June 1, 2006 Long Term Home Health Care (LTHHC) Rates
Bureau of Long Term Care Reimbursement
| OPCERT | FACILITY | DATE | NURSING | PT | SPEECH | OT | HOME HEALTH AIDE |
HOME- MAKER |
HOUSE- KEEPER |
PERSONAL CARE |
MSS | NUTRITION | RESPIRATORY | AUDIOLOGY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0101901 | VNA OF ALBANY, SARATOGA & RENN | 06/06/01 | $130.24 | $99.54 | $110.44 | $96.76 | $33.91 | $24.36 | $31.14 | $31.12 | $115.34 | $112.86 | $93.60 | $139.75 |
| 0221901 | ALLEGANY COUNTY HEALTH DEPARTM | 06/06/01 | $122.04 | $98.28 | $103.25 | $90.88 | $36.71 | $18.51 | $18.51 | $32.18 | $114.51 | $105.51 | $86.88 | $72.09 |
| 0301902 | LOURDES AT HOME - LTHHCP | 06/06/01 | $110.40 | $81.30 | $29.09 | $50.56 | $34.73 | $28.67 | $14.31 | $30.70 | $78.18 | $66.52 | $44.37 | $72.09 |
| 0401901 | CATTARAUGUS COUNTY HEALTH DEPARTMENT | 06/06/01 | $89.84 | $82.14 | $62.66 | $91.59 | $32.46 | $18.44 | $25.82 | $29.13 | $117.64 | $108.39 | $72.09 | $73.75 |
| 0501901 | CAYUGA COUNTY HEALTH DEPARTMEN | 06/06/01 | $104.23 | $83.95 | $51.40 | $52.94 | $32.31 | $14.42 | $12.48 | $13.87 | $97.82 | $72.09 | $47.07 | $61.48 |
| 0663902 | TLC HEALTH NETWORK | 06/06/01 | $122.38 | $88.96 | $86.11 | $78.94 | $26.23 | $16.34 | $25.28 | $24.90 | $76.13 | $100.07 | $49.91 | $66.54 |
| 0701901 | CHEMUNG COUNTY HEALTH DEPT | 06/06/01 | $127.01 | $90.80 | $70.14 | $72.22 | $27.00 | $15.11 | $15.11 | $25.33 | $70.14 | $11.59 | $70.14 | $1.08 |
| 0901901 | CLINTON COUNTY DEPARTMENT OF HEALTH | 06/06/01 | $84.86 | $94.70 | $96.97 | $92.30 | $37.84 | $21.48 | $29.12 | $33.44 | $114.54 | $105.52 | $97.31 | $45.48 |
| 1101901 | CORTLAND MEMORIAL HOSPITAL -LT | 06/06/01 | $119.26 | $78.85 | $61.42 | $60.76 | $36.97 | $19.30 | $28.45 | $32.67 | $111.90 | $103.09 | $99.82 | $55.46 |
| 1257901 | DELAWARE COUNTY LTHHCP | 06/06/01 | $75.35 | $82.24 | $61.00 | $80.86 | $33.15 | $18.86 | $18.86 | $29.30 | $82.84 | $92.43 | $61.00 | $61.00 |
| 1301902 | FISHKILL HEALTH RELATED CENTER | 06/06/01 | $115.39 | $97.84 | $109.65 | $98.72 | $32.94 | $15.53 | $15.53 | $27.68 | $104.83 | $96.77 | $83.18 | $94.27 |
| 1302901 | DUTCHESS COUNTY HEALTH DEPARTM | 06/06/01 | $91.14 | $83.11 | $1.11 | $78.03 | $32.00 | $16.64 | $16.64 | $28.28 | $96.84 | $89.21 | $1.11 | $1.11 |
| 1401903 | SISTERS OF CHARITY HOSPITAL -L | 06/06/01 | $110.31 | $88.84 | $93.33 | $83.43 | $34.21 | $12.34 | $26.31 | $30.24 | $103.53 | $71.05 | $44.37 | $47.70 |
| 1401907 | EPISCOPAL RESIDENTIAL HCF | 06/06/01 | $71.81 | $76.30 | $64.97 | $77.19 | $32.01 | $30.72 | $29.36 | $30.81 | $83.28 | $107.08 | $93.67 | $51.12 |
