{"reporting_entity_name":"Centene Management Company LLC","reporting_entity_type":"Third Party Administrator","version":"1.0.0","last_updated_on":"2025-10-28","out_of_network":[{"name":"ONC LNG 5 CLIN RSK FACTR ALG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"0080U","description":"ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL","allowed_amounts":[{"tin":{"type":"ein","value":"203986492"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62307.57,"providers":[{"billed_charge":101200.00,"npi":[1639713787]}]}]}]},{"name":"ONC PAN-TUM DNA&RNA GNRJ SEQ","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"0211U","description":"ONC PAN-TUMOR DNA&RNA NEXT-GENERATION SEQUENCING","allowed_amounts":[{"tin":{"type":"ein","value":"743126687"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38047.50,"providers":[{"billed_charge":105000.00,"npi":[1013973866]}]}]}]},{"name":"NFCT DS VIR RESP RNA 4 TRGT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"0241U","description":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":85.58,"providers":[{"billed_charge":1058.95,"npi":[1790721538]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0340U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47134.08,"providers":[{"billed_charge":200400.00,"npi":[1234567893]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0344U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"813168134"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1188.27,"providers":[{"billed_charge":2376.51,"npi":[1639621659]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0360U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"203986492"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9642.16,"providers":[{"billed_charge":28210.00,"npi":[1639713787]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0449U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":667906.08,"providers":[{"billed_charge":2693522.88,"npi":[1598314437]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0473U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44157.90,"providers":[{"billed_charge":54000.00,"npi":[1740733708]}]}]}]},{"name":"Under Proprietary Laboratory Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0528U","description":"Under Proprietary Laboratory Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"933714672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2310.00,"providers":[{"billed_charge":7700.00,"npi":[1982476867]}]}]}]},{"name":"NCNTC R-T FLUOR WND IMG 1ST","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"0598T","description":"NONCONTACT R-T FLUOR WND IMG 1ST ANATOMIC SITE","allowed_amounts":[{"tin":{"type":"ein","value":"992289454"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":285.71,"providers":[{"billed_charge":3397.50,"npi":[1265659247]}]},{"allowed_amount":297.38,"providers":[{"billed_charge":4907.50,"npi":[1265659247]}]}]},{"tin":{"type":"ein","value":"461184208"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":247.19,"providers":[{"billed_charge":4500.00,"npi":[1659469609]}]}]}]},{"name":"NCNTC R-T FLUOR WND IMG EA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"0599T","description":"NONCONTACT R-T FLUOR WND IMG EA ADDL ANTMC SITE","allowed_amounts":[{"tin":{"type":"ein","value":"992289454"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":169.60,"providers":[{"billed_charge":1785.00,"npi":[1265659247]}]},{"allowed_amount":129.72,"providers":[{"billed_charge":1275.00,"npi":[1265659247]}]}]}]},{"name":"Under Digital Pathology Glass Microscope Slides Digitization Procedures","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0763T","description":"Under Digital Pathology Glass Microscope Slides Digitization Procedures","allowed_amounts":[{"tin":{"type":"ein","value":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":312.00,"providers":[{"billed_charge":1040.00,"npi":[1215921549]}]}]}]},{"name":"Under Digital Pathology Glass Microscope Slides Digitization Procedures","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0830T","description":"Under Digital Pathology Glass Microscope Slides Digitization Procedures","allowed_amounts":[{"tin":{"type":"ein","value":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":312.00,"providers":[{"billed_charge":1040.00,"npi":[1215921549]}]}]}]},{"name":"RESIDENTIAL TREATMENT-PSYCHI","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"1001","description":"BEHAVIORAL HEALTH ACCOMMODATIONS - RESIDENTIAL TREATMENT - PSYCHIATRIC","allowed_amounts":[{"tin":{"type":"ein","value":"813870476"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":9600.00,"providers":[{"billed_charge":72000.00,"npi":[1821546078]}]}]},{"tin":{"type":"ein","value":"873431600"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":3472.00,"providers":[{"billed_charge":30100.00,"npi":[1851048995]}]}]},{"tin":{"type":"ein","value":"920686629"},"service_code":["56","21"],"billing_class":"institutional","payments":[{"allowed_amount":120310.00,"providers":[{"billed_charge":151550.00,"npi":[1700664356]}]},{"allowed_amount":78440.00,"providers":[{"billed_charge":85470.00,"npi":[1700664356]}]}]},{"tin":{"type":"ein","value":"832064561"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":56575.00,"providers":[{"billed_charge":400989.00,"npi":[1942966502]}]}]}]},{"name":"RESIDENTIAL TREATMENT - CHEM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"1002","description":"BEHAVIORAL HEALTH ACCOMMODATIONS - RESIDENTIAL TREATMENT - CHEMICAL DEPENDENCY","allowed_amounts":[{"tin":{"type":"ein","value":"921917560"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2480.00,"providers":[{"billed_charge":4000.00,"npi":[1659072478]}]}]},{"tin":{"type":"ein","value":"751571205"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":6360.00,"providers":[{"billed_charge":29940.00,"npi":[1558333542]}]}]},{"tin":{"type":"ein","value":"471323448"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":20670.00,"providers":[{"billed_charge":20670.00,"npi":[1922408517]}]}]},{"tin":{"type":"ein","value":"825128901"},"service_code":["56","21"],"billing_class":"institutional","payments":[{"allowed_amount":2024375.00,"providers":[{"billed_charge":15854905.00,"npi":[1740771195]}]},{"allowed_amount":1250.00,"providers":[{"billed_charge":9790.00,"npi":[1740771195]}]}]},{"tin":{"type":"ein","value":"812000843"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":15900.00,"providers":[{"billed_charge":89850.00,"npi":[1831642933]}]}]},{"tin":{"type":"ein","value":"873453567"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":4000.00,"providers":[{"billed_charge":32000.00,"npi":[1396498044]}]}]},{"tin":{"type":"ein","value":"800537979"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":525.71,"providers":[{"billed_charge":530.00,"npi":[1568773281]}]}]}]},{"name":"ROOM-BOARD/PVT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"110","description":"ROOM AND BOARD - PRIVATE -GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1307761.00,"providers":[{"billed_charge":399416.00,"npi":[1083937593]}]},{"allowed_amount":3246935.50,"providers":[{"billed_charge":1208892.00,"npi":[1497871628]}]},{"allowed_amount":43716.03,"providers":[{"billed_charge":9952.00,"npi":[1629828405]}]},{"allowed_amount":1481343.99,"providers":[{"billed_charge":543782.00,"npi":[1184179194]}]},{"allowed_amount":3427417.46,"providers":[{"billed_charge":1348264.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":498462.32,"providers":[{"billed_charge":804618.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":890683.64,"providers":[{"billed_charge":131688.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1281770.95,"providers":[{"billed_charge":663685.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":187488.57,"providers":[{"billed_charge":40552.65,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":151321.77,"providers":[{"billed_charge":126406.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":58340.96,"providers":[{"billed_charge":20534.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":96833.18,"providers":[{"billed_charge":44477.10,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":149839.16,"providers":[{"billed_charge":163164.00,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":223170.83,"providers":[{"billed_charge":115536.00,"npi":[1689629941]}]},{"allowed_amount":574415.45,"providers":[{"billed_charge":183888.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":205983.57,"providers":[{"billed_charge":115286.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":232279.36,"providers":[{"billed_charge":99419.40,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":36380.88,"providers":[{"billed_charge":19230.00,"npi":[1164526786]}]},{"allowed_amount":208331.96,"providers":[{"billed_charge":127249.50,"npi":[1093810327]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2042883.23,"providers":[{"billed_charge":883904.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":412968.50,"providers":[{"billed_charge":171666.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":3373926.24,"providers":[{"billed_charge":1883240.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":102042.93,"providers":[{"billed_charge":64613.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2139315.26,"providers":[{"billed_charge":903394.00,"npi":[1740233782]}]},{"allowed_amount":12341292.25,"providers":[{"billed_charge":4829361.00,"npi":[1730132234]}]},{"allowed_amount":611838.37,"providers":[{"billed_charge":206008.00,"npi":[1982666111]}]},{"allowed_amount":1318421.43,"providers":[{"billed_charge":433312.00,"npi":[1295788735]}]},{"allowed_amount":1645054.50,"providers":[{"billed_charge":519210.00,"npi":[1932152337]}]},{"allowed_amount":3524580.69,"providers":[{"billed_charge":1477978.00,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1597883.64,"providers":[{"billed_charge":1868553.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1151511.02,"providers":[{"billed_charge":625554.02,"npi":[1639992514]}]}]}]},{"name":"DEB SUBQ TISSUE 20 SQ CM/<","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LE","allowed_amounts":[{"tin":{"type":"ein","value":"992289454"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":103.31,"providers":[{"billed_charge":313.28,"npi":[1265659247]}]},{"allowed_amount":97.70,"providers":[{"billed_charge":618.03,"npi":[1265659247]}]}]},{"tin":{"type":"ein","value":"454028026"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":2008.73,"providers":[{"billed_charge":5343.80,"npi":[1447403563]}]}]}]},{"name":"MED-SUR-GY/PVT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"111","description":"ROOM AND BOARD - PRIVATE -MEDICAL/SURGICAL/GYN","allowed_amounts":[{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":690530.08,"providers":[{"billed_charge":371700.