NPI or Provider # | Provider # | Indirect Medical Education Add-On | Direct Medical Education Add-On | Disproportionate Share Add-On | Paramedical Education Add-On | Aggregate RCC | DRG Rate | Capital Rate | Hold Harmless Rate |
|---|---|---|---|---|---|---|---|---|---|
| Implied Decimal 6 (in percentages) | Implied Decimal 4 (in percentages) | Implied Decimal 6 (in percentages) | Implied Decimal 2 (in dollars) | ||||||
| 1124405592 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1255540647 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1285032128 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1326446253 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1336526276 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1366444507 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1417334350 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1467850149 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1497132336 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1548648272 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1770960130 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1972652063 | 390001 | 36081 | 15591 | 646 | 36277 | 485198 | 905284 | 23235 | 175471 |
| 1194734798 | 390002 | 135468 | 52932 | 414 | 0 | 551833 | 1006201 | 95112 | 0 |
| 1942364898 | 390002 | 135468 | 52932 | 414 | 0 | 551833 | 1006201 | 95112 | 0 |
| 1821198755 | 390003 | 0 | 0 | 297 | 0 | 579483 | 905284 | 88431 | 0 |
| 1841408739 | 390003 | 0 | 0 | 297 | 0 | 579483 | 905284 | 88431 | 0 |
| 1891852703 | 390003 | 0 | 0 | 297 | 0 | 579483 | 905284 | 88431 | 0 |
| 1881690212 | 390004 | 0 | 0 | 0 | 1397 | 498517 | 976238 | 77803 | 0 |
| 1013384809 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1033491741 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1063540011 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1063708501 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1154617694 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1235215427 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1245632231 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1275832164 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1275850620 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1417231937 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1427344969 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1457650343 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1467748475 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1528197720 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1659762862 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1669768289 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1770879215 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1851508162 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1982037966 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1982988408 | 390006 | 263657 | 107593 | 444 | 15014 | 508391 | 905284 | 78510 | 0 |
| 1861435042 | 390009 | 35262 | 16381 | 283 | 16884 | 388855 | 928272 | 98652 | 0 |
