2015 Workers' Compensation Fee Schedule

Table C: Skilled Nursing Facilities

NPI or Provider # Provider # In-Patient Allowance Out-Patient Allowance
 
    Implied Decimal 2 (in dollars)
395701 395701 47903 85
395702 395702 32661 50
395704 395704 39192 100
395705 395705 45288 74
1902857360 395706 34164 71
1477504850 395707 34164 71
395708 395708 33967 100
395709 395709 25040 100
395710 395710 39410 50
1992753495 395712 10886 98
395713 395713 38104 84
395715 395715 45941 61
395716 395716 19596 100
395717 395717 33967 86
395718 395718 33203 72
1912905365 395719 43113 45
395720 395720 36799 91
395721 395721 42894 35
395722 395722 39192 55
395723 395723 24822 80
395724 395724 43113 50
395726 395726 52696 72
395728 395728 43981 65
395729 395729 31571 70
395730 395730 22424 80
395731 395731 34839 100
395732 395732 63363 49
395733 395733 39192 85
395735 395735 34839 75
395736 395736 22862 85
395737 395737 29830 80
395738 395738 26131 100
395740 395740 45941 77
395741 395741 69680 51
395742 395742 40502 40
1093761819 395743 35930 100
395744 395744 29830 100
1518942549 395745 46377 70
395746 395746 33749 100
395747 395747 32881 89
395748 395748 55741 80
1760450779 395749 52257 55
395750 395750 45073 100
395751 395751 23952 100
395752 395752 29830 100
395753 395753 34294 0
395754 395754 62057 48
395755 395755 65759 80
395756 395756 53782 78
395757 395757 36362 65
395758 395758 21338 100
395759 395759 52910 31
395760 395760 35930 100
395762 395762 44420 62
395763 395763 34189 100
1376594697 395764 39294 71
395765 395765 43981 87
395767 395767 37017 70
395768 395768 40935 95
395769 395769 55962 28
395770 395770 24603 96
395771 395771 27217 80
395772 395772 27217 80
395773 395773 40935 48
395774 395774 34621 60
395775 395775 19160 80
395776 395776 56175 42
395777 395777 21121 80
395778 395778 27870 80
1548602964 395779 38758 55
395780 395780 31790 74
395782 395782 29179 85
395783 395783 35930 100
395784 395784 38539 84
395785 395785 26783 80
395786 395786 24167 80
395787 395787 28306 90
395788 395788 33312 80
395789 395789 45941 61
395790 395790 33533 100
395791 395791 54439 60
395792 395792 50516 80
395793 395793 41589 69
395794 395794 23078 60
395795 395795 34621 100
395796 395796 38104 100
395797 395797 24386 100
395798 395798 25255 85
395799 395799 30700 52
395800 395800 39192 80
395801 395801 36473 43
395802 395802 35930 100
395803 395803 64452 80
395804 395804 42462 60
395805 395805 24386 80
395806 395806 32226 85
395807 395807 40502 26
1184692121 395809 69458 43
395810 395810 49864 26
395811 395811 56175 80
395812 395812 61405 39
395813 395813 52476 58
395814 395814 49208 70
395815 395815 41368 90
395816 395816 25694 55
395817 395817 40280 100
395818 395818 32007 80
395819 395819 37667 100
395820 395820 14806 80
395821 395821 42242 100
395822 395822 24603 86
1275536880 395823 40067 80
395824 395824 21559 80
395825 395825 29391 90
395826 395826 31571 100
395827 395827 30917 100
395828 395828 43113 100
395829 395829 30160 100
395830 395830 37017 80
395831 395831 30917 90
395832 395832 32226 100
395833 395833 28197 80
395834 395834 41368 100
395835 395835 63148 60
395836 395836 136525 46
395837 395837 58356 45
395838 395838 29830 100
395839 395839 36362 100
395840 395840 41368 60
395841 395841 27653 72
395842 395842 32661 80
395843 395843 42894 56
395844 395844 18943 80
395845 395845 33967 48
395846 395846 29830 100
395847 395847 96893 50
395848 395848 39192 65
395850 395850 21993 80
395851 395851 59224 65
395852 395852 34839 80
395853 395853 30046 56
395854 395854 61405 52
395855 395855 19160 100
395856 395856 112573 58
395857 395857 39847 89
395858 395858 70767 29
395859 395859 111921 48
395860 395860 54870 80
395861 395861 100162 35
395862 395862 55091 100
395863 395863 54439 90
395864 395864 23517 80
395865 395865 37017 80
395866 395866 111921 28
395867 395867 14806 80
395868 395868 39192 70
395869 395869 83830 23
395870 395870 27217 80
395871 395871 30486 100
395872 395872 22211 65
395873 395873 53782 74
395874 395874 81272 56
395875 395875 34404 75
395876 395876 33967 70
395877 395877 48991 65
395878 395878 36579 90
395879 395879 30046 48
395880 395880 39847 83
395881 395881 61841 100
395882 395882 56175 80
395883 395883 47470 80
395884 395884 125198 35
395885 395885 196840 0
395886 395886 33533 75
395887 395887 107784 80
395888 395888 116493 37
395889 395889 90148 48
1861568776 395890 104734 35
395891 395891 46377 80
395892 395892 21993 80
395894 395894 67066 41
395895 395895 31571 70
395896 395896 35708 100
395897 395897 15896 80
395898 395898 38104 100
395899 395899 21773 80
395900 395900 98857 52
1184675381 395901 34164 71
395902 395902 38104 46
395903 395903 19596 80
395904 395904 36145 100
1194145706 395905 29179 67
395906 395906 23734 80
395907 395907 41368 30
395908 395908 20251 80
395909 395909 16328 80
395910 395910 74033 40
395911 395911 116276 38
395912 395912 54000 85
395913 395913 56613 100
395914 395914 52257 80
395915 395915 20687 80
395916 395916 26345 80
395917 395917 54439 60
395918 395918 20035 80
395919 395919 126508 46
395922 395922 32661 80
395923 395923 20902 80
395925 395925 65759 46
395926 395926 75339 45
395927 395927 28960 80
395928 395928 52910 80
395930 395930 54439 80
395931 395931 23517 45
1891874798 395933 46594 28
1669445870 395934 87535 22
395935 395935 57484 80
1629075163 395936 36487 94
395937 395937 46596 40
1255513560 395939 42319 71
395942 395942 62493 51
395946 395946 135107 36
1225033392 395948 20890 80
1235198326 395951 89687 49
1558301325 395952 48758 71
395963 395963 62877 80
1396833778 395966 87979 48
395984 395984 48925 65
1326023573 395987 62176 35
395990 395990 81544 47
395991 395991 122310 47
395994 395994 103463 39
395995 395995 82562 60
395998 395998 54439 100
395999 395999 43548 100
1083611487 396002 133353 35
1851573174 396009 48758 71
1649268921 396024 17848 80
396038 396038 105379 80
1659382455 396040 75156 80
1255342580 396062 36747 65
396064 396064 47092 65
1184629149 396067 40748 65
1154316057 396070 54295 69
1851398341 396074 32881 67
1689747685 396080 39891 80
1649276742 396081 37953 80
1083807911 396095 38771 71
1285741900 396098 35847 80
1053380857 396100 40047 71
1922056076 396101 36747 65
1164509261 396102 44053 60
1568600849 396114 48758 71
1558411983 396118 45291 70
1528377348 396126 48758 71
1255622551 396130 38877 71
1992100408 396136 53254 71
999995 999995 32661 100
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