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2049351.61,"providers":[{"billed_charge":1567930.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":282766.80,"providers":[{"billed_charge":79608.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":426216.61,"providers":[{"billed_charge":160395.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":110828.77,"providers":[{"billed_charge":106075.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1507865.37,"providers":[{"billed_charge":487215.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":826778.79,"providers":[{"billed_charge":388170.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":744644.75,"providers":[{"billed_charge":545820.94,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":884464.24,"providers":[{"billed_charge":541692.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":4321272.66,"providers":[{"billed_charge":2632020.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1331109.75,"providers":[{"billed_charge":699220.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":107873.77,"providers":[{"billed_charge":124668.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":605975.45,"providers":[{"billed_charge":286745.00,"npi":[1104845015]}]}]}]},{"name":"OB/PVT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"112","description":"ROOM AND BOARD - PRIVATE -OB","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":34412.74,"providers":[{"billed_charge":20832.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":144013.11,"providers":[{"billed_charge":27264.00,"npi":[1669472387]}]}]}]},{"name":"ONCOLOGY/PVT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"117","description":"ROOM AND BOARD - PRIVATE -ONCOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":55242.07,"providers":[{"billed_charge":40879.00,"npi":[1679557888]}]}]}]},{"name":"OTHER/PVT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"119","description":"ROOM AND BOARD - PRIVATE -OTHER","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":409696.43,"providers":[{"billed_charge":326823.00,"npi":[1548226988]}]}]}]},{"name":"ROOM-BOARD/SEMI","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"120","description":"ROOM AND BOARD - SEMI PRIVATE TWO BED -GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":21222.16,"providers":[{"billed_charge":6350.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":167231.48,"providers":[{"billed_charge":104880.02,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2200426.54,"providers":[{"billed_charge":717042.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":435429.44,"providers":[{"billed_charge":355520.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":287906.73,"providers":[{"billed_charge":219873.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":7500112.61,"providers":[{"billed_charge":2653942.00,"npi":[1982666111]}]},{"allowed_amount":1008748.94,"providers":[{"billed_charge":364832.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":928578.97,"providers":[{"billed_charge":435362.46,"npi":[1639992514]}]}]}]},{"name":"MED-SUR-GY/2 BED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"121","description":"ROOM AND BOARD - SEMI PRIVATE TWO BED -MEDICAL/SURGICAL/GYN","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2750759.23,"providers":[{"billed_charge":688200.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1013166.94,"providers":[{"billed_charge":410963.74,"npi":[1033120423]}]}]}]},{"name":"OB/2 BED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"122","description":"ROOM AND BOARD - SEMI PRIVATE TWO BED -OB","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":74542.59,"providers":[{"billed_charge":17112.00,"npi":[1205900370]}]}]}]},{"name":"PSTAY/2 BED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"124","description":"ROOM AND BOARD - SEMI PRIVATE TWO BED -PSYCHIATRIC","allowed_amounts":[{"tin":{"type":"ein","value":"203078922"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":346800.00,"providers":[{"billed_charge":778300.00,"npi":[1851346407]}]}]},{"tin":{"type":"ein","value":"272849780"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1569200.00,"providers":[{"billed_charge":3264000.00,"npi":[1093021719]}]}]},{"tin":{"type":"ein","value":"800176343"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2354551.54,"providers":[{"billed_charge":3846000.00,"npi":[1578547667]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":168636.80,"providers":[{"billed_charge":316840.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"262835957"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":58318.64,"providers":[{"billed_charge":55620.00,"npi":[1093955296]}]}]},{"tin":{"type":"ein","value":"850520285"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":148000.00,"providers":[{"billed_charge":411588.00,"npi":[1285258640]}]}]},{"tin":{"type":"ein","value":"460826192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":3789686.17,"providers":[{"billed_charge":4304400.00,"npi":[1689098790]}]}]},{"tin":{"type":"ein","value":"800940225"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":503025.08,"providers":[{"billed_charge":832450.80,"npi":[1215354899]}]}]},{"tin":{"type":"ein","value":"621864265"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1207600.00,"providers":[{"billed_charge":2452000.00,"npi":[1598764359]}]}]},{"tin":{"type":"ein","value":"833501385"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":207951.51,"providers":[{"billed_charge":516000.00,"npi":[1033744743]}]}]},{"tin":{"type":"ein","value":"921353734"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":188925.00,"providers":[{"billed_charge":892500.00,"npi":[1104538461]}]}]},{"tin":{"type":"ein","value":"900867032"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":32375.20,"providers":[{"billed_charge":49654.96,"npi":[1366880627]}]}]},{"tin":{"type":"ein","value":"621864266"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":548600.00,"providers":[{"billed_charge":1120000.00,"npi":[1730187568]}]}]},{"tin":{"type":"ein","value":"841618661"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":85800.00,"providers":[{"billed_charge":143550.00,"npi":[1578809505]}]}]},{"tin":{"type":"ein","value":"201021264"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":530000.00,"providers":[{"billed_charge":1064000.00,"npi":[1023015120]}]}]},{"tin":{"type":"ein","value":"352565165"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":406701.71,"providers":[{"billed_charge":1156668.48,"npi":[1740791748]}]}]},{"tin":{"type":"ein","value":"731726290"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":653000.00,"providers":[{"billed_charge":1306000.00,"npi":[1861598633]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":256580.78,"providers":[{"billed_charge":1073178.00,"npi":[1053301754]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":239518.64,"providers":[{"billed_charge":288260.00,"npi":[1306870399]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":8092.45,"providers":[{"billed_charge":39997.00,"npi":[1740347087]}]}]}]},{"name":"DETOX/2 BED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"126","description":"ROOM AND BOARD - SEMI PRIVATE TWO BED -DETOXIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"825128901"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":50625.00,"providers":[{"billed_charge":420795.00,"npi":[1740771195]}]}]},{"tin":{"type":"ein","value":"465731849"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":6875.00,"providers":[{"billed_charge":11400.00,"npi":[1043613060]}]}]}]},{"name":"PSTAY/3&4 BED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"134","description":"SEMI-PRIVATE - THREE AND FOUR BEDS -PSYCHIATRIC","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":232402.51,"providers":[{"billed_charge":95976.00,"npi":[1205900370]}]}]}]},{"name":"ANESTH, PROCEDURES ON EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"140","description":"ANESTHESIA FOR PROCEDURES ON EYE; NOT OTHERWISE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"261608087"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":780.00,"providers":[{"billed_charge":1500.00,"npi":[1033261714]}]}]}]},{"name":"ANESTH, LENS SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"142","description":"ANESTHESIA FOR PROCEDURES ON EYE; LENS SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1333.36,"providers":[{"billed_charge":14560.00,"npi":[1205038205]}]},{"allowed_amount":70.18,"providers":[{"billed_charge":690.00,"npi":[1952789141]}]}]},{"tin":{"type":"ein","value":"261608087"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":19370.00,"providers":[{"billed_charge":36500.00,"npi":[1033261714]}]}]},{"tin":{"type":"ein","value":"760482007"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":11008.98,"providers":[{"billed_charge":51920.00,"npi":[1669524328]}]},{"allowed_amount":316.35,"providers":[{"billed_charge":1770.00,"npi":[1417992017]}]}]}]},{"name":"R&B/STERILE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"164","description":"OTHER ROOM AND BOARD -STERILE ENVIRONMENT","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":426955.82,"providers":[{"billed_charge":175136.00,"npi":[1205900370]}]}]}]},{"name":"NURSERY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"170","description":"NURSERY -GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":78385.01,"providers":[{"billed_charge":30793.00,"npi":[1730132234]}]}]}]},{"name":"NURSERY/LEVEL II","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"172","description":"NURSERY -NEWBORN - LEVEL II","allowed_amounts":[{"tin":{"type":"ein","value":"742577746"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1175102.34,"providers":[{"billed_charge":1713967.20,"npi":[1124796081]}]}]}]},{"name":"NURSERY\\LEVEL III","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"173","description":"NURSERY -NEWBORN - LEVEL III","allowed_amounts":[{"tin":{"type":"ein","value":"742577746"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":60184.95,"providers":[{"billed_charge":1517272.44,"npi":[1124796081]}]}]}]},{"name":"INTENSIVE CARE OR ICU","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"200","description":"INTENSIVE CARE - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741166904"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":301062.45,"providers":[{"billed_charge":296812.22,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":71511.80,"providers":[{"billed_charge":70070.