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
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 3 1.500000 68.5200 45.6800
TCM-T1017TL-TARGETED CASE MANAGEMENT 24 30.500000 1389.0000 45.5410
Subtotal (Total Children Is Unduplicated) 27 32.000000 1457.5200 45.5475
-----------------------------------------------------------------------------------------------------------------------
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 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 454 542.500000 27325.0000 50.3687
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 7 14.000000 1133.7200 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 5 10.000000 809.8000 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 1 1.500000 121.4700 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 15 27.500000 1647.8000 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 11 17.000000 1018.6400 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 2 4.000000 323.9200 80.9800
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 53 100.500000 7876.3000 78.3711
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 37 66.500000 5276.3800 79.3441
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 41 80.000000 6356.9300 79.4616
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 14 27.000000 2186.4600 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 55 102.000000 8219.4700 80.5830
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 6 11.000000 890.7800 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 119 228.500000 13691.7200 59.9200
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 78 151.500000 9077.8800 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 29 53.000000 4291.9400 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 16 30.000000 2302.2100 76.7403
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 1 1.000000 53.9800 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 12 12.000000 697.3200 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 28 173.000000 9794.4500 56.6153
Subtotal (Total Children Is Unduplicated) 948 1888.313973 113318.5200 60.0104
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 31 60.000000 4250.9300 70.8488
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 478 574.000000 28728.0000 50.0488
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 560 555.750000 27662.5000 49.7751
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 133 133.750000 3360.4100 25.1246
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 401 450.250000 22506.0000 49.9856
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 531 802.250000 40112.5000 50.0000
CONIP-CONIP-CONSULT, ITDS PHONE 68 52.500000 1312.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 153 189.250000 9412.5000 49.7358
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 99 129.000000 6450.0000 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 251 276.000000 13800.0000 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 12 40.000000 1080.0000 27.0000
EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF 4 4.000000 204.0000 51.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 3614 19689.69111 1060776.9600 53.8747
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 405 1189.500000 62960.6800 52.9304
EPIC-99601-Early Steps Professional Development Fee 7418 43103.00000 645005.0100 14.9643
INTR-T1013-INTERPRETER 191 526.750000 28819.6800 54.7123
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 5966 34561.00000 414253.6900 11.9862
OCCT-97530-OT SESSION BY LICENSED OT 236 879.286522 69298.3500 78.8120
OCCT-97530GO-OT SESSION BY LICENSED OT 7 30.250000 2459.9300 81.3200
OCCT-97530GOGT-OT SESSION BY LICENSED OT 4 12.000000 890.4800 74.2067
OCCT-97530GT-OT SESSION BY LICENSED OT 6 19.000000 1333.8400 70.2021
OCCT-97530HM-OT SESSION BY OT ASST 61 290.010131 18556.0800 63.9842
OCCT-97530HMGT-OT SESSION BY OT ASST 3 7.404791 447.4400 60.4257
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
Payclass Filters:GR
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
PHY-97110-PT SESSION BY LICENSED PT 263 974.207206 77537.8600 79.5907
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 7 21.500000 1727.0600 80.3284
PHY-97110HM-PT SESSION BY PT ASST 25 120.595516 7853.1800 65.1200
PHY-97110HMGT-PT SESSION BY PT ASST 1 6.000000 390.7200 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 403 1616.376046 127119.3400 78.6447
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 14 40.750000 3069.8300 75.3333
SPL-92507HM-SPL THERAPY SESSION BY SLP ASST 7 26.000000 1584.6300 60.9473
TRAV-TRAVS-Travel by mile 3339 230298.0000 102320.7300 0.4443
Subtotal (Total Children Is Unduplicated) 13283 337615.8213 2829653.7200 8.3813
-----------------------------------------------------------------------------------------------------------------------
Total 339536.135296 2944429.7600 8.6719
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 13525
-----------------------------------------------------------------------------------------------------------------------
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 0 0.000000 0.0000 0.0000
T 2598 7378.250000 45560.7000 45607.7000
2 3.000000 215.9600 54.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 14903 45579.750000 260109.3900 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
3877 30932.750000 84197.5200 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3877 30932.750000 84197.5200 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
33 26.750000 1188.2600 0.0000
Other 1 1.000000 15.0000 15.0000
---------------------------------------------------------
Total 8226 8181.500000 186426.4100 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 7320 51556.250000 150963.3100 150963.3100
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
420 3853.000000 9220.6500 9220.6500
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 7740 55409.250000 160183.9600 160183.9600
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
3568 3663.000000 103713.3900 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 8232 8381.000000 231055.3300 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 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 12643 15751.500000 336837.9400 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 8482 33043.500000 223191.4200 223191.4200
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 2706 7522.000000 74235.1300 74235.1300
2083 9872.000000 55292.8100 0.0000
Other 9 18.000000 1289.1600 0.0000
---------------------------------------------------------
Total 13377 50708.500000 358974.6400 297426.5500
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
4 5.000000 203.9600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 17700 17325.500000 437380.2200 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 0 0.000000 0.0000 0.0000
H 0 0.000000 0.0000 0.0000
T 2008 7501.750000 32453.8700 32453.8700
1 1.000000 12.0000 12.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 2009 7502.750000 32465.8700 32465.8700
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 1124 7045.500000 19001.6700 19001.6700
2750 16762.500000 44594.0600 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 3874 23808.000000 63595.7300 19001.6700
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 1983 14172.250000 35160.0100 35160.0100
4328 28806.750000 73273.6000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 6311 42979.000000 108433.6100 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
706 722.457206 21044.3000 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 5401 5379.635296 150456.2000 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
6140 7585.000000 157864.5500 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 13503 16729.750000 348663.0400 186827.6500