NPI or Provider # | Provider # | In-Patient Allowance | Out-Patient Allowance |
---|---|---|---|
Implied Decimal 2 (in dollars) | |||
1659553048 | 395701 | 66752 | 85 |
1235131418 | 395702 | 45511 | 50 |
1487644225 | 395704 | 54616 | 100 |
1013921071 | 395705 | 63107 | 74 |
1902857360 | 395706 | 47609 | 71 |
1932655305 | 395707 | 47609 | 71 |
1609864859 | 395708 | 47331 | 100 |
1861492795 | 395710 | 54917 | 50 |
1932609237 | 395711 | 57107 | 71 |
1992753495 | 395712 | 15169 | 98 |
1003887415 | 395713 | 53201 | 71 |
1295753978 | 395715 | 64017 | 61 |
1972590651 | 395716 | 27307 | 100 |
1437128139 | 395717 | 47331 | 86 |
1255329918 | 395718 | 46268 | 72 |
1912905365 | 395719 | 60079 | 45 |
1487652905 | 395720 | 51278 | 91 |
1487760765 | 395721 | 59771 | 35 |
1851390421 | 395726 | 73431 | 72 |
1114937828 | 395728 | 61286 | 65 |
1447248638 | 395729 | 43994 | 70 |
1033107073 | 395730 | 31248 | 80 |
1528013349 | 395731 | 48547 | 100 |
1083718548 | 395732 | 88296 | 49 |
1487836896 | 395733 | 54616 | 85 |
1992786438 | 395735 | 48547 | 75 |
1265474910 | 395736 | 31859 | 85 |
1366443970 | 395738 | 36414 | 100 |
1720260128 | 395740 | 64017 | 77 |
1578534244 | 395741 | 97100 | 51 |
1114916780 | 395742 | 56442 | 40 |
1093761819 | 395743 | 50069 | 100 |
1518942549 | 395745 | 64626 | 70 |
1093760837 | 395746 | 47031 | 100 |
1760450779 | 395749 | 72820 | 55 |
1497731335 | 395751 | 33379 | 100 |
1669477261 | 395752 | 41569 | 100 |
1952308942 | 395753 | 47789 | 0 |
1053352666 | 395754 | 86475 | 48 |
1740280890 | 395756 | 74944 | 78 |
1801872320 | 395757 | 50671 | 65 |
1992166565 | 395758 | 29735 | 100 |
1790739795 | 395760 | 50069 | 100 |
1962444398 | 395762 | 61899 | 62 |
1790767226 | 395763 | 47641 | 100 |
1376594697 | 395764 | 54756 | 71 |
1285622456 | 395765 | 61286 | 87 |
1487697652 | 395767 | 51583 | 70 |
1114925492 | 395768 | 57043 | 95 |
1881602332 | 395770 | 34284 | 96 |
1740351584 | 395771 | 37926 | 80 |
1477531721 | 395772 | 37926 | 80 |
1376541680 | 395773 | 57043 | 48 |
1528057411 | 395774 | 48245 | 60 |
1326035973 | 395775 | 26700 | 80 |
1942283528 | 395778 | 38838 | 80 |
1043216351 | 395779 | 54010 | 55 |
1730186578 | 395780 | 44299 | 74 |
1609058007 | 395782 | 40659 | 85 |
1841245099 | 395783 | 50069 | 100 |
1659425957 | 395784 | 53704 | 84 |
1194225409 | 395785 | 37324 | 80 |
1205835642 | 395786 | 33677 | 80 |
1295722353 | 395787 | 39445 | 90 |
1760802995 | 395788 | 46421 | 80 |
1124122759 | 395790 | 46728 | 100 |
1730361049 | 395791 | 75862 | 60 |
1467459313 | 395793 | 57955 | 69 |
1740282144 | 395794 | 32160 | 60 |
1508869652 | 395795 | 48245 | 100 |
1922055029 | 395796 | 53099 | 100 |
1346243227 | 395797 | 33983 | 100 |
