CMS/EIP Fiscal Report Statewide
Services beginning 10/01/2025 ending 12/31/2025 Date of Report:01/07/2026 Page: 1
List order: No List
Payclass Filters:GR
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 7713 7917.000000 348441.4100 44.0118
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 571 523.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 7150 20164.00000 910856.5600 45.1724
Subtotal (Total Children Is Unduplicated) 11807 28604.25000 1259297.9700 44.0249
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 22 25.000000 1212.5000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 12 12.000000 257.5200 21.4600
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 13 13.000000 209.9500 16.1500
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 14 14.000000 110.8800 7.9200
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 12 12.000000 381.7200 31.8100
AUDE-92582-CONDITIONED PLAY AUDIOMETRY 1 1.000000 49.5900 49.5900
AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED) 1 1.000000 15.1900 15.1900
AUDE-92588-OTOACOUSTIC EMISSIONS (COMP) 11 11.000000 254.5400 23.1400
EXIT-EXIT-COS Exit 517 632.250000 31812.5000 50.3163
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 10 20.000000 1619.6000 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 6 10.500000 850.2900 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 9 17.500000 1417.1500 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 3 5.000000 404.9000 80.9800
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 1 2.000000 161.9600 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 25 46.500000 2786.2800 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 20 30.500000 1827.5600 59.9200
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 5 9.000000 728.8200 80.9800
IPDEF-T1024TSTLGT-F/U PHYC AND DEV EVAL BY EI PROF 3 6.000000 485.8800 80.9800
IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR 3 5.500000 305.2500 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 177 333.500000 26744.6400 80.1938
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 75 121.500000 9649.3000 79.4181
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 119 215.500000 17329.7200 80.4163
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 43 77.000000 6235.4600 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 83 149.500000 12066.0200 80.7092
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 25 41.000000 3320.1800 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 308 576.500000 34483.9600 59.8161
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 191 332.000000 19893.4400 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 51 96.000000 7774.0800 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 27 48.000000 3651.8900 76.0810
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
OCTF-97168-OT RE-EVAL EST PLAN CARE 7 6.813973 395.9600 58.1100
OCTH-97165-OT EVAL LOW COMPLEXITY 2 2.000000 116.2200 58.1100
OCTH-97166-OT EVAL MODERATE COMPLEXITY 2 2.000000 116.2200 58.1100
OCTH-97167-OT EVAL HIGH COMPLEXITY 5 5.000000 290.5500 58.1100
PSTF-97164-PT RE-EVAL EST PLAN CARE 4 4.000000 191.3400 47.8350
PSTH-97161-PT EVAL LOW COMPLEXITY 9 9.000000 522.9900 58.1100
PSTH-97162-PT EVAL MODERATE COMPLEXITY 2 2.000000 116.2200 58.1100
SCREEN-T1023-SCREENING 6 6.000000 323.8800 53.9800
SPCH-92521-EVAL OF SPEECH FLUENCY 9 9.000000 490.8500 54.5389
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 13 13.000000 755.4300 58.1100
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 2 2.000000 116.2200 58.1100
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 2 2.000000 68.4700 34.2350
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 29 174.000000 9852.5600 56.6239
Subtotal (Total Children Is Unduplicated) 1440 3221.063973 205397.6800 63.7670
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 34 66.000000 4697.3300 71.1717
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 534 636.750000 31815.5000 49.9654
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 921 956.750000 47716.5000 49.8735
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 148 146.500000 3704.1600 25.2844
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 444 503.250000 25143.4000 49.9620
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 744 914.750000 45783.0000 50.0497
CONIP-CONIP-CONSULT, ITDS PHONE 69 53.000000 1325.0000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 186 224.250000 11162.5000 49.7770
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 414 372.000000 18600.0000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 54 79.250000 2006.2500 25.3155
CONPF-CONPF-CONSULT, PT, FACE TO FACE 125 153.000000 7650.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 380 268.250000 13412.5000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 25 11.750000 293.7500 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 298 319.750000 15975.0000 49.9609
CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE 666 643.000000 32150.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 56 39.000000 975.0000 25.0000
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 1108 2887.750000 111.3200 0.0385
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 15 44.000000 1188.0000 27.0000
EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF 9 9.000000 419.0000 46.5556
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 3698 20061.44111 1080808.4600 53.8749
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 418 1205.500000 63824.6800 52.9446
EPIC-99601-Early Steps Professional Development Fee 8277 46812.00000 700889.0100 14.9724
INTR-T1013-INTERPRETER 244 751.500000 39857.1800 53.0368
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 6255 35754.00000 428569.6900 11.9866
OCCT-97530-OT SESSION BY LICENSED OT 268 963.286522 76129.2300 79.0307
OCCT-97530GO-OT SESSION BY LICENSED OT 35 135.250000 10998.5300 81.3200
CMS/EIP Fiscal Report Statewide
Services beginning 10/01/2025 ending 12/31/2025 Date of Report:01/07/2026 Page: 2
List order: No List
Payclass Filters:GR
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
OCCT-97530GOGT-OT SESSION BY LICENSED OT 7 17.000000 1297.0800 76.2988
OCCT-97530GT-OT SESSION BY LICENSED OT 11 26.000000 1903.0800 73.1954
OCCT-97530HM-OT SESSION BY OT ASST 70 310.510131 19891.0400 64.0592
OCCT-97530HMGT-OT SESSION BY OT ASST 5 9.404791 577.6800 61.4240
