NPI or Provider # | Provider # | In-Patient Allowance | Out-Patient Allowance |
---|---|---|---|
Implied Decimal 2 (in dollars) | |||
1134135577 | 395422 | 30341 | 100 |
1396148726 | 395425 | 47942 | 100 |
1255345302 | 395426 | 39445 | 70 |
1265435952 | 395427 | 49158 | 84 |
1669496287 | 395428 | 37926 | 60 |
1568401800 | 395429 | 50069 | 100 |
1205822418 | 395430 | 65538 | 60 |
1609875962 | 395431 | 59171 | 55 |
1659373298 | 395432 | 60079 | 82 |
1841241171 | 395433 | 15360 | 100 |
1134662489 | 395434 | 18206 | 80 |
1205810579 | 395435 | 56442 | 100 |
1326046699 | 395437 | 34284 | 80 |
1235243742 | 395438 | 58258 | 94 |
1831192228 | 395439 | 57647 | 100 |
1336194224 | 395440 | 42482 | 100 |
1770530354 | 395442 | 50069 | 100 |
1750432019 | 395445 | 49760 | 59 |
1003810524 | 395446 | 57647 | 70 |
1093701047 | 395448 | 33677 | 44 |
1275588626 | 395449 | 54010 | 63 |
1013961952 | 395451 | 47031 | 100 |
1720400443 | 395454 | 39906 | 100 |
1154372522 | 395456 | 47609 | 71 |
1639241797 | 395458 | 47609 | 71 |
1255513651 | 395459 | 57647 | 91 |
1316063324 | 395460 | 51278 | 81 |
1710095955 | 395461 | 41569 | 100 |
1720089261 | 395462 | 67968 | 71 |
1578880837 | 395464 | 40659 | 80 |
1043215072 | 395465 | 48547 | 80 |
1669411385 | 395466 | 33072 | 100 |
1134123730 | 395467 | 47490 | 46 |
1285690792 | 395468 | 34284 | 100 |
1598254997 | 395469 | 40957 | 100 |
1962936906 | 395471 | 34892 | 80 |
1851330195 | 395472 | 45511 | 100 |
1831180173 | 395473 | 45511 | 75 |
1508865627 | 395474 | 38838 | 100 |
1841286135 | 395475 | 39139 | 80 |
1588668214 | 395476 | 34284 | 80 |
1710933429 | 395477 | 50069 | 100 |
1831258045 | 395478 | 43085 | 100 |
1285621722 | 395479 | 43844 | 92 |
1598765489 | 395480 | 50671 | 80 |
1639351943 | 395481 | 40054 | 98 |
1194776427 | 395482 | 47609 | 71 |
1578500922 | 395483 | 34284 | 100 |
1427315357 | 395484 | 41868 | 100 |
1558303982 | 395485 | 50825 | 80 |
1104840750 | 395489 | 38838 | 95 |
1508808932 | 395490 | 35805 | 71 |
1922164466 | 395491 | 57955 | 78 |
1174565824 | 395492 | 40659 | 80 |
1831498567 | 395493 | 52798 | 100 |
1053802058 | 395494 | 63414 | 73 |
1700828001 | 395495 | 57802 | 83 |
1598707119 | 395496 | 53397 | 83 |
1437154648 | 395497 | 36414 | 100 |
1457851768 | 395499 | 45516 | 75 |
1194813469 | 395500 | 54616 | 40 |
1467449322 | 395501 | 43690 | 58 |
1841202504 | 395502 | 39445 | 100 |
1487642658 | 395506 | 40357 | 80 |
1083707178 | 395507 | 79799 | 68 |
1538676036 | 395509 | 93153 | 83 |
1265504369 | 395510 | 40054 | 100 |
1952340283 | 395512 | 36414 | 100 |
1235105834 | 395514 | 50368 | 75 |
1871592816 | 395515 | 86780 | 69 |
1861492258 | 395518 | 37926 | 89 |
1891205332 | 395519 | 85862 | 70 |
1427045541 | 395520 | 46120 | 100 |
1922508225 | 395521 | 68963 | 71 |
1285095869 | 395524 | 25492 | 100 |
1720041874 | 395525 | 74338 | 75 |
1487822557 | 395526 | 51583 | 100 |
1740235613 | 395527 | 48547 | 100 |
1710971932 | 395530 | 62190 | 71 |
1669466991 | 395533 | 51993 | 71 |
1023018504 | 395534 | 29203 | 100 |
1225036544 | 395535 | 41266 | 100 |
1346356805 | 395536 | 69177 | 65 |
1740328269 | 395537 | 57347 | 42 |
1770008732 | 395538 | 55602 | 71 |
1578566725 | 395539 | 41868 | 96 |
1700831013 | 395540 | 48547 | 100 |
1689621484 | 395541 | 47031 | 100 |
1487970687 | 395542 | 29125 | 88 |
1922280239 | 395545 | 37470 | 80 |
1699750745 | 395549 | 35805 | 80 |
1487655809 | 395550 | 47331 | 81 |
1730103417 | 395552 | 34587 | 80 |
1770745598 | 395554 | 56738 | 86 |
1134164031 | 395555 | 75862 | 60 |
1497757710 | 395556 | 37621 | 75 |
1225023443 | 395557 | 41721 | 100 |
1770558512 | 395559 | 33983 | 100 |
1740261221 | 395560 | 48547 | 90 |