1578550562 | 395798 | 35193 | 85 |
1588636344 | 395800 | 54616 | 80 |
1265485734 | 395801 | 50825 | 43 |
1528059854 | 395802 | 50069 | 100 |
1417967050 | 395803 | 89812 | 80 |
1396728366 | 395804 | 59171 | 60 |
1568463818 | 395805 | 33983 | 80 |
1720083850 | 395806 | 44908 | 85 |
1184692121 | 395809 | 96789 | 43 |
1588662936 | 395812 | 85567 | 39 |
1982680633 | 395815 | 57647 | 90 |
1457355091 | 395816 | 35805 | 55 |
1770522005 | 395817 | 56132 | 100 |
1376897207 | 395818 | 44602 | 80 |
1811994460 | 395819 | 52490 | 100 |
1134103047 | 395821 | 58863 | 100 |
1275536880 | 395823 | 55833 | 80 |
1033101803 | 395824 | 30041 | 80 |
1750360285 | 395825 | 40957 | 90 |
1588603823 | 395826 | 43994 | 100 |
1598753931 | 395827 | 43085 | 100 |
1669476313 | 395828 | 60079 | 100 |
1972506954 | 395830 | 51583 | 80 |
1730361056 | 395831 | 43085 | 90 |
1497746713 | 395832 | 44908 | 100 |
1518965946 | 395833 | 39292 | 80 |
1134175102 | 395834 | 57647 | 100 |
1417967720 | 395838 | 41569 | 100 |
1801893664 | 395840 | 57647 | 60 |
1588660906 | 395842 | 45511 | 80 |
1649265414 | 395843 | 59771 | 56 |
1891810826 | 395844 | 26398 | 80 |
1982708459 | 395845 | 47331 | 48 |
1811985971 | 395846 | 41569 | 100 |
1710978226 | 395847 | 135020 | 50 |
1275530735 | 395848 | 54616 | 65 |
1649264672 | 395850 | 30647 | 80 |
1629180732 | 395851 | 82527 | 65 |
1497047310 | 395852 | 48547 | 80 |
1467456970 | 395853 | 41868 | 56 |
1548251879 | 395857 | 55527 | 89 |
1770573321 | 395860 | 76461 | 80 |
1255321436 | 395861 | 139575 | 35 |
1073500963 | 395864 | 32770 | 80 |
1770717605 | 395865 | 51583 | 80 |
1558319053 | 395867 | 20632 | 80 |
1184958308 | 395868 | 54616 | 70 |
1366442741 | 395870 | 37926 | 80 |
1659369643 | 395872 | 30951 | 65 |
1164415360 | 395873 | 74944 | 74 |
1689676991 | 395875 | 47942 | 75 |
1275590986 | 395876 | 47331 | 70 |
1396946489 | 395877 | 68270 | 65 |
1407038714 | 395878 | 50972 | 90 |
1376537431 | 395879 | 41868 | 48 |
1578561049 | 395880 | 55527 | 83 |
1528061785 | 395881 | 86174 | 100 |
1578556528 | 395882 | 78281 | 80 |
1306137088 | 395883 | 66149 | 80 |
1881670453 | 395889 | 125621 | 48 |
1861568776 | 395890 | 145945 | 35 |
1982679437 | 395891 | 64626 | 80 |
1346784022 | 395892 | 55602 | 71 |
1184791022 | 395894 | 93458 | 41 |
1306883210 | 395895 | 43994 | 70 |
1457357683 | 395896 | 49760 | 100 |
1245236488 | 395898 | 53099 | 100 |
1033107008 | 395899 | 30341 | 80 |
1821544297 | 395901 | 47609 | 71 |
1215933601 | 395902 | 53099 | 46 |
1477735793 | 395904 | 50368 | 100 |
1194145706 | 395905 | 40659 | 67 |
1407054489 | 395906 | 33072 | 80 |
1003804634 | 395907 | 57647 | 30 |
1831187079 | 395908 | 28218 | 80 |
