You'll create running totals for these.
Field to Summarize: Whichever field you need to count or sum.
Evaluate for every record
Reset on change of: Payor group
Even though you're only displaying one payor, per client, this should get you the values that you'll need. Because they're running totals, you'll need to display them in a group footer section (either client or payor) in order to get the correct numbers.
-Dell