DOWNSTATE RATES: |
Amb Surg |
Base |
1416 |
$156.91 |
$156.91 |
$156.91 |
$228.00 |
$215.50 |
$215.50 |
$197.29 |
$197.29 |
$195.59 |
$195.59 |
$195.59 |
Amb Surg |
Capital |
1418 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
$115.70 |
Clinic∗ |
Base |
1413 |
$258.90 |
$258.90 |
$274.23 |
$304.39 |
$325.95 |
$313.50 |
$240.17 |
$224.47 |
$231.93 |
$199.89 |
$183.53 |
Clinic∗ |
Blend |
1414 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$0.00 |
$0.00 |
Clinic∗ |
Capital |
1415 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
Clinic Episode∗ |
Base |
1441 |
|
$258.90 |
$274.23 |
$304.39 |
$325.95 |
$313.50 |
$240.17 |
$224.47 |
$231.93 |
$199.89 |
$183.53 |
Clinic Episode∗ |
Blend |
1442 |
|
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$0.00 |
$0.00 |
Clinic Episode∗ |
Capital |
1443 |
|
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
Clinic MR/DD/TBI∗[1] |
Base |
1501 |
|
|
|
|
$325.95 |
$313.50 |
$240.17 |
$224.47 |
$231.93 |
$199.89 |
$183.53 |
Clinic MR/DD/TBI∗[1] |
Blend |
1502 |
|
|
|
|
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$0.00 |
$0.00 |
Clinic MR/DD/TBI∗[1] |
Capital |
1503 |
|
|
|
|
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
Clinic MR/DD/TBI Episode∗[1] |
Base |
1489 |
|
|
|
|
$325.95 |
$313.50 |
$240.17 |
$224.47 |
$231.93 |
$199.89 |
$183.53 |
Clinic MR/DD/TBI Episode∗[1] |
Blend |
1490 |
|
|
|
|
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$129.67 |
$0.00 |
$0.00 |
Clinic MR/DD/TBI Episode∗[1] |
Capital |
1491 |
|
|
|
|
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
$18.13 |
Emergency Department |
Base |
1419 |
$175.11 |
$175.11 |
$175.11 |
$196.94 |
$184.98 |
$184.98 |
$184.98 |
$193.41 |
$197.38 |
$197.38 |
$197.38 |
Emergency Department |
Capital |
1421 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
$22.61 |
UPSTATE RATES: |
Amb Surg Out of State |
Base |
1416 |
$122.55 |
$122.55 |
$122.55 |
$176.13 |
$166.47 |
$166.47 |
$152.41 |
$152.41 |
$151.09 |
$151.09 |
$151.09 |
Amb Surg Out of State |
Capital |
1418 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
$108.48 |
Clinic∗ |
Base |
1413 |
$199.00 |
$199.00 |
$210.79 |
$233.97 |
$249.56 |
$240.98 |
$184.61 |
$172.54 |
$178.28 |
$153.65 |
$140.52 |
Clinic∗ |
Blend |
1414 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$0.00 |
$0.00 |
Clinic∗ |
Capital |
1415 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
Clinic Episode∗ |
Base |
1441 |
|
$199.00 |
$210.79 |
$233.97 |
$249.56 |
$240.98 |
$184.61 |
$172.54 |
$178.28 |
$153.65 |
$140.52 |
Clinic Episode∗ |
Blend |
1442 |
|
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$0.00 |
$0.00 |
Clinic Episode∗ |
Capital |
1443 |
|
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
Clinic MR/DD/TBI∗[1] |
Base |
1501 |
|
|
|
|
$249.56 |
$240.98 |
$184.61 |
$172.54 |
$178.28 |
$153.65 |
$140.52 |
Clinic MR/DD/TBI∗[1] |
Blend |
1502 |
|
|
|
|
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$0.00 |
$0.00 |
Clinic MR/DD/TBI∗[1] |
Capital |
1503 |
|
|
|
|
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
Clinic MR/DD/TBI Episode∗[1] |
Base |
1489 |
|
|
|
|
$249.56 |
$240.98 |
$184.61 |
$172.54 |
$178.28 |
$153.65 |
$140.52 |
Clinic MR/DD/TBI Episode∗[1] |
Blend |
1490 |
|
|
|
|
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$92.61 |
$0.00 |
$0.00 |
Clinic MR/DD/TBI Episode∗[1] |
Capital |
1491 |
|
|
|
|
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
$12.16 |
Emergency Department |
Base |
1419 |
$135.27 |
$135.27 |
$135.27 |
$153.81 |
$144.47 |
$144.47 |
$144.47 |
$151.05 |
$154.15 |
$154.15 |
$154.15 |
Emergency Department |
Capital |
1421 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
$13.84 |
∗For Clinic (effective 7/1/2009 & 10/1/2009) & MR/DD/TBI (effective 7/1/2010), while they share the same base payment rates, please note that their rate codes and effective dates differ. |
∗∗∗The Blend (Existing Rate for Blend) rates were set to $0 effective 1/1/2012 as the APG payment now reflects 100% of the Base rate. |
[1] MR/DD/TBI Rates: Currently do not receive the 20% increase (still waiting CMS approval). Rates are the same rates as clinic. |
|
Rates not available during this time period.. |