1184672685 | 395909 | 22755 | 80 |
1376050872 | 395912 | 57107 | 71 |
1053366328 | 395913 | 78890 | 100 |
1821096801 | 395915 | 28828 | 80 |
1164416491 | 395916 | 36713 | 80 |
1437104411 | 395917 | 75862 | 60 |
1154320950 | 395918 | 27919 | 80 |
1922009679 | 395922 | 45511 | 80 |
1265499636 | 395923 | 29125 | 80 |
1114937737 | 395925 | 91633 | 46 |
1710975693 | 395926 | 104985 | 45 |
1508882002 | 395927 | 40357 | 80 |
1780129973 | 395930 | 75862 | 80 |
1891874798 | 395933 | 64929 | 28 |
1669445870 | 395934 | 121980 | 22 |
1629075163 | 395936 | 50844 | 94 |
1255513560 | 395939 | 58971 | 71 |
1700946605 | 395941 | 80105 | 80 |
1306841101 | 395946 | 188269 | 36 |
1225033392 | 395948 | 29110 | 80 |
1235198326 | 395951 | 124978 | 49 |
1558301325 | 395952 | 67945 | 71 |
1184139552 | 395953 | 55234 | 71 |
1114099215 | 395959 | 51840 | 71 |
1073572871 | 395964 | 60488 | 71 |
1396833778 | 395966 | 122597 | 48 |
1154303311 | 395984 | 68177 | 65 |
1962409060 | 395985 | 63935 | 71 |
1326023573 | 395987 | 86642 | 35 |
1679565147 | 395990 | 113630 | 47 |
1558303693 | 395995 | 115050 | 60 |
1770595415 | 395996 | 49470 | 71 |
1700870920 | 395998 | 75862 | 100 |
1083611487 | 396002 | 185827 | 35 |
1851573174 | 396009 | 67945 | 71 |
1285628404 | 396015 | 51993 | 71 |
1760664171 | 396017 | 67945 | 71 |
1649268921 | 396024 | 24871 | 80 |
1952359457 | 396035 | 55328 | 71 |
1659382455 | 396040 | 104731 | 80 |
1629076930 | 396048 | 54849 | 71 |
1235168519 | 396056 | 40357 | 80 |
1255342580 | 396062 | 51208 | 65 |
1851382014 | 396064 | 65623 | 65 |
1962404251 | 396065 | 27307 | 100 |
1184629149 | 396067 | 56782 | 65 |
1154316057 | 396070 | 75660 | 69 |
1215452271 | 396073 | 55602 | 71 |
1851398341 | 396074 | 45820 | 67 |
1023168283 | 396076 | 68571 | 70 |
1689747685 | 396080 | 55588 | 80 |
1649276742 | 396081 | 52888 | 80 |
1194716944 | 396089 | 55900 | 71 |
1437486081 | 396093 | 59604 | 71 |
1083807911 | 396095 | 54026 | 71 |
1285741900 | 396098 | 49952 | 80 |
1053380857 | 396100 | 55805 | 71 |
1922056076 | 396101 | 51208 | 65 |
1164509261 | 396102 | 61389 | 60 |
1841288214 | 396105 | 50517 | 71 |
1477591014 | 396108 | 55972 | 71 |
1588621437 | 396109 | 53642 | 71 |
1417015223 | 396111 | 63509 | 71 |
1568600849 | 396114 | 67945 | 71 |
1528377348 | 396126 | 67945 | 71 |
1750870580 | 396129 | 63780 | 71 |
1255622551 | 396130 | 54175 | 71 |
1831525179 | 396133 | 60488 | 60 |
1033530878 | 396134 | 57413 | 71 |
1790102622 | 396135 | 53642 | 71 |
1992100408 | 396136 | 74209 | 71 |
1649789884 | 396144 | 59591 | 71 |
1255846119 | 396145 | 51993 | 71 |
1588132716 | 396146 | 56751 | 71 |
999995 | 999995 | 45511 | 71 |
2024 Workers' Compensation Fee Schedule