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 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1780889402 | 397401 | 4000 | 29152 | 28022 | 29123 | 27868 | 40416 | 15694 |
| 1831613520 | 397406 | 3680 | 28253 | 27158 | 28219 | 27013 | 39173 | 15214 |
| 1154325918 | 397407 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1184679854 | 397411 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1174699326 | 397413 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1598796161 | 397422 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1396748455 | 397427 | 3680 | 28253 | 27158 | 28219 | 27013 | 39173 | 15214 |
| 1700975380 | 397436 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1972597854 | 397442 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1386641330 | 397449 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1497761043 | 397452 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1972667343 | 397455 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1093788002 | 397456 | 9280 | 28449 | 27342 | 28414 | 27195 | 39438 | 15312 |
| 1043391832 | 397457 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1558331371 | 397458 | 3680 | 28253 | 27158 | 28219 | 27013 | 39173 | 15214 |
| 1821022054 | 397466 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1659360824 | 397471 | 4000 | 29152 | 28022 | 29123 | 27868 | 40416 | 15694 |
| 1518901610 | 397472 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1841566635 | 397474 | 9280 | 28449 | 27342 | 28414 | 27195 | 39438 | 15312 |
| 1215904578 | 397477 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1548330350 | 397481 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1861485971 | 397486 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1205850807 | 397495 | 6680 | 28429 | 27331 | 28396 | 27185 | 39418 | 15299 |
| 1851390439 | 397500 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1609871409 | 397502 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1699938803 | 397505 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1326182692 | 397509 | 7610 | 28425 | 27330 | 28395 | 27178 | 39415 | 15296 |
| 1750384087 | 397510 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1609830819 | 397512 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1518964618 | 397521 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1619917010 | 397533 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1043664196 | 397537 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1174561567 | 397547 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1205811981 | 397551 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1285717652 | 397559 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1053390567 | 397562 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1275589566 | 397564 | 8050 | 30666 | 29473 | 30626 | 29307 | 42494 | 16502 |
| 1871732230 | 397565 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1013990704 | 397570 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1205839040 | 397575 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1730185208 | 397578 | 6680 | 28429 | 27331 | 28396 | 27185 | 39418 | 15299 |
| 1023045218 | 397583 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1619088416 | 397585 | 3240 | 29948 | 28788 | 29915 | 28624 | 41508 | 16123 |
| 1467446609 | 397587 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1346243763 | 397588 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1770538456 | 397607 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1902176787 | 397611 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1033114855 | 397613 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1497721187 | 397622 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1245237676 | 397624 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1225311178 | 397626 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1730493032 | 397636 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1417940487 | 397647 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1932167921 | 397655 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1063426831 | 397658 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1063471704 | 397672 | 9140 | 27643 | 26567 | 27613 | 26424 | 38328 | 14876 |
| 1487748570 | 397674 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1265437156 | 397706 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1235114224 | 397710 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1093769275 | 397715 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1669474847 | 397717 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1164462404 | 397718 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1215238548 | 397726 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1578547394 | 397728 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1891793543 | 397733 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1205801156 | 397747 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1902800626 | 397748 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1639152341 | 397749 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1962453118 | 397755 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1760621122 | 397756 | 8050 | 30666 | 29473 | 30626 | 29307 | 42494 | 16502 |
| 1982608832 | 397759 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1831128925 | 397761 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1982609806 | 397764 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1023010329 | 397774 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1508864679 | 397776 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1720082290 | 397786 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1083673289 | 397792 | 2360 | 28785 | 27663 | 28756 | 27518 | 39910 | 15500 |
| 1164485777 | 397798 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1053399386 | 398001 | 2360 | 28785 | 27663 | 28756 | 27518 | 39910 | 15500 |
| 1700840014 | 398002 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1508835307 | 398003 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1023042264 | 398005 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1588660377 | 398010 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1346247095 | 398023 | 3680 | 28253 | 27158 | 28219 | 27013 | 39173 | 15214 |
| 1861499840 | 398024 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1093109266 | 398025 | 9280 | 28449 | 27342 | 28414 | 27195 | 39438 | 15312 |
| 1457359747 | 398034 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1396778585 | 398041 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1255692281 | 398043 | 3680 | 28253 | 27158 | 28219 | 27013 | 39173 | 15214 |
| 1811949217 | 398046 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1568415800 | 398048 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1740674910 | 398051 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1164535720 | 398061 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1639261167 | 398066 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1376762237 | 398067 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1003020306 | 398069 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1083808927 | 398076 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1861691800 | 398084 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1275524373 | 398087 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1578710026 | 398093 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1861630030 | 398100 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1639300999 | 398113 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1477786648 | 398133 | 280 | 28811 | 27696 | 28785 | 27545 | 39944 | 15507 |
| 1427485887 | 398135 | 6280 | 30954 | 29761 | 30925 | 29589 | 42907 | 16665 |
| 1508194291 | 398137 | 280 | 28811 | 27696 | 28785 | 27545 | 39944 | 15507 |
| 1154653475 | 398140 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1902235195 | 398144 | 9140 | 27643 | 26567 | 27613 | 26424 | 38328 | 14876 |
| 1184931941 | 398159 | 3240 | 29948 | 28788 | 29915 | 28624 | 41508 | 16123 |
| 1487075016 | 398225 | 7560 | 28180 | 27092 | 28147 | 26942 | 39069 | 15166 |
| 1033524921 | 398228 | 280 | 28811 | 27696 | 28785 | 27545 | 39944 | 15507 |
| 1578978482 | 398232 | 9280 | 28449 | 27342 | 28414 | 27195 | 39438 | 15312 |
| 1841514023 | 398247 | 3240 | 29948 | 28788 | 29915 | 28624 | 41508 | 16123 |
| 1306381678 | 398250 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1740637644 | 398270 | 3240 | 29948 | 28788 | 29915 | 28624 | 41508 | 16123 |
| 1386135440 | 398303 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 1669088423 | 398342 | 240 | 30327 | 29152 | 30291 | 28992 | 42041 | 16327 |
| 999991 | 999991 | 3240 | 29948 | 28788 | 29915 | 28624 | 41508 | 16123 |
| 1669671236 | BWC010 | 39 | 27812 | 29637 | 30999 | 29898 | 46487 | 12927 |
| 1649907072 | BWC011 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
| 1649864406 | BWC012 | 6160 | 33246 | 31954 | 33211 | 31770 | 46065 | 17892 |
2024 Workers' Compensation Fee Schedule