| NPI or Provider # |
Prov. # |
Provider Name |
Rev Code 420-429 |
Rev Code 430-439 |
Rev Code 440-449 |
Rev Code 550-559 |
Rev Code 560-569 |
Rev Code 910-919 |
Routine Care |
Continuous Care |
Respite Care |
General Inpt |
Rev Code 820-859 |
| Implied Decimal 2 (in dollars) |
| 1063498541 |
391656 |
HOSPICE OF THE SACRED HEART |
0 |
0 |
0 |
0 |
0 |
0 |
25977 |
151619 |
26968 |
115696 |
0 |
| 1669986824 |
391670 |
THREE RIVERS HOSPICE |
0 |
0 |
0 |
0 |
0 |
0 |
27198 |
158748 |
27960 |
120756 |
0 |
| 1528049160 |
391674 |
GRANE HOSPICE-PITTSBURGH |
0 |
0 |
0 |
0 |
0 |
0 |
27198 |
158748 |
27960 |
120756 |
0 |
| 1972918878 |
391693 |
GRANE HOSPICE-HOLLIDAYSBURG |
0 |
0 |
0 |
0 |
0 |
0 |
26319 |
153619 |
27245 |
117116 |
0 |
| 1316352214 |
391732 |
GRANE HOSPICE-LEMOYNE |
0 |
0 |
0 |
0 |
0 |
0 |
27722 |
161806 |
28388 |
122929 |
0 |
| 1851706873 |
391765 |
GRANE HOSPICE-KING OF PRUSSIA |
0 |
0 |
0 |
0 |
0 |
0 |
29601 |
172780 |
29922 |
130720 |
0 |
| 1962583922 |
392300 |
GEISINGER MEDICAL CENTER-ESRD |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
33594 |
| 1780831198 |
392632 |
FRESEBIUS MEDICAL CARE PENN HILLS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
35305 |
| 1083677587 |
392691 |
DCA OF MECHANICSBURG |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
35025 |
| 1306808472 |
392723 |
DUNMORE DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
33594 |
| 1265739411 |
392786 |
USRC ALTOONA DIALYSIS CENTER |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34413 |
| 1023384013 |
392791 |
WESTTOWN DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
37196 |
| 1811257108 |
392803 |
SUBURBAN CAMPUS DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
35305 |
| 1538391248 |
393518 |
GEISINGER MEDICAL CENTER-ESRD |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
33594 |
| 1215922471 |
394527 |
TRINDLE REHAB MEDICINE ASSOC |
26209 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1619911914 |
396578 |
MONTGOMERY COUNTY REHAB AND SPORTS THERAPY |
25790 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1851563076 |
396582 |
DR. DAVID POTOKER |
0 |
0 |
17817 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1295992683 |
396603 |
THERAPEUTIC REHAB (TRAC) |
13908 |
0 |
40790 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1972501757 |
396616 |
MAHONING PT/TWOLICK VALLEY PT |
14308 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| 1235519398 |
396854 |
GENESIS PROSTEP LLC D/B/A ADULT SERVICES UNLIMITED |
41425 |
39122 |
51605 |
0 |
0 |
39122 |
0 |
0 |
0 |
0 |
0 |
| 999996 |
999996 |
OUT-OF-STATE PROVIDER |
26209 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0
|