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: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                    30875            61729.00000      2292368.5000           37.1360
  SCTT-SCTT-SERVICE COORDINATOR TRAVEL                  2605            2796.750000            0.0000            0.0000
  TCM-T1017TL-TARGETED CASE MANAGEMENT                 21754            113993.0841      4232941.2785           37.1333
Subtotal (Total Children Is Unduplicated)              39590            178518.8341      6525309.7785           36.5525
-----------------------------------------------------------------------------------------------------------------------
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                    156             289.691400        14484.5700           50.0000
  EVAL-96111GT-DEVELOPMENTAL EVALUATION                   40              75.000000         3750.0000           50.0000
  EXIT-EXIT-EXIT ASSESSMENT                             1237            1820.647400        90559.8700           49.7405
  IPDEF-T1024GNTS-F/U PSYCH AND DEV EVAL BY SPAT          75             131.587467         9869.0600           75.0000
  IPDEF-T1024GNTSGT-F/U PHYC AND DEV EVAL BY SPAT         75             137.500000        10312.5000           75.0000
  IPDEF-T1024GOTS-F/U PSYCH AND DEV EVAL BY OT            35              62.000000         4650.0000           75.0000
  IPDEF-T1024GOTSGT-F/U PHYC AND DEV EVAL BY OT           47              86.000000         6450.0000           75.0000
  IPDEF-T1024GPTS-F/U PSYCH AND DEV EVAL BY PT            26              46.420800         3481.5600           75.0000
  IPDEF-T1024GPTSGT-F/U PHYC AND DEV EVAL BY PT           44              73.000000         5475.0000           75.0000
  IPDEF-T1024TLTS-F/U PSYCH AND DEV EVAL BY EI PROF       50              69.500000         5074.1700           73.0096
  IPDEF-T1024TLTSGT-F/U PHYC AND DEV EVAL BY EI PROF      21              34.000000         2540.2500           74.7132
  IPDEF-T1024TS-F/U PSYCH AND DEV EVAL BY ITDS           191             263.500000        14624.2500           55.5000
  IPDEF-T1024TSGT-F/U PHYC AND DEV EVAL BY ITDS          130             226.000000        12543.0000           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     838            1456.856058       106767.7550           73.2864
  IPDEI-T1024GNUKGT-INITIAL PSYCH AND DEV EVAL BY SPAT  1109            1940.876232       144785.3775           74.5979
  IPDEI-T1024GOUK-INITIAL PSYCH AND DEV EVAL BY OT       292             528.188398        39066.1500           73.9625
  IPDEI-T1024GOUKGT-INITIAL PSYCH AND DEV EVAL BY OT     634            1119.500000        83698.5000           74.7642
  IPDEI-T1024GPUK-INITIAL PSYCH AND DEV EVAL BY PT       273             482.095466        36074.7000           74.8290
  IPDEI-T1024GPUKGT-INITIAL PSYCH AND DEV EVAL BY PT     498             871.187033        65301.5275           74.9570
  IPDEI-T1024HNUK-INITIAL PSYCH AND DEV EVAL BY ITDS    1637            3010.856216       166852.7700           55.4171
  IPDEI-T1024HNUKGT-INITIAL PSYCH AND DEV EVAL BY ITDS  2164            3788.500000       210173.0000           55.4766
  IPDEI-T1024TL-INITIAL PSYCH AND DEV EVAL BY EI PROF    585             903.837700        67660.3275           74.8589
  IPDEI-T1024TLGT-INITIAL PSYCH AND DEV EVAL BY EI PROF  425             749.004900        55387.0775           73.9476
  MED-99203-OUTPATIENT VISIT, NEW, 30 MINS                96              96.000000         7139.6000           74.3708
  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                                  66              67.000000         3350.0000           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)               7546            19898.55733      1238833.2550           62.2574
-----------------------------------------------------------------------------------------------------------------------
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:Program Patients
 
