PHY-97110GT-PT SESSION BY LICENSED PT 3 2.500000 203.3000 81.3200
PHY-97110TL-PT SESSION BY LICENSED PT 48 209.500000 17036.5400 81.3200
PHY-97110TLGP-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110TLGPGT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110TLGT-PT SESSION BY LICENSED PT 1 0.500000 40.6600 81.3200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 61 276.000000 22456.1200 81.3628
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 18 36.500000 2968.1800 81.3200
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 60 261.750000 21285.5100 81.3200
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 16 27.750000 2164.3200 77.9935
Subtotal (Total Children Is Unduplicated) 540 4961.500000 169876.7700 34.2390
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Total 9420.750000 378418.3700 40.1686
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Number of Children (Unduplicated) With at Least One Service 1340
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Center 53
Flag Claims Units Chgs Paid
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R 139 117.750000 6258.5200 0.0000
U 0 0.000000 0.0000 0.0000
B 1607 1517.500000 88786.5600 37.2000
P 975 899.990000 54652.9400 54133.7400
D 297 273.510000 16668.0800 3640.0400
S 54 52.250000 3636.5000 0.0000
H 92 93.750000 7487.7300 0.0000
T 14 14.250000 1134.9200 0.0000
8912 6292.000000 191973.8000 120.9000
Other 235 159.750000 7819.3200 349.1200
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Total 12325 9420.750000 378418.3700 58281.0000