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: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 7712 7917.000000 348441.4100 44.0118
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 571 523.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 15921 47343.50000 2141008.0400 45.2229
Subtotal (Total Children Is Unduplicated) 17043 55783.75000 2489449.4500 44.6268
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
AACIS-92597-AAC INTIAL EVAL BY LICENSED SLP 1 1.000000 116.8300 116.8300
AACIS-92597TL-AAC INTIAL EVAL BY LICENSED SLP 2 2.000000 233.6600 116.8300
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 18 21.000000 1018.5000 48.5000
AUDE-92558-OTOACOUSTIC EMISSIONS (SCREENING) 1 1.000000 6.8700 6.8700
EXIT-EXIT-COS Exit 65 90.250000 4512.5000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 76 140.500000 11377.6900 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 30 44.000000 3563.1200 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 34 56.000000 4534.8800 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 12 19.000000 1538.6200 80.9800
IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT 13 24.000000 1943.5200 80.9800
IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT 6 11.000000 890.7800 80.9800
IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY EI PROF 80 147.000000 8808.2400 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 40 64.500000 3864.8400 59.9200
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 24 49.000000 3968.0200 80.9800
IPDEF-T1024TSTLGT-F/U PHYC AND DEV EVAL BY EI PROF 9 13.500000 1093.2300 80.9800
IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR 5 9.000000 499.5000 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 927 1722.500000 139407.0700 80.9330
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 352 522.000000 42190.5800 80.8249
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 504 887.000000 71721.4700 80.8585
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 261 415.500000 33647.1900 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 263 463.500000 37513.1700 80.9346
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 131 229.000000 18544.4200 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 983 1771.000000 106047.9000 59.8802
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 487 820.000000 49134.4000 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 204 367.500000 29635.3900 80.6405
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 139 232.500000 18719.8900 80.5157
MED-99203-OUTPATIENT VISIT, NEW, 30 MINS 27 27.000000 2698.1000 99.9296
MED-99213-OUTPATIENT VISIT, EST, 15 MINS 4 4.000000 295.8700 73.9675
OCTH-97165-OT EVAL LOW COMPLEXITY 1 1.000000 58.1100 58.1100
OCTH-97166-OT EVAL MODERATE COMPLEXITY 4 4.000000 232.4400 58.1100
PSTH-97161TL-PT EVAL LOW COMPLEXITY 1 1.000000 58.1100 58.1100
PSTH-97163TL-PT EVAL HIGH COMPLEXITY 1 1.000000 58.1100 58.1100
SCREEN-T1023-SCREENING 21 21.000000 1133.5800 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 4 4.000000 232.4400 58.1100
SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 1 2.000000 116.2200 58.1100
SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC 1 1.000000 58.1100 58.1100
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 12 46.000000 2478.3600 53.8774
SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION 6 31.000000 1801.4100 58.1100
Subtotal (Total Children Is Unduplicated) 2831 8267.250000 603811.2500 73.0365
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
AACFIT-92609-AAC FITTING, ADJUST, TRAINING VISIT 1 1.000000 47.9400 47.9400
AACFIT-92609TL-AAC FITTING, ADJUST, TRAINING VISIT 1 1.000000 47.9400 47.9400
ASST-ASST-ASSISTIVE TECHNOLOGY 5 10.000000 744.0000 74.4000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 61 62.750000 3087.5000 49.2032
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 373 402.250000 20116.5000 50.0099
COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE 16 12.750000 343.7500 26.9608
CONIF-CONIF-CONSULT, ITDS FACE TO FACE 47 53.000000 2637.4000 49.7623
CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE 214 112.500000 5670.5000 50.4044
CONIP-CONIP-CONSULT, ITDS PHONE 1 0.500000 12.5000 25.0000
CONOF-CONOF-CONSULT, OT, FACE TO FACE 33 35.000000 1750.0000 50.0000
CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE 249 127.250000 6362.5000 50.0000
CONOP-CONOP-CONSULT, OT, PHONE 19 8.250000 206.2500 25.0000
CONPF-CONPF-CONSULT, PT, FACE TO FACE 26 24.000000 1200.0000 50.0000
CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE 289 151.000000 7550.0000 50.0000
CONPP-CONPP-CONSULT, PT, PHONE 21 8.750000 218.7500 25.0000
CONSF-CONSF-CONSULT, SLP, FACE TO FACE 47 43.750000 2175.0000 49.7143
CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE 309 173.500000 8675.0000 50.0000
CONSP-CONSP-CONSULT, SLP, PHONE 10 8.750000 218.7500 25.0000
DSTT-DSTT-DIRECT SERVICE PERSONNEL TRAVEL 1108 2888.750000 111.3200 0.0385
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 11 26.000000 702.0000 27.0000
EIIF-EIIF_NM-EI INDIVIDUAL SESSION BY NONMED PROF 5 5.000000 215.0000 43.0000
EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF 544 2266.750000 122466.4600 54.0273
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 42 70.250000 3793.5000 54.0000
EPIC-99601-Early Steps Professional Development Fee 1005 3709.000000 55884.0000 15.0671
INTR-T1013-INTERPRETER 53 224.750000 11037.5000 49.1101
NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE 315 1199.000000 14388.0000 12.0000
OCCT-97530-OT SESSION BY LICENSED OT 91 206.500000 16569.9400 80.2418
OCCT-97530GO-OT SESSION BY LICENSED OT 58 220.500000 17708.4200 80.3103
OCCT-97530GOGT-OT SESSION BY LICENSED OT 8 15.750000 1321.4500 83.9016
OCCT-97530GT-OT SESSION BY LICENSED OT 12 14.500000 1179.1400 81.3200
OCCT-97530HM-OT SESSION BY OT ASST 28 109.500000 7033.5200 64.2331
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:EIP DEI DEIP
Eligibility Filter:Part C (excluding not eligible)
Services Number of Number of Fee Reported Avg Fee
Children Units Per/Unit
OCCT-97530HMGT-OT SESSION BY OT ASST 4 4.500000 293.0400 65.1200
OCCT-97530TL-OT SESSION BY LICENSED OT 4 5.000000 406.6000 81.3200
OCCT-97530TLGO-OT SESSION BY LICENSED OT 122 403.250000 32792.2900 81.3200
OCCT-97530TLGOGT-OT SESSION BY LICENSED OT 17 16.500000 1341.7800 81.3200
OCCT-97530TLGTHM-OT SESSION BY OT ASST 6 9.000000 586.0800 65.1200
OCCT-97530TLHM-OT SESSION BY OT ASST 22 89.000000 5795.6800 65.1200
PHY-97110-PT SESSION BY LICENSED PT 115 410.000000 32630.5500 79.5867
PHY-97110GT-PT SESSION BY LICENSED PT 6 4.500000 365.9400 81.3200
PHY-97110HM-PT SESSION BY PT ASST 3 5.500000 358.1600 65.1200
PHY-97110TL-PT SESSION BY LICENSED PT 112 428.750000 34865.9500 81.3200
PHY-97110TLGP-PT SESSION BY LICENSED PT 2 2.000000 162.6400 81.3200
PHY-97110TLGPGT-PT SESSION BY LICENSED PT 2 2.000000 162.6400 81.3200
PHY-97110TLGT-PT SESSION BY LICENSED PT 3 2.500000 203.3000 81.3200
PHY-97110TLHM-PT SESSION BY PT ASST 2 7.000000 455.8400 65.1200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 174 552.500000 44201.1000 80.0020
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 26 44.500000 3618.7400 81.3200
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 110 365.750000 29742.7900 81.3200
SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP 18 29.750000 2326.9600 78.2171
TRAV-TRAVS-Travel by mile 226 18507.00000 8233.2900 0.4449
Subtotal (Total Children Is Unduplicated) 2115 33081.25000 512017.9000 15.4776
-----------------------------------------------------------------------------------------------------------------------
Total 97132.250000 3605278.6000 37.1172
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service 17653
-----------------------------------------------------------------------------------------------------------------------
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 0 0.000000 0.0000 0.0000
D 0 0.000000 0.0000 0.0000
S 291 208.000000 10940.0100 0.0000
H 725 830.000000 52385.9100 39794.9600
T 0 0.000000 0.0000 0.0000
589 444.500000 22552.5600 0.0000
Other 4 1.000000 45.6800 0.0000
---------------------------------------------------------
Total 1609 1483.500000 85924.1600 39794.9600
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
1799 1138.000000 52430.3800 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 1799 1138.000000 52430.3800 0.0000
Center 04
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 80 156.750000 7174.5800 0.0000
U 0 0.000000 0.0000 0.0000
B 832 1420.750000 67509.6000 0.0000
P 497 807.000000 40436.1500 38751.6900