| 1386896306 | 390012 | 0 | 0 | 0 | 0 | 681384 | 1101073 | 98017 | 0 |
| 1124076039 | 390013 | 0 | 0 | 0 | 0 | 770580 | 901697 | 61147 | 0 |
| 1477538312 | 390016 | 0 | 0 | 383 | 46405 | 645555 | 1006201 | 102972 | 0 |
| 1437865953 | 390026 | 102863 | 44440 | 0 | 0 | 700974 | 1101073 | 78268 | 0 |
| 1962579029 | 390027 | 369197 | 164426 | 3735 | 1000 | 346350 | 1101073 | 52243 | 236563 |
| 1568526135 | 390028 | 212670 | 105091 | 638 | 19969 | 407418 | 1006201 | 109207 | 0 |
| 1881695146 | 390028 | 212670 | 105091 | 638 | 19969 | 407418 | 1006201 | 109207 | 0 |
| 1235138405 | 390030 | 0 | 0 | 0 | 36715 | 651378 | 901697 | 91164 | 0 |
| 1689679581 | 390032 | 0 | 0 | 0 | 6702 | 511963 | 1006201 | 102972 | 0 |
| 1669405072 | 390035 | 0 | 0 | 0 | 0 | 361107 | 1101073 | 112139 | 0 |
| 1063422053 | 390036 | 39427 | 27555 | 0 | 969 | 537674 | 1006201 | 47376 | 85653 |
| 1588770416 | 390037 | 0 | 0 | 0 | 43300 | 635158 | 1006201 | 105831 | 0 |
| 1073598439 | 390037 | 0 | 0 | 0 | 43300 | 635158 | 1006201 | 105831 | 0 |
| 1912900168 | 390039 | 0 | 0 | 825 | 2588 | 541040 | 918172 | 97986 | 0 |
| 1871594127 | 390041 | 0 | 0 | 841 | 23769 | 496716 | 1006201 | 102972 | 0 |
| 1609984889 | 390042 | 43209 | 30912 | 256 | 42196 | 0 | 1006201 | 102972 | 0 |
| 1669530069 | 390044 | 84971 | 23313 | 0 | 21042 | 468000 | 942514 | 81898 | 0 |
| 1609801976 | 390045 | 44467 | 21869 | 287 | 5640 | 402000 | 890026 | 18255 | 144847 |
| 1326060492 | 390046 | 144496 | 64117 | 259 | 5922 | 604415 | 931416 | 73309 | 0 |
| 1609263946 | 390048 | 8240 | 34578 | 0 | 0 | 770000 | 901697 | 89126 | 0 |
| 1639560550 | 390048 | 8240 | 34578 | 0 | 0 | 770000 | 901697 | 89126 | 0 |
| 1689061921 | 390048 | 8240 | 34578 | 0 | 0 | 770000 | 901697 | 89126 | 0 |
| 1750778981 | 390048 | 8240 | 34578 | 0 | 0 | 770000 | 901697 | 89126 | 0 |
| 1861545683 | 390048 | 8240 | 34578 | 0 | 0 | 770000 | 901697 | 89126 | 0 |
| 1013933175 | 390049 | 68656 | 32236 | 0 | 133798 | 607630 | 1027228 | 102007 | 0 |
| 1548293954 | 390049 | 68656 | 32236 | 0 | 133798 | 607630 | 1027228 | 102007 | 0 |
| 1952399933 | 390049 | 68656 | 32236 | 0 | 133798 | 607630 | 1027228 | 102007 | 0 |
| 1285667493 | 390050 | 248542 | 77734 | 534 | 3112 | 387091 | 1006201 | 51803 | 129032 |
| 1700878840 | 390056 | 0 | 0 | 0 | 0 | 597279 | 901697 | 13056 | 205948 |
| 1568459287 | 390057 | 0 | 0 | 0 | 0 | 450593 | 1101073 | 121073 | 0 |
| 1689107328 | 390058 | 0 | 0 | 0 | 3047 | 554630 | 976238 | 81400 | 0 |
| 1497708473 | 390062 | 0 | 0 | 0 | 0 | 734000 | 945733 | 93586 | 0 |
| 1487647590 | 390063 | 52946 | 32583 | 539 | 6973 | 397020 | 928272 | 93846 | 0 |
| 1265466957 | 390065 | 0 | 0 | 0 | 0 | 736431 | 1098668 | 111913 | 0 |
| 1407928500 | 390066 | 39353 | 17255 | 0 | 0 | 492272 | 976238 | 75974 | 0 |
| 1407813603 | 390067 | 130828 | 52674 | 433 | 2232 | 445000 | 976238 | 86910 | 0 |
| 1285167916 | 390068 | 58594 | 33076 | 854 | 0 | 193955 | 955907 | 97705 | 0 |
| 1528319621 | 390070 | 9153 | 2964 | 0 | 0 | 431480 | 1101073 | 64480 | 0 |
