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) | ||||||
| 1750805552 | 390127 | 0 | 0 | 0 | 0 | 633294 | 1101073 | 123001 | 0 |
| 1184620486 | 390130 | 0 | 0 | 0 | 0 | 672000 | 903638 | 63039 | 0 |
| 1164400131 | 390133 | 96119 | 30636 | 0 | 2145 | 517000 | 1027228 | 93575 | 0 |
| 1255585303 | 390137 | 23063 | 14230 | 635 | 0 | 455845 | 905284 | 88779 | 0 |
| 1821091059 | 390138 | 0 | 0 | 0 | 0 | 791148 | 901697 | 65100 | 0 |
| 1508971441 | 390139 | 70978 | 34408 | 0 | 4335 | 408291 | 1101073 | 106981 | 0 |
| 1902805245 | 390142 | 369904 | 212140 | 1506 | 4035 | 365688 | 1101073 | 260530 | 0 |
| 1689691214 | 390145 | 0 | 0 | 360 | 1235 | 427067 | 1006201 | 108268 | 0 |
| 1659360220 | 390146 | 0 | 0 | 0 | 0 | 566000 | 901697 | 89209 | 0 |
| 1912905548 | 390147 | 0 | 0 | 0 | 0 | 549750 | 1006201 | 108339 | 0 |
| 1225417421 | 390150 | 0 | 0 | 0 | 0 | 591382 | 901697 | 87556 | 0 |
| 1972982882 | 390150 | 0 | 0 | 0 | 0 | 591382 | 901697 | 87556 | 0 |
| 1902804552 | 390151 | 0 | 0 | 0 | 0 | 640294 | 901697 | 60560 | 0 |
| 1215042114 | 390153 | 0 | 0 | 0 | 0 | 894406 | 1101073 | 145534 | 0 |
| 1730173550 | 390156 | 159051 | 111309 | 1547 | 0 | 352862 | 1101073 | 123696 | 0 |
| 1861486698 | 390156 | 159051 | 111309 | 1547 | 0 | 352862 | 1101073 | 123696 | 0 |
| 1962401497 | 390160 | 0 | 0 | 0 | 0 | 539000 | 1006201 | 102972 | 0 |
| 1073047981 | 390162 | 75610 | 51350 | 0 | 0 | 625314 | 1027228 | 89847 | 0 |
| 1457408973 | 390163 | 0 | 0 | 374 | 0 | 591000 | 916208 | 79892 | 0 |
| 1568577724 | 390163 | 0 | 0 | 374 | 0 | 591000 | 916208 | 79892 | 0 |
| 1144384082 | 390164 | 429609 | 170349 | 862 | 7967 | 363586 | 1006201 | 40072 | 306883 |
| 1821007881 | 390164 | 429609 | 170349 | 862 | 7967 | 363586 | 1006201 | 40072 | 306883 |
| 1447317896 | 390168 | 0 | 0 | 732 | 0 | 515034 | 1006201 | 19940 | 110540 |
| 1356334510 | 390173 | 0 | 0 | 0 | 0 | 537053 | 963421 | 27350 | 89275 |
| 1134297393 | 390174 | 52652 | 34199 | 731 | 45941 | 383273 | 1101073 | 16944 | 220716 |
| 1215916002 | 390174 | 463742 | 229874 | 1399 | 15681 | 377172 | 1101073 | 26424 | 306598 |
| 1225048838 | 390178 | 28914 | 1845 | 826 | 0 | 674040 | 925830 | 87205 | 0 |
| 1952465890 | 390178 | 28914 | 1845 | 826 | 0 | 674040 | 925830 | 87205 | 0 |
| 1356333579 | 390179 | 0 | 0 | 260 | 41582 | 430116 | 1101073 | 65199 | 95800 |
| 1457715146 | 390180 | 112319 | 70954 | 923 | 9057 | 384000 | 1101073 | 118368 | 0 |
| 1437182847 | 390183 | 0 | 0 | 0 | 0 | 569778 | 901697 | 91164 | 0 |
| 1144215039 | 390184 | 0 | 0 | 0 | 0 | 815338 | 1006201 | 64145 | 0 |
| 1548322720 | 390185 | 18769 | 18809 | 0 | 15960 | 461393 | 905284 | 79458 | 0 |