D 10 19.250000 1008.5100 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
1600 1813.500000 98983.4500 0.0000
Other 1 1.000000 37.2000 0.0000
---------------------------------------------------------
Total 3020 4218.250000 215149.4900 38751.6900
Center 05
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 1 0.250000 11.4200 0.0000
U 0 0.000000 0.0000 0.0000
B 2450 1226.000000 56001.5600 28053.9300
P 4 4.000000 96.0000 96.0000
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
3276 1525.000000 62682.8000 0.0000
Other 70 47.250000 2146.8600 -0.1000
---------------------------------------------------------
Total 5814 2806.750000 121132.7800 28149.8300
Center 06
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 3 2.000000 89.2400 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
10772 7353.750000 351723.8900 0.0000
Other 187 100.250000 4526.4200 0.0000
---------------------------------------------------------
Total 10962 7456.000000 356339.5500 0.0000
Center 07
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 62 48.500000 2215.4800 0.0000
U 0 0.000000 0.0000 0.0000
B 370 355.250000 19177.8400 0.0000
P 1345 1249.750000 66397.5800 65023.1900
D 22 18.250000 895.3800 0.0000
S 0 0.000000 0.0000 0.0000
H 14 28.000000 2267.4400 0.0000
T 0 0.000000 0.0000 0.0000
5191 3220.500000 142344.2200 0.0000
Other 122 74.500000 3709.5200 0.0000
---------------------------------------------------------
Total 7126 4994.750000 237007.4600 65023.1900
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 2119 2347.750000 109729.5000 109729.5000
D 1 2.000000 161.9600 0.0000
S 0 0.000000 0.0000 0.0000
H 1114 1381.250000 70075.1700 70075.1700
T 1923 1994.500000 92940.3100 92940.3100
1415 1519.000000 71853.1200 11.4200
Other 1 2.000000 119.8400 0.0000
---------------------------------------------------------
Total 6573 7246.500000 344879.9000 272756.4000
Center 10
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 98 85.750000 3876.7800 0.0000
U 0 0.000000 0.0000 0.0000
B 6684 6084.500000 305973.1100 0.0000
P 22 38.500000 2713.8800 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
5090 4423.000000 219672.6000 0.0000
Other 837 615.500000 28063.0400 0.0000
---------------------------------------------------------
Total 12731 11247.250000 560299.4100 0.0000
Center 52
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 23 15.250000 746.5400 0.0000
U 0 0.000000 0.0000 0.0000
B 852 864.750000 44818.4200 0.0000
P 768 830.750000 47135.4700 45735.4600
D 25 25.750000 2092.6300 0.0000
S 177 160.000000 7229.5000 0.0000
H 62 66.750000 5195.4000 0.0000
T 3461 20734.750000 68416.4900 59388.0720
2992 2191.750000 89222.7800 416.9600
Other 63 48.750000 2220.5400 0.0000
---------------------------------------------------------
Total 8423 24938.500000 267077.7700 105540.4920
Center 53
Flag Claims Units Chgs Paid
---------------------------------------------------------
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
---------------------------------------------------------
Total 12325 9420.750000 378418.3700 58281.0000
Center 54
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 79 73.250000 4100.7800 0.0000
U 0 0.000000 0.0000 0.0000
B 2087 1922.000000 100133.4600 0.0000
P 1266 1156.860000 63875.2700 63243.1900
D 298 267.390000 13516.5600 5907.6400
S 151 104.250000 4531.5400 0.0000
H 8 7.750000 532.2200 0.0000
T 0 0.000000 0.0000 0.0000
7977 6217.000000 195272.9000 0.0000
Other 325 213.750000 10058.3600 1226.0400
---------------------------------------------------------
Total 12191 9962.250000 392021.0900 70376.8700
Center 55
Flag Claims Units Chgs Paid
---------------------------------------------------------
R 0 0.000000 0.0000 0.0000
U 0 0.000000 0.0000 0.0000
B 2879 2620.750000 129081.3900 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
5038 3868.750000 177768.0400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 7917 6489.500000 306849.4300 0.0000
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 1 2.000000 119.8400 185.5200
D 0 0.000000 0.0000 0.0000
S 0 0.000000 0.0000 0.0000
H 1920 3103.500000 161878.4200 161878.4200
T 0 0.000000 0.0000 0.0000
2265 2495.500000 119846.4100 0.0000
Other 116 129.250000 5904.1400 0.0000
---------------------------------------------------------
Total 4302 5730.250000 287748.8100 162063.9400