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":225309.29,"providers":[{"billed_charge":110899.00,"npi":[1740233782]}]},{"allowed_amount":3240186.78,"providers":[{"billed_charge":2317683.00,"npi":[1730132234]}]},{"allowed_amount":27002.94,"providers":[{"billed_charge":11482.00,"npi":[1295843787]}]},{"allowed_amount":4592853.62,"providers":[{"billed_charge":3106326.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":343853.90,"providers":[{"billed_charge":125521.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":160447.48,"providers":[{"billed_charge":97020.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":67215.64,"providers":[{"billed_charge":71480.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":48532.36,"providers":[{"billed_charge":16170.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":443381.29,"providers":[{"billed_charge":838344.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":90784.56,"providers":[{"billed_charge":53747.46,"npi":[1639992514]}]}]}]},{"name":"ICU/SURGICAL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"201","description":"INTENSIVE CARE - SURGICAL","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":360667.24,"providers":[{"billed_charge":75636.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1159784.71,"providers":[{"billed_charge":303072.00,"npi":[1992753222]}]}]}]},{"name":"ICU/MEDICAL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"202","description":"INTENSIVE CARE - MEDICAL","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":52213.76,"providers":[{"billed_charge":33424.00,"npi":[1497871628]}]},{"allowed_amount":10759.89,"providers":[{"billed_charge":8356.00,"npi":[1083937593]}]},{"allowed_amount":717694.32,"providers":[{"billed_charge":279926.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":579573.95,"providers":[{"billed_charge":747419.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":329673.53,"providers":[{"billed_charge":132363.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1211007.53,"providers":[{"billed_charge":526428.00,"npi":[1891789772]}]}]}]},{"name":"POST ICU","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"206","description":"INTENSIVE CARE - POST ICU","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":177257.24,"providers":[{"billed_charge":97416.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1107542.40,"providers":[{"billed_charge":332484.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":3667767.21,"providers":[{"billed_charge":2144928.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":170000.00,"providers":[{"billed_charge":46935.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":398079.90,"providers":[{"billed_charge":151636.43,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1066296.16,"providers":[{"billed_charge":490763.43,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":332133.76,"providers":[{"billed_charge":373920.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":271039.53,"providers":[{"billed_charge":180561.84,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":288883.47,"providers":[{"billed_charge":300820.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":122210.24,"providers":[{"billed_charge":119771.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":13223.16,"providers":[{"billed_charge":18123.75,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":90472.16,"providers":[{"billed_charge":87433.40,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":762449.64,"providers":[{"billed_charge":483360.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1247855.88,"providers":[{"billed_charge":1098200.68,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":121625.83,"providers":[{"billed_charge":135840.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":465374.25,"providers":[{"billed_charge":526570.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":22081.67,"providers":[{"billed_charge":21644.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":413471.67,"providers":[{"billed_charge":257392.00,"npi":[1295843787]}]},{"allowed_amount":98042.90,"providers":[{"billed_charge":101640.00,"npi":[1740233782]}]},{"allowed_amount":2058854.48,"providers":[{"billed_charge":1644636.00,"npi":[1730132234]}]},{"allowed_amount":298668.07,"providers":[{"billed_charge":143869.00,"npi":[1932152337]}]},{"allowed_amount":2792604.13,"providers":[{"billed_charge":2207322.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":353156.70,"providers":[{"billed_charge":373920.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":429142.61,"providers":[{"billed_charge":387600.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":14485.99,"providers":[{"billed_charge":45066.01,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":129074.42,"providers":[{"billed_charge":240197.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":540421.91,"providers":[{"billed_charge":314640.00,"npi":[1104845015]}]}]}]},{"name":"ICU/OTHER","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"209","description":"INTENSIVE CARE - OTHER INTENSIVE CARE","allowed_amounts":[{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":147632.67,"providers":[{"billed_charge":136983.00,"npi":[1679557888]}]}]}]},{"name":"CORONARY CARE (CCU)","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"210","description":"CORONARY CARE - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"300754305"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":115414.12,"providers":[{"billed_charge":62928.00,"npi":[1407191984]}]}]}]},{"name":"POST CCU","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"214","description":"CORONARY CARE - POST-CCU","allowed_amounts":[{"tin":{"type":"ein","value":"746002164"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":25603.66,"providers":[{"billed_charge":24480.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1627871.01,"providers":[{"billed_charge":551256.00,"npi":[1205900370]}]}]}]},{"name":"PHARMACY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"250","description":"PHARMACY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.70,"providers":[{"billed_charge":11981.95,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.72,"providers":[{"billed_charge":13324.63,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"922719659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.69,"providers":[{"billed_charge":25789.02,"npi":[1386325801]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":22340.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.10,"providers":[{"billed_charge":3135.23,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.38,"providers":[{"billed_charge":3788.00,"npi":[1528027786]}]},{"allowed_amount":25.06,"providers":[{"billed_charge":12894.50,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":75.44,"providers":[{"billed_charge":8562.19,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"371844725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.78,"providers":[{"billed_charge":9807.63,"npi":[1962938191]}]}]},{"tin":{"type":"ein","value":"922924228"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.60,"providers":[{"billed_charge":3480.79,"npi":[1700567229]}]}]},{"tin":{"type":"ein","value":"844755191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.60,"providers":[{"billed_charge":1664.00,"npi":[1437750163]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":228.93,"providers":[{"billed_charge":19423.39,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":30.48,"providers":[{"billed_charge":13088.03,"npi":[1548226988]}]},{"allowed_amount":9688.08,"providers":[{"billed_charge":200827.44,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":171.90,"providers":[{"billed_charge":584.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.53,"providers":[{"billed_charge":13202.18,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.71,"providers":[{"billed_charge":88656.79,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"362340313"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.06,"providers":[{"billed_charge":40.18,"npi":[1770531600]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":117.89,"providers":[{"billed_charge":31428.94,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.32,"providers":[{"billed_charge":14118.67,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.95,"providers":[{"billed_charge":1949.95,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.75,"providers":[{"billed_charge":120759.77,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1524.49,"providers":[{"billed_charge":35762.68,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":9510.07,"providers":[{"billed_charge":1289796.33,"npi":[1407191984]}]},{"allowed_amount":12.37,"providers":[{"billed_charge":62364.87,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.86,"providers":[{"billed_charge":31159.60,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"752796815"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":87.95,"providers":[{"billed_charge":917.11,"npi":[1295736734]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1106.27,"providers":[{"billed_charge":81028.17,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2451.46,"providers":[{"billed_charge":180109.97,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3419.13,"providers":[{"billed_charge":29534.78,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2453.91,"providers":[{"billed_charge":216622.20,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"861463867"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.66,"providers":[{"billed_charge":28494.99,"npi":[1194302877]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2434.83,"providers":[{"billed_charge":21792.75,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"460227855"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2221.86,"providers":[{"billed_charge":7492.62,"npi":[1821017880]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":368.69,"providers":[{"billed_charge":266150.65,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":741.88,"providers":[{"billed_charge":2512398.64,"npi":[1679578439]}]},{"allowed_amount":260.40,"providers":[{"billed_charge":206076.99,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":8211.37,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.93,"providers":[{"billed_charge":1151.13,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"821883948"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":11.33,"providers":[{"billed_charge":37.75,"npi":[1649794157]}]},{"allowed_amount":544.25,"providers":[{"billed_charge":2432.50,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":217.63,"providers":[{"billed_charge":217823.50,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