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2019 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 46579 91
1679575989 395003 41297 100
1376533109 395006 53063 100
1265474753 395010 33852 100
1295165223 395011 70590 60
1023015138 395012 26649 100
1659875789 395013 31694 80
1871916874 395015 43997 71
1154321008 395016 34813 40
1629015078 395018 59304 80
1477565216 395020 29292 80
1245238724 395023 40456 92
1558702381 395028 68909 88
1487175816 395031 44897 63
1285619601 395032 54740 70
1629074935 395034 31213 100
1215984935 395037 34813 100
1770072175 395041 40953 71
1063418150 395042 24009 70
1396166617 395044 18486 80
1447245337 395045 36257 69
1922005271 395047 38416 70
1497750053 395050 37215 100
1629063250 395052 38416 94
1346238672 395058 33131 100
1467400960 395066 51378 90
1194015784 395067 27128 100
1194064683 395075 53302 65
1477735785 395077 56662 65
1245327428 395078 51139 60
1982602447 395080 44181 91
1902806854 395090 23290 80
1649228149 395092 13925 80
1053318501 395094 23772 80
1376664839 395095 43217 77
1033115514 395101 24251 100
1285744474 395102 26412 100
1235137472 395103 27370 100
1104829571 395104 30972 80
1356323109 395105 43939 94
1225034440 395108 39620 100
1134177637 395109 32174 80
1770562688 395110 58823 100
1316002355 395117 32894 100
1003809526 395118 44417 91
1437146917 395121 35054 100
1124079587 395123 10804 100
1205062585 395124 24968 80
1376530469 395134 45378 100
1851573166 395135 23290 100
1063694370 395138 44417 75
1538119573 395142 38942 71
1477657955 395146 53541 100
1518049899 395148 32409 100
1811208077 395155 54740 24
1225017130 395156 50418 80
1710348305 395158 40818 60
1326046061 395160 34335 70
1801894712 395164 63145 88
1053746222 395166 34335 71
1124535174 395167 46491 71
1255320032 395168 44897 45
1518951763 395171 36257 64
1205841632 395172 37215 70
1760622161 395173 56903 50
1093219040 395174 37454 83
1063711786 395176 38533 83
1932150349 395177 40169 71
1508857897 395180 30254 80
1205903630 395182 39620 67
1699738732 395188 69145 95
1093766305 395193 43329 71
1528429107 395197 35294 61
1518913136 395199 31213 100
1275086050 395200 12237 100
1821261710 395202 45617 50
1134113293 395203 39737 84
1295735157 395205 41779 60
1386616068 395206 34335 80
1306340435 395208 41057 73
1396708467 395217 57623 95
1477665198 395218 28332 80
1669423992 395223 38942 71
1386826691 395224 39856 88
1851396972 395227 56185 55
1992729305 395228 32409 80
1184869877 395231 37215 100
1710982392 395232 39375 100
1730182189 395235 37937 78
1063830487 395237 45617 100
1679028088 395241 12726 80
1750563060 395243 35294 70
1649277625 395244 29769 100
1619928074 395247 10084 100
1255323986 395248 37454 65
1780639872 395249 43382 71
1255338976 395250 38898 85
1386695617 395252 37673 71
1558312959 395256 43329 71
1992709414 395258 52344 75
1013417328 395259 51824 71
1528068012 395260 26412 100
1033529490 395261 37454 75
1295281665 395262 14407 80
1518461565 395266 43841 71
1629110754 395270 41297 82
1902857212 395273 37673 71
1326033556 395276 49700 51
1033160494 395277 43329 71
1649279142 395278 39375 75
1619951993 395282 35179 100
1053317446 395283 35536 63
1841241254 395284 43329 71
1083632202 395285 29769 58
1356414759 395286 40059 86
1992756225 395288 37673 71
1932642287 395289 52741 100
1790757607 395290 35294 66
1518919778 395292 33852 86
1942743299 395295 13205 80
1275581779 395298 36014 65
1407832843 395300 69145 53
1538103270 395305 44417 99
1023005766 395306 26170 41
1255312138 395307 43217 100
1073518213 395308 67944 80
1679520266 395309 40818 100
1801195524 395311 50418 35
1730137233 395313 29534 75
1497837470 395316 45378 40
1750622601 395317 35294 36
1699772327 395318 42738 100
1518915792 395319 55223 95
1184619736 395321 37699 100
1477540524 395324 47780 86
1831184506 395325 36014 100
1417937624 395326 30972 55
1013912500 395328 34813 75
1548268840 395329 33493 100
1598749558 395330 38533 100
1992209027 395331 56665 86
1093973158 395332 54022 55
1992758205 395333 42979 57
1548716913 395335 38942 71
1699773655 395336 30732 39
1780751115 395338 36495 75
1104867902 395342 72029 60
1508813460 395344 33616 100
1194200873 395345 45617 60
1851395396 395346 41535 45
1578520011 395347 46822 65
1851346704 395348 39620 100
1891806980 395349 36495 100
1265448690 395350 24009 85
1720034002 395351 36014 100
1528139078 395352 42148 71
1760479893 395353 20715 80
1871775197 395354 36135 84
1124014691 395355 45138 80
1740287499 395356 18006 80
1366446288 395357 32409 100
1992750921 395359 33616 100
1376651513 395360 42017 75
1376659748 395361 37937 45
1720531502 395363 37673 71
1023064193 395364 31213 100
1326035577 395365 29769 100
1194724153 395366 34572 56
1598759748 395367 41779 100
1568827921 395370 43217 70
1700875382 395371 29050 90
1952493272 395372 38898 100
1154388684 395373 42738 80
1154378941 395374 40818 100
1548254790 395375 30972 100
1437383353 395376 34093 87
1366434284 395378 31213 100
1912315649 395379 40335 89
1033114707 395380 55465 61
1134118631 395381 56423 81
1720449374 395382 49220 41
1992704589 395384 32174 80
1538133053 395386 33616 100
1700834314 395387 49700 80
1174504062 395388 39375 85
1619062858 395390 42496 81
1972509966 395391 37937 80
1750691267 395393 36976 100
1649225590 395394 38416 34
1225036478 395395 36014 100
1861431199 395396 32409 100
1952357659 395397 37215 100
1588641757 395398 26170 100
1689633943 395400 34572 75
1891786604 395401 32409 80
1245287341 395402 37215 100
1932384963 395403 48742 65
1831201946 395404 58585 70
1801830195 395405 54022 70
1174510325 395406 40577 79
1356523666 395408 48020 50
1639176977 395409 46100 75
1386637809 395410 32409 83
1043207152 395413 40818 40
1548431547 395414 33131 58
1295118396 395416 48020 66
1043268543 395418 49461 61
1417928185 395421 25695 41