2016 Workers' Compensation Fee Schedule

Table C: Skilled Nursing Facilities

NPI or Provider # Provider # In-Patient Allowance Out-Patient Allowance
 
    Implied Decimal 2 (in dollars)
1306844295 395001 43467 91
1679575989 395003 38538 100
1376533109 395006 49517 100
1265474753 395010 31590 100
395011 395011 65873 60
1023015138 395012 24868 100
1104998871 395013 29576 80
1154321008 395016 32487 40
1629015078 395018 55342 80
1477565216 395020 27334 80
1245238724 395023 37752 92
1558702381 395028 64305 88
1013988716 395031 41898 63
1285619601 395032 51082 70
1629074935 395034 29127 100
1215984935 395037 32487 100
1063418150 395042 22404 70
1922059237 395044 17251 80
1447245337 395045 33835 69
1922005271 395047 35849 70
1497750053 395050 34728 100
1629063250 395052 35849 94
1346238672 395058 30917 100
1467400960 395066 47945 90
1194015784 395067 25316 100
1194064683 395075 49740 65
1477735785 395077 52876 65
1245327428 395078 47722 60
1982602447 395080 41229 91
395084 395084 35402 89
1902806854 395090 21734 80
1649228149 395092 12995 80
1053318501 395094 22184 80
1376664839 395095 40329 77
1033115514 395101 22631 100
1285744474 395102 24647 100
1235137472 395103 25542 100
1104829571 395104 28903 80
1356323109 395105 41003 94
1225034440 395108 36972 100
1134177637 395109 30025 80
1770562688 395110 54892 100
1316002355 395117 30695 100
1003809526 395118 41448 91
1437146917 395121 32712 100
1124079587 395123 10082 100
1205062585 395124 23300 80
1376530469 395134 42346 100
1851573166 395135 21734 100
1063694370 395138 41448 75
1538119573 395142 36339 71
1477657955 395146 49964 100
1518049899 395148 30243 100
1811208077 395155 51082 24
1225017130 395156 47049 80
1487911830 395158 38090 60
1326046061 395160 32040 70
1801894712 395164 58925 88
1053746222 395166 32040 71
1255320032 395168 41898 45
1518951763 395171 33835 64
1205841632 395172 34728 70
1760622161 395173 53101 50
1558434118 395174 34952 83
1063711786 395176 35959 83
1932150349 395177 37485 71
1508857897 395180 28233 80
1205903630 395182 36972 67
1699738732 395188 64524 95
1093766305 395193 40434 71
1043208291 395197 32935 61
1518913136 395199 29127 100
1699904433 395200 11420 100
1821261710 395202 42568 50
1134113293 395203 37083 84
1295735157 395205 38987 60
1386616068 395206 32040 80
1891191060 395208 38314 73
1396708467 395217 53772 95
1477665198 395218 26439 80
1669423992 395223 36339 71
1386826691 395224 37193 88
1851396972 395227 52431 55
1992729305 395228 30243 80
1184869877 395231 34728 100
1710982392 395232 36744 100
1730182189 395235 35402 78
395237 395237 42568 100
1275584658 395241 11876 80
395242 395242 71923 50
1982843546 395243 32935 70
1649277625 395244 27780 100
1619928074 395247 9410 100
395248 395248 34952 65
1780639872 395249 40484 71
1255338976 395250 36299 85
1386695617 395252 35155 71
1558312959 395256 40434 71
395258 395258 48847 75
1528068012 395260 24647 100
1033529490 395261 34952 75
1891746178 395262 13444 80
395263 395263 40553 48
395265 395265 44811 100
395270 395270 38538 82
1902857212 395273 35155 71
1326033556 395276 46380 51
1033160494 395277 40434 71
1649279142 395278 36744 75
395282 395282 32828 100
395283 395283 33161 63
1841241254 395284 40434 71
1083632202 395285 27780 58
1356414759 395286 37382 86
1992756225 395288 35155 71
1699726509 395289 49216 100
395290 395290 32935 66
395292 395292 31590 86
1659322030 395295 12323 80
395296 395296 43467 50
395297 395297 23977 87
395298 395298 33608 65
1407832843 395300 64524 53
395305 395305 41448 99
1023005766 395306 24422 41
1255312138 395307 40329 100
1073518213 395308 63404 80
1679520266 395309 38090 100
1801195524 395311 47049 35
395313 395313 27560 75
1497837470 395316 42346 40
1750622601 395317 32935 36
1699772327 395318 39882 100
1518915792 395319 51533 95
1184619736 395321 35180 100
1477540524 395324 44588 86
1831184506 395325 33608 100
1417937624 395326 28903 55
1013912500 395328 32487 75
1548268840 395329 31255 100
395330 395330 35959 100
1982775623 395331 52879 86
395332 395332 50412 55
1992758205 395333 40107 57
1750332086 395335 36339 71
1699773655 395336 28678 39
1780751115 395338 34056 75
395342 395342 67216 60
395343 395343 25542 60
1508813460 395344 31370 100
395345 395345 42568 60
395346 395346 38759 45
1578520011 395347 43693 65
1851346704 395348 36972 100
1891806980 395349 34056 100
395350 395350 22404 85
1720034002 395351 33608 100
395353 395353 19330 80
395354 395354 33721 84
395355 395355 42122 80
1740287499 395356 16802 80
1366446288 395357 30243 100
1992750921 395359 31370 100
1376651513 395360 39209 75
1376659748 395361 35402 45
1982655189 395363 35155 71
1023064193 395364 29127 100
395365 395365 27780 100
1194724153 395366 32263 56
395367 395367 38987 100
1851497762 395370 40329 70
395371 395371 27109 90
1952493272 395372 36299 100
395373 395373 39882 80
1154378941 395374 38090 100
395375 395375 28903 100
395376 395376 31814 87
395378 395378 29127 100
1912315649 395379 37640 89
1033114707 395380 51759 61
395381 395381 52653 81
395382 395382 45931 41
1992704589 395384 30025 80
395386 395386 31370 100
1700834314 395387 46380 80
1174504062 395388 36744 85
1619062858 395390 39657 81
395391 395391 35402 80
1487643870 395393 34505 100
1649225590 395394 35849 34
1225036478 395395 33608 100
1861431199 395396 30243 100
1952357659 395397 34728 100
1588641757 395398 24422 100
395399 395399 33385 90
1689633943 395400 32263 75
1891786604 395401 30243 80
1245287341 395402 34728 100
395403 395403 45485 65
395404 395404 54671 70
1801830195 395405 50412 70
1174510325 395406 37866 79
395408 395408 44811 50
1639176977 395409 43020 75
1386637809 395410 30243 83
395412 395412 56909 78
1043207152 395413 38090 40
395414 395414 30917 58
395416 395416 44811 66
1043268543 395418 46156 61
1417928185 395421 23977 41
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