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
Agency Filter:EXT
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 3 1.500000 68.5200 45.6800
TCM-T1017TL-TARGETED CASE MANAGEMENT 176 292.000000 13251.6400 45.3823
Subtotal (Total Children Is Unduplicated) 178 293.500000 13320.1600 45.3839
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 4 4.000000 194.0000 48.5000
AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY 30 32.000000 643.8000 20.1188
AUDE-92555-SPEECH AUD THRESHOLD (DETECTION) 31 33.000000 500.6500 15.1712
AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING) 33 33.000000 272.0900 8.2452
AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY 30 32.000000 954.3000 29.8219
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) 31 32.000000 733.4300 22.9197
AUDE-92650-AEP SCR AUDITORY POTENTIAL 1 1.000000 54.9000 54.9000
AUDE-92652-AEP THRSHLD EST MLT FREQ I&R 1 2.000000 141.4400 70.7200
AUDE-V5010-ASSESSMENT FOR HEARING AID 1 1.000000 45.3200 45.3200
AUDE-V5090-DISPENSING FEE PER HEARING AID 1 2.000000 231.6200 115.8100
EXIT-EXIT-COS Exit 470 573.500000 28875.0000 50.3487
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 13 25.000000 2024.5000 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 1 2.000000 161.9600 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 8 15.500000 1255.1900 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 6 9.500000 769.3100 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 30 55.500000 3325.5600 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 19 31.000000 1857.5200 59.9200
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 3 5.500000 445.3900 80.9800
IPDEF-T1024TSTLGT-F/U PHYC AND DEV EVAL BY EI PROF 3 6.000000 485.8800 80.9800
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 134 263.500000 20388.2000 77.3746
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 83 145.000000 11511.1900 79.3875
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 151 289.000000 23119.7900 79.9993
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 113 208.500000 16852.7400 80.8285
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 104 199.500000 16115.0200 80.7770
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 28 54.000000 4372.9200 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 327 620.000000 37150.4000 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 243 455.000000 27263.6000 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 59 107.500000 8705.3500 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 37 71.500000 5743.8600 80.3337
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 24 24.000000 1394.6400 58.1100
OCTH-97165-OT EVAL LOW COMPLEXITY 41 41.000000 2316.3100 56.4954
OCTH-97166-OT EVAL MODERATE COMPLEXITY 20 22.000000 1162.2000 52.8273
OCTH-97166GT-OT EVAL MODERATE COMPLEXITY 1 1.000000 58.1100 58.1100
OCTH-97167-OT EVAL HIGH COMPLEXITY 22 22.000000 1278.4200 58.1100
OCTH-97167TL-OT EVAL HIGH COMPLEXITY 4 4.000000 232.4400 58.1100
PSTF-97164-PT RE-EVAL EST PLAN CARE 13 13.000000 714.3300 54.9485
PSTH-97161-PT EVAL LOW COMPLEXITY 38 38.000000 2208.1800 58.1100
PSTH-97162-PT EVAL MODERATE COMPLEXITY 4 4.000000 232.4400 58.1100
PSTH-97163-PT EVAL HIGH COMPLEXITY 3 3.000000 174.3300 58.1100
PSTH-97163GT-PT EVAL HIGH COMPLEXITY 1 1.000000 58.1100 58.1100
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 1 1.000000 58.1100 58.1100
SCREEN-T1023-SCREENING 6 6.000000 323.8800 53.9800
SPCH-92521-EVAL OF SPEECH FLUENCY 43 46.000000 2592.4600 56.3578
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 34 34.000000 1975.7400 58.1100
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 3 3.000000 174.3300 58.1100
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 2 2.000000 68.4700 34.2350
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 95 555.000000 31667.1700 57.0580
SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION 3 3.000000 174.3300 58.1100
Subtotal (Total Children Is Unduplicated) 1858 4256.000000 267285.6700 62.8021
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 32 61.000000 8286.2300 135.8398
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 495 608.000000 30428.0000 50.0461
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 560 555.750000 27662.5000 49.7751
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 144 147.000000 3691.6600 25.1133
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 401 450.250000 22506.0000 49.9856
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 531 803.250000 40162.5000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 68 52.500000 1312.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 157 193.250000 9612.5000 49.7413
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 165 244.750000 12237.5000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 35 71.000000 1800.0000 25.3521
CONPF-CONPF-CONSULT, PT, FACE TO FACE 101 131.000000 6550.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 91 117.250000 5862.5000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 4 3.000000 75.0000 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 262 289.000000 14450.0000 50.0000
CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE 358 469.500000 23475.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 46 30.250000 756.2500 25.0000
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 129 812.000000 21924.0000 27.0000
EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF 4 4.000000 204.0000 51.0000
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
Agency Filter:EXT
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 8589 50855.00000 2741613.8400 53.9104
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 948 3044.250000 162955.1800 53.5288
EPIC-99601-Early Steps Professional Development Fee 7532 45216.00000 676700.0100 14.9659
INTR-T1013-INTERPRETER 191 526.750000 28819.6800 54.7123
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 6015 35150.00000 421468.6900 11.9906
OCCT-97530-OT SESSION BY LICENSED OT 749 3428.000001 271942.6500 79.3298
OCCT-97530GO-OT SESSION BY LICENSED OT 44 145.750000 11771.0700 80.7621
OCCT-97530GOGT-OT SESSION BY LICENSED OT 9 22.000000 1703.6800 77.4400
OCCT-97530GT-OT SESSION BY LICENSED OT 14 41.000000 2960.2400 72.2010
OCCT-97530HM-OT SESSION BY OT ASST 239 1252.000000 79931.2900 63.8429
OCCT-97530HMGT-OT SESSION BY OT ASST 8 27.250000 1739.7600 63.8444
OCCT-97530TL-OT SESSION BY LICENSED OT 1 6.000000 487.9200 81.3200
