CMS/EIP Fiscal Report              Statewide 
Services beginning 07/01/2022 ending 06/30/2023                Date of Report:07/25/2023   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                    27532            57248.25000      2126010.9000           37.1367
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                  2132            2299.000000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 18804            99781.83410      3704983.0285           37.1308
Subtotal (Total Children Is Unduplicated)              35084            159329.0841      5830993.9285           36.5972
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                    112             131.000000         6353.5000           48.5000
  AUD-92626-EVAL OF AUD REHAB STATUS                       1               1.000000           56.1000           56.1000
  AUDE-92550-TYMPANOMETRY & REFLEX THRESH                  5               5.000000           73.0800           14.6160
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY               24              30.000000          593.1400           19.7713
  AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE               1               1.000000           23.6700           23.6700
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)             57              68.000000          991.6500           14.5831
  AUDE-92557-COMP AUDIO THRESHOLD EVAL/SPCH RECOG          2               2.000000           44.1400           22.0700
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)             57              69.000000          501.8000            7.2725
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY              59              69.000000         1978.9900           28.6810
  AUDE-92582-CONDITIONED PLAY AUDIOMETRY                   5               5.000000          225.4000           45.0800
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)              14              15.000000          203.1900           13.5460
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                 29              33.000000          693.7200           21.0218
  AUDE-92652-AEP THRSHLD EST MLT FREQ I&R                  1               1.000000           75.1300           75.1300
  AUDE-V5010-ASSESSMENT FOR HEARING AID                    5               5.000000          210.2700           42.0540
  AUDE-V5090-DISPENSING FEE PER HEARING AID                3               4.000000          368.8700           92.2175
  BEHV-BEHV-BEHAVIORAL ASSESSMENT                          1               2.000000          250.0000          125.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                    138             231.000000        11550.0000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                   38              69.000000         3450.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                             1235            1817.647400        90409.8700           49.7400
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          59             100.420800         7531.5600           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         59             111.000000         8325.0000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            30              52.500000         3937.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           36              67.000000         5025.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            20              35.420800         2656.5600           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           33              56.000000         4200.0000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       43              61.000000         4436.6700           72.7323
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      19              30.500000         2277.7500           74.6803
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS           151             202.500000        11238.7500           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          103             179.000000         9934.5000           55.5000
  IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR    1               2.000000          111.0000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT     600            1056.568727        77351.5750           73.2102
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT   782            1395.542899       104024.3775           74.5404
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       222             403.093465        29834.0300           74.0127
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     456             806.500000        60261.0000           74.7192
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       216             386.354066        28894.0950           74.7866
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     339             605.187033        45351.5275           74.9380
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1187            2212.356216       122563.7700           55.3997
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  1570            2766.000000       153435.2500           55.4719
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    451             698.903600        52290.2700           74.8176
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  309             549.004900        40414.7775           73.6146
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                78              78.000000         5820.1400           74.6172
  MED-99205-OUTPATIENT VISIT, NEW, 60 MINS                 3               4.000000          568.9200          142.2300
  NURS-T1001-NURSING ASSESSMENT                            2               3.000000          150.0000           50.0000
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     5              44.000000         2200.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  30             257.000000        12850.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                     25              24.239452         1245.0100           51.3630
  OCTH-97165-OT EVAL LOW COMPLEXITY                       84              86.085602         4309.8700           50.0649
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                      2               2.000000          102.8200           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                  42              41.858588         2040.9200           48.7575
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                12              13.000000          584.4400           44.9569
  OCTH-97167-OT EVAL HIGH COMPLEXITY                      95              97.805485         4949.3600           50.6041
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                     2               2.000000          102.1000           51.0500
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     19              21.109108         1027.0600           48.6548
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    1               1.000000           51.4100           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                       47              50.000000         2389.2200           47.7844
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  15              16.000000          728.7500           45.5469
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      29              33.000000         1643.6800           49.8085
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     2               2.000000          102.4600           51.2300
  SCREEN-T1023-SCREENING                                  60              61.000000         3050.0000           50.0000
  SPCH-92521-EVAL OF SPEECH FLUENCY                      147             167.582912         8300.2700           49.5293
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                      6               6.000000          308.4600           51.4100
  SPCH-92522-EVAL OF SPCH SOUND PROD                       1               1.000000           51.4100           51.4100
  SPCH-92522GT-EVAL OF SPCH SOUND PROD                     1               1.000000           51.4100           51.4100
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     139             144.260681         6938.3900           48.0962
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    20              22.000000         1078.8900           49.0405
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC       4               4.000000          166.2400           41.5600
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           14              82.866428         4067.5000           49.0850
Subtotal (Total Children Is Unduplicated)               6035            15601.30816       957026.2125           61.3427
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                         107             233.000000        61105.3600          262.2548
  AUD-92593TS-AUDIOLOGY SERVICES (Biaural)                 2               4.000000          200.0000           50.0000
  AUD-92630-AUD REHAB PRELING HEARING LOSS                 1               3.000000          208.0500           69.3500
 