25.65,"providers":[{"billed_charge":1134.50,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.88,"providers":[{"billed_charge":8075.85,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"861464604"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":545.22,"providers":[{"billed_charge":47876.73,"npi":[1003493784]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.69,"providers":[{"billed_charge":1599.22,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.60,"providers":[{"billed_charge":436.76,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":362.90,"providers":[{"billed_charge":587.54,"npi":[1154324952]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56.76,"providers":[{"billed_charge":3795.38,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1523.94,"providers":[{"billed_charge":32626.26,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1141.69,"providers":[{"billed_charge":110093.66,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"720408982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":539.49,"providers":[{"billed_charge":1798.27,"npi":[1417950106]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":222.39,"providers":[{"billed_charge":39299.83,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"861390295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.06,"providers":[{"billed_charge":570.00,"npi":[1386221067]}]}]},{"tin":{"type":"ein","value":"880803328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.13,"providers":[{"billed_charge":163.15,"npi":[1467199448]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":98.85,"providers":[{"billed_charge":364175.50,"npi":[1871619254]}]},{"allowed_amount":52.05,"providers":[{"billed_charge":199471.00,"npi":[1184179194]}]},{"allowed_amount":9.90,"providers":[{"billed_charge":195430.00,"npi":[1497871628]}]},{"allowed_amount":721.00,"providers":[{"billed_charge":454794.00,"npi":[1184179194]}]},{"allowed_amount":73.80,"providers":[{"billed_charge":46063.50,"npi":[1629828405]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":219.60,"providers":[{"billed_charge":23417.86,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":425.62,"providers":[{"billed_charge":144318.08,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":173.40,"providers":[{"billed_charge":578.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.37,"providers":[{"billed_charge":24292.71,"npi":[1093783391]}]},{"allowed_amount":67.73,"providers":[{"billed_charge":152027.21,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":226.07,"providers":[{"billed_charge":59660.40,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":3480.62,"providers":[{"billed_charge":6001.10,"npi":[1194743013]}]},{"allowed_amount":6501.24,"providers":[{"billed_charge":11209.05,"npi":[1720480627]}]},{"allowed_amount":2710.95,"providers":[{"billed_charge":4674.05,"npi":[1194743013]}]},{"allowed_amount":33996.84,"providers":[{"billed_charge":5234.25,"npi":[1194743013]}]},{"allowed_amount":618.83,"providers":[{"billed_charge":1066.95,"npi":[1720480627]}]},{"allowed_amount":3539.02,"providers":[{"billed_charge":6101.75,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.50,"providers":[{"billed_charge":18515.96,"npi":[1598196206]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2162.83,"providers":[{"billed_charge":4115.72,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9171.40,"providers":[{"billed_charge":20118.82,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81.45,"providers":[{"billed_charge":93740.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":29701.25,"npi":[1982666111]}]},{"allowed_amount":1.60,"providers":[{"billed_charge":3560.25,"npi":[1740233782]},{"billed_charge":1108.00,"npi":[1982666111]}]},{"allowed_amount":18.61,"providers":[{"billed_charge":11581.25,"npi":[1932152337]}]},{"allowed_amount":13.09,"providers":[{"billed_charge":33404.25,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.76,"providers":[{"billed_charge":15655.48,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"862514812"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.12,"providers":[{"billed_charge":4981.13,"npi":[1225610108]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":128.11,"providers":[{"billed_charge":427.04,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":463.14,"providers":[{"billed_charge":133597.03,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.33,"providers":[{"billed_charge":20378.05,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"922748191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.50,"providers":[{"billed_charge":3965.00,"npi":[1811678337]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":291.72,"providers":[{"billed_charge":2406.36,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.93,"providers":[{"billed_charge":2.47,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"821550918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":54.52,"providers":[{"billed_charge":70.36,"npi":[1730183658]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":292.20,"providers":[{"billed_charge":284294.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.50,"providers":[{"billed_charge":34321.27,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":163.24,"providers":[{"billed_charge":228.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"992497065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.20,"providers":[{"billed_charge":9660.59,"npi":[1083444780]}]}]},{"tin":{"type":"ein","value":"922818824"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.55,"providers":[{"billed_charge":19634.89,"npi":[1619658135]}]}]},{"tin":{"type":"ein","value":"452497248"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":499.04,"providers":[{"billed_charge":6941.64,"npi":[1205382413]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.40,"providers":[{"billed_charge":18426.25,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"320493679"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.62,"providers":[{"billed_charge":16823.68,"npi":[1134570922]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":301.68,"providers":[{"billed_charge":50187.14,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.58,"providers":[{"billed_charge":357.50,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":136.76,"providers":[{"billed_charge":40246.60,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"861337129"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.62,"providers":[{"billed_charge":12152.44,"npi":[1871170753]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":905.29,"providers":[{"billed_charge":1020.39,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":71.50,"providers":[{"billed_charge":110.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"800865012"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":227.12,"providers":[{"billed_charge":398.14,"npi":[1083021877]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":486.30,"providers":[{"billed_charge":1246.53,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":365.07,"providers":[{"billed_charge":28411.06,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1825.91,"providers":[{"billed_charge":25460.05,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":0.83,"providers":[{"billed_charge":42110.03,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.12,"providers":[{"billed_charge":10210.81,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"756003935"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.10,"providers":[{"billed_charge":353.57,"npi":[1174526529]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100.26,"providers":[{"billed_charge":2064.33,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.71,"providers":[{"billed_charge":188646.09,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.12,"providers":[{"billed_charge":383.80,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":621.80,"providers":[{"billed_charge":101652.40,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":562.43,"providers":[{"billed_charge":18836.07,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1490.41,"providers":[{"billed_charge":4388.82,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40.91,"providers":[{"billed_charge":26503.73,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":28751.52,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":27612.84,"providers":[{"billed_charge":15907.50,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.60,"providers":[{"billed_charge":455882.50,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101.69,"providers":[{"billed_charge":286.36,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":363.50,"providers":[{"billed_charge":1453.98,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":238.40,"providers":[{"billed_charge":794.65,"npi":[1770522906]}]},{"allowed_amount":50.08,"providers":[{"billed_charge":26882.22,"npi":[1770522906]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.48,"providers":[{"billed_charge":30.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81.01,"providers":[{"billed_charge":56302.83,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":50.32,"providers":[{"billed_charge":30421.07,"npi":[1255806410]}]}]}]},{"name":"DRUGS/GENERIC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"251","description":"PHARMACY - GENERIC DRUGS","allowed_amounts":[{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":422.58,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.61,"providers":[{"billed_charge":1855.60,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":226.97,"providers":[{"billed_charge":30666.60,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.84,"providers":[{"billed_charge":7040.22,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68.04,"providers":[{"billed_charge":19778.56,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":76.51,"providers":[{"billed_charge":16011.84,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":201.67,"providers":[{"billed_charge":117869.65,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":881.30,"providers":[{"billed_charge":3570.52,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31.50,"providers":[{"billed_charge":3944.08,"npi":[1619567021]}]}]}]},{"name":"DRUGS/NONGENERIC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"252","description":"PHARMACY - NON-GENERIC DRUGS","allowed_amounts":[{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":118.98,"providers":[{"billed_charge":594.90,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123.84,"providers":[{"billed_charge":66121.78,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":30697.29,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":55.57,"providers":[{"billed_charge":16653.11,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"871224784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":493.10,"npi":[1003489212]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":242.02,"providers":[{"billed_charge":204958.79,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":87.87,"providers":[{"billed_charge":16001.46,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":71.48,"providers":[{"billed_charge":33297.42,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.48,"providers":[{"billed_charge":22479.56,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":189.07,"providers":[{"billed_charge":54072.00,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":91.26,"providers":[{"billed_charge":65341.32,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42.29,"providers":[{"billed_charge":12903.76,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.56,"providers":[{"billed_charge":3084.66,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42.74,"providers":[{"billed_charge":237.75,"npi":[1528027786]}]},{"allowed_amount":14738.29,"providers":[{"billed_charge":24841.