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Fee Schedule
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Fee Schedule D Part II
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Content Editor
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)
1013198019
397400
6160
31967
30725
31934
30548
44293
17204
1780889402
397401
4000
28031
26944
28003
26796
38862
15090
1831613520
397406
3680
27166
26113
27134
25974
37666
14629
1154325918
397407
7560
27096
26050
27064
25906
37566
14583
1184679854
397411
6280
29763
28616
29736
28451
41257
16024
1174699326
397413
6160
31967
30725
31934
30548
44293
17204
1598796161
397422
7560
27096
26050
27064
25906
37566
14583
1396748455
397427
3680
27166
26113
27134
25974
37666
14629
1700975380
397436
6160
31967
30725
31934
30548
44293
17204
1972597854
397442
6280
29763
28616
29736
28451
41257
16024
1386641330
397449
7560
27096
26050
27064
25906
37566
14583
1497761043
397452
6280
29763
28616
29736
28451
41257
16024
1972667343
397455
7560
27096
26050
27064
25906
37566
14583
1093788002
397456
9280
27355
26290
27321
26149
37921
14723
1043391832
397457
7560
27096
26050
27064
25906
37566
14583
1558331371
397458
3680
27166
26113
27134
25974
37666
14629
1821022054
397466
7560
27096
26050
27064
25906
37566
14583
1659360824
397471
4000
28031
26944
28003
26796
38862
15090
1518901610
397472
6160
31967
30725
31934
30548
44293
17204
1841566635
397474
9280
27355
26290
27321
26149
37921
14723
1215904578
397477
7560
27096
26050
27064
25906
37566
14583
1548330350
397481
6160
31967
30725
31934
30548
44293
17204
1861485971
397486
7560
27096
26050
27064
25906
37566
14583
1205850807
397495
6680
27336
26280
27304
26139
37902
14711
1851390439
397500
6280
29763
28616
29736
28451
41257
16024
1609871409
397502
7560
27096
26050
27064
25906
37566
14583
1699938803
397505
6160
31967
30725
31934
30548
44293
17204
1326182692
397509
7610
27332
26279
27303
26133
37899
14708
1750384087
397510
7560
27096
26050
27064
25906
37566
14583
1609830819
397512
39
26742
28497
29807
28748
44699
12430
1518964618
397521
7560
27096
26050
27064
25906
37566
14583
1619917010
397533
240
29161
28031
29126
27877
40424
15699
1043664196
397537
6160
31967
30725
31934
30548
44293
17204
1174561567
397547
6160
31967
30725
31934
30548
44293
17204
1205811981
397551
6160
31967
30725
31934
30548
44293
17204
1285717652
397559
6160
31967
30725
31934
30548
44293
17204
1053390567
397562
6280
29763
28616
29736
28451
41257
16024
1275589566
397564
8050
29487
28339
29448
28180
40860
15867
1871732230
397565
6280
29763
28616
29736
28451
41257
16024
1013990704
397570
7560
27096
26050
27064
25906
37566
14583
1205839040
397575
240
29161
28031
29126
27877
40424
15699
1730185208
397578
6680
27336
26280
27304
26139
37902
14711
1023045218
397583
6160
31967
30725
31934
30548
44293
17204
1619088416
397585
3240
28796
27681
28764
27523
39912
15503
1467446609
397587
240
29161
28031
29126
27877
40424
15699
1346243763
397588
6160
31967
30725
31934
30548
44293
17204
1770538456
397607
6280
29763
28616
29736
28451
41257
16024
1902176787
397611
7560
27096
26050
27064
25906
37566
14583
1033114855
397613
6280
29763
28616
29736
28451
41257
16024
1497721187
397622
6160
31967
30725
31934
30548
44293
17204
1245237676
397624
6280
29763
28616
29736
28451
41257
16024
1225311178
397626
7560
27096
26050
27064
25906
37566
14583
1730493032
397636
6280
29763
28616
29736
28451
41257
16024
1417940487
397647
39
26742
28497
29807
28748
44699
12430
1932167921
397655
6280
29763
28616
29736
28451
41257
16024
1063426831
397658
6160
31967
30725
31934
30548
44293
17204
1063471704
397672
9140
26580
25545
26551
25408
36854
14304
1487748570
397674
6280
29763
28616
