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)
395422 395422 22404 100
395425 395425 35402 100
395426 395426 29127 70
1265435952 395427 36299 84
395428 395428 28006 60
1568401800 395429 36972 100
1205822418 395430 48394 60
1609875962 395431 43693 55
395432 395432 44363 82
1841241171 395433 11343 100
1851342232 395434 13444 80
1205810579 395435 41677 100
1326046699 395437 25316 80
395438 395438 43020 94
395439 395439 42568 100
1336194224 395440 31370 100
1770530354 395442 36972 100
1750432019 395445 36744 59
395446 395446 42568 70
1093701047 395448 24868 44
1275588626 395449 39882 63
1013961952 395451 34728 100
395454 395454 29467 100
1154372522 395456 35155 71
1639241797 395458 35155 71
395459 395459 42568 91
1316063324 395460 37866 81
1710095955 395461 30695 100
1720089261 395462 50191 71
1235134446 395464 30025 80
1043215072 395465 35849 80
1669411385 395466 24422 100
1134123730 395467 35068 46
1285690792 395468 25316 100
1700831070 395469 30243 100
395471 395471 25766 80
1851330195 395472 33608 100
1831180173 395473 33608 75
1508865627 395474 28678 100
1841286135 395475 28903 80
1588668214 395476 25316 80
1710933429 395477 36972 100
1831258045 395478 31814 100
1285621722 395479 32377 92
1598765489 395480 37417 80
1639351943 395481 29576 98
1194776427 395482 35155 71
1578500922 395483 25316 100
1427315357 395484 30917 100
1558303982 395485 37531 80
1104840750 395489 28678 95
1508808932 395490 26439 71
1922164466 395491 42795 78
1174565824 395492 30025 80
1831498567 395493 38987 100
1740352905 395494 46826 73
1700828001 395495 42683 83
1598707119 395496 39430 83
1437154648 395497 26889 100
1356412936 395499 33610 75
1194813469 395500 40329 40
1467449322 395501 32263 58
1841202504 395502 29127 100
1487642658 395506 29800 80
1083707178 395507 58925 68
1699172494 395509 68787 83
1265504369 395510 29576 100
1952340283 395512 26889 100
1235105834 395514 37193 75
1871592816 395515 64080 69
1861492258 395518 28006 89
1801036900 395519 63404 70
395520 395520 34056 100
1114090412 395521 50924 71
395522 395522 28006 58
1033107297 395524 18824 100
1720041874 395525 54892 75
1487822557 395526 38090 100
1740235613 395527 35849 100
395530 395530 27334 55
395532 395532 44811 100
395533 395533 23074 80
1023018504 395534 21564 100
1225036544 395535 30472 100
1346356805 395536 51082 65
1740328269 395537 42346 42
395538 395538 41229 57
395539 395539 30917 96
1700831013 395540 35849 100
1689621484 395541 34728 100
1760483440 395542 21508 88
1922280239 395545 27670 80
1699750745 395549 26439 80
1487655809 395550 34952 81
1730103417 395552 25542 80
395554 395554 41898 86
1134164031 395555 56018 60
1497757710 395556 27780 75
1225023443 395557 30808 100
1770558512 395559 25093 100
395560 395560 35849 90
1023016037 395561 33608 38
1659377034 395562 46826 90
1962433797 395563 24199 100
1396741922 395564 28455 100
395566 395566 47049 80
1942423454 395567 21564 100
1861486003 395568 32935 80
1407952765 395570 28455 100
1598787590 395571 32712 47
1659385797 395572 31145 80
1225021488 395574 40553 95
1730177080 395575 29352 45
1467455220 395577 36972 100
1013914589 395581 30243 100
1578516423 395582 25316 100
395583 395583 29576 100
395585 395585 49740 53
1407885569 395586 57135 69
1134124480 395587 41448 68
1184626491 395589 28455 75
1255329645 395590 29352 60
1447217112 395591 39430 100
1649221045 395592 35155 71
1760475289 395593 41448 100
1831140144 395594 35155 71
1619922267 395595 37531 69
1841290731 395596 37866 100
1124023148 395597 36070 100
1508867938 395599 42346 61
1992733984 395602 25093 38
1114958774 395603 52205 65
1619975927 395604 27780 56
1770571341 395605 60942 91
1518957497 395606 34728 100
1942251301 395607 35155 71
1578568135 395609 27560 80
1740231059 395610 34403 71
1649267477 395611 21081 100
1912011446 395612 52653 89
1285062091 395613 26216 100
1790902203 395614 20461 82
1255337523 395616 47502 46
1639169501 395617 43914 79
1487602983 395618 21287 92
1023004751 395619 36519 27
1548381031 395620 57135 98
1376610725 395621 43693 95
1881690295 395622 53101 65
1043217243 395623 19268 100
1972507531 395624 24868 54
1790783017 395625 24868 80
1528055712 395626 38987 70
1705332169 395627 36410 71
1063498160 395628 26889 50
1518941657 395629 29800 55
1174529069 395631 25093 88
1184612632 395632 45256 37
1235536038 395633 25542 80
1871584409 395634 49292 100
1235478470 395636 38987 84
1962530683 395637 28455 100
1811978398 395638 56018 100
1356331235 395640 35849 82
1669462537 395643 36299 100
1093135600 395644 27560 100
1639183817 395645 36519 75
1912303199 395646 35402 80
1093829582 395647 36519 89
1114920386 395648 30025 100
1053325951 395650 26889 81
1790782217 395651 54444 63
1750339255 395652 26666 90
1518964550 395653 56909 40
1851376370 395654 17027 100
1871591479 395656 29576 100
1336143023 395660 26439 80
1467403865 395661 34403 71
1558303206 395665 39209 97
1467403782 395670 34740 71
395672 395672 27109 100
1811948276 395674 34740 71
1568413946 395675 35155 71
1588655815 395677 50412 67
1336149129 395678 22490 100
1790773778 395679 40553 70
1881691145 395680 45708 100
1225040751 395681 25542 100
1962400317 395682 47945 58
1366490864 395683 45485 100
1588668107 395684 40329 80
1336179043 395686 32263 72
1831207141 395687 34952 100
1881647899 395688 26889 100
1629064472 395690 47273 85
1457396202 395691 41898 60
1316934680 395695 38090 80
1396739546 395697 45256 70
1215009915 395698 30025 80
1083628085 395699 27560 81
1457375081 395700 26889 76
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