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":9761.51,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":114.47,"providers":[{"billed_charge":27829.54,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.55,"providers":[{"billed_charge":29570.26,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.51,"providers":[{"billed_charge":2991.23,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.39,"providers":[{"billed_charge":22157.95,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":994.96,"providers":[{"billed_charge":354908.77,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":166.44,"providers":[{"billed_charge":15999.04,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":162.88,"providers":[{"billed_charge":68268.55,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":83.15,"providers":[{"billed_charge":48656.94,"npi":[1912677295]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":75.56,"providers":[{"billed_charge":30062.86,"npi":[1104199017]}]}]}]},{"name":"DRUGS/INCIDNT RAD","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"255","description":"PHARMACY - DRUGS INCIDENT TO RADIOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2669.21,"providers":[{"billed_charge":19692.30,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":83.35,"providers":[{"billed_charge":408.60,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68.25,"providers":[{"billed_charge":227.50,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":427.16,"providers":[{"billed_charge":172281.91,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":245.16,"providers":[{"billed_charge":3127.52,"npi":[1891882833]}]}]}]},{"name":"IV SOLUTIONS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"258","description":"PHARMACY - IV SOLUTIONS","allowed_amounts":[{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":1160.00,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":9648.78,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":146.58,"providers":[{"billed_charge":81973.06,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":52.35,"providers":[{"billed_charge":38249.63,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":517.53,"providers":[{"billed_charge":4045.50,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":6298.00,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39.76,"providers":[{"billed_charge":4236.25,"npi":[1689629941]}]},{"allowed_amount":5.63,"providers":[{"billed_charge":479.75,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":507.62,"providers":[{"billed_charge":23850.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":175.66,"providers":[{"billed_charge":90302.66,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.00,"providers":[{"billed_charge":594.00,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3971.82,"providers":[{"billed_charge":183322.68,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":74.48,"providers":[{"billed_charge":210.00,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.03,"providers":[{"billed_charge":1658.18,"npi":[1295788735]}]},{"allowed_amount":11.03,"providers":[{"billed_charge":2819.89,"npi":[1932152337]}]},{"allowed_amount":3.68,"providers":[{"billed_charge":8418.27,"npi":[1730132234]}]}]}]},{"name":"DRUGS/OTHER","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"259","description":"PHARMACY - OTHER PHARMACY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":46.50,"providers":[{"billed_charge":442316.50,"npi":[1184179194]}]},{"allowed_amount":2538.63,"providers":[{"billed_charge":217129.00,"npi":[1184179194]}]},{"allowed_amount":92.03,"providers":[{"billed_charge":391646.27,"npi":[1871619254]}]},{"allowed_amount":99.94,"providers":[{"billed_charge":444638.03,"npi":[1083937593]}]},{"allowed_amount":461.35,"providers":[{"billed_charge":59088.00,"npi":[1629828405]}]},{"allowed_amount":62.81,"providers":[{"billed_charge":278776.33,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.86,"providers":[{"billed_charge":5822.92,"npi":[1447883301]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":15409.50,"npi":[1891789772]}]},{"allowed_amount":458.11,"providers":[{"billed_charge":470416.52,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":153.22,"providers":[{"billed_charge":337463.50,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.81,"providers":[{"billed_charge":70325.01,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2241.19,"providers":[{"billed_charge":9946.66,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1554.53,"providers":[{"billed_charge":2308.36,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.68,"providers":[{"billed_charge":25648.91,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.28,"providers":[{"billed_charge":117913.73,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":492.97,"providers":[{"billed_charge":176625.45,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.51,"providers":[{"billed_charge":150640.16,"npi":[1952723967]}]}]}]},{"name":"IV THERAPY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"260","description":"IV THERAPY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"922719659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4541.43,"providers":[{"billed_charge":59481.75,"npi":[1386325801]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3655.17,"providers":[{"billed_charge":24686.31,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":33985.77,"providers":[{"billed_charge":297245.00,"npi":[1992753222]}]},{"allowed_amount":370.49,"providers":[{"billed_charge":1379.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21021.08,"providers":[{"billed_charge":167756.67,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1243.72,"providers":[{"billed_charge":19578.00,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1477.86,"providers":[{"billed_charge":16355.02,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":2279.35,"providers":[{"billed_charge":4706.00,"npi":[1699244624]}]},{"allowed_amount":14088.91,"providers":[{"billed_charge":58579.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2233.63,"providers":[{"billed_charge":25020.75,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1790.78,"providers":[{"billed_charge":10571.65,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13812.08,"providers":[{"billed_charge":80208.30,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10752.84,"providers":[{"billed_charge":135720.49,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"371844725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8553.66,"providers":[{"billed_charge":51721.78,"npi":[1962938191]}]}]},{"tin":{"type":"ein","value":"922924228"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1470.87,"providers":[{"billed_charge":17195.00,"npi":[1700567229]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1270.31,"providers":[{"billed_charge":3813.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1032.93,"providers":[{"billed_charge":11544.76,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":10828.87,"providers":[{"billed_charge":189640.00,"npi":[1477643690]}]},{"allowed_amount":673.13,"providers":[{"billed_charge":20543.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":71.29,"providers":[{"billed_charge":3228.00,"npi":[1548226988]}]},{"allowed_amount":81258.46,"providers":[{"billed_charge":296213.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2819.07,"providers":[{"billed_charge":71714.17,"npi":[1457820995]}]},{"allowed_amount":2911.80,"providers":[{"billed_charge":11986.10,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":334.15,"providers":[{"billed_charge":1793.00,"npi":[1205900370]}]},{"allowed_amount":390548.64,"providers":[{"billed_charge":550712.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3180.87,"providers":[{"billed_charge":16345.34,"npi":[1629089966]}]},{"allowed_amount":136404.00,"providers":[{"billed_charge":621364.86,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":528.00,"providers":[{"billed_charge":7979.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7912.40,"providers":[{"billed_charge":286866.86,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5120.15,"providers":[{"billed_charge":82886.69,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5119.68,"providers":[{"billed_charge":31085.60,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1754.25,"providers":[{"billed_charge":35667.00,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1158.39,"providers":[{"billed_charge":10153.83,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":528.48,"providers":[{"billed_charge":1441.00,"npi":[1124137054]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7284.35,"providers":[{"billed_charge":39008.67,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":95049.56,"providers":[{"billed_charge":559943.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2440.03,"providers":[{"billed_charge":57696.94,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23493.86,"providers":[{"billed_charge":70052.67,"npi":[1407010622]}]},{"allowed_amount":3722.76,"providers":[{"billed_charge":9864.63,"npi":[1689002651]}]}]},{"tin":{"type":"ein","value":"741385192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1802.64,"providers":[{"billed_charge":7063.21,"npi":[1972581940]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7802.29,"providers":[{"billed_charge":91519.50,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9810.30,"providers":[{"billed_charge":80632.53,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20763.91,"providers":[{"billed_charge":254534.10,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22478.70,"providers":[{"billed_charge":61245.18,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13622.22,"providers":[{"billed_charge":27017.00,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48349.87,"providers":[{"billed_charge":584127.90,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9585.65,"providers":[{"billed_charge":118500.