2014 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 46964 85
395702 395702 32021 50
395704 395704 38424 100
395705 395705 44400 74
1902857360 395706 33494 71
1477504850 395707 33494 71
395708 395708 33301 100
395709 395709 24549 100
395710 395710 38637 50
1992753495 395712 10673 98
395713 395713 37357 84
395715 395715 45040 61
395716 395716 19212 100
395717 395717 33301 86
395718 395718 32552 72
395719 395719 42268 45
395720 395720 36077 91
395721 395721 42053 35
395722 395722 38424 55
395723 395723 24335 80
395724 395724 42268 50
395726 395726 51663 72
395728 395728 43119 65
395729 395729 30952 70
395730 395730 21984 80
395731 395731 34156 100
395732 395732 62121 49
395733 395733 38424 85
395735 395735 34156 75
395736 395736 22414 85
395737 395737 29245 80
395738 395738 25619 100
395740 395740 45040 77
395741 395741 68314 51
395742 395742 39708 40
1093761819 395743 35225 100
395744 395744 29245 100
1518942549 395745 45468 70
395746 395746 33087 100
395747 395747 32236 89
395748 395748 54648 80
1760450779 395749 51232 55
395750 395750 44189 100
395751 395751 23482 100
395752 395752 29245 100
395753 395753 33622 0
395754 395754 60840 48
395755 395755 64470 80
395756 395756 52727 78
395757 395757 35649 65
395758 395758 20920 100
395759 395759 51873 31
395760 395760 35225 100
395762 395762 43549 62
395763 395763 33519 100
1376594697 395764 38524 71
395765 395765 43119 87
395767 395767 36291 70
395768 395768 40132 95
395769 395769 54865 28
395770 395770 24121 96
395771 395771 26683 80
395772 395772 26683 80
395773 395773 40132 48
395774 395774 33942 60
395775 395775 18784 80
395776 395776 55074 42
395777 395777 20707 80
395778 395778 27324 80
395779 395779 37998 55
395780 395780 31167 74
395782 395782 28607 85
395783 395783 35225 100
395784 395784 37783 84
395785 395785 26258 80
395786 395786 23693 80
395787 395787 27751 90
395788 395788 32659 80
395789 395789 45040 61
395790 395790 32875 100
395791 395791 53372 60
395792 395792 49525 80
395793 395793 40774 69
395794 395794 22625 60
395795 395795 33942 100
395796 395796 37357 100
395797 395797 23908 100
395798 395798 24760 85
395799 395799 30098 52
395800 395800 38424 80
395801 395801 35758 43
395802 395802 35225 100
395803 395803 63188 80
395804 395804 41629 60
395805 395805 23908 80
395806 395806 31594 85
395807 395807 39708 26
1184692121 395809 68096 43
395810 395810 48886 26
395811 395811 55074 80
395812 395812 60201 39
395813 395813 51447 58
395814 395814 48243 70
395815 395815 40557 90
395816 395816 25190 55
395817 395817 39490 100
395818 395818 31379 80
395819 395819 36928 100
395820 395820 14516 80
395821 395821 41414 100
395822 395822 24121 86
1275536880 395823 39281 80
395824 395824 21136 80
395825 395825 28815 90
395826 395826 30952 100
395827 395827 30311 100
395828 395828 42268 100
395829 395829 29569 100
395830 395830 36291 80
395831 395831 30311 90
395832 395832 31594 100
395833 395833 27644 80
395834 395834 40557 100
395835 395835 61910 60
395836 395836 133848 46
395837 395837 57212 45
395838 395838 29245 100
395839 395839 35649 100
395840 395840 40557 60
395841 395841 27111 72
395842 395842 32021 80
395843 395843 42053 56
395844 395844 18572 80
395845 395845 33301 48
395846 395846 29245 100
395847 395847 94993 50
395848 395848 38424 65
395850 395850 21562 80
395851 395851 58063 65
395852 395852 34156 80
395853 395853 29457 56
395854 395854 60201 52
395855 395855 18784 100
395856 395856 110366 58
395857 395857 39066 89
395858 395858 69379 29
395859 395859 109726 48
395860 395860 53794 80
395861 395861 98198 35
395862 395862 54011 100
395863 395863 53372 90
395864 395864 23056 80
395865 395865 36291 80
395866 395866 109726 28
395867 395867 14516 80
395868 395868 38424 70
395869 395869 82186 23
395870 395870 26683 80
395871 395871 29888 100
395872 395872 21775 65
395873 395873 52727 74
395874 395874 79678 56
395875 395875 33729 75
395876 395876 33301 70
395877 395877 48030 65
395878 395878 35862 90
395879 395879 29457 48
395880 395880 39066 83
395881 395881 60628 100
395882 395882 55074 80
395883 395883 46539 80
395884 395884 122743 35
395885 395885 192980 0
395886 395886 32875 75
395887 395887 105671 80
395888 395888 114209 37
395889 395889 88380 48
1861568776 395890 102680 35
395891 395891 45468 80
395892 395892 21562 80
395894 395894 65751 41
395895 395895 30952 70
395896 395896 35008 100
395897 395897 15584 80
395898 395898 37357 100
395899 395899 21346 80
395900 395900 96919 52
1184675381 395901 33494 71
395902 395902 37357 46
395903 395903 19212 80
395904 395904 35436 100
395905 395905 28607 67
395906 395906 23269 80
395907 395907 40557 30
395908 395908 19854 80
395909 395909 16008 80
395910 395910 72581 40
395911 395911 113996 38
395912 395912 52941 85
395913 395913 55503 100
395914 395914 51232 80
395915 395915 20281 80
395916 395916 25828 80
395917 395917 53372 60
395918 395918 19642 80
395919 395919 124027 46
395922 395922 32021 80
395923 395923 20492 80
395925 395925 64470 46
395926 395926 73862 45
395927 395927 28392 80
395928 395928 51873 80
395930 395930 53372 80
395931 395931 23056 45
1891874798 395933 45680 28
1669445870 395934 85819 22
395935 395935 56357 80
1629075163 395936 35772 94
395937 395937 45682 40
395942 395942 61268 51
395946 395946 132458 36
1225033392 395948 20480 80
1235198326 395951 87928 49
395963 395963 61644 80
1396833778 395966 86254 48
395984 395984 47966 65
1326023573 395987 60957 35
395990 395990 79945 47
395991 395991 119912 47
395994 395994 101434 39
395995 395995 80943 60
395998 395998 53372 100
395999 395999 42694 100
1083611487 396002 130738 35
1649268921 396024 17498 80
396038 396038 103313 80
1659382455 396040 73682 80
1255342580 396062 36026 65
396064 396064 46169 65
1184629149 396067 39949 65
1154316057 396070 53230 69
1851398341 396074 32236 67
1689747685 396080 39109 80
1285741900 396098 35144 80
1053380857 396100 39262 71
1922056076 396101 36026 65
1164509261 396102 43189 60
1558411983 396118 44403 70
999995 999995 32021 100
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