29736
28451
41257
16024
1265437156
397706
6160
31967
30725
31934
30548
44293
17204
1235114224
397710
6280
29763
28616
29736
28451
41257
16024
1093769275
397715
240
29161
28031
29126
27877
40424
15699
1669474847
397717
6280
29763
28616
29736
28451
41257
16024
1164462404
397718
7560
27096
26050
27064
25906
37566
14583
1215238548
397726
7560
27096
26050
27064
25906
37566
14583
1578547394
397728
39
26742
28497
29807
28748
44699
12430
1891793543
397733
7560
27096
26050
27064
25906
37566
14583
1205801156
397747
6160
31967
30725
31934
30548
44293
17204
1902800626
397748
240
29161
28031
29126
27877
40424
15699
1639152341
397749
7560
27096
26050
27064
25906
37566
14583
1962453118
397755
6280
29763
28616
29736
28451
41257
16024
1760621122
397756
8050
29487
28339
29448
28180
40860
15867
1982608832
397759
6280
29763
28616
29736
28451
41257
16024
1831128925
397761
240
29161
28031
29126
27877
40424
15699
1982609806
397764
39
26742
28497
29807
28748
44699
12430
1023010329
397774
7560
27096
26050
27064
25906
37566
14583
1508864679
397776
39
26742
28497
29807
28748
44699
12430
1720082290
397786
6160
31967
30725
31934
30548
44293
17204
1083673289
397792
2360
27678
26599
27650
26460
38375
14904
1164485777
397798
6280
29763
28616
29736
28451
41257
16024
1053399386
398001
2360
27678
26599
27650
26460
38375
14904
1700840014
398002
6280
29763
28616
29736
28451
41257
16024
1508835307
398003
6280
29763
28616
29736
28451
41257
16024
1023042264
398005
7560
27096
26050
27064
25906
37566
14583
1588660377
398010
7560
27096
26050
27064
25906
37566
14583
1346247095
398023
3680
27166
26113
27134
25974
37666
14629
1861499840
398024
6280
29763
28616
29736
28451
41257
16024
1093109266
398025
9280
27355
26290
27321
26149
37921
14723
1457359747
398034
7560
27096
26050
27064
25906
37566
14583
1396778585
398041
7560
27096
26050
27064
25906
37566
14583
1255692281
398043
3680
27166
26113
27134
25974
37666
14629
1811949217
398046
6280
29763
28616
29736
28451
41257
16024
1568415800
398048
6280
29763
28616
29736
28451
41257
16024
1740674910
398051
39
26742
28497
29807
28748
44699
12430
1164535720
398061
39
26742
28497
29807
28748
44699
12430
1639261167
398066
6160
31967
30725
31934
30548
44293
17204
1376762237
398067
7560
27096
26050
27064
25906
37566
14583
1003020306
398069
6280
29763
28616
29736
28451
41257
16024
1083808927
398076
7560
27096
26050
27064
25906
37566
14583
1861691800
398084
6160
31967
30725
31934
30548
44293
17204
1275524373
398087
6280
29763
28616
29736
28451
41257
16024
1578710026
398093
7560
27096
26050
27064
25906
37566
14583
1861630030
398100
6160
31967
30725
31934
30548
44293
17204
1639300999
398113
6280
29763
28616
29736
28451
41257
16024
1477786648
398133
280
27703
26631
27678
26486
38408
14911
1427485887
398135
6280
29763
28616
29736
28451
41257
16024
1508194291
398137
280
27703
26631
27678
26486
38408
14911
1154653475
398140
240
29161
28031
29126
27877
40424
15699
1902235195
398144
9140
26580
25545
26551
25408
36854
14304
1184931941
398159
3240
28796
27681
28764
27523
39912
15503
1487075016
398225
7560
27096
26050
27064
25906
37566
14583
1033524921
398228
280
27703
26631
27678
26486
38408
14911
1578978482
398232
9280
27355
26290
27321
26149
37921
14723
1841514023
398247
3240
28796
27681
28764
27523
39912
15503
1306381678
398250
240
29161
28031
29126
27877
40424
15699
1740637644
398270
3240
28796
27681
28764
27523
39912
15503
1386135440
398303
240
29161
28031
29126
27877
40424
15699
1669088423
398342
240
29161
28031
29126
27877
40424
15699
999991
999991
3240
28796
27681
28764
27523
39912
15503
1649907072
BWC011
6160
31967
30725
31934
30548
44293
17204
1649864406
BWC012
6160
31967
30725
31934
30548
44293
17204