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2023 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 27336 26280 27304 26139 37902 14711
1386645323 397002 280 27703 26631 27678 26486 38408 14911
1437172301 397004 9280 27355 26290 27321 26149 37921 14723
1871548560 397006 9140 26580 25545 26551 25408 36854 14304
1912983974 397008 6160 31967 30725 31934 30548 44293 17204
1386631513 397009 6160 31967 30725 31934 30548 44293 17204
1215967468 397012 6160 31967 30725 31934 30548 44293 17204
1891755393 397013 4000 28031 26944 28003 26796 38862 15090
1225218761 397014 240 29161 28031 29126 27877 40424 15699
1467412296 397015 6160 31967 30725 31934 30548 44293 17204
1710129762 397021 7560 27096 26050 27064 25906 37566 14583
1821061979 397023 240 29161 28031 29126 27877 40424 15699
1831193598 397025 6160 31967 30725 31934 30548 44293 17204
1598725210 397028 39 26742 28497 29807 28748 44699 12430
1255328191 397029 39 26742 28497 29807 28748 44699 12430
1851394571 397031 7560 27096 26050 27064 25906 37566 14583
1184682528 397032 6160 31967 30725 31934 30548 44293 17204
1932196136 397034 2360 27678 26599 27650 26460 38375 14904
1396797163 397047 3240 28796 27681 28764 27523 39912 15503
1508946948 397050 7560 27096 26050 27064 25906 37566 14583
1043278500 397051 6160 31967 30725 31934 30548 44293 17204
1386631216 397053 39 26742 28497 29807 28748 44699 12430
1891817458 397061 9280 27355 26290 27321 26149 37921 14723
1891741138 397061 9280 27355 26290 27321 26149 37921 14723
1023098985 397071 6280 29763 28616 29736 28451 41257 16024
1811997315 397076 6280 29763 28616 29736 28451 41257 16024
1073579900 397083 6160 31967 30725 31934 30548 44293 17204
1366448268 397086 7560 27096 26050 27064 25906 37566 14583
1730250689 397087 280 27703 26631 27678 26486 38408 14911
1780687913 397089 2360 27678 26599 27650 26460 38375 14904
1063583797 397090 6280 29763 28616 29736 28451 41257 16024
1538143268 397091 39 26742 28497 29807 28748 44699 12430
1760471551 397092 39 26742 28497 29807 28748 44699 12430
1104889567 397094 39 26742 28497 29807 28748 44699 12430
1992705438 397095 39 26742 28497 29807 28748 44699 12430
1437259611 397096 39 26742 28497 29807 28748 44699 12430
1588693410 397097 39 26742 28497 29807 28748 44699 12430
1710941471 397101 39 26742 28497 29807 28748 44699 12430
1265857130 397102 7610 27332 26279 27303 26133 37899 14708
1972577617 397104 6160 31967 30725 31934 30548 44293 17204
1902825896 397105 240 29161 28031 29126 27877 40424 15699
1578503090 397107 6160 31967 30725 31934 30548 44293 17204
1790758928 397116 39 26742 28497 29807 28748 44699 12430
1265438733 397120 39 26742 28497 29807 28748 44699 12430
1992746366 397125 6160 31967 30725 31934 30548 44293 17204
1093702938 397126 8050 29487 28339 29448 28180 40860 15867
1265487029 397128 3240 28796 27681 28764 27523 39912 15503
1508139817 397129 39 26742 28497 29807 28748 44699 12430
1689673022 397130 39 26742 28497 29807 28748 44699 12430
1144203811 397133 39 26742 28497 29807 28748 44699 12430
1336485655 397134 6280 29763 28616 29736 28451 41257 16024
1598719379 397139 6280 29763 28616 29736 28451 41257 16024
1205839156 397141 6280 29763 28616 29736 28451 41257 16024
1164403358 397145 6160 31967 30725 31934 30548 44293 17204
1881004026 397157 2360 27678 26599 27650 26460 38375 14904
1801893219 397167 7560 27096 26050 27064 25906 37566 14583
1366431520 397173 39 26742 28497 29807 28748 44699 12430
1033213186 397183 6280 29763 28616 29736 28451 41257 16024
1659376887 397184 6160 31967 30725 31934 30548 44293 17204
1821027939 397188 6280 29763 28616 29736 28451 41257 16024
1982601852 397196 3680 27166 26113 27134 25974 37666 14629
1598810848 397197 6160 31967 30725 31934 30548 44293 17204
1245282714 397202 280 27703 26631 27678 26486 38408 14911
1306882709 397203 6160 31967 30725 31934 30548 44293 17204
1619956117 397212 6160 31967 30725 31934 30548 44293 17204
1457350548 397214 6680 27336 26280 27304 26139 37902 14711
1881108272 397221 6280 29763 28616 29736 28451 41257 16024
1598711038 397231 6160 31967 30725 31934 30548 44293 17204
1508823923 397232 39 26742 28497 29807 28748 44699 12430
1871590992 397234 6160 31967 30725 31934 30548 44293 17204
1780614412 397237 4000 28031 26944 28003 26796 38862 15090
1174519979 397250 3240 28796 27681 28764 27523 39912 15503
1134171309 397255 6280 29763 28616 29736 28451 41257 16024
1053362012 397259 6280 29763 28616 29736 28451 41257 16024
1366496556 397265 6160 31967 30725 31934 30548 44293 17204
1639103534 397272 7560 27096 26050 27064 25906 37566 14583
1407809114 397278 6280 29763 28616 29736 28451 41257 16024
1942255237 397282 6160 31967 30725 31934 30548 44293 17204
1053304345 397286 7560 27096 26050 27064 25906 37566 14583
1972642551 397294 6280 29763 28616 29736 28451 41257 16024
1518952456 397302 6160 31967 30725 31934 30548 44293 17204