| PROVIDER | NAME | ||||||||
| 075301 | PUNSUTAWNEY AREA HOSPITAL | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 12140000 | PUNXSEY OP-INTAKE | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 75.00 | EVENT | 1214 |
| 12140000 | PUNXSEY OP-INTAKE | 5038 | 38 | N | 7/1/2001 | 06/30/10 | 75.00 | EVENT | 1214 |
| 12140000 | PUNXSEY OP-INTAKE | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 75.00 | EVENT | 1214 |
| 12150000 | PUNXSEY STRUCTURED OP | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 60.00 | HOUR | 1215 |
| 12160000 | PUNXSEY OP-LIAB | 5038 | 38 | N | 7/1/2002 | 06/30/10 | 13.50 | EVENT | 1216 |
| 12160000 | PUNXSEY OP-LIAB | 5031 | 31 | N | 7/1/2002 | 06/30/10 | 13.50 | EVENT | 1216 |