 
 
 
 
CMS/EIP Fiscal Report              Statewide 
Services beginning 07/01/2022 ending 06/30/2023                Date of Report:07/25/2023   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
 
  AUDE-V5160-DISPENSING FEE BINAURAL                       1               2.000000          463.2400          231.6200
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE          3124            4043.500000       200308.7600           49.5385
  COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE        3526            4235.500000       211362.5000           49.9026
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE              1345            1430.750000        35112.5000           24.5413
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                2156            5531.750000       261025.2500           47.1867
  CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE             2408            4186.000000       204886.0000           48.9455
  CONIP-CONIP-CONSULT, ITDS PHONE                        247             425.750000        10112.5000           23.7522
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                 1488            3060.000000       150987.5000           49.3423
  CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE               2078            2600.250000       129100.0000           49.6491
  CONOP-CONOP-CONSULT, OT, PHONE                         132             421.500000        10347.5000           24.5492
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  779            1772.250000        86475.0000           48.7939
  CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE               1584            1834.500000        89225.0000           48.6372
  CONPP-CONPP-CONSULT, PT, PHONE                          44              44.750000          993.7500           22.2067
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                1877            3764.250000       182072.5000           48.3689
  CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE              2323            3172.250000       158037.5000           49.8187
  CONSP-CONSP-CONSULT, SLP, PHONE                        186             302.750000         7383.7500           24.3889
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           2414            11923.49970            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF               6              14.000000          350.0000           25.0000
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION            469            1700.000000        83655.0000           49.2088
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         5704            79858.50000      3974754.3800           49.7725
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       1620            11631.00000       580420.0000           49.9028
  INTR-T1013-INTERPRETER                                 836            4208.000000       213352.7600           50.7017
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           22377            416377.0000      4147968.4500            9.9620
  OCCT-97530-OT SESSION BY LICENSED OT                   641            5521.038840       383938.6200           69.5410
  OCCT-97530GT-OT SESSION BY LICENSED OT                  85             408.500000        27461.7400           67.2258
  OCCT-97530HM-OT SESSION BY OT ASST                     173            1566.077142        89301.2200           57.0222
  OCCT-97530HMGT-OT SESSION BY OT ASST                    12              42.500000         2445.9800           57.5525
  OCCT-97530TL-OT SESSION BY LICENSED OT                  15              42.500000         3043.2200           71.6052
  OCCT-97530TLGT-OT SESSION BY LICENSED OT                 6               9.500000          682.5800           71.8505
  PHY-97110-PT SESSION BY LICENSED PT                    556            5056.476255       349375.9400           69.0947
  PHY-97110GT-PT SESSION BY LICENSED PT                   59             183.250000        11965.8900           65.2982
  PHY-97110HM-PT SESSION BY PT ASST                       54             573.942645        32653.9900           56.8942
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST             6              18.750000          980.3700           52.2864
  PHY-97110TL-PT SESSION BY LICENSED PT                   11              40.000000         2872.6800           71.8170
  PHY-97110TLGT-PT SESSION BY LICENSED PT                  3               2.250000          161.9100           71.9600
  SENS-V5050-IN EAR MONAURAL HEARING AID                   1               2.000000          456.0000          228.0000
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               3               4.000000         1522.5000          380.6250
  SENS-V5264-EARMOLD                                      13              23.000000          392.1100           17.0483
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         1433            14971.26792      1030885.0700           68.8576
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        235            1019.000000        71347.2700           70.0169
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             16              41.000000         2353.5800           57.4044
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST           1               2.000000          115.2000           57.6000
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP         21              81.750000         5858.2400           71.6604
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP       13              40.500000         2905.2800           71.7353
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    376             503.250000        18620.2500           37.0000
  TRAV-TRAVS-Travel by mile                             8655            1579948.000       677677.0800            0.4289
Subtotal (Total Children Is Unduplicated)              27261            2172880.303     13516923.9700            6.2207
-----------------------------------------------------------------------------------------------------------------------
Total                                                                2347810.694762     20304944.1110            8.6485
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      42491
-----------------------------------------------------------------------------------------------------------------------
 
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          71066  265640.000000  917037.3000  916683.3000 
D           2610   15656.250000   26960.3400     109.2000 
S             57      25.250000     856.6500      30.0000 
H              1       0.250000       9.3000       9.3000 
T          12175   69847.500000  170443.3100  170266.1900 
           14951    9738.000000  380182.7500   10574.3300 
Other         21       9.000000     334.6000       0.0000 
---------------------------------------------------------
Total     100881  360916.250000 1495824.2500 1097672.3200 
 
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          13628   53280.500000  291634.9100  291530.6470 
            1006    2867.500000   21401.6700       0.0000 
Other      10828   32841.000000  200380.1300       0.0000 
---------------------------------------------------------
Total      25462   88989.000000  513416.7100  291530.6470 
 
