2008 TX - Dallas PPS Payment Rates - Home Care Information ...
2008 TX - Dallas PPS Payment Rates - Home Care Information ...
2008 TX - Dallas PPS Payment Rates - Home Care Information ...
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Medicare <strong>Home</strong> Health <strong>PPS</strong> <strong>Payment</strong> <strong>Rates</strong><br />
Effective for Episodes Beginning and Ending in <strong>2008</strong><br />
CBSA<br />
Code<br />
19124 <strong>Dallas</strong>, Texas CBSA<br />
Service Area<br />
Urban or Rural Area<br />
<strong>Payment</strong> <strong>Rates</strong><br />
HI<strong>PPS</strong> Code<br />
<strong>Payment</strong><br />
No Case- Total<br />
<strong>Payment</strong> Supplies Supplies HHRG Mix Therapy HHRG NRS Total<br />
Grouping Billed Billed Code Weight Visits Portion Portion Episode<br />
2 2AGMW 2AGM5 C1F2S3 2.0208 18 to 19 $ 4,557.80 $ 320.37 $ 4,878.17<br />
2 2AGMX 2AGM6 C1F2S3 2.0208 18 to 19 $ 4,557.80 $ 551.00 $ 5,108.80<br />
2 2AHKS 2AHK1 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 14.12 $ 4,076.18<br />
2 2AHKT 2AHK2 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 51.00 $ 4,113.06<br />
2 2AHKU 2AHK3 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 139.84 $ 4,201.90<br />
2 2AHKV 2AHK4 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 207.76 $ 4,269.82<br />
2 2AHKW 2AHK5 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 320.37 $ 4,382.43<br />
2 2AHKX 2AHK6 C1F3S1 1.8010 14 to 15 $ 4,062.06 $ 551.00 $ 4,613.06<br />
2 2AHLS 2AHL1 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 14.12 $ 4,427.12<br />
2 2AHLT 2AHL2 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 51.00 $ 4,464.00<br />
2 2AHLU 2AHL3 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 139.84 $ 4,552.84<br />
2 2AHLV 2AHL4 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 207.76 $ 4,620.76<br />
2 2AHLW 2AHL5 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 320.37 $ 4,733.37<br />
2 2AHLX 2AHL6 C1F3S2 1.9566 16 to 17 $ 4,413.00 $ 551.00 $ 4,964.00<br />
2 2AHMS 2AHM1 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 14.12 $ 4,736.35<br />
2 2AHMT 2AHM2 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 51.00 $ 4,773.23<br />
2 2AHMU 2AHM3 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 139.84 $ 4,862.07<br />
2 2AHMV 2AHM4 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 207.76 $ 4,929.99<br />
2 2AHMW 2AHM5 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 320.37 $ 5,042.60<br />
2 2AHMX 2AHM6 C1F3S3 2.0937 18 to 19 $ 4,722.23 $ 551.00 $ 5,273.23<br />
2 2BFKS 2BFK1 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 14.12 $ 4,215.11<br />
2 2BFKT 2BFK2 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 51.00 $ 4,251.99<br />
2 2BFKU 2BFK3 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 139.84 $ 4,340.83<br />
2 2BFKV 2BFK4 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 207.76 $ 4,408.75<br />
2 2BFKW 2BFK5 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 320.37 $ 4,521.36<br />
2 2BFKX 2BFK6 C2F1S1 1.8626 14 to 15 $ 4,200.99 $ 551.00 $ 4,751.99<br />
2 2BFLS 2BFL1 C2F1S2 2.0183 16 to 17 $ 4,552.16 $ 14.12 $ 4,566.28<br />
2 2BFLT 2BFL2 C2F1S2 2.0183 16 to 17 $ 4,552.16 $ 51.00 $ 4,603.16<br />
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