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":529.20,"providers":[{"billed_charge":5753.00,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88325.42,"providers":[{"billed_charge":267662.37,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2073.72,"providers":[{"billed_charge":17547.82,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4733.55,"providers":[{"billed_charge":28667.06,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32493.17,"providers":[{"billed_charge":741105.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1152.54,"providers":[{"billed_charge":3741.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3070.93,"providers":[{"billed_charge":22991.76,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"861463867"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8024.46,"providers":[{"billed_charge":81527.75,"npi":[1194302877]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":680.89,"providers":[{"billed_charge":91407.50,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5725.78,"providers":[{"billed_charge":78722.00,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3266.22,"providers":[{"billed_charge":43346.51,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":415.89,"providers":[{"billed_charge":4380.00,"npi":[1679557888]}]},{"allowed_amount":620.01,"providers":[{"billed_charge":88965.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23351.50,"providers":[{"billed_charge":151476.70,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2108.30,"providers":[{"billed_charge":35582.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1196.00,"providers":[{"billed_charge":37421.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1007.46,"providers":[{"billed_charge":9827.19,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4542.61,"providers":[{"billed_charge":10904.90,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":559086.63,"providers":[{"billed_charge":1680144.14,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1901.18,"providers":[{"billed_charge":4114.60,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":402.56,"providers":[{"billed_charge":9168.25,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3336.52,"providers":[{"billed_charge":68429.66,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1805.19,"providers":[{"billed_charge":45450.09,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"861464604"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8469.39,"providers":[{"billed_charge":117724.50,"npi":[1003493784]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16745.24,"providers":[{"billed_charge":51508.85,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":562.53,"providers":[{"billed_charge":4503.17,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8116.59,"providers":[{"billed_charge":109831.07,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26922.30,"providers":[{"billed_charge":362561.13,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3842.74,"providers":[{"billed_charge":45848.31,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66423.89,"providers":[{"billed_charge":242833.11,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"861390295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58.80,"providers":[{"billed_charge":714.00,"npi":[1386221067]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13342.11,"providers":[{"billed_charge":107586.19,"npi":[1912677295]}]}]},{"tin":{"type":"ein","value":"822174187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58.80,"providers":[{"billed_charge":1666.18,"npi":[1811475346]}]}]},{"tin":{"type":"ein","value":"880803328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4875.96,"providers":[{"billed_charge":62087.59,"npi":[1467199448]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":21478.36,"providers":[{"billed_charge":152208.00,"npi":[1629828405]}]},{"allowed_amount":151754.70,"providers":[{"billed_charge":707189.00,"npi":[1083937593]}]},{"allowed_amount":145222.88,"providers":[{"billed_charge":741429.00,"npi":[1871619254]}]},{"allowed_amount":83596.59,"providers":[{"billed_charge":512188.00,"npi":[1184179194]}]},{"allowed_amount":128603.42,"providers":[{"billed_charge":614548.00,"npi":[1497871628]}]},{"allowed_amount":633.09,"providers":[{"billed_charge":3669.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12739.00,"providers":[{"billed_charge":176031.36,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38755.60,"providers":[{"billed_charge":292013.89,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48154.98,"providers":[{"billed_charge":137552.21,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"301195747"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":663.32,"providers":[{"billed_charge":7279.63,"npi":[1003476961]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":330227.31,"providers":[{"billed_charge":1009486.70,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5585.82,"providers":[{"billed_charge":66127.13,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7280.82,"providers":[{"billed_charge":75613.13,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":69.22,"providers":[{"billed_charge":1560.00,"npi":[1689641680]}]},{"allowed_amount":1174.39,"providers":[{"billed_charge":242412.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1429.54,"providers":[{"billed_charge":57419.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1321.35,"providers":[{"billed_charge":63816.50,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13736.35,"providers":[{"billed_charge":46701.32,"npi":[1598196206]}]},{"allowed_amount":16433.05,"providers":[{"billed_charge":60786.44,"npi":[1831629526]}]},{"allowed_amount":30970.82,"providers":[{"billed_charge":134104.04,"npi":[1679903967]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":668.66,"providers":[{"billed_charge":5720.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3921.98,"providers":[{"billed_charge":23790.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9861.12,"providers":[{"billed_charge":108475.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2251.82,"providers":[{"billed_charge":37267.00,"npi":[1174533343]}]},{"allowed_amount":705.28,"providers":[{"billed_charge":1040.75,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12530.01,"providers":[{"billed_charge":91434.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1414.66,"providers":[{"billed_charge":18941.25,"npi":[1932152337]}]},{"allowed_amount":118889.74,"providers":[{"billed_charge":596487.75,"npi":[1740233782]}]},{"allowed_amount":139627.14,"providers":[{"billed_charge":756249.75,"npi":[1295788735]}]},{"allowed_amount":184.89,"providers":[{"billed_charge":14893.50,"npi":[1295843787]}]},{"allowed_amount":237468.06,"providers":[{"billed_charge":1324235.25,"npi":[1932152337]}]},{"allowed_amount":281912.48,"providers":[{"billed_charge":1339437.25,"npi":[1295843787]}]},{"allowed_amount":1572.42,"providers":[{"billed_charge":46698.00,"npi":[1730132234]}]},{"allowed_amount":962687.19,"providers":[{"billed_charge":5080886.25,"npi":[1730132234]}]},{"allowed_amount":221.81,"providers":[{"billed_charge":8322.00,"npi":[1740233782]}]},{"allowed_amount":232059.27,"providers":[{"billed_charge":1410867.75,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5892.21,"providers":[{"billed_charge":11965.40,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"465735510"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2964.52,"providers":[{"billed_charge":62100.00,"npi":[1164827093]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":1811.00,"providers":[{"billed_charge":1811.00,"npi":[1811973100]}]},{"allowed_amount":2023.35,"providers":[{"billed_charge":3173.00,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"862514812"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":386.13,"providers":[{"billed_charge":5688.00,"npi":[1225610108]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26766.35,"providers":[{"billed_charge":351346.99,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3089.04,"providers":[{"billed_charge":44928.50,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"922748191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58.80,"providers":[{"billed_charge":1406.25,"npi":[1811678337]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1611.78,"providers":[{"billed_charge":5104.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":327.33,"providers":[{"billed_charge":6125.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":102208.84,"providers":[{"billed_charge":459769.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":98654.72,"providers":[{"billed_charge":603384.13,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":927.94,"providers":[{"billed_charge":21580.75,"npi":[1336172105]}]},{"allowed_amount":489.90,"providers":[{"billed_charge":848.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2740.86,"providers":[{"billed_charge":3709.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3271.88,"providers":[{"billed_charge":21446.05,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"922818824"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2551.98,"providers":[{"billed_charge":69511.25,"npi":[1619658135]}]}]},{"tin":{"type":"ein","value":"452497248"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13169.30,"providers":[{"billed_charge":56518.57,"npi":[1205382413]}]}]},{"tin":{"type":"ein","value":"436004435"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":616.37,"providers":[{"billed_charge":1413.89,"npi":[1891766051]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2575.09,"providers":[{"billed_charge":9031.00,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":9334.99,"providers":[{"billed_charge":40093.60,"npi":[1124796081]}]},{"allowed_amount":659.60,"providers":[{"billed_charge":4141.00,"npi":[1548286172]}]},{"allowed_amount":129.96,"providers":[{"billed_charge":1415.00,"npi":[1124796081]}]},{"allowed_amount":204.91,"providers":[{"billed_charge":1001.00,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"320493679"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12413.07,"providers":[{"billed_charge":100386.24,"npi":[1134570922]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12032.60,"providers":[{"billed_charge":159960.00,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4434.75,"providers":[{"billed_charge":17878.09,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10077.73,"providers":[{"billed_charge":64501.04,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13340.33,"providers":[{"billed_charge":131555.38,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"861337129"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3265.44,"providers":[{"billed_charge":40853.50,"npi":[1871170753]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4608.09,"providers":[{"billed_charge":107778.65,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":52542.31,"providers":[{"billed_charge":241573.60,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81373.17,"providers":[{"billed_charge":434538.21,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":882.00,"providers":[{"billed_charge":14852.66,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13896.44,"providers":[{"billed_charge":45721.