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
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
Service Coordination,Class #01
  CASE-CASE-NON-TCM CASE MANAGEMENT                    30876            61739.50000      2292758.9500           37.1360
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                  2606            2797.250000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 49397            299035.5613     11103815.6885           37.1321
Subtotal (Total Children Is Unduplicated)              51201            363572.3113     13396574.6385           36.8471
-----------------------------------------------------------------------------------------------------------------------
Screening, Eval, and Assessment,Class #02
  ASTE-ASTE-ASSISTIVE TECHNOLOGY EVAL                    114             134.000000         6499.0000           48.5000
  AUD-92626-EVAL OF AUD REHAB STATUS                       2               2.000000          112.2000           56.1000
  AUDE-92550-TYMPANOMETRY & REFLEX THRESH                 17              17.000000          248.8800           14.6400
  AUDE-92552-PURE TONE AUDIOMETRY -AIR ONLY              183             211.000000         4139.4500           19.6182
  AUDE-92553-PURE TONE AUDIOMETRY AIR & BONE               2               2.000000           47.1700           23.5850
  AUDE-92555-SPEECH AUD THRESHOLD (DETECTION)            252             289.000000         4152.4500           14.3683
  AUDE-92557-COMP AUDIO THRESHOLD EVAL/SPCH RECOG          3               3.000000           66.2100           22.0700
  AUDE-92567-TYPMANOMETRY (IMPEDANCE TESTING)            254             291.000000         2188.5400            7.5208
  AUDE-92579-VISUAL REINFORCEMENT AUDIOMETRY             264             298.000000         8511.6900           28.5627
  AUDE-92582-CONDITIONED PLAY AUDIOMETRY                   8               8.000000          360.3200           45.0400
  AUDE-92587-OTOACOUSTIC EMISSIONS (LIMITED)              32              34.000000          465.2800           13.6847
  AUDE-92588-OTOACOUSTIC EMISSIONS (COMP)                187             214.000000         4486.5900           20.9654
  AUDE-92652-AEP THRSHLD EST MLT FREQ I&R                  1               1.000000           75.1300           75.1300
  AUDE-V5010-ASSESSMENT FOR HEARING AID                   11              13.000000          554.5500           42.6577
  AUDE-V5090-DISPENSING FEE PER HEARING AID               11              17.000000         1869.5400          109.9729
  BEHV-BEHV-BEHAVIORAL ASSESSMENT                          1               2.000000          250.0000          125.0000
  EVAL-96111-DEVELOPMENTAL EVALUATION                    162             311.500000        15575.0000           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                   42              78.500000         3925.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                             1265            1866.000000        92765.0000           49.7133
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT         291             556.000000        40909.0200           73.5774
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT        341             610.000000        45501.0000           74.5918
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            97             175.500000        13162.5000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT          221             394.500000        29408.2500           74.5456
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT           107             194.500000        14587.5000           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT          141             255.500000        19123.5000           74.8474
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF      142             258.000000        19201.9200           74.4260
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF     107             198.000000        14820.7500           74.8523
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS           420             688.000000        38156.2500           55.4597
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          561            1018.000000        56422.1100           55.4245
  IPDEI-IPDEI_NM-INITIAL PSYCH & DEV EVAL BY NON-MED PR    2               3.000000          166.5000           55.5000
  IPDEI-T1024GNUK-INITIAL PSYCH AND DEV EVAL BY SPAT    4598            8654.461589       640215.3700           73.9752
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  6300            11276.50000       842824.0600           74.7416
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT      1545            2823.499997       209702.7800           74.2705