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          23077  192720.250000  448093.3500  448093.3500 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            883    6441.500000   17873.7800   17861.2800 
T              0       0.000000       0.0000       0.0000 
           18126   52276.250000  414016.2900       0.0000 
Other          3       3.500000     170.4500       0.0000 
---------------------------------------------------------
Total      42089  251441.500000  880153.8700  465954.6300 
 
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          12950   47960.750000  827583.4200  827568.7200 
D              3       7.000000      70.0000      70.0000 
S              9      36.000000     520.0000     520.0000 
H             20      55.000000    1501.2400     230.0000 
T              1       0.250000       9.2500       0.0000 
           12017   12604.750000  507854.4600       0.0000 
Other          6      13.000000     550.5300      71.9600 
---------------------------------------------------------
Total      25006   60676.750000 1338088.9000  828460.6800 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              2       0.500000      18.6000      18.6000 
P          21612  229232.750000  672476.3500  672476.3500 
D             30      21.250000     789.3500       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 
           12254   10945.750000  226745.7700   13923.4700 
Other          1       0.250000       9.3000       0.0000 
---------------------------------------------------------
Total      33899  240200.500000  900039.3700  686418.4200 
 
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          47272   47071.000000  999888.5600  999888.5600 
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              2       4.000000     261.0000       0.0000 
           22492   14693.000000  507210.1000       0.0000 
Other        771     485.250000   19103.0000       0.0000 
---------------------------------------------------------
Total      70537   62253.250000 1526462.6600  999888.5600 
 
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          34489   91413.000000 1814209.6000 1814037.3000 
D             30      29.500000    1419.0000      20.0000 
S              1       0.250000       9.3000       0.0000 
H              2       4.000000     300.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           25687   13295.603700  484120.3710     147.5000 
Other          2       1.000000      64.4000     -10.0000 
---------------------------------------------------------
Total      60211  104743.353700 2300122.6710 1814194.8000 
 
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          55094  488429.500000 2549997.4500 2549987.7900 
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           3317    7445.250000  136395.6900  136395.6900 
              70      72.750000    3456.8000       0.0000 
Other         47      91.000000    6061.7500       0.0000 
---------------------------------------------------------
Total      58528  496038.500000 2695911.6900 2686383.4800 
 
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          28418   89777.750000 2270293.7600 2270251.1600 
D             46      46.750000    1345.1200       0.0000 
S            109     157.500000    3673.8700      60.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           20861   16973.000000  668513.8000     260.0000 
Other          5       5.000000     218.0000     125.0000 
---------------------------------------------------------
Total      49439  106960.000000 2944044.5500 2270696.1600 
 
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           7422   22426.750000  553423.0300  553423.0300 
D              1       4.000000     251.8600     251.8600 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
              42      81.000000    3733.4600     100.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       7465   22511.750000  557408.3500  553774.8900 
 
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              2       0.500000      18.5500      18.5500 
D             72      86.500000    4586.6000       0.0000 
S             24      13.000000     576.0000       0.0000 
H              1       3.000000     111.0000       0.0000 
T          14537  138791.750000  289091.2600  284072.2500 
            8428    5269.750000  153826.1500     221.2000 
Other          6       8.000000     322.6000     100.0000 
---------------------------------------------------------
Total      23070  144172.500000  448532.1600  284412.0000 
 
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           1274     854.500000   38510.8300       0.0000 
S            454     293.250000    8846.5000       0.0000 
H              1       0.250000      12.5000       0.0000 
T           9593   77185.750000  126548.4000  126476.4400 
           36684   32617.500000  576581.8700       0.0000 
Other        126     102.750000    3961.7600       0.0000 
---------------------------------------------------------
Total      48132  111054.000000  754461.8600  126476.4400 
 
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            866     631.540000   28984.7200       0.0000 
S              8       7.750000      40.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T          15802  110942.500000  248637.7300  247616.7400 
           38914   45448.000000  684378.2900       0.0000 
Other        199     136.250000    5060.4500       0.0000 
---------------------------------------------------------
Total      55789  157166.040000  967101.1900  247616.7400 
 
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          29663   37731.255121  603112.0200  603078.4200 
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 
           20767   15776.505924  519243.1100       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      50430   53507.761045 1122355.1300  603078.4200 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       2.000000     150.0000       0.0000 
P              2       8.000000      80.0000      80.0000 
D             15      20.000000     854.6500       0.0000 
S             54     113.250000    2404.8900    2384.8600 
H             26      27.000000    1851.9200    1851.9200 
T          19297   74343.810850 1365700.0700 1362550.0900 
           12654   12568.000000  488000.0900     287.8400 
Other         45      96.979167    1960.5300    1904.7300 
---------------------------------------------------------
Total      32094   87179.040017 1861002.1500 1369059.4400