OCCT-97530TLGO-OT SESSION BY LICENSED OT 6 13.000000 1057.1600 81.3200
PHY-97110-PT SESSION BY LICENSED PT 911 3935.000000 314185.8900 79.8439
PHY-97110GP-PT SESSION BY LICENSED PT 2 2.000000 162.6400 81.3200
PHY-97110GPGT-PT SESSION BY LICENSED PT 1 1.000000 81.3200 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 17 31.750000 2560.5900 80.6485
PHY-97110HM-PT SESSION BY PT ASST 175 748.750000 48500.2600 64.7750
PHY-97110HMGT-PT SESSION BY PT ASST 9 30.000000 1953.6000 65.1200
PHY-97110TL-PT SESSION BY LICENSED PT 11 31.000000 2520.9200 81.3200
PHY-97110TLHM-PT SESSION BY PT ASST 7 36.000000 2344.3200 65.1200
SENS-V5050-IN EAR MONAURAL HEARING AID 1 2.000000 459.2200 229.6100
SENS-V5264-EARMOLD 2 4.000000 72.5200 18.1300
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 1392 6668.500000 531698.2620 79.7328
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 50 155.000000 12274.0200 79.1872
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 48 224.750000 14462.1100 64.3475
SPL-92507HMGT-SPL THERAPY SESSION BY SLP ASST 2 5.000000 325.6000 65.1200
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 18 48.750000 3964.3500 81.3200
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 1 2.000000 162.6400 81.3200
SPL-92508HA-GROUP SPL SESSION PER CHILD 1 3.000000 47.2800 15.7600
TRAV-TRAVS-Travel by mile 3363 234816.0000 104330.5500 0.4443
Subtotal (Total Children Is Unduplicated) 14076 391514.2500 5674253.4020 14.4931
-----------------------------------------------------------------------------------------------------------------------
Total 396063.750001 5954859.2320 15.0351
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 14696
-----------------------------------------------------------------------------------------------------------------------
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 14326 40145.500000 346426.9220 346426.9200
D 474 604.250000 19223.2300 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 3038 7824.750000 71136.2500 70953.9600
3 4.000000 269.9600 54.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 17841 48578.500000 437056.3620 417434.8800
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 3530 8386.250000 109614.3300 109501.1400
53 53.000000 1505.3400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3583 8439.250000 111119.6700 109501.1400
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
3948 31006.750000 89412.7900 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3948 31006.750000 89412.7900 0.0000
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 23 24.500000 1119.1600 0.0000
U 0 0.000000 0.0000 0.0000
B 94 101.250000 4625.1000 0.0000
P 8176 8140.500000 184502.7400 184158.6700
D 1 0.750000 27.9000 0.0000
S 0 0.000000 0.0000 0.0000
H 4912 4911.750000 266572.7200 0.0000
T 0 0.000000 0.0000 0.0000
1700 1145.250000 57133.6000 0.0000
Other 24 24.000000 1635.3500 15.0000
---------------------------------------------------------
Total 14930 14348.000000 515616.5700 184173.6700
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 7617 51822.000000 169320.6300 169320.6300
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
429 3862.000000 9902.0000 9902.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 8046 55684.000000 179222.6300 179222.6300
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 4766 4818.000000 134308.9600 134308.9600
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
7648 7757.750000 327283.3400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 12414 12575.750000 461592.3000 134308.9600
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 13230 16361.750000 378826.9400 378826.9400
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
3 2.000000 91.4400 0.0000
Other 3 -3.000000 -162.0000 -162.0000
---------------------------------------------------------
Total 13236 16360.750000 378756.3800 378664.9400
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 11313 37661.750000 349691.2800 349691.2800
D 145 312.000000 7128.4600 0.0000
S 1 1.000000 54.0000 0.0000
H 222 340.500000 21100.5100 0.0000
T 5434 12665.000000 176453.4100 176453.4100
6580 14435.000000 321453.7400 0.0000
Other 91 177.500000 12257.4200 0.0000
---------------------------------------------------------
Total 23786 65592.750000 888138.8200 526144.6900
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.750000 34.2600 0.0000
U 0 0.000000 0.0000 0.0000
B 0 0.000000 0.0000 0.0000
P 20697 19340.250000 584040.6000 584040.6000
D 2 2.000000 162.6400 0.0000
S 38 36.000000 1622.8600 200.0000
H 0 0.000000 0.0000 0.0000
T 0 0.000000 0.0000 0.0000
11741 9830.500000 606757.0700 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 32479 29209.500000 1192617.4300 584240.6000
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 1659 2620.500000 92309.4700 92309.4700
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
616 620.500000 41638.4400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 2275 3241.000000 133947.9100 92309.4700
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 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 2449 7978.250000 60618.2200 60618.2200
850 885.500000 54749.3900 150.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3299 8863.750000 115367.6100 60768.2200
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 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 1131 7052.500000 19516.2700 19516.2700
4123 18196.500000 127945.5900 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 5254 25249.000000 147461.8600 19516.2700
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 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 2116 14306.060000 43657.4800 43657.4800
6447 31015.440000 203805.9600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 8563 45321.500000 247463.4400 43657.4800
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 3276 3243.221955 101023.7300 101023.7300
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 1747 1737.956135 53114.1900 53114.1900
3308 3347.821910 198313.6500 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 8331 8329.000000 352451.5700 154137.9200
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 11 8.329440 677.3500 677.3500
D 147 141.250000 4314.8000 0.0000
S 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 7259 9046.500000 189438.6100 189438.6100
12695 14068.170561 510203.1300 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 20112 23264.250001 704633.8900 190115.9600