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT    3702            6588.500000       492827.2100           74.8011
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT      1606            3013.500299       225215.8125           74.7356
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT    2399            4352.000000       325321.0400           74.7521
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    5987            11126.50000       616637.5000           55.4206
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  9961            17886.00000       991136.7000           55.4141
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF   2539            4492.000000       336288.7600           74.8639
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF 2362            4438.584600       331599.9600           74.7085
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS               382             383.000000        50829.8200          132.7149
  MED-99205-OUTPATIENT VISIT, NEW, 60 MINS                11              16.000000         1948.1400          121.7588
  MED-99213-OUTPATIENT VISIT, EST, 15 MINS                 9               9.000000          605.9900           67.3322
  NURS-T1001-NURSING ASSESSMENT                            2               3.000000          150.0000           50.0000
  NUTR-97802-NUTRITIONAL EVAL, INITIAL                     6              57.000000         2850.0000           50.0000
  NUTR-97803-NUTRITIONAL EVAL, FOLLOW-UP                  37             404.000000        20200.0000           50.0000
  OCTF-97168-OT RE-EVAL EST PLAN CARE                    102             121.167088         6200.2300           51.1709
  OCTF-97168GT-OT RE-EVAL EST PLAN CARE                    1               1.000000           51.4100           51.4100
  OCTH-97165-OT EVAL LOW COMPLEXITY                      259             274.499999        13809.7550           50.3088
  OCTH-97165GT-OT EVAL LOW COMPLEXITY                     10              10.000000          514.1000           51.4100
  OCTH-97165TL-OT EVAL LOW COMPLEXITY                     11              11.000000          565.5100           51.4100
  OCTH-97166-OT EVAL MODERATE COMPLEXITY                 192             212.000000        10369.4800           48.9126
  OCTH-97166GT-OT EVAL MODERATE COMPLEXITY                46              48.000000         2340.4500           48.7594
  OCTH-97166TL-OT EVAL MODERATE COMPLEXITY                 5               5.000000          257.0500           51.4100
  OCTH-97166TLGT-OT EVAL MODERATE COMPLEXITY               7               7.000000          359.8700           51.4100
  OCTH-97167-OT EVAL HIGH COMPLEXITY                     261             286.993003        14663.9700           51.0952
  OCTH-97167GT-OT EVAL HIGH COMPLEXITY                    10              10.000000          512.3000           51.2300
  OCTH-97167TL-OT EVAL HIGH COMPLEXITY                     1               1.000000           51.0500           51.0500
  OCTH-97167TLGT-OT EVAL HIGH COMPLEXITY                   1               2.000000          102.8200           51.4100
  PSTF-97164-PT RE-EVAL EST PLAN CARE                     71              83.999999         4146.6400           49.3648
  PSTF-97164GT-PT RE-EVAL EST PLAN CARE                    7               7.000000          359.8700           51.4100
  PSTH-97161-PT EVAL LOW COMPLEXITY                      173             183.000000         8910.6550           48.6921
  PSTH-97161GT-PT EVAL LOW COMPLEXITY                      1               1.000000           51.4100           51.4100
  PSTH-97161TL-PT EVAL LOW COMPLEXITY                      3               3.000000          154.2300           51.4100
  PSTH-97162-PT EVAL MODERATE COMPLEXITY                  56              61.000000         2849.1200           46.7069
  PSTH-97162GT-PT EVAL MODERATE COMPLEXITY                 2               2.000000          102.4600           51.2300
  PSTH-97162TL-PT EVAL MODERATE COMPLEXITY                 2               2.000000          102.8200           51.4100
  PSTH-97163-PT EVAL HIGH COMPLEXITY                      92             103.000000         5197.0900           50.4572
  PSTH-97163GT-PT EVAL HIGH COMPLEXITY                     6              10.000000          513.3800           51.3380
  PSTH-97163TL-PT EVAL HIGH COMPLEXITY                     6               6.000000          308.4600           51.4100
  PSTH-97163TLGT-PT EVAL HIGH COMPLEXITY                   1               1.000000           51.4100           51.4100
  SCREEN-T1023-SCREENING                                 264             276.000000        13504.0000           48.9275
  SPCH-92521-EVAL OF SPEECH FLUENCY                      520             578.750002        29152.8900           50.3722
 