| 1404904 | SCHOFIELD RESIDENCE LTHHCP | 06/06/01 | $111.78 | $83.93 | $84.20 | $80.48 | $29.97 | $15.35 | $27.42 | $29.65 | $107.89 | $99.41 | $65.84 | $61.00 |
| 1451901 | ROSA COPLON LONG TERM HOME HEALTH CARE P | 06/06/01 | $86.41 | $76.96 | $74.88 | $73.95 | $30.28 | $12.93 | $25.50 | $29.29 | $100.30 | $79.01 | $33.28 | $49.91 |
| 1451902 | VNA OF WESTERN NY, INC. | 06/06/01 | $128.48 | $103.47 | $108.69 | $97.16 | $34.04 | $1.11 | $1.11 | $30.86 | $120.55 | $1.11 | $1.11 | $1.11 |
| 1624901 | FRANKLIN COUNTY PUBLIC HEALTH SERVICE | 06/06/01 | $129.42 | $93.86 | $97.32 | $97.87 | $40.14 | $19.44 | $19.44 | $35.47 | $110.60 | $83.40 | $101.26 | $66.54 |
| 1758901 | COMMUNITY HEALTH CENTER OF ST. | 06/06/01 | $92.36 | $77.19 | $85.18 | $67.61 | $38.43 | $17.60 | $25.69 | $33.96 | $84.25 | $69.38 | $68.88 | $61.00 |
| 1801901 | GENESEE COUNTY HEALTH DEPARTME | 06/06/01 | $103.43 | $88.17 | $92.62 | $82.79 | $33.95 | $15.11 | $15.11 | $30.00 | $94.21 | $73.94 | $26.98 | $53.96 |
| 1921901 | HOME CARE OF COLUMBIA GREENE - | 06/06/01 | $108.14 | $88.04 | $98.74 | $86.78 | $39.50 | $19.75 | $19.75 | $34.90 | $101.42 | $82.41 | $87.77 | $62.83 |
| 2124901 | HERKIMER COUNTY LTHHCP | 06/06/01 | $116.50 | $66.36 | $32.18 | $91.16 | $37.37 | $16.64 | $16.64 | $23.29 | $32.62 | $76.03 | $89.53 | $44.37 |
| 2201901 | JEFFERSON COUNTY PHNS | 06/06/01 | $106.41 | $94.53 | $82.63 | $95.88 | $38.89 | $16.65 | $26.92 | $29.37 | $104.94 | $60.18 | $61.00 | $88.73 |
| 2627901 | MADISON COUNTY DEPARTMENT OF HEALTH | 06/06/01 | $101.94 | $83.68 | $48.56 | $78.59 | $32.22 | $14.68 | $14.68 | $28.48 | $60.97 | $60.97 | $60.97 | $107.91 |
| 2701901 | VNS OF ROCHESTER & MONROE CO. | 06/06/01 | $130.54 | $105.13 | $103.76 | $97.17 | $35.58 | $16.86 | $21.29 | $25.02 | $122.48 | $97.29 | $86.51 | $86.51 |
| 2701903 | PARK RIDGE NURSING HOME | 06/06/01 | $108.38 | $105.13 | $68.82 | $88.52 | $29.19 | $33.19 | $27.25 | $28.84 | $111.21 | $103.15 | $42.16 | $103.65 |
| 2701907 | INDEPENDENT LIVING FOR SENIORS | 06/06/01 | $74.53 | $41.92 | $61.00 | $65.81 | $36.03 | $16.86 | $16.86 | $34.09 | $122.48 | $112.86 | $68.76 | $71.69 |
| 2701908 | GENESEE REGION HOME CARE | 06/06/01 | $130.54 | $105.13 | $110.44 | $98.72 | $35.54 | $32.59 | $31.14 | $35.15 | $122.48 | $61.00 | $99.82 | $66.54 |
| 2902901 | LONG BEACH MEDICAL CENTER | 06/06/01 | $163.39 | $114.65 | $112.53 | $115.44 | $7.93 | $11.09 | $11.09 | $19.24 | $142.39 | $97.34 | $44.37 | $47.70 |
| 2905900 | VISITNG NURSE ASSOCIATION OF LONG ISLAND | 06/06/01 | $105.10 | $102.79 | $83.62 | $91.30 | $20.06 | $11.63 | $11.63 | $20.30 | $101.90 | $110.62 | $55.46 | $55.46 |
| 2908901 | WINTHROP UNIVERSITY HOSPITAL | 06/06/01 | $113.90 | $97.94 | $102.97 | $102.76 | $20.55 | $13.87 | $13.87 | $21.30 | $151.57 | $109.50 | $38.91 | $39.32 |