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3385.98,"providers":[{"billed_charge":16865.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":738.93,"providers":[{"billed_charge":7725.03,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"472616215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3156.75,"providers":[{"billed_charge":52025.00,"npi":[1922468156]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1677.59,"providers":[{"billed_charge":3473.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41470.74,"providers":[{"billed_charge":151032.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5876.22,"providers":[{"billed_charge":46482.25,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3499.22,"providers":[{"billed_charge":36498.55,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"473637912"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1697.89,"providers":[{"billed_charge":62323.90,"npi":[1215449954]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2551.98,"providers":[{"billed_charge":32375.50,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"716046242"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":71.85,"providers":[{"billed_charge":225.00,"npi":[1477549756]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1213.37,"providers":[{"billed_charge":4140.05,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"756003935"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1246.58,"providers":[{"billed_charge":3690.00,"npi":[1174526529]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7483.60,"providers":[{"billed_charge":128162.50,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4004.37,"providers":[{"billed_charge":21547.86,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9239.57,"providers":[{"billed_charge":84124.89,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18069.30,"providers":[{"billed_charge":321199.20,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1536.37,"providers":[{"billed_charge":7777.00,"npi":[1124092036]}]},{"allowed_amount":1243.32,"providers":[{"billed_charge":20841.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4487.65,"providers":[{"billed_charge":28787.43,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38819.12,"providers":[{"billed_charge":400697.50,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3845.88,"providers":[{"billed_charge":66739.75,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37681.23,"providers":[{"billed_charge":190372.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9708.56,"providers":[{"billed_charge":28609.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5174.22,"providers":[{"billed_charge":79801.75,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4318.50,"providers":[{"billed_charge":71616.00,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":159292.94,"providers":[{"billed_charge":963166.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11998.15,"providers":[{"billed_charge":135211.70,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1066.26,"providers":[{"billed_charge":17603.31,"npi":[1770214256]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4803.94,"providers":[{"billed_charge":74207.70,"npi":[1285252593]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8309.66,"providers":[{"billed_charge":116634.50,"npi":[1255806410]}]}]}]},{"name":"INFUSION PUMP","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"261","description":"IV THERAPY - INFUSION PUMP","allowed_amounts":[{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2283.45,"providers":[{"billed_charge":13835.92,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15453.06,"providers":[{"billed_charge":92633.40,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5950.74,"providers":[{"billed_charge":37431.53,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8795.77,"providers":[{"billed_charge":29139.52,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1838.52,"providers":[{"billed_charge":11822.74,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17660.94,"providers":[{"billed_charge":83575.26,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14388.98,"providers":[{"billed_charge":79191.03,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8331.34,"providers":[{"billed_charge":82226.38,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9698.51,"providers":[{"billed_charge":123722.67,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4045.56,"providers":[{"billed_charge":24392.80,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14296.56,"providers":[{"billed_charge":83551.69,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7729.04,"providers":[{"billed_charge":41270.91,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7571.67,"providers":[{"billed_charge":68060.63,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5848.70,"providers":[{"billed_charge":18190.24,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20966.51,"providers":[{"billed_charge":151526.55,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2845.98,"providers":[{"billed_charge":18143.68,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1879.71,"providers":[{"billed_charge":7248.43,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2434.38,"providers":[{"billed_charge":14808.64,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4784.49,"providers":[{"billed_charge":23796.79,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2380.60,"providers":[{"billed_charge":31535.56,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2202.78,"providers":[{"billed_charge":23723.25,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5564.61,"providers":[{"billed_charge":31037.27,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22924.74,"providers":[{"billed_charge":209424.28,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1074.12,"providers":[{"billed_charge":3642.44,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51184.56,"providers":[{"billed_charge":297101.70,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":503.73,"providers":[{"billed_charge":7290.51,"npi":[1912677295]}]}]}]},{"name":"IV THER/DRUGS/SUPPLY DELV","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"263","description":"IV THERAPY - DRUG/SUPPLY DELV","allowed_amounts":[{"tin":{"type":"ein","value":"331453678"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.41,"providers":[{"billed_charge":24328.81,"npi":[1235954488]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1293.60,"providers":[{"billed_charge":20442.62,"npi":[1104199017]}]}]}]},{"name":"IV THERAPY/OTHER","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"269","description":"IV THERAPY - OTHER IV THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":631.48,"providers":[{"billed_charge":3397.89,"npi":[1316617707]}]}]}]},{"name":"MED-SUR SUPPLIES","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"270","description":"MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":95.63,"providers":[{"billed_charge":375.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1450.93,"providers":[{"billed_charge":37617.98,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"460826192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":5900.00,"npi":[1689098790]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99.08,"providers":[{"billed_charge":4555.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.32,"providers":[{"billed_charge":1749.67,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.56,"providers":[{"billed_charge":303.31,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":815.24,"providers":[{"billed_charge":7158.30,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":1429.03,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":168.91,"providers":[{"billed_charge":262.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":74.10,"providers":[{"billed_charge":559.98,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":147.85,"providers":[{"billed_charge":5713.82,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.81,"providers":[{"billed_charge":207.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.37,"providers":[{"billed_charge":31557.15,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.70,"providers":[{"billed_charge":88.00,"npi":[1538950837]}]}]}]},{"name":"NON-STER SUPPLY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"271","description":"MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON-STERILE SUPPLY","allowed_amounts":[{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":78.66,"providers":[{"billed_charge":108.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":677.52,"providers":[{"billed_charge":1989.37,"npi":[1114435260]}]}]}]},{"name":"STERILE SUPPLY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"272","description":"MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY","allowed_amounts":[{"tin":{"type":"ein","value":"452497248"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.87,"providers":[{"billed_charge":51.00,"npi":[1205382413]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":238.08,"providers":[{"billed_charge":7987.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.72,"providers":[{"billed_charge":18857.89,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.93,"providers":[{"billed_charge":59.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.50,"providers":[{"billed_charge":282711.31,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":3855.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":982.