 
 
 
 
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
    Eligibility Filter:Program Patients
 
 
Services                                              Number of            Number of    Fee Reported          Avg Fee
                                                      Children             Units                              Per/Unit
 
  SPCH-92521GT-EVAL OF SPEECH FLUENCY                     29              28.500000         1464.1050           51.3721
  SPCH-92521TL-EVAL OF SPEECH FLUENCY                      5               6.000000          308.4600           51.4100
  SPCH-92521TLGT-EVAL OF SPEECH FLUENCY                    1               1.000000           51.4100           51.4100
  SPCH-92522-EVAL OF SPCH SOUND PROD                       2               2.000000          102.8200           51.4100
  SPCH-92522GT-EVAL OF SPCH SOUND PROD                     2               2.000000          102.4600           51.2300
  SPCH-92523-EVAL OF SPCH SOUND PROD; EVAL LANG COMP     484             530.319830        26263.7800           49.5244
  SPCH-92523GT-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    43              46.000000         2312.0100           50.2611
  SPCH-92523TL-EVAL OF SPCH SOUND PROD; EVAL LANG COMP    31              32.000000         1644.0400           51.3763
  SPCH-92523TLGT-EVAL OF SPCH SOUND PROD; EVAL LANG COM    9              11.000000          565.5100           51.4100
  SPCH-92610-EVAL OF ORAL,PHARYNGEAL SWALLOWING FUNC      13              14.000000          607.1600           43.3686
  SPL-92526-TREATMENT OF SWALLOWING DYSFUNCTION           68             610.250002        30784.1025           50.4451
  SPL-92526TL-TREATMENT OF SWALLOWING DYSFUNCTION         16              94.000000         4966.5400           52.8355
Subtotal (Total Children Is Unduplicated)              24669            87351.02640      5710479.2700           65.3739
-----------------------------------------------------------------------------------------------------------------------
EI Services,Class #03
  ASST-ASST-ASSISTIVE TECHNOLOGY                         151             348.000000       118318.0900          339.9945
  AUD-92593TS-AUDIOLOGY SERVICES (Biaural)                 4               6.000000          300.0000           50.0000
  AUD-92630-AUD REHAB PRELING HEARING LOSS                 1               3.000000          208.0500           69.3500
  AUDE-V5160-DISPENSING FEE BINAURAL                       1               2.000000          463.2400          231.6200
  COIFF-COIFF-IFSP CONSULT, PROF, FACE TO FACE          3199            4194.750000       207671.2600           49.5074
  COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE        3536            4249.000000       212037.5000           49.9029
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE              1412            1568.000000        38512.5000           24.5615
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                2166            5549.750000       261775.2500           47.1688
  CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE             2416            4197.250000       205448.5000           48.9484
  CONIP-CONIP-CONSULT, ITDS PHONE                        248             428.250000        10175.0000           23.7595
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                 1504            3077.000000       151837.5000           49.3460
  CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE               2084            2606.750000       129425.0000           49.6499
  CONOP-CONOP-CONSULT, OT, PHONE                         132             423.500000        10397.5000           24.5514
  CONPF-CONPF-CONSULT, PT, FACE TO FACE                  789            1783.250000        87025.0000           48.8013
  CONPF-CONPFGT-CONSULT, PT, TELEMEDICINE               1586            1836.500000        89325.0000           48.6387
  CONPP-CONPP-CONSULT, PT, PHONE                          44              45.250000         1006.2500           22.2376
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                1889            3781.750000       182947.5000           48.3764
  CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE              2331            3182.500000       158550.0000           49.8193
  CONSP-CONSP-CONSULT, SLP, PHONE                        187             303.750000         7408.7500           24.3909
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           2607            12143.99940            0.0000            0.0000
  EIGF-T1027TTSC-EI GROUP SESSION BY EI PROF              97            3588.000000        89800.0000           25.0279
  EIIF-96154-HEALTH AND BEHAVIOR INTERVENTION            582            2166.750000       104727.5000           48.3339
