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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)
1134135577 395422 24009 100
1164419909 395425 37937 100
1255345302 395426 31213 70
1265435952 395427 38898 84
1669496287 395428 30011 60
1568401800 395429 39620 100
1205822418 395430 51860 60
1609875962 395431 46822 55
1659373298 395432 47540 82
1841241171 395433 12155 100
1134662489 395434 14407 80
1205810579 395435 44662 100
1326046699 395437 27128 80
1235243742 395438 46100 94
1831192228 395439 45617 100
1336194224 395440 33616 100
1770530354 395442 39620 100
1750432019 395445 39375 59
1003810524 395446 45617 70
1093701047 395448 26649 44
1275588626 395449 42738 63
1013961952 395451 37215 100
1720400443 395454 31577 100
1154372522 395456 37673 71
1639241797 395458 37673 71
1255513651 395459 45617 91
1316063324 395460 40577 81
1710095955 395461 32894 100
1720089261 395462 53784 71
1578880837 395464 32174 80
1043215072 395465 38416 80
1669411385 395466 26170 100
1134123730 395467 37579 46
1285690792 395468 27128 100
1598254997 395469 32409 100
1952303562 395471 27611 80
1851330195 395472 36014 100
1831180173 395473 36014 75
1508865627 395474 30732 100
1841286135 395475 30972 80
1588668214 395476 27128 80
1710933429 395477 39620 100
1831258045 395478 34093 100
1285621722 395479 34695 92
1598765489 395480 40096 80
1639351943 395481 31694 98
1194776427 395482 37673 71
1578500922 395483 27128 100
1427315357 395484 33131 100
1558303982 395485 40218 80
1104840750 395489 30732 95
1508808932 395490 28332 71
1922164466 395491 45860 78
1174565824 395492 32174 80
1831498567 395493 41779 100
1740352905 395494 50179 73
1700828001 395495 45739 83
1598707119 395496 42253 83
1437154648 395497 28814 100
1356412936 395499 36016 75
1194813469 395500 43217 40
1467449322 395501 34572 58
1841202504 395502 31213 100
1487642658 395506 31934 80
1083707178 395507 63145 68
1699172494 395509 73712 83
1265504369 395510 31694 100
1952340283 395512 28814 100
1235105834 395514 39856 75
1871592816 395515 68668 69
1861492258 395518 30011 89
1891205332 395519 67944 70
1427045541 395520 36495 100
1114090412 395521 54571 71
1285095869 395524 20172 100
1720041874 395525 58823 75
1487822557 395526 40818 100
1740235613 395527 38416 100
1710971932 395530 49210 71
1669466991 395533 41143 71
1023018504 395534 23109 100
1225036544 395535 32654 100
1346356805 395536 54740 65
1740328269 395537 45378 42
1770008732 395538 43997 71
1578566725 395539 33131 96
1700831013 395540 38416 100
1689621484 395541 37215 100
1487970687 395542 23048 88
1922280239 395545 29651 80
1699750745 395549 28332 80
1487655809 395550 37454 81
1730103417 395552 27370 80
1770745598 395554 44897 86
1134164031 395555 60029 60
1497757710 395556 29769 75
1225023443 395557 33014 100
1770558512 395559 26891 100
1740261221 395560 38416 90
1023016037 395561 36014 38
1659377034 395562 50179 90
1962433797 395563 25931 100
1164907846 395564 30493 100
1104240811 395566 50418 80
1942423454 395567 23109 100
1861486003 395568 35294 80
1407952765 395570 30493 100
1598787590 395571 35054 47
1659385797 395572 33374 80
1821357799 395574 43456 95
1730177080 395575 31454 45
1467455220 395577 39620 100
1013914589 395581 32409 100
1578516423 395582 27128 100
1295718039 395583 31694 100
1043213986 395585 53302 53
1407885569 395586 61226 69
1134124480 395587 44417 68
1639612120 395588 41143 71
1184626491 395589 30493 75
1255329645 395590 31454 60
1447217112 395591 42253 100
1558817924 395592 37673 71
1760475289 395593 44417 100
1194271569 395594 37673 71
1619922267 395595 40218 69
1396109450 395596 40577 100
1124023148 395597 38652 100
1508867938 395599 45378 61
1992733984 395602 26891 38
1114958774 395603 55943 65
1619975927 395604 29769 56
1770571341 395605 65305 91
1518957497 395606 37215 100
1134672900 395607 37673 71
1578568135 395609 29534 80
1093261463 395610 36867 71
1649267477 395611 22590 100
1912011446 395612 56423 89
1285062091 395613 28094 100
1790902203 395614 21926 82
1255337523 395616 50903 46
1639169501 395617 47059 79
1487602983 395618 22811 92
1023004751 395619 39134 27
1548381031 395620 61226 98
1376610725 395621 46822 95
1881690295 395622 56903 65
1043217243 395623 20648 100
1972507531 395624 26649 54
1790783017 395625 26649 80
1528055712 395626 41779 70
1705332169 395627 39017 71
1063498160 395628 28814 50
1518941657 395629 31934 55
1174529069 395631 26891 88
1184612632 395632 48496 37
1609370741 395633 27370 80
1871584409 395634 52822 100
1235478470 395636 41779 84
1962530683 395637 30493 100
1811978398 395638 60029 100
1356331235 395640 38416 82
1669462537 395643 38898 100
1093135600 395644 29534 100
1639183817 395645 39134 75
1578069191 395646 37937 80
1093829582 395647 39134 89
1114920386 395648 32174 100
1053325951 395650 28814 81
1992280671 395651 58343 63
1750339255 395652 28575 90
1518964550 395653 60983 40
1851376370 395654 18245 100
1871591479 395656 31694 100
1336143023 395660 28332 80
1750837126 395661 36867 71
1558303206 395665 42017 97
1134662471 395670 37228 71
1891792354 395672 29050 100
1386197168 395674 37228 71
1538612312 395675 37673 71
1588655815 395677 54022 67
1336149129 395678 24100 100
1700247376 395679 43456 70
1881691145 395680 48981 100
1225040751 395681 27370 100
1962400317 395682 51378 58
1366490864 395683 48742 100
1588668107 395684 43217 80
1336179043 395686 34572 72
1831207141 395687 37454 100
1881647899 395688 28814 100
1629064472 395690 50658 85
1457396202 395691 44897 60
1316934680 395695 40818 80
1396739546 395697 48496 70
1124522230 395698 32174 80
1083628085 395699 29534 81
1457375081 395700 28814 76