| 1518256726 | 390192 | 0 | 0 | 0 | 0 | 635752 | 905284 | 76182 | 0 |
| 1356354567 | 390194 | 0 | 0 | 0 | 0 | 565986 | 1010962 | 104157 | 0 |
| 1245335629 | 390195 | 146350 | 43945 | 0 | 21370 | 404312 | 1101073 | 90384 | 0 |
| 1548263973 | 390198 | 157011 | 55037 | 1444 | 0 | 386206 | 928272 | 52068 | 0 |
| 1265449870 | 390199 | 0 | 0 | 840 | 0 | 649447 | 901697 | 79965 | 0 |
| 1568459436 | 390201 | 0 | 0 | 0 | 0 | 473822 | 1255221 | 91164 | 0 |
| 1225091697 | 390203 | 0 | 0 | 0 | 2762 | 460513 | 1101073 | 170222 | 0 |
| 1124023015 | 390204 | 0 | 0 | 0 | 6730 | 410795 | 1101073 | 145926 | 0 |
| 1790219616 | 390211 | 0 | 0 | 359 | 42894 | 516785 | 925830 | 94316 | 0 |
| 1144255159 | 390217 | 0 | 0 | 803 | 0 | 613350 | 1006201 | 79517 | 0 |
| 1821015462 | 390219 | 51991 | 28021 | 360 | 3160 | 445265 | 1006201 | 81475 | 0 |
| 1407856099 | 390222 | 0 | 0 | 0 | 0 | 402183 | 1101073 | 80376 | 0 |
| 1245207521 | 390223 | 232106 | 71719 | 1750 | 19353 | 450145 | 1101073 | 197151 | 0 |
| 1083615587 | 390225 | 0 | 0 | 0 | 0 | 676859 | 955907 | 92128 | 0 |
| 1548423684 | 390225 | 0 | 0 | 0 | 0 | 676859 | 955907 | 92128 | 0 |
| 1063489342 | 390226 | 0 | 79589 | 0 | 4412 | 431688 | 1101073 | 8698 | 304908 |
| 1073587119 | 390228 | 0 | 0 | 0 | 0 | 490321 | 1006201 | 106589 | 0 |
| 1811992084 | 390231 | 129440 | 54408 | 0 | 21332 | 366297 | 1101073 | 130804 | 0 |
| 1730158981 | 390233 | 0 | 0 | 0 | 0 | 731036 | 931416 | 82947 | 0 |
| 1881983039 | 390237 | 15748 | 15537 | 0 | 1102 | 537339 | 905284 | 91530 | 0 |
| 1568435477 | 390256 | 543218 | 185283 | 516 | 1423 | 868053 | 976238 | 83382 | 0 |
| 1780686931 | 390258 | 0 | 0 | 0 | 0 | 941264 | 1101073 | 67360 | 139410 |
| 1578560504 | 390265 | 0 | 0 | 0 | 0 | 506455 | 1006201 | 102972 | 0 |
| 1023000296 | 390266 | 0 | 0 | 0 | 0 | 889640 | 925830 | 93609 | 0 |
| 1679592380 | 390267 | 51991 | 29760 | 0 | 0 | 527563 | 1006201 | 102972 | 0 |
| 1104991801 | 390268 | 0 | 0 | 0 | 4552 | 868457 | 995854 | 95991 | 0 |
| 1730173154 | 390268 | 0 | 0 | 0 | 4552 | 868457 | 995854 | 95991 | 0 |
| 1780750620 | 390268 | 0 | 0 | 0 | 4552 | 868457 | 995854 | 95991 | 0 |
| 1093001653 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1104292960 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1174822068 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1205197894 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1235424672 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1265728810 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1275620585 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1447538640 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1649305129 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1649568403 