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
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 7711 7915.500000 348372.8900 44.0115
SCTT-SCTT-SERVICE COORDINATOR TRAVEL 571 523.250000 0.0000 0.0000
TCM-T1017TL-TARGETED CASE MANAGEMENT 7132 20133.50000 909467.5600 45.1719
Subtotal (Total Children Is Unduplicated) 11788 28572.25000 1257840.4500 44.0232
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Screening, Eval, and Assessment,Class #02
ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL 18 21.000000 1018.5000 48.5000
EXIT-EXIT-COS Exit 64 89.750000 4487.5000 50.0000
IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT 3 6.000000 485.8800 80.9800
IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT 5 8.500000 688.3300 80.9800
IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT 4 7.500000 607.3500 80.9800
IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT 2 3.500000 283.4300 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 10 19.000000 1138.4800 59.9200
IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS 9 13.500000 808.9200 59.9200
IPDEF-T1024TSTL-F/U PSYCH AND DEV EVAL BY EI PROF 4 7.000000 566.8600 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 3 5.500000 305.2500 55.5000
IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT 126 233.000000 18868.3400 80.9800
IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT 38 55.000000 4372.9200 79.5076
IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT 78 135.500000 10972.7900 80.9800
IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT 29 50.000000 4049.0000 80.9800
IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT 28 47.500000 3846.5500 80.9800
IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT 19 30.000000 2429.4000 80.9800
IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS 189 348.000000 20792.2400 59.7478
IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS 113 180.500000 10815.5600 59.9200
IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF 23 43.000000 3482.1400 80.9800
IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 11 18.000000 1349.6800 74.9822
SCREEN-T1023-SCREENING 5 5.000000 269.9000 53.9800
SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP 1 1.000000 58.1100 58.1100
SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION 1 1.000000 58.1100 58.1100
Subtotal (Total Children Is Unduplicated) 579 1332.750000 92079.1600 69.0896
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
ASST-ASST-ASSISTIVE TECHNOLOGY 3 6.000000 446.4000 74.4000
COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE 61 62.750000 3087.5000 49.2032
COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE 372 401.000000 20054.0000 50.0100
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 2887.750000 111.3200 0.0385
EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF 3 4.000000 108.0000 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 86 371.750000 20031.5000 53.8843
EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF 13 16.000000 864.0000 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 314 1193.000000 14316.0000 12.0000
OCCT-97530-OT SESSION BY LICENSED OT 32 84.000000 6830.8800 81.3200
OCCT-97530GO-OT SESSION BY LICENSED OT 28 105.000000 8538.6000 81.3200
OCCT-97530GOGT-OT SESSION BY LICENSED OT 3 5.000000 406.6000 81.3200
OCCT-97530GT-OT SESSION BY LICENSED OT 5 7.000000 569.2400 81.3200
OCCT-97530HM-OT SESSION BY OT ASST 9 20.500000 1334.9600 65.1200
OCCT-97530HMGT-OT SESSION BY OT ASST 2 2.000000 130.2400 65.1200
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 33 118.000000 9595.7600 81.3200
PHY-97110GT-PT SESSION BY LICENSED PT 2 1.500000 121.9800 81.3200
PHY-97110HM-PT SESSION BY PT ASST 1 2.000000 130.2400 65.1200
PHY-97110TL-PT SESSION BY LICENSED PT 3 4.000000 325.2800 81.3200
SPL-92507-SPL THERAPY SESSION BY LICENSED SLP 42 103.000000 8375.9600 81.3200
SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP 5 9.500000 772.5400 81.3200
SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP 2 4.000000 325.2800 81.3200
TRAV-TRAVS-Travel by mile 225 18368.00000 8171.4500 0.4449
Subtotal (Total Children Is Unduplicated) 2032 28481.50000 209455.1900 7.3541
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Total 58386.500000 1559374.8000 26.7078
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Number of Children (Unduplicated) With at Least One Service 12434
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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 0 0.000000 0.0000 0.0000
H 1 1.000000 81.3200 0.0000
T 0 0.000000 0.0000 0.0000
571 421.000000 21000.6400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 572 422.000000 21081.9600 0.0000
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
837 512.000000 22845.7200 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 837 512.000000 22845.7200 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 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
1183 1318.250000 61714.0700 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 1183 1318.250000 61714.0700 0.0000
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 3 3.000000 69.0000 69.0000
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
3260 1516.750000 62305.9400 0.0000
Other 13 5.250000 228.3000 -0.1000
---------------------------------------------------------
Total 3289 1529.250000 62797.3800 68.9000
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 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
5300 3269.500000 150594.3300 0.0000
Other 187 100.250000 4526.4200 0.0000
---------------------------------------------------------
Total 5487 3369.750000 155120.7500 0.0000
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 0 0.000000 0.0000 0.0000
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
5062 3013.500000 126575.1400 0.0000
Other 4 5.000000 228.4000 0.0000
---------------------------------------------------------
Total 5086 3033.750000 127455.6400 0.0000
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 2047 2235.500000 101799.9000 101799.9000
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 1874 1923.250000 87952.8300 87952.8300
545 520.250000 23995.9900 11.4200
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 4466 4679.000000 213748.7200 189764.1500
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 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
4528 3735.500000 173345.6800 0.0000
Other 44 37.000000 1690.1600 0.0000
---------------------------------------------------------
Total 4572 3772.500000 175035.8400 0.0000
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 2952 20227.750000 39787.5800 38275.5820
2701 1700.000000 70516.8200 37.1200
Other 11 9.250000 422.5400 0.0000
---------------------------------------------------------
Total 5667 21938.500000 110795.4600 38312.7020
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 14 14.250000 1134.9200 0.0000
8503 5865.000000 159070.8400 120.9000
Other 26 15.500000 1006.3100 0.0000
---------------------------------------------------------
Total 8626 5967.000000 165926.6000 120.9000
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 0 0.000000 0.0000 0.0000
7660 5889.750000 172237.4200 0.0000
Other 34 15.750000 717.3400 0.0000
---------------------------------------------------------
Total 7813 5989.250000 177088.5000 0.0000
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 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
4773 3550.750000 156132.2400 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 4773 3550.750000 156132.2400 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 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
2143 2304.500000 109631.9200 0.0000
Other 0 0.000000 0.0000 0.0000
---------------------------------------------------------
Total 2143 2304.500000 109631.9200 0.0000