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2018 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 45532 91
1679575989 395003 40369 100
1376533109 395006 51870 100
1265474753 395010 33091 100
1295165223 395011 69003 60
1023015138 395012 26050 100
1659875789 395013 30981 80
1871916874 395015 43008 71
1154321008 395016 34030 40
1629015078 395018 57971 80
1477565216 395020 28633 80
1245238724 395023 39546 92
1558702381 395028 67360 88
1487175816 395031 43888 63
1285619601 395032 53509 70
1629074935 395034 30511 100
1215984935 395037 34030 100
1770072175 395041 40032 71
1063418150 395042 23469 70
1396166617 395044 18070 80
1447245337 395045 35442 69
1922005271 395047 37552 70
1497750053 395050 36378 100
1629063250 395052 37552 94
1346238672 395058 32386 100
1467400960 395066 50223 90
1194015784 395067 26518 100
1194064683 395075 52104 65
1477735785 395077 55388 65
1245327428 395078 49989 60
1982602447 395080 43188 91
1902806854 395090 22766 80
1649228149 395092 13612 80
1053318501 395094 23238 80
1376664839 395095 42245 77
1033115514 395101 23706 100
1285744474 395102 25818 100
1235137472 395103 26755 100
1104829571 395104 30276 80
1356323109 395105 42951 94
1225034440 395108 38729 100
1134177637 395109 31451 80
1770562688 395110 57500 100
1316002355 395117 32154 100
1003809526 395118 43418 91
1437146917 395121 34266 100
1124079587 395123 10561 100
1205062585 395124 24407 80
1376530469 395134 44358 100
1851573166 395135 22766 100
1063694370 395138 43418 75
1538119573 395142 38066 71
1477657955 395146 52337 100
1518049899 395148 31680 100
1811208077 395155 53509 24
1225017130 395156 49284 80
1710348305 395158 39900 60
1326046061 395160 33563 70
1801894712 395164 61725 88
1053746222 395166 33563 71
1255320032 395168 43888 45
1518951763 395171 35442 64
1205841632 395172 36378 70
1760622161 395173 55624 50
1093219040 395174 36612 83
1063711786 395176 37667 83
1932150349 395177 39266 71
1508857897 395180 29574 80
1205903630 395182 38729 67
1699738732 395188 67590 95
1093766305 395193 42355 71
1528429107 395197 34500 61
1518913136 395199 30511 100
1275086050 395200 11962 100
1821261710 395202 44591 50
1134113293 395203 38844 84
1295735157 395205 40840 60
1386616068 395206 33563 80
1306340435 395208 40134 73
1396708467 395217 56327 95
1477665198 395218 27695 80
1669423992 395223 38066 71
1386826691 395224 38960 88
1851396972 395227 54922 55
1992729305 395228 31680 80
1184869877 395231 36378 100
1710982392 395232 38490 100
1730182189 395235 37084 78
1063830487 395237 44591 100
1679028088 395241 12440 80
1750563060 395243 34500 70
1649277625 395244 29100 100
1619928074 395247 9857 100
1255323986 395248 36612 65
1780639872 395249 42407 71
1255338976 395250 38023 85
1386695617 395252 36826 71
1558312959 395256 42355 71
1992709414 395258 51167 75
1528068012 395260 25818 100
1033529490 395261 36612 75
1295281665 395262 14083 80
1518461565 395266 42855 71
1629110754 395270 40369 82
1902857212 395273 36826 71
1326033556 395276 48583 51
1033160494 395277 42355 71
1649279142 395278 38490 75
1619951993 395282 34388 100
1053317446 395283 34737 63
1841241254 395284 42355 71
1083632202 395285 29100 58
1356414759 395286 39158 86
1992756225 395288 36826 71
1932642287 395289 51555 100
1790757607 395290 34500 66
1518919778 395292 33091 86
1659322030 395295 12908 80
1275581779 395298 35204 65
1407832843 395300 67590 53
1538103270 395305 43418 99
1023005766 395306 25582 41
1255312138 395307 42245 100
1073518213 395308 66416 80
1679520266 395309 39900 100
1801195524 395311 49284 35
1730137233 395313 28870 75
1497837470 395316 44358 40
1750622601 395317 34500 36
1699772327 395318 41777 100
1518915792 395319 53981 95
1184619736 395321 36851 100
1477540524 395324 46706 86
1831184506 395325 35204 100
1417937624 395326 30276 55
1013912500 395328 34030 75
1548268840 395329 32740 100
1598749558 395330 37667 100
1992209027 395331 55391 86
1093973158 395332 52807 55
1992758205 395333 42013 57
1548716913 395335 38066 71
1699773655 395336 30041 39
1780751115 395338 35674 75
1104867902 395342 70410 60
1508813460 395344 32860 100
1245662584 395345 44591 60
1851395396 395346 40601 45
1578520011 395347 45769 65
1851346704 395348 38729 100
1891806980 395349 35674 100
1265448690 395350 23469 85
1720034002 395351 35204 100
1528139078 395352 41200 71
1760479893 395353 20249 80
1871775197 395354 35323 84
1124014691 395355 44123 80
1740287499 395356 17601 80
1366446288 395357 31680 100
1992750921 395359 32860 100
1376651513 395360 41072 75
1376659748 395361 37084 45
1720531502 395363 36826 71
1023064193 395364 30511 100
1326035577 395365 29100 100
1194724153 395366 33795 56
1598759748 395367 40840 100
1568827921 395370 42245 70
1700875382 395371 28397 90
1952493272 395372 38023 100
1154388684 395373 41777 80
1154378941 395374 39900 100
1548254790 395375 30276 100
1437383353 395376 33326 87
1366434284 395378 30511 100
1912315649 395379 39428 89
1033114707 395380 54218 61
1134118631 395381 55154 81
1720449374 395382 48113 41
1992704589 395384 31451 80
1538133053 395386 32860 100
1700834314 395387 48583 80
1174504062 395388 38490 85
1619062858 395390 41541 81
1972509966 395391 37084 80
1750691267 395393 36145 100
1649225590 395394 37552 34
1225036478 395395 35204 100
1861431199 395396 31680 100
1952357659 395397 36378 100
1588641757 395398 25582 100
1689633943 395400 33795 75
1891786604 395401 31680 80
1245287341 395402 36378 100
1932384963 395403 47646 65
1831201946 395404 57268 70
1801830195 395405 52807 70
1174510325 395406 39665 79
1356523666 395408 46940 50
1639176977 395409 45064 75
1386637809 395410 31680 83
1043207152 395413 39900 40
1548431547 395414 32386 58
1295118396 395416 46940 66
1043268543 395418 48349 61
1417928185 395421 25117 41