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1669768214 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1760777106 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1770953994 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1861791865 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1881980803 | 390270 | 0 | 0 | 0 | 0 | 415541 | 905284 | 29037 | 128579 |
| 1528026671 | 390272 | 0 | 0 | 500 | 0 | 0 | 1101073 | 41290 | 0 |
| 1467510560 | 390278 | 0 | 0 | 9140 | 0 | 0 | 1101073 | 155544 | 0 |
| 1083986129 | 390304 | 0 | 0 | 294 | 52838 | 496395 | 1101073 | 186550 | 0 |
| 1659392595 | 390307 | 0 | 0 | 0 | 0 | 403000 | 925830 | 93609 | 0 |
| 1780919043 | 390307 | 0 | 0 | 0 | 0 | 403000 | 925830 | 93609 | 0 |
| 1225678881 | 390314 | 0 | 0 | 0 | 0 | 300000 | 1010962 | 101977 | 0 |
| 1124193511 | 390316 | 0 | 0 | 0 | 0 | 300000 | 942514 | 95272 | 0 |
| 1033759626 | 390321 | 0 | 0 | 0 | 0 | 284000 | 1027228 | 102007 | 0 |
| 1336378132 | 390322 | 0 | 0 | 0 | 0 | 284000 | 1101073 | 112139 | 0 |
| 1528398534 | 390323 | 0 | 0 | 0 | 0 | 278000 | 1006201 | 102969 | 0 |
| 1265664544 | 390324 | 0 | 0 | 0 | 0 | 271000 | 1101073 | 112139 | 0 |
| 1578881652 | 390325 | 0 | 0 | 0 | 0 | 271000 | 931416 | 94163 | 0 |
| 1962758375 | 390325 | 0 | 0 | 0 | 0 | 271000 | 931416 | 94163 | 0 |
| 1497050470 | 390326 | 0 | 0 | 0 | 0 | 271000 | 1027228 | 102007 | 0 |
| 1760787576 | 390327 | 0 | 0 | 0 | 0 | 407000 | 931416 | 94163 | 0 |
| 1225323983 | 390328 | 0 | 0 | 0 | 0 | 268000 | 1006201 | 102972 | 0 |
| 1104192590 | 390329 | 0 | 0 | 0 | 0 | 268000 | 1101073 | 112139 | 0 |
| 1396194197 | 390330 | 0 | 0 | 0 | 0 | 389000 | 905284 | 91530 | 0 |
| 1881899284 | 390331 | 0 | 0 | 0 | 0 | 234000 | 1101073 | 112139 | 0 |
| 1265096069 | 390332 | 0 | 0 | 0 | 0 | 344000 | 901697 | 93208 | 0 |
| 1215598156 | 390333 | 0 | 0 | 0 | 0 | 326000 | 1006201 | 102972 | 0 |
| 1285295899 | 390333 | 0 | 0 | 0 | 0 | 326000 | 1006201 | 102972 | 0 |
| 1578124418 | 390333 | 0 | 0 | 0 | 0 | 326000 | 1006201 | 102972 | 0 |
| 1699235374 | 390333 | 0 | 0 | 0 | 0 | 326000 | 1006201 | 102972 | 0 |
| 1588269898 | 390334 | 0 | 0 | 0 | 0 | 327000 | 1006201 | 102972 | 0 |
| 1699340927 | 390335 | 0 | 0 | 0 | 0 | 326000 | 1027228 | 102007 | 0 |
| 1164029658 | 390336 | 0 | 0 | 0 | 0 | 326000 | 976238 | 83382 | 0 |
| 1609541853 | 390337 | 0 | 0 | 0 | 0 | 326000 | 901697 | 93208 | 0 |
| 1396402053 | 390338 | 0 | 0 | 0 | 0 | 327000 | 905284 | 91530 | 0 |
| 1013674266 | 390339 | 0 | 0 | 0 | 0 | 327000 | 955907 | 95692 | 0 |
| 999993 | 999993 | 75972 | 37367 | 433 | 8021 | 431343 | 976238 | 98592 | 0 |
2024 worker's compensation fee schedule