| 2910900 | FRANKLIN GENERAL HOSPITAL -LTH | 06/06/01 | $163.39 | $90.94 | $112.53 | $108.08 | $15.81 | $1.11 | $1.11 | $18.65 | $125.13 | $94.81 | $1.11 | $1.11 |
| 2950900 | SOUTH NASSAU COMMUNITIES HOSPITAL | 06/06/01 | $123.12 | $99.53 | $89.79 | $100.22 | $19.42 | $11.63 | $20.92 | $20.43 | $99.62 | $99.53 | $56.56 | $101.30 |
| 2952901 | FAMILY CARE CERT SERV | 06/06/01 | $139.34 | $80.03 | $21.45 | $97.82 | $22.38 | $13.31 | $17.79 | $18.40 | $83.41 | $79.54 | $61.00 | $61.00 |
| 3101901 | NIAGARA COUNTY HEALTH DEPARTMENT | 06/06/01 | $115.94 | $81.96 | $82.32 | $78.89 | $29.08 | $14.95 | $14.95 | $30.71 | $79.91 | $79.13 | $49.91 | $49.91 |
| 3202901 | VISITING NURSE ASSOCIATION OF UTICA AND | 06/06/01 | $92.81 | $74.45 | $68.26 | $72.14 | $34.22 | $22.18 | $25.25 | $32.30 | $110.64 | $101.95 | $49.91 | $44.37 |
| 3202902 | ONEIDA COUNTY HEALTH DEPARTMEN | 06/06/01 | $93.84 | $77.05 | $83.40 | $81.49 | $33.80 | $14.42 | $26.41 | $29.97 | $103.85 | $38.82 | $27.73 | $49.91 |
| 3301902 | VNA OF CENTRAL NEW YORK, INC. | 06/06/01 | $82.85 | $88.77 | $91.83 | $89.64 | $25.79 | $25.73 | $15.75 | $26.29 | $92.55 | $84.29 | $27.73 | $72.09 |
| 3402901 | FINGER LAKES VISITING NURSE SERVICE | 06/06/01 | $130.54 | $105.13 | $110.44 | $97.69 | $39.43 | $16.28 | $16.28 | $35.77 | $96.22 | $94.92 | $94.92 | $59.99 |
| 3429901 | ONTARIO COUNTY LTHHCP | 06/06/01 | $98.98 | $92.42 | $95.07 | $86.78 | $35.58 | $17.74 | $17.74 | $31.44 | $107.68 | $99.20 | $49.91 | $49.91 |
| 3523901 | ORANGE COUNTY DEPARTMEN OF HEALTH | 06/06/01 | $126.42 | $101.80 | $106.94 | $95.60 | $39.19 | $13.64 | $13.64 | $33.44 | $101.79 | $91.51 | $55.46 | $66.54 |
| 3523902 | ELANT AT GOSHEN | 06/06/01 | $130.54 | $86.26 | $73.20 | $55.46 | $27.77 | $23.29 | $23.29 | $20.14 | $122.48 | $16.68 | $33.28 | $110.91 |
| 3622901 | MEDINA MEMORIAL HOSPITAL LTHHCP | 06/06/01 | $83.19 | $60.36 | $66.19 | $53.88 | $33.59 | $1.11 | $25.85 | $29.69 | $101.68 | $74.17 | $61.00 | $72.09 |
| 3702901 | OSWEGO COUNTY HEALTH | 06/06/01 | $119.17 | $80.75 | $74.62 | $75.10 | $37.98 | $24.87 | $12.41 | $33.56 | $114.91 | $37.77 | $45.33 | $32.38 |
| 3824901 | OTSEGO COUNTY PHNS | 06/06/01 | $111.85 | $89.40 | $61.00 | $86.55 | $35.49 | $16.08 | $16.08 | $16.87 | $89.11 | $87.76 | $61.00 | $61.00 |
| 3922900 | PUTNAM HOSPITAL CENTER - LTHHC | 06/06/01 | $152.72 | $107.16 | $1.11 | $107.92 | $20.92 | $1.11 | $1.11 | $22.01 | $141.67 | $1.11 | $1.11 | $1.11 |
| 4324901 | NYACK HOSPITAL - LTHHCP | 06/06/01 | $163.01 | $85.19 | $76.44 | $88.00 | $22.38 | $16.08 | $21.88 | $23.54 | $72.51 | $25.71 | $14.86 | $14.86 |