1023016037 | 395561 | 45511 | 38 |
1659377034 | 395562 | 63414 | 90 |
1962433797 | 395563 | 32770 | 100 |
1164907846 | 395564 | 38534 | 100 |
1104240811 | 395566 | 63716 | 80 |
1942423454 | 395567 | 29203 | 100 |
1861486003 | 395568 | 44602 | 80 |
1407952765 | 395570 | 38534 | 100 |
1598787590 | 395571 | 44299 | 47 |
1659385797 | 395572 | 42176 | 80 |
1821357799 | 395574 | 54917 | 95 |
1730177080 | 395575 | 39750 | 45 |
1487177473 | 395577 | 50069 | 100 |
1013914589 | 395581 | 40957 | 100 |
1700393204 | 395582 | 34284 | 100 |
1295718039 | 395583 | 40054 | 100 |
1043213986 | 395585 | 67360 | 53 |
1407885569 | 395586 | 77374 | 69 |
1134124480 | 395587 | 56132 | 68 |
1639612120 | 395588 | 51993 | 71 |
1184626491 | 395589 | 38534 | 75 |
1255329645 | 395590 | 39750 | 60 |
1447217112 | 395591 | 53397 | 100 |
1558817924 | 395592 | 47609 | 71 |
1760475289 | 395593 | 56132 | 100 |
1194271569 | 395594 | 47609 | 71 |
1619922267 | 395595 | 50825 | 69 |
1396109450 | 395596 | 51278 | 100 |
1124023148 | 395597 | 48846 | 100 |
1508867938 | 395599 | 57347 | 61 |
1992733984 | 395602 | 33983 | 38 |
1114958774 | 395603 | 70697 | 65 |
1619975927 | 395604 | 37621 | 56 |
1770571341 | 395605 | 82527 | 91 |
1518957497 | 395606 | 47031 | 100 |
1134672900 | 395607 | 47609 | 71 |
1578568135 | 395609 | 37324 | 80 |
1093261463 | 395610 | 46590 | 71 |
1649267477 | 395611 | 28547 | 100 |
1912011446 | 395612 | 71303 | 89 |
1285062091 | 395613 | 35504 | 100 |
1790902203 | 395614 | 27710 | 82 |
1255337523 | 395616 | 64328 | 46 |
1639169501 | 395617 | 59471 | 79 |
1487602983 | 395618 | 28828 | 92 |
1023004751 | 395619 | 49454 | 27 |
1548381031 | 395620 | 77374 | 98 |
1376610725 | 395621 | 59171 | 95 |
1881690295 | 395622 | 71911 | 65 |
1043217243 | 395623 | 26094 | 100 |
1972507531 | 395624 | 33677 | 54 |
1790783017 | 395625 | 33677 | 80 |
1528055712 | 395626 | 52798 | 70 |
1705332169 | 395627 | 49307 | 71 |
1063498160 | 395628 | 36414 | 50 |
1518941657 | 395629 | 40357 | 55 |
1174529069 | 395631 | 33983 | 88 |
1184612632 | 395632 | 61286 | 37 |
1609370741 | 395633 | 34587 | 80 |
1871584409 | 395634 | 66752 | 100 |
1235478470 | 395636 | 52798 | 84 |
1962530683 | 395637 | 38534 | 100 |
1811978398 | 395638 | 75862 | 100 |
1356331235 | 395640 | 48547 | 82 |
1669462537 | 395643 | 49158 | 100 |
1093135600 | 395644 | 37324 | 100 |
1639183817 | 395645 | 49454 | 75 |
1578069191 | 395646 | 47942 | 80 |
1093829582 | 395647 | 49454 | 89 |
1114920386 | 395648 | 40659 | 100 |
1053325951 | 395650 | 36414 | 81 |
1992280671 | 395651 | 73731 | 63 |
1750339255 | 395652 | 36111 | 90 |
1518964550 | 395653 | 77065 | 40 |
1851376370 | 395654 | 23058 | 100 |
1871591479 | 395656 | 40054 | 100 |
1336143023 | 395660 | 35805 | 80 |
1750837126 | 395661 | 46590 | 71 |
1558303206 | 395665 | 53099 | 97 |
1134662471 | 395670 | 47046 | 71 |
1972599926 | 395671 | 53201 | 71 |
1891792354 | 395672 | 36713 | 100 |
1386197168 | 395674 | 47046 | 71 |
1538612312 | 395675 | 47609 | 71 |
1588655815 | 395677 | 68270 | 67 |
1336149129 | 395678 | 30455 | 100 |
1700247376 | 395679 | 54917 | 70 |
1881691145 | 395680 | 61899 | 100 |
1225040751 | 395681 | 34587 | 100 |
1962400317 | 395682 | 64929 | 58 |
1366490864 | 395683 | 61597 | 100 |
1588668107 | 395684 | 54616 | 80 |
1336179043 | 395686 | 43690 | 72 |
1831207141 | 395687 | 47331 | 100 |
1881647899 | 395688 | 36414 | 100 |
1629064472 | 395690 | 64017 | 85 |
1457396202 | 395691 | 56738 | 60 |
1275995755 | 395695 | 51583 | 80 |
1396739546 | 395697 | 61286 | 70 |
1124522230 | 395698 | 40659 | 80 |
1083628085 | 395699 | 37324 | 81 |
1457375081 | 395700 | 36414 | 76 |
2024 Workers' Compensation Fee Schedule