| 1841712882 | 390071 | 0 | 0 | 0 | 0 | 686000 | 901697 | 89744 | 0 |
| 1316919699 | 390072 | 0 | 0 | 710 | 0 | 519617 | 905284 | 83780 | 0 |
| 1649278730 | 390073 | 37941 | 30974 | 410 | 25331 | 446000 | 945733 | 95593 | 0 |
| 1083614382 | 390079 | 112108 | 37346 | 0 | 20184 | 634945 | 901697 | 30383 | 183243 |
| 1134734528 | 390079 | 112108 | 37346 | 0 | 20184 | 634945 | 901697 | 30383 | 183243 |
| 1548624851 | 390081 | 29962 | 0 | 0 | 0 | 351953 | 1101073 | 79465 | 0 |
| 1144249657 | 390086 | 0 | 0 | 400 | 0 | 677485 | 901697 | 89133 | 0 |
| 1316537228 | 390086 | 0 | 0 | 400 | 0 | 677485 | 901697 | 89133 | 0 |
| 1194744805 | 390090 | 174532 | 60762 | 649 | 37073 | 356554 | 1006201 | 102972 | 0 |
| 1619069440 | 390091 | 0 | 0 | 0 | 3356 | 597181 | 901697 | 95748 | 0 |
| 1265422901 | 390093 | 30411 | 20351 | 0 | 0 | 620784 | 901697 | 6790 | 132162 |
| 1699734665 | 390096 | 26367 | 33298 | 859 | 3219 | 528137 | 942514 | 32219 | 89240 |
| 1750371522 | 390097 | 0 | 0 | 0 | 570 | 357027 | 1101073 | 99349 | 0 |
| 1104875103 | 390100 | 56910 | 18259 | 0 | 19607 | 724335 | 955907 | 70268 | 0 |
| 1245571942 | 390100 | 56910 | 18259 | 0 | 19607 | 724335 | 955907 | 70268 | 0 |
| 1063945707 | 390101 | 92128 | 52381 | 390 | 0 | 497259 | 931416 | 66643 | 0 |
| 1750445607 | 390102 | 110841 | 116437 | 0 | 14691 | 462514 | 1006201 | 109855 | 0 |
| 1790795359 | 390102 | 110841 | 116437 | 0 | 14691 | 462514 | 1006201 | 109855 | 0 |
| 1861478307 | 390104 | 0 | 0 | 0 | 0 | 0 | 993413 | 91164 | 0 |
| 1225047699 | 390107 | 0 | 0 | 0 | 0 | 560569 | 1006201 | 81432 | 0 |
| 1639218936 | 390107 | 0 | 0 | 0 | 0 | 560569 | 1006201 | 81432 | 0 |
| 1801897038 | 390110 | 126380 | 68584 | 690 | 37359 | 416925 | 903638 | 30795 | 123321 |
| 1851370910 | 390111 | 539305 | 313211 | 1585 | 7937 | 321731 | 1101073 | 29122 | 376876 |
| 1275620536 | 390112 | 0 | 0 | 0 | 0 | 607604 | 903638 | 9439 | 108767 |
| 1942276423 | 390113 | 0 | 0 | 1000 | 0 | 802026 | 921870 | 81818 | 0 |
| 1659435501 | 390114 | 147995 | 110633 | 1702 | 0 | 479453 | 1006201 | 42687 | 173018 |
| 1952311508 | 390114 | 147995 | 110633 | 1702 | 0 | 479453 | 1006201 | 42687 | 173018 |
| 1114095791 | 390115 | 60642 | 41217 | 671 | 31461 | 288789 | 1101073 | 61641 | 107806 |
| 1205904885 | 390115 | 60642 | 41217 | 671 | 31461 | 288789 | 1101073 | 61641 | 107806 |
| 1215952106 | 390115 | 60642 | 41217 | 671 | 31461 | 288789 | 1101073 | 61641 | 107806 |
| 1801963343 | 390115 | 60642 | 41217 | 671 | 31461 | 288789 | 1101073 | 61641 | 107806 |
| 1124495239 | 390116 | 219851 | 95443 | 268 | 894 | 449520 | 1101073 | 117834 | 174181 |
| 1295724193 | 390117 | 0 | 0 | 0 | 0 | 726684 | 901697 | 73287 | 0 |
| 1578569885 | 390118 | 0 | 0 | 0 | 0 | 414013 | 901697 | 78196 | 0 |
| 1922376136 | 390119 | 24716 | 27385 | 0 | 0 | 428010 | 905284 | 7988 | 162588 |
| 1649794421 | 390123 | 0 | 0 | 0 | 0 | 475055 | 1101073 | 97792 | 0 |
| 1124026182 | 390125 | 0 | 0 | 0 | 0 | 562680 | 901697 | 91164 | 0 |
2024 worker's compensation fee schedule