| 4423901 | ST. LAWRENCE COUNTY PNHS | 06/06/01 | $122.22 | $86.88 | $86.46 | $92.42 | $37.90 | $17.67 | $29.16 | $33.50 | $114.68 | $105.67 | $32.38 | $51.80 |
| 4501901 | SARATOGA COUNTY PHNS | 06/06/01 | $124.81 | $87.27 | $101.11 | $89.71 | $38.70 | $31.95 | $25.47 | $34.21 | $89.09 | $81.80 | $99.51 | $95.43 |
| 4601901 | VNSA OF SCHENECTADY COUNTY | 06/06/01 | $84.06 | $95.98 | $85.49 | $82.60 | $47.02 | $24.24 | $1.11 | $43.69 | $104.76 | $65.76 | $118.13 | $1.11 |
| 5022901 | STEUBEN COUNTY PHNS | 06/06/01 | $70.12 | $76.69 | $74.31 | $86.41 | $35.42 | $28.53 | $16.53 | $31.31 | $107.21 | $75.09 | $72.09 | $65.43 |
| 5101900 | GOOD SAMARITAN HOSPITAL LTHHCP | 06/06/01 | $129.46 | $92.59 | $99.82 | $92.64 | $22.38 | $21.17 | $14.03 | $23.54 | $114.04 | $123.99 | $53.24 | $99.82 |
| 5123900 | BROOKHAVEN MEMORIAL HOSPITAL - | 06/06/01 | $152.85 | $107.25 | $53.24 | $53.24 | $20.93 | $13.54 | $13.54 | $22.02 | $141.80 | $53.24 | $53.24 | $53.24 |
| 5154901 | CONSOLATION NURSING HOME, INC. | 06/06/01 | $155.06 | $94.37 | $27.90 | $76.98 | $21.82 | $14.14 | $14.14 | $21.25 | $83.71 | $83.01 | $66.54 | $66.54 |
| 5157902 | ST. JOHNLAND NURSING CENTER, INC. | 06/06/01 | $136.63 | $90.30 | $66.54 | $103.32 | $20.02 | $12.93 | $12.93 | $21.06 | $132.93 | $81.44 | $42.16 | $46.59 |
| 5157903 | GURWIN JEWISH GERIATRIC CENTER- LTHHCP | 06/06/01 | $136.37 | $108.74 | $105.38 | $109.50 | $21.21 | $14.97 | $28.89 | $22.32 | $113.07 | $117.62 | $65.43 | $43.26 |
| 5157904 | LUTHERAN LONG TERM HOME HEALTH CARE | 06/06/01 | $163.39 | $89.12 | $49.91 | $108.73 | $22.38 | $13.31 | $13.03 | $23.54 | $80.93 | $51.40 | $49.12 | $49.91 |
| 5220900 | SULLIVAN COUNTY PUBLIC HEALTH NURSING | 06/06/01 | $118.02 | $95.04 | $82.07 | $89.25 | $36.60 | $11.09 | $11.09 | $28.77 | $93.36 | $102.04 | $38.82 | $211.23 |
| 5320901 | TIOGA COUNTY PUBLIC HEALTH NUR | 06/06/01 | $104.20 | $83.91 | $76.61 | $78.79 | $32.30 | $15.64 | $24.86 | $28.55 | $97.78 | $90.09 | $60.43 | $70.14 |
| 5401901 | VNS OF ITHACA AND TOMPKINS CO. | 06/06/01 | $97.50 | $78.50 | $82.47 | $73.72 | $30.23 | $15.60 | $23.26 | $26.71 | $91.48 | $105.49 | $38.82 | $94.03 |
| 5501901 | ULSTER COUNTY HEALTH DEPARTMENT | 06/06/01 | $130.54 | $82.63 | $72.09 | $82.63 | $40.48 | $16.08 | $12.30 | $21.86 | $82.62 | $80.24 | $104.08 | $53.24 |
| 5522901 | LITSON CERTIFIED CARE, DBA WILLCARE | 06/06/01 | $122.05 | $54.77 | $55.46 | $60.04 | $16.71 | $15.53 | $15.53 | $30.81 | $114.54 | $55.46 | $55.46 | $55.46 |
| 5556901 | HUDSON VALLEY NURSING CENTER | 06/06/01 | $130.54 | $99.06 | $53.24 | $96.01 | $32.60 | $16.36 | $16.36 | $22.35 | $122.48 | $83.58 | $44.37 | $66.54 |
