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2024 Workers' Compensation Fee Schedule

Table D: Home Health Agency

NPI or Provider # Provider #
 MSA # Skilled Nursing Rate Physical Therapy Rate Speech Therapy Rate Occupational Therapy Rate Social Services Rate Home Aid Allowance
Implied Decimal 2 (in dollars)
1619953775 397001 6680 28429 27331 28396 27185 39418 15299
1386645323 397002 280 28811 27696 28785 27545 39944 15507
1437172301 397004 9280 28449 27342 28414 27195 39438 15312
1871548560 397006 9140 27643 26567 27613 26424 38328 14876
1912983974 397008 6160 33246 31954 33211 31770 46065 17892
1386631513 397009 6160 33246 31954 33211 31770 46065 17892
1215967468 397012 6160 33246 31954 33211 31770 46065 17892
1891755393 397013 4000 29152 28022 29123 27868 40416 15694
1225218761 397014 240 30327 29152 30291 28992 42041 16327
1467412296 397015 6160 33246 31954 33211 31770 46065 17892
1710129762 397021 7560 28180 27092 28147 26942 39069 15166
1821061979 397023 240 30327 29152 30291 28992 42041 16327
1831193598 397025 6160 33246 31954 33211 31770 46065 17892
1598725210 397028 39 27812 29637 30999 29898 46487 12927
1255328191 397029 39 27812 29637 30999 29898 46487 12927
1851394571 397031 7560 28180 27092 28147 26942 39069 15166
1184682528 397032 6160 33246 31954 33211 31770 46065 17892
1932196136 397034 2360 28785 27663 28756 27518 39910 15500
1396797163 397047 3240 29948 28788 29915 28624 41508 16123
1508946948 397050 7560 28180 27092 28147 26942 39069 15166
1043278500 397051 6160 33246 31954 33211 31770 46065 17892
1386631216 397053 39 27812 29637 30999 29898 46487 12927
1891817458 397061 9280 28449 27342 28414 27195 39438 15312
1891741138 397061 9280 28449 27342 28414 27195 39438 15312
1023098985 397071 6280 30954 29761 30925 29589 42907 16665
1811997315 397076 6280 30954 29761 30925 29589 42907 16665
1073579900 397083 6160 33246 31954 33211 31770 46065 17892
1366448268 397086 7560 28180 27092 28147 26942 39069 15166
1730250689 397087 280 28811 27696 28785 27545 39944 15507
1780687913 397089 2360 28785 27663 28756 27518 39910 15500
1063583797 397090 6280 30954 29761 30925 29589 42907 16665
1538143268 397091 39 27812 29637 30999 29898 46487 12927
1760471551 397092 39 27812 29637 30999 29898 46487 12927
1104889567 397094 39 27812 29637 30999 29898 46487 12927
1992705438 397095 39 27812 29637 30999 29898 46487 12927
1437259611 397096 39 27812 29637 30999 29898 46487 12927
1588693410 397097 39 27812 29637 30999 29898 46487 12927
1710941471 397101 39 27812 29637 30999 29898 46487 12927
1265857130 397102 7610 28425 27330 28395 27178 39415 15296
1972577617 397104 6160 33246 31954 33211 31770 46065 17892
1902825896 397105 240 30327 29152 30291 28992 42041 16327
1578503090 397107 6160 33246 31954 33211 31770 46065 17892
1790758928 397116 39 27812 29637 30999 29898 46487 12927
1265438733 397120 39 27812 29637 30999 29898 46487 12927
1992746366 397125 6160 33246 31954 33211 31770 46065 17892
1093702938 397126 8050 30666 29473 30626 29307 42494 16502
1265487029 397128 3240 29948 28788 29915 28624 41508 16123
1508139817 397129 39 27812 29637 30999 29898 46487 12927
1689673022 397130 39 27812 29637 30999 29898 46487 12927
1144203811 397133 39 27812 29637 30999 29898 46487 12927
1336485655 397134 6280 30954 29761 30925 29589 42907 16665
1598719379 397139 6280 30954 29761 30925 29589 42907 16665
1205839156 397141 6280 30954 29761 30925 29589 42907 16665
1164403358 397145 6160 33246 31954 33211 31770 46065 17892
1881004026 397157 2360 28785 27663 28756 27518 39910 15500
1801893219 397167 7560 28180 27092 28147 26942 39069 15166
1366431520 397173 39 27812 29637 30999 29898 46487 12927
1033213186 397183 6280 30954 29761 30925 29589 42907 16665
1659376887 397184 6160 33246 31954 33211 31770 46065 17892
1821027939 397188 6280 30954 29761 30925 29589 42907 16665
1982601852 397196 3680 28253 27158 28219 27013 39173 15214
1598810848 397197 6160 33246 31954 33211 31770 46065 17892
1245282714 397202 280 28811 27696 28785 27545 39944 15507
1306882709 397203 6160 33246 31954 33211 31770 46065 17892
1619956117 397212 6160 33246 31954 33211 31770 46065 17892
1457350548 397214 6680 28429 27331 28396 27185 39418 15299
1881108272 397221 6280 30954 29761 30925 29589 42907 16665
1598711038 397231 6160 33246 31954 33211 31770 46065 17892
1508823923 397232 39 27812 29637 30999 29898 46487 12927
1871590992 397234 6160 33246 31954 33211 31770 46065 17892
1780614412 397237 4000 29152 28022 29123 27868 40416 15694
1174519979 397250 3240 29948 28788 29915 28624 41508 16123
1134171309 397255 6280 30954 29761 30925 29589 42907 16665
1053362012 397259 6280 30954 29761 30925 29589 42907 16665
1366496556 397265 6160 33246 31954 33211 31770 46065 17892
1639103534 397272 7560 28180 27092 28147 26942 39069 15166
1407809114 397278 6280 30954 29761 30925 29589 42907 16665
1942255237 397282 6160 33246 31954 33211 31770 46065 17892
1053304345 397286 7560 28180 27092 28147 26942 39069 15166
1972642551 397294 6280 30954 29761 30925 29589 42907 16665
1518952456 397302 6160 33246 31954 33211 31770 46065 17892​