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF        15953            255165.2500     12715438.5200           49.8322
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       5099            40785.25000      2037314.0000           49.9522
  INTR-T1013-INTERPRETER                                 985            4572.000000       230826.2600           50.4869
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           22882            418640.0000      4171604.6900            9.9647
  OCCT-97530-OT SESSION BY LICENSED OT                  2263            27132.49410      1912266.3994           70.4788
  OCCT-97530GT-OT SESSION BY LICENSED OT                 354            1774.250000       124049.3900           69.9165
  OCCT-97530HM-OT SESSION BY OT ASST                     686            9165.223566       520685.5200           56.8110
  OCCT-97530HMGT-OT SESSION BY OT ASST                    53             197.750000        11222.0000           56.7484
  OCCT-97530TL-OT SESSION BY LICENSED OT                 259            1936.500000       139017.0300           71.7878
  OCCT-97530TLGT-OT SESSION BY LICENSED OT               138             498.250000        35792.1900           71.8358
  OCCT-97530TLGTHM-OT SESSION BY OT ASST                  10              17.500000         1004.2000           57.3829
  OCCT-97530TLHM-OT SESSION BY OT ASST                    25             238.000000        13696.4000           57.5479
  PHY-97110-PT SESSION BY LICENSED PT                   1957            27357.61997      1915205.2800           70.0063
  PHY-97110GT-PT SESSION BY LICENSED PT                  235            1087.630000        74630.8200           68.6178
  PHY-97110HM-PT SESSION BY PT ASST                      272            3922.835029       224723.7900           57.2861
  PHY-97110HMGT-PT SESSION BY LICENSED PT ASST            38             162.500000         8911.5100           54.8401
  PHY-97110TL-PT SESSION BY LICENSED PT                  281            2664.750000       191442.0100           71.8424
  PHY-97110TLGT-PT SESSION BY LICENSED PT                 96             178.500000        12814.4400           71.7896
  PHY-97110TLGTHM-PT SESSION BY PT ASST                    2               2.000000          115.1200           57.5600
  PHY-97110TLHM-PT SESSION BY PT ASST                     11             146.750000         8438.9300           57.5055
  SENS-V5014-*HEARING AID REPAIR BY MANUFACTURER           1               2.000000          130.0000           65.0000
  SENS-V5050-IN EAR MONAURAL HEARING AID                   6              12.000000         2742.4400          228.5367
  SENS-V5060-BEHIND EAR HEARING AID                        2               2.000000          459.2200          229.6100
  SENS-V5140-BEHIND EAR BINAURAL HEARING AID               6               7.000000         2900.1600          414.3086
  SENS-V5264-EARMOLD                                      34              66.000000         1169.8800           17.7255
  SPL-92507-SPL THERAPY SESSION BY LICENSED SLP         4131            59437.38573      4162985.8500           70.0399
  SPL-92507GT-SPL THERAPY SESSION BY LICENSED SLP        707            3871.500000       271345.3700           70.0879
  SPL-92507HM-SPL THERAPY SESSION BY SLP ASST             55             225.485670        12786.4400           56.7062
  SPL-92507HMGT-SPL THERAPY  SESSION BY SLP ASST          10              37.702431         2214.7400           58.7426
  SPL-92507TL-SPL THERAPY SESSION BY LICENSED SLP        350            3073.660000       220687.7600           71.7997
  SPL-92507TLGT-SPL THERAPY SESSION BY LICENSED SLP      155             636.250000        45650.4500           71.7492
  SPL-92508HA-GROUP SPL SESSION PER CHILD                  4               8.500000          114.3000           13.4471
  SPL-92508TLGT-SPL THERAPY SESSION BY LICENSED SLP        2               2.000000           27.9200           13.9600
  TELEC-TELEC-TELECONFERENCE,PROVIDER TO FAMILY,PHONE    378             504.500000        18666.5000           37.0000
  TRAV-TRAVS-Travel by mile                            10394            1858802.000       801159.6200            0.4310
Subtotal (Total Children Is Unduplicated)              30085            2777818.036     31959598.5394           11.5053
-----------------------------------------------------------------------------------------------------------------------
Total                                                                3228741.373555     51066652.4479           15.8163
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      53117
-----------------------------------------------------------------------------------------------------------------------
 