| 5620901 | WARREN COUNTY PHNS | 06/06/01 | $112.72 | $79.35 | $82.05 | $82.25 | $38.05 | $25.42 | $25.42 | $33.63 | $88.72 | $96.45 | $91.39 | $55.46 |
| 5726901 | WASHINGTON COUNTY PHNS | 06/06/01 | $89.59 | $83.16 | $85.67 | $88.36 | $36.66 | $17.31 | $17.31 | $32.40 | $86.43 | $87.37 | $86.66 | $88.73 |
| 5903900 | THE WARTBURG HOME | 06/06/01 | $128.46 | $96.20 | $68.76 | $90.28 | $19.52 | $14.97 | $14.97 | $18.61 | $151.57 | $88.85 | $55.46 | $55.46 |
| 5905900 | BETHEL NURSING HOME | 06/06/01 | $92.70 | $114.65 | $93.59 | $115.44 | $22.38 | $12.73 | $12.73 | $21.19 | $151.57 | $84.20 | $66.54 | $83.18 |
| 5905901 | DOMINICAN SISTERS FAMILY HEALTH SERVICE, | 06/06/01 | $163.39 | $114.65 | $112.53 | $111.75 | $22.38 | $12.20 | $12.20 | $22.14 | $151.57 | $95.06 | $83.18 | $66.54 |
| 5907902 | ST JOSEPHS HOSPITAL NURSING HO | 06/06/01 | $118.63 | $94.19 | $35.75 | $101.86 | $21.82 | $12.76 | $17.39 | $20.24 | $149.82 | $99.25 | $83.18 | $94.12 |
| 5925901 | ST. CABRINI NURSING HOME, INC. | 06/06/01 | $132.42 | $91.40 | $95.50 | $94.52 | $21.83 | $13.31 | $13.31 | $21.04 | $113.74 | $92.78 | $94.27 | $88.73 |
| 7000901 | MONTEFIORE HOSPITAL AND MEDICA | 06/06/01 | $143.34 | $109.54 | $107.53 | $110.31 | $21.37 | $20.22 | $24.18 | $22.14 | $113.56 | $116.10 | $86.39 | $86.39 |
| 7000902 | JEWISH HOME AND HOSPITAL/BRONX DIV | 06/06/01 | $157.98 | $83.55 | $101.18 | $79.19 | $19.19 | $12.15 | $12.15 | $19.24 | $146.55 | $119.89 | $69.11 | $69.11 |
| 7000903 | SCHERVIER NURSING CARE CENTER | 06/06/01 | $159.09 | $108.71 | $104.66 | $112.40 | $19.56 | $10.25 | $10.25 | $18.65 | $147.12 | $116.95 | $97.13 | $80.99 |
| 7000904 | KINGSBRIDGE HEIGHTS NURSING HO | 06/06/01 | $136.69 | $111.39 | $109.35 | $90.28 | $19.44 | $12.42 | $12.42 | $17.87 | $118.47 | $120.49 | $38.97 | $66.95 |
| 7000905 | HEBREW HOSPITAL HOME, INC. | 06/06/01 | $136.65 | $111.63 | $70.19 | $107.30 | $19.74 | $12.26 | $10.80 | $19.01 | $147.58 | $101.40 | $70.19 | $70.19 |
| 7000907 | BETH ABRAHAM HOSPITAL - LTHHCP | 06/06/01 | $150.71 | $105.75 | $103.80 | $106.49 | $19.10 | $12.69 | $27.49 | $21.60 | $139.80 | $100.56 | $97.13 | $98.63 |
| 7000908 | MORNINGSIDE HOUSE NURSING HOME COMPANY, | 06/06/01 | $132.96 | $84.20 | $97.82 | $82.23 | $21.52 | $13.18 | $17.89 | $16.68 | $145.80 | $80.19 | $80.91 | $91.79 |
| 7000909 | HEBREW HOME FOR THE AGED | 06/06/01 | $159.09 | $111.63 | $109.57 | $112.40 | $21.79 | $11.88 | $20.80 | $22.92 | $147.58 | $120.73 | $37.80 | $66.95 |
| 7000911 | SPLIT ROCK LONG TERM HOME CARE PROGRAM | 06/06/01 | $109.45 | $102.13 | $66.95 | $70.19 | $17.61 | $11.88 | $16.60 | $17.75 | $96.49 | $66.34 | $66.95 | $70.19 |
