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 |
27016 |
157684 |
28047 |
120324 |
0 |
1669986824 |
391670 |
THREE RIVERS HOSPICE |
0 |
0 |
0 |
0 |
0 |
0 |
28286 |
165098 |
29078 |
125586 |
0 |
1528049160 |
391674 |
GRANE HOSPICE-PITTSBURGH |
0 |
0 |
0 |
0 |
0 |
0 |
28286 |
165098 |
29078 |
125586 |
0 |
1972918878 |
391693 |
GRANE HOSPICE-HOLLIDAYSBURG |
0 |
0 |
0 |
0 |
0 |
0 |
27372 |
159764 |
28335 |
121801 |
0 |
1316352214 |
391732 |
GRANE HOSPICE-LEMOYNE |
0 |
0 |
0 |
0 |
0 |
0 |
28831 |
168278 |
29524 |
127846 |
0 |
1851706873 |
391765 |
GRANE HOSPICE-KING OF PRUSSIA |
0 |
0 |
0 |
0 |
0 |
0 |
30785 |
179691 |
31119 |
135949 |
0 |
1962583922 |
392300 |
GEISINGER MEDICAL CENTER-ESRD |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34938 |
1780831198 |
392632 |
FRESEBIUS MEDICAL CARE PENN HILLS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
36717 |
1083677587 |
392691 |
DCA OF MECHANICSBURG |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
36426 |
1306808472 |
392723 |
DUNMORE DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34938 |
1265739411 |
392786 |
USRC ALTOONA DIALYSIS CENTER |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
35790 |
1023384013 |
392791 |
WESTTOWN DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
38684 |
1811257108 |
392803 |
SUBURBAN CAMPUS DIALYSIS |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
36717 |
1538391248 |
393518 |
GEISINGER MEDICAL CENTER-ESRD |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
34938 |
1215922471 |
394527 |
TRINDLE REHAB MEDICINE ASSOC |
27257 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1619911914 |
396578 |
MONTGOMERY COUNTY REHAB AND SPORTS THERAPY |
26822 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1851563076 |
396582 |
DR. DAVID POTOKER |
0 |
0 |
18530 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1295992683 |
396603 |
THERAPEUTIC REHAB (TRAC) |
14464 |
0 |
42422 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1972501757 |
396616 |
MAHONING PT/TWOLICK VALLEY PT |
14880 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
1235519398 |
396854 |
GENESIS PROSTEP LLC D/B/A ADULT SERVICES UNLIMITED |
43082 |
40687 |
53669 |
0 |
0 |
40687 |
0 |
0 |
0 |
0 |
0 |
999996 |
999996 |
OUT-OF-STATE PROVIDER |
27257 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0
|