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          85833  281885.500000 1741401.7900 1740735.3700 
D           3450   16597.750000   73362.5100     109.2000 
S             81      62.250000    3171.6500      30.0000 
H          31722   23103.750000 1029243.3800  910903.9200 
T          14335   72297.000000  298336.2700  294912.3400 
           17295   11774.000000  481167.9500   18213.1300 
Other       1149    1443.000000   93134.1000       0.0000 
---------------------------------------------------------
Total     153865  407163.250000 3719817.6500 2964903.9600 
 
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              3       3.000000      99.4600    -116.4200 
H              0       0.000000       0.0000       0.0000 
T          16405   63300.750000  464308.5200  464549.8530 
            1161    3158.250000   29559.1400       0.0000 
Other      19207   42280.500000  449034.5700       0.0000 
---------------------------------------------------------
Total      36776  108742.500000  943001.6900  464433.4330 
 
Center 03
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            107     145.500000    5412.6000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           6184    4286.000000  165996.2400       0.0000 
P          28899  198063.500000  708001.3500  707815.2800 
D             82      83.250000    3621.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H           1135    6746.250000   33611.8900   33599.3900 
T              0       0.000000       0.0000       0.0000 
           22059   56083.500000  586283.1300       0.0000 
Other        266     262.500000   10084.1500       0.0000 
---------------------------------------------------------
Total      58732  265670.500000 1513010.3600  741414.6700 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            210     326.500000   12902.5500       0.0000 
U              0       0.000000       0.0000       0.0000 
B           5979    8979.250000  357491.8000       0.0000 
P          20676   60476.250000 1365302.3300 1339451.5800 
D            988    1424.750000   55045.2900     205.8000 
S             16      50.000000     970.9600     520.0000 
H           9060   33943.500000 1709662.8100     440.0000 
T              2       3.250000     120.2500       0.0000 
           15489   18689.000000  792160.5600     831.0800 
Other        331     702.250000   48067.3000    1252.2400 
---------------------------------------------------------
Total      52751  124594.750000 4341723.8500 1342700.7000 
 
Center 05
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             40      23.500000     874.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B          12390    7764.750000  288429.6000  236348.5100 
P          22680  234885.250000  746017.3700  746017.3700 
D             98      55.500000    2057.4500      83.2500 
S              0       0.000000       0.0000       0.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           14185   12373.500000  275725.2000   15184.4500 
Other         38      27.750000    1032.3000       0.0000 
---------------------------------------------------------
Total      49431  255130.250000 1314136.1200  997633.5800 
 
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          49856   48982.000000 1107071.5500 1107071.5500 
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              2       4.000000     261.0000       0.0000 
           87364  176513.500000 2921617.4800       0.0000 
Other        797     507.000000   20023.6000       0.0000 
---------------------------------------------------------
Total     138019  226006.500000 4048973.6300 1107071.5500 
 
Center 07
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             90      70.750000    3083.1000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1989    1666.750000   75993.6000       0.0000 
P          48430  107317.963800 2664057.1700 2663613.5200 
D            227     200.249300   10344.9175     163.9200 
S              1       0.250000       9.3000       0.0000 
H            120     240.000000   18000.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           27642   14797.786900  549441.2835     147.5000 
Other       1472     744.500000   28738.0000    -160.0000 
---------------------------------------------------------
Total      79971  125038.250000 3349667.3710 2663764.9400 
 
Center 09
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            199     200.250000    7828.5400       0.0000 
U              0       0.000000       0.0000       0.0000 
B           8558    9225.750000  375548.3300    5517.5100 
P          75089  644451.500000 4316131.9700 4315895.2800 
D              4       6.500000     241.8000       0.0000 
S              1       2.000000     102.8200      51.0500 
H           1427    1944.000000  108846.0000       0.0000 
T           4786   30158.000000  263245.9200  263245.3200 
            8771   28417.750000 1558448.2100     288.0000 
Other        759    1450.750000  100195.6000       0.0000 
---------------------------------------------------------
Total      99594  715856.500000 6730589.1900 4584997.1600 
 