| 7001903 | VNA OF BROOKLYN | 06/06/01 | $105.48 | $84.35 | $61.87 | $112.40 | $21.13 | $13.77 | $21.08 | $21.22 | $124.02 | $120.73 | $31.32 | $54.00 |
| 7001904 | CENTER FOR NURSING AND REHABILITATION | 06/06/01 | $116.38 | $101.08 | $109.57 | $112.40 | $17.99 | $12.19 | $11.92 | $20.55 | $128.02 | $104.32 | $94.73 | $70.19 |
| 7001907 | VICTORY MEMORIAL HOSP LTHHCP | 06/06/01 | $144.62 | $111.63 | $70.19 | $105.96 | $18.71 | $11.88 | $18.17 | $17.26 | $147.58 | $110.20 | $97.13 | $98.63 |
| 7001908 | SHOREFRONT JEWISH GERIATRIC | 06/06/01 | $113.11 | $95.20 | $92.26 | $83.90 | $19.13 | $12.15 | $18.79 | $18.96 | $104.54 | $91.38 | $92.75 | $29.89 |
| 7001909 | EMPIRE STATE HOME CARE SERVICES-LTHHCP | 06/06/01 | $100.28 | $87.14 | $54.85 | $55.10 | $21.79 | $13.77 | $13.77 | $22.92 | $146.77 | $120.73 | $54.00 | $54.00 |
| 7002903 | JEWISH HOME HOSP F/T AGED | 06/06/01 | $159.09 | $82.24 | $72.71 | $99.78 | $19.35 | $12.15 | $12.15 | $19.35 | $109.63 | $120.73 | $54.00 | $54.00 |
| 7002905 | ISABELLA HOME NURSING HOME | 06/06/01 | $112.08 | $109.87 | $69.11 | $101.18 | $20.84 | $12.96 | $12.96 | $20.61 | $103.80 | $101.72 | $80.99 | $64.79 |
| 7002907 | HHC - HEALTH & HOME CARE | 06/06/01 | $159.09 | $111.63 | $69.11 | $112.40 | $1.08 | $1.08 | $1.08 | $22.92 | $147.58 | $77.22 | $1.08 | $1.08 |
| 7002910 | CABRINI CENTER FOR NURSING & REHABILITAT | 06/06/01 | $135.41 | $95.79 | $67.50 | $90.23 | $19.97 | $12.96 | $12.96 | $21.01 | $88.32 | $88.47 | $66.73 | $98.63 |
| 7002911 | VNS LTHHCP | 06/06/01 | $136.78 | $81.00 | $85.81 | $65.49 | $19.40 | $13.65 | $21.70 | $20.08 | $144.40 | $115.12 | $57.29 | $57.29 |
| 7003901 | ST. MARY'S HOSPITAL FOR CHILDREN | 06/06/01 | $144.10 | $96.94 | $99.13 | $94.56 | $19.16 | $18.67 | $13.38 | $18.63 | $120.96 | $96.40 | $80.99 | $98.63 |
| 7003902 | PARKER JEWISH INSTITUTE FOR HEALTH CARE | 06/06/01 | $106.44 | $80.80 | $92.04 | $112.40 | $15.00 | $11.96 | $11.96 | $18.13 | $113.52 | $120.73 | $43.20 | $98.63 |
| 7003903 | HILLSIDE MANOR HRF | 06/06/01 | $137.84 | $74.95 | $19.57 | $78.55 | $21.36 | $12.42 | $12.42 | $18.03 | $92.46 | $75.63 | $58.45 | $54.00 |
| 7003907 | FLUSHING MANOR NURSING HOME | 06/06/01 | $84.33 | $87.34 | $56.15 | $87.34 | $18.73 | $11.88 | $11.88 | $18.37 | $86.03 | $84.66 | $63.71 | $48.60 |
| 7003908 | ST. VINCENT'S CATHOLIC MED. CTR. | 06/06/01 | $149.78 | $104.10 | $64.79 | $105.83 | $20.51 | $14.64 | $28.19 | $21.58 | $88.59 | $109.19 | $80.99 | $80.99 |
| 7004901 | VNA HEALTH CARE SERVICES, INC. | 06/06/01 | $124.18 | $87.50 | $88.29 | $87.50 | $11.72 | $11.55 | $11.55 | $17.45 | $87.42 | $87.71 | $87.32 | $52.93 |
| 9999999 | Z STATEWIDE | 06/06/01 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