 
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          3129            4049.750000       200621.2600           49.5392
  COIFF-COIFFGT-IFSP CONSULT, PROF, TELEMEDICINE        3528            4237.500000       211462.5000           49.9027
  COIFP-COIFP-IFSP CONSULT, PROF, BY PHONE              1347            1432.500000        35156.2500           24.5419
  CONIF-CONIF-CONSULT, ITDS FACE TO FACE                2157            5532.750000       261075.2500           47.1872
  CONIF-CONIFGT-CONSULT, ITDS, TELEMEDICINE             2412            4190.250000       205098.5000           48.9466
  CONIP-CONIP-CONSULT, ITDS PHONE                        248             426.250000        10125.0000           23.7537
  CONOF-CONOF-CONSULT, OT, FACE TO FACE                 1490            3060.750000       151025.0000           49.3425
  CONOF-CONOFGT-CONSULT, OT, TELEMEDICINE               2079            2600.750000       129125.0000           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               1586            1835.500000        89275.0000           48.6380
  CONPP-CONPP-CONSULT, PT, PHONE                          44              44.750000          993.7500           22.2067
  CONSF-CONSF-CONSULT, SLP, FACE TO FACE                1879            3766.750000       182197.5000           48.3699
  CONSF-CONSFGT-CONSULT, SLP, TELEMEDICINE              2327            3177.000000       158275.0000           49.8190
  CONSP-CONSP-CONSULT, SLP, PHONE                        186             302.750000         7383.7500           24.3889
  DSTT-DSTT-DIRECT SERVICE COORDINATOR TRAVEL           2606            12130.24940            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            470            1708.000000        84055.0000           49.2125
  EIIF-T1027SC-EI INDIVIDUAL SESSION BY EI PROF         5706            79874.50000      3975554.3800           49.7725
  EIIF-T1027SCGT-EI INDIVIDUAL SESSION BY EI PROF       1622            11647.00000       581220.0000           49.9030
  INTR-T1013-INTERPRETER                                 983            4565.750000       230563.7600           50.4986
  NESF-99600-NATURAL ENVIRONMENT SUPPORT FEE           22808            417291.0000      4157114.4500            9.9621
  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         1434            14972.26792      1030957.0300           68.8578
  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    378             504.500000        18666.5000           37.0000
  TRAV-TRAVS-Travel by mile                             9142            1600350.000       686723.0000            0.4291
Subtotal (Total Children Is Unduplicated)              28173            2194828.302     13555651.3500            6.1762
-----------------------------------------------------------------------------------------------------------------------
Total                                                                2393245.693626     21319794.3835            8.9083
-----------------------------------------------------------------------------------------------------------------------
Number of Children (Unduplicated) With at Least One Service      47313
-----------------------------------------------------------------------------------------------------------------------
 
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          71359  266879.750000  929010.1500  928656.1500 
D           2617   15745.500000   27070.6900     109.2000 
S             61      28.750000     986.4000      30.0000 
H              1       0.250000       9.3000       9.3000 
T          12217   70062.500000  172750.1700  172573.0500 
           16303   10762.250000  419999.4000   11160.2300 
Other         22       9.250000     343.9000       0.0000 
---------------------------------------------------------
Total     102580  363488.250000 1550170.0100 1112537.9300 
 
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          13896   61333.750000  305931.5300  305780.9870 
            1015    3046.500000   21591.4300       0.0000 
Other      12788   37396.000000  237774.6200       0.0000 
---------------------------------------------------------
Total      27699  101776.250000  565297.5800  305780.9870 
 
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          23209  193038.250000  461303.6800  461303.6800 
D              0       0.000000       0.0000       0.0000 
S              0       0.000000       0.0000       0.0000 
H            890    6465.000000   18533.8100   18521.3100 
T              0       0.000000       0.0000       0.0000 
           19288   53583.250000  468400.8400       0.0000 
Other          3       3.500000     170.4500       0.0000 
---------------------------------------------------------
Total      43390  253090.000000  948408.7800  479824.9900 
 
