TAX ID|Service|Coding|Per Visit|RATE
58-2149128|Home Health Aide|Revenue Codes 571|Per Visit|59.00
58-2149128|Medical Social Services|Revenue Codes 561|Per Visit|148.00
58-2149128|Occ Therapy|Revenue Codes 431|Per Visit|148.00
58-2149128|Physical Therapy|Revenue Codes 421|Per Visit|148.00
58-2149128|Skilled Nursing|Revenue Codes 551|Per Visit|148.00
58-2149128|Speech Language|Revenue Codes 441|Per Visit|148.00
58-2149128||All Other|| 67.9% of charges