Center 10
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             99      80.250000    3154.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B          39682   34843.500000 1468527.1500       0.0000 
P          36264  101522.500000 3048938.6600 3032230.6000 
D            570     717.250000   42692.3800       0.0000 
S            264     364.500000   11469.7300      60.0000 
H              0       0.000000       0.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           48341   86467.750000 4678185.7850     260.0000 
Other        535     381.500000   14453.9900     125.0000 
---------------------------------------------------------
Total     125755  224377.250000 9267421.8950 3032675.6000 
 
Center 51
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              2       2.500000     138.7500       0.0000 
U              0       0.000000       0.0000       0.0000 
B             40      55.000000    3453.7500       0.0000 
P           8126   24367.000000  680652.3000  680452.3000 
D              1       4.000000     251.8600     251.8600 
S              0       0.000000       0.0000       0.0000 
H              3      14.000000     964.3600     964.3600 
T              0       0.000000       0.0000       0.0000 
            2062    6155.000000  376504.3700     100.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      10234   30597.500000 1061965.3900  681768.5200 
 
Center 52
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             13      13.000000     685.6200       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1970    2020.750000  109090.3200     130.2000 
P           7562    8189.500000  389453.1100  499472.8900 
D           1165    1363.500000   74436.7800    2213.2000 
S            603     527.250000   23178.2000    2373.3000 
H            444     600.500000   39734.4300       0.0000 
T          18352  145957.380000  595599.4700  555102.9700 
           13063   13177.500000  610134.9925     923.7400 
Other          7      10.000000     472.6000     250.0000 
---------------------------------------------------------
Total      43179  171859.380000 1842785.5225 1060466.3000 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R            186     188.500000   13240.8100       0.0000 
U              0       0.000000       0.0000       0.0000 
B           1411    1297.250000   64472.0600       0.0000 
P          12503   11648.316440  584664.3400  582040.7300 
D           2189    1807.283560   95575.5100       0.0000 
S            666     497.500000   19220.1500       0.0000 
H            475     511.900000   36529.3300       0.0000 
T          10073   78244.000000  157746.9000  157674.9400 
           46036   41809.750000 1052775.5300     359.8000 
Other        798     654.500000   31527.8300     145.8900 
---------------------------------------------------------
Total      74337  136659.000000 2055752.4600  740221.3600 
 
Center 54
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             12      14.000000     520.8000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           2503    2401.250000  114818.0200       0.0000 
P          21015   19430.700000  899159.5200  898207.8800 
D           1572    1372.870000   74536.9800       0.0000 
S             42      39.860000    1936.7700      37.2000 
H            489     552.310000   39730.6500       0.0000 
T          17307  113117.980000  339575.1200  338425.4000 
           50781   58380.270000 1347778.4900       0.0000 
Other        591     486.940000   23918.7800    1633.3300 
---------------------------------------------------------
Total      94312  195796.180000 2841975.1300 1238303.8100 
 
Center 55
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           3824    3868.703067  177195.0800       0.0000 
P          42519   50731.196741 1224442.3000 1223874.0900 
D              1       0.250000       9.3000       0.0000 
S             11      14.247200     992.5400      37.5000 
H            184     300.165509   21928.5900       0.0000 
T              0       0.000000       0.0000       0.0000 
           43805   38657.948661 1854541.5900       0.0000 
Other          1       0.250000       9.3000       9.3000 
---------------------------------------------------------
Total      90345   93572.761178 3279118.7000 1223920.8900 
 
Center 57
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R             25      44.500000    1954.2000       0.0000 
U              0       0.000000       0.0000       0.0000 
B           4786    6951.750000  303620.9000     139.5000 
P          10305   15191.170487  654406.0900  659216.8260 
D            193     340.750000   21800.2500      92.5000 
S             74     156.580752    4432.3400    4412.3100 
H             54      55.000000    2378.1700    2378.1700 
T          20334   76438.595952 1506387.1194 1499053.8400 
           23693   47575.699330 2233429.5000 1539325.6500 
Other        723     922.255856   28286.3200   14369.6700 
---------------------------------------------------------
Total      60187  147676.302377 4756694.8894 3718988.4660