Center 04
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       0.750000      27.7500       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 
           13250   14120.250000  573826.8200       0.0000 
Other          6      13.000000     550.5300      71.9600 
---------------------------------------------------------
Total      26240   62193.000000 1404089.0100  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          22342  234298.500000  714558.4100  714558.4100 
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 
           14166   12358.500000  275006.8100   14782.2600 
Other          1       0.250000       9.3000       0.0000 
---------------------------------------------------------
Total      36541  246679.000000  990382.4700  729359.2700 
 
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          47364   47162.750000 1001272.3100 1001272.3100 
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              2       4.000000     261.0000       0.0000 
           24020   15892.500000  553348.6000       0.0000 
Other        792     500.750000   19678.9000       0.0000 
---------------------------------------------------------
Total      72178   63560.000000 1574560.8100 1001272.3100 
 
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          34689   91665.000000 1821792.9300 1821620.6300 
D             32      33.500000    1719.0000      20.0000 
S              1       0.250000       9.3000       0.0000 
H              3       6.000000     450.0000       0.0000 
T              0       0.000000       0.0000       0.0000 
           27489   14550.286900  532524.7835     147.5000 
Other          2       1.000000      64.4000     -10.0000 
---------------------------------------------------------
Total      62216  106256.036900 2356560.4135 1821778.1300 
 
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          56619  490397.750000 2637007.0000 2636997.3400 
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           3491    7657.000000  145358.6400  145358.6400 
              80      87.000000    3986.9000       0.0000 
Other         68     131.500000    9060.2500       0.0000 
---------------------------------------------------------
Total      60258  498273.250000 2795412.7900 2782355.9800 
 
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             47      48.750000    1456.1200       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 
           22420   18947.250000  751866.6500     260.0000 
Other          7       7.250000     301.7000     125.0000 
---------------------------------------------------------
Total      51001  108938.500000 3027592.1000 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           7512   22518.250000  557532.4900  557532.4900 
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 
              44      82.500000    3826.4600     100.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total       7557   22604.750000  561610.8100  557884.3500 
 
Center 52
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     111.0000       0.0000 
P              2       0.500000      18.5500      18.5500 
D             77      97.750000    5189.8500       0.0000 
S             25      15.000000     650.0000       0.0000 
H              1       3.000000     111.0000       0.0000 
T          14671  140611.750000  290638.0500  285289.4400 
            8995    5804.000000  173162.4000     221.2000 
Other          6       8.000000     322.6000     100.0000 
---------------------------------------------------------
Total      23778  146542.000000  470203.4500  285629.1900 
 
Center 53
Flag      Claims          Units         Chgs         Paid
---------------------------------------------------------
R              0       0.000000       0.0000       0.0000 
U              0       0.000000       0.0000       0.0000 
B              1       1.000000      37.2000       0.0000 
P              0       0.000000       0.0000       0.0000 
D           1315     886.500000   39933.6300       0.0000 
S            487     312.000000    9604.1500       0.0000 
H              1       0.250000      12.5000       0.0000 
T           9658   77801.250000  127275.2000  127203.2400 
           38629   34031.750000  623448.0500       0.0000 
Other        128     105.250000    4111.4600       0.0000 
---------------------------------------------------------
Total      50219  113138.000000  804422.1900  127203.2400 
 
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            899     655.540000   29876.1700       0.0000 
S              9       8.000000      52.5000       0.0000 
H              0       0.000000       0.0000       0.0000 
T          15948  111649.500000  256437.2600  255416.2700 
           40938   47680.500000  756958.7700       0.0000 
Other        204     139.000000    5162.6500       0.0000 
---------------------------------------------------------
Total      57998  160132.540000 1048487.3500  255416.2700 
 
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          29749   37891.092054  613146.7900  613113.1900 
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 
           24351   18777.234655  638499.4800       0.0000 
Other          0       0.000000       0.0000       0.0000 
---------------------------------------------------------
Total      54100   56668.326709 1251646.2700  613113.1900 
 
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          19299   74347.310850 1365962.5700 1362812.5900 
           14493   15290.750000  597667.1900     287.8400 
Other         45      96.979167    1960.5300    1904.7300 
---------------------------------------------------------
Total      33935   89905.290017 1970931.7500 1369321.9400