OCCT-97530TL-OT SESSION BY LICENSED OT 1 2.000000 162.6400 81.3200
OCCT-97530TLGO-OT SESSION BY LICENSED OT 3 5.000000 406.6000 81.3200
OCCT-97530TLGOGT-OT SESSION BY LICENSED OT 1 1.000000 81.3200 81.3200
PHY-97110-PT SESSION BY LICENSED PT 296 1092.207206 87133.6200 79.7776
PHY-97110GP-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GPGT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 9 23.000000 1849.0400 80.3930
PHY-97110HM-PT SESSION BY PT ASST 26 122.595516 7983.4200 65.1200
PHY-97110HMGT-PT SESSION BY PT ASST 1 6.000000 390.7200 65.1200
PHY-97110TL-PT SESSION BY LICENSED PT 3 4.000000 325.2800 81.3200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 445 1719.376046 135495.3000 78.8049
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 19 50.250000 3842.3700 76.4651
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 7 26.000000 1584.6300 60.9473
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 2 4.000000 325.2800 81.3200
TRAV-TRAVS-Travel by mile 3544 248666.0000 110492.1800 0.4443
Subtotal (Total Children Is Unduplicated) 14597 366097.3213 3039108.9100 8.3014
-----------------------------------------------------------------------------------------------------------------------
Total 397922.635296 4503804.5600 11.3183
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 20069
-----------------------------------------------------------------------------------------------------------------------
Center 01
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 12042 37818.750000 208464.5200 208464.5200
D 261 379.750000 5868.2100 0.0000
S 0 0.000000 0.0000 0.0000
H 1 1.000000 81.3200 0.0000
T 2598 7378.250000 45560.7000 45607.7000
573 424.000000 21216.6000 54.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 15475 46001.750000 281191.3500 254126.2200
Center 02
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 3322 8205.750000 92546.4500 92433.2800
47 47.000000 1091.0000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3369 8252.750000 93637.4500 92433.2800
Center 03
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
4714 31444.750000 107043.2400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 4714 31444.750000 107043.2400 0.0000
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 8156 8117.750000 183405.1500 183363.1500
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 36 36.000000 1818.0000 0.0000
T 0 0.000000 0.0000 0.0000
1216 1345.000000 62902.3300 0.0000
Other 1 1.000000 15.0000 15.0000
---------------------------------------------------------
Total 9409 9499.750000 248140.4800 183378.1500
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 7323 51559.250000 151032.3100 151032.3100
D 13 4.250000 194.1400 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
3680 5369.750000 71526.5900 9220.6500
Other 13 5.250000 228.3000 -0.1000
---------------------------------------------------------
Total 11029 56938.500000 222981.3400 160252.8600
Center 06
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 4664 4718.000000 127341.9400 127341.9400
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
8868 6932.500000 254307.7200 0.0000
Other 187 100.250000 4526.4200 0.0000
---------------------------------------------------------
Total 13719 11750.750000 386176.0800 127341.9400
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 12637 15752.500000 336908.5000 336908.5000
D 20 15.250000 652.1000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
5065 3015.500000 126666.5800 0.0000
Other 7 2.000000 66.4000 -162.0000
---------------------------------------------------------
Total 17729 18785.250000 464293.5800 336746.5000
Center 09
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 10529 35279.000000 324991.3200 324991.3200
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 4580 9445.250000 162187.9600 162187.9600
2628 10392.250000 79288.8000 11.4200
Other 9 18.000000 1289.1600 0.0000
---------------------------------------------------------
Total 17843 55387.500000 572723.3600 487190.7000
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 17674 17299.000000 436494.6200 436494.6200
D 2 2.000000 162.6400 0.0000
S 20 19.500000 519.0000 200.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
4532 3740.500000 173549.6400 0.0000
Other 44 37.000000 1690.1600 0.0000
---------------------------------------------------------
Total 22272 21098.000000 612416.0600 436694.6200
Center 51
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 1652 2613.500000 91931.4700 91931.4700
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
1 1.000000 80.9800 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 1653 2614.500000 92012.4500 91931.4700
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 0 0.000000 0.0000 0.0000
S 3 1.500000 68.5200 0.0000
H 0 0.000000 0.0000 0.0000
T 4960 27729.500000 72241.4500 70729.4520
2702 1701.000000 70528.8200 49.1200
Other 11 9.250000 422.5400 0.0000
---------------------------------------------------------
Total 7676 29441.250000 143261.3300 70778.5720
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 75 64.250000 4221.5200 0.0000
S 8 8.000000 493.0100 0.0000
H 0 0.000000 0.0000 0.0000
T 1138 7059.750000 20136.5900 19001.6700
11253 22627.500000 203664.9000 120.9000
Other 26 15.500000 1006.3100 0.0000
---------------------------------------------------------
Total 12500 29775.000000 229522.3300 19122.5700
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 72 66.250000 3467.4200 0.0000
S 47 17.500000 666.3200 0.0000
H 0 0.000000 0.0000 0.0000
T 1983 14172.250000 35160.0100 35160.0100
11988 34696.500000 245511.0200 0.0000
Other 34 15.750000 717.3400 0.0000
---------------------------------------------------------
Total 14124 48968.250000 285522.1100 35160.0100
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 3089 3057.971955 86561.5500 86561.5500
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 1606 1599.206135 42850.3500 42850.3500
5479 4273.207206 177176.5400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 10174 8930.385296 306588.4400 129411.9000
Center 57
Flag Claims Units Chgs Paid
---------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 142 136.250000 3970.8400 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 7221 9008.500000 186827.6500 186827.6500
8283 9889.500000 267496.4700 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 15646 19034.250000 458294.9600 186827.6500