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":515.83,"providers":[{"billed_charge":1484.49,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.40,"providers":[{"billed_charge":29451.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1965.11,"providers":[{"billed_charge":8537.79,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1272.61,"providers":[{"billed_charge":9199.18,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":26450.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5304.75,"providers":[{"billed_charge":12872.05,"npi":[1932152337]}]}]}]},{"name":"PROSTHETIC DEV","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"274","description":"MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC DEVICES","allowed_amounts":[{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2480.52,"providers":[{"billed_charge":707.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2145.55,"providers":[{"billed_charge":6620.52,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":822.10,"providers":[{"billed_charge":3575.28,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1932.74,"providers":[{"billed_charge":449.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":620.52,"providers":[{"billed_charge":195.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6771.32,"providers":[{"billed_charge":2418.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1639.65,"providers":[{"billed_charge":2276.62,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1668.34,"providers":[{"billed_charge":662.00,"npi":[1104845015]}]}]}]},{"name":"SUPPLY/IMPLANTS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"278","description":"MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANTS","allowed_amounts":[{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":216.52,"providers":[{"billed_charge":1651.24,"npi":[1952306672]}]}]}]},{"name":"LABORATORY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"300","description":"LABORATORY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":647.50,"providers":[{"billed_charge":30658.40,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.98,"providers":[{"billed_charge":5386.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"720478620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":706.78,"providers":[{"billed_charge":2918.44,"npi":[1598798597]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19"],"billing_class":"institutional","payments":[{"allowed_amount":40.92,"providers":[{"billed_charge":168.00,"npi":[1992753222]}]},{"allowed_amount":56.94,"providers":[{"billed_charge":1333.00,"npi":[1992753222]}]},{"allowed_amount":98.69,"providers":[{"billed_charge":180963.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":562.65,"providers":[{"billed_charge":1920.00,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":240.38,"providers":[{"billed_charge":16779.32,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"621795574"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":136.74,"providers":[{"billed_charge":9441.97,"npi":[1801852736]}]}]},{"tin":{"type":"ein","value":"261871008"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1511.23,"providers":[{"billed_charge":1711.00,"npi":[1083888515]}]}]},{"tin":{"type":"ein","value":"465557331"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.00,"providers":[{"billed_charge":21263.65,"npi":[1194125146]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1278.00,"providers":[{"billed_charge":323018.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"480543789"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":907.40,"providers":[{"billed_charge":1954.16,"npi":[1194782409]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":896.62,"providers":[{"billed_charge":9656.50,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2772.10,"providers":[{"billed_charge":17386.00,"npi":[1568818417]}]},{"allowed_amount":2413.54,"providers":[{"billed_charge":107864.00,"npi":[1528027786]}]},{"allowed_amount":6976.67,"providers":[{"billed_charge":455382.00,"npi":[1689629941]}]},{"allowed_amount":1239.60,"providers":[{"billed_charge":61877.00,"npi":[1275592131]}]},{"allowed_amount":1154.82,"providers":[{"billed_charge":63382.00,"npi":[1033165501]}]},{"allowed_amount":7.30,"providers":[{"billed_charge":31510.00,"npi":[1073294740]}]},{"allowed_amount":546.58,"providers":[{"billed_charge":4254.00,"npi":[1487271375]}]}]},{"tin":{"type":"ein","value":"760698013"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":217.57,"providers":[{"billed_charge":429.00,"npi":[1780786699]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":345.18,"providers":[{"billed_charge":115844.92,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1705.49,"providers":[{"billed_charge":371492.63,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":236.00,"providers":[{"billed_charge":101005.48,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"371844725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2952.32,"providers":[{"billed_charge":115742.48,"npi":[1962938191]}]}]},{"tin":{"type":"ein","value":"931592669"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.70,"providers":[{"billed_charge":7532.99,"npi":[1639853443]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.10,"providers":[{"billed_charge":1862.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"716042625"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57.49,"providers":[{"billed_charge":974.00,"npi":[1316180748]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":285.50,"providers":[{"billed_charge":48164.88,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"560619359"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":345.53,"providers":[{"billed_charge":525.00,"npi":[1013918960]}]}]},{"tin":{"type":"ein","value":"640881013"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":614.18,"providers":[{"billed_charge":2438.00,"npi":[1710909585]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1149.10,"providers":[{"billed_charge":86749.00,"npi":[1548226988]}]},{"allowed_amount":9.71,"providers":[{"billed_charge":6168.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":386.14,"providers":[{"billed_charge":17221.00,"npi":[1477643690]}]},{"allowed_amount":2273.38,"providers":[{"billed_charge":197521.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":31605.02,"providers":[{"billed_charge":3379320.00,"npi":[1205900370]}]},{"allowed_amount":820.92,"providers":[{"billed_charge":21964.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":160.05,"providers":[{"billed_charge":32476.51,"npi":[1457820995]}]},{"allowed_amount":113.06,"providers":[{"billed_charge":17511.75,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":629.34,"providers":[{"billed_charge":4944.00,"npi":[1174582050]}]},{"allowed_amount":127.04,"providers":[{"billed_charge":685.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3254.34,"providers":[{"billed_charge":13889.37,"npi":[1629089966]}]},{"allowed_amount":24190.26,"providers":[{"billed_charge":73752.85,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"362340313"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":872.94,"providers":[{"billed_charge":1324.00,"npi":[1770531600]}]},{"allowed_amount":1613.25,"providers":[{"billed_charge":6750.00,"npi":[1770531600]}]}]},{"tin":{"type":"ein","value":"460391067"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":918.28,"providers":[{"billed_charge":919.00,"npi":[1659316214]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":510.26,"providers":[{"billed_charge":139504.71,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"352635546"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.39,"providers":[{"billed_charge":233.91,"npi":[1942784715]}]},{"allowed_amount":132.71,"providers":[{"billed_charge":292.62,"npi":[1336623198]}]}]},{"tin":{"type":"ein","value":"370813229"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.90,"providers":[{"billed_charge":589.00,"npi":[1215572045]}]},{"allowed_amount":35.36,"providers":[{"billed_charge":72.00,"npi":[1699288449]}]}]},{"tin":{"type":"ein","value":"364827272"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5160.90,"providers":[{"billed_charge":23471.55,"npi":[1457895336]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.41,"providers":[{"billed_charge":7529.19,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":24.10,"providers":[{"billed_charge":121645.42,"npi":[1124137054]}]},{"allowed_amount":365.90,"providers":[{"billed_charge":35792.84,"npi":[1619115383]}]},{"allowed_amount":72.30,"providers":[{"billed_charge":74001.14,"npi":[1164526786]},{"billed_charge":85783.45,"npi":[1578780870]}]},{"allowed_amount":128.75,"providers":[{"billed_charge":109776.59,"npi":[1093810327]}]},{"allowed_amount":192.79,"providers":[{"billed_charge":3350.75,"npi":[1124137054]}]}]},{"tin":{"type":"ein","value":"710236917"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.03,"providers":[{"billed_charge":99.00,"npi":[1629011002]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9.09,"providers":[{"billed_charge":38.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741303720"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":80.83,"providers":[{"billed_charge":41329.99,"npi":[1093744187]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":883.78,"providers":[{"billed_charge":90042.50,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3041.32,"providers":[{"billed_charge":124152.42,"npi":[1407010622]}]},{"allowed_amount":630.84,"providers":[{"billed_charge":14710.13,"npi":[1043641749]}]},{"allowed_amount":1698.32,"providers":[{"billed_charge":49636.19,"npi":[1689002651]}]}]},{"tin":{"type":"ein","value":"741385192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":118.00,"providers":[{"billed_charge":42346.51,"npi":[1972581940]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2049.05,"providers":[{"billed_charge":362519.19,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"871585575"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":235.15,"providers":[{"billed_charge":67197.87,"npi":[1619549474]}]}]},{"tin":{"type":"ein","value":"736061037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.65,"providers":[{"billed_charge":108.66,"npi":[1720022379]}]}]},{"tin":{"type":"ein","value":"752796815"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.06,"providers":[{"billed_charge":18073.00,"npi":[1295736734]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1132.40,"providers":[{"billed_charge":300362.64,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"934242663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":95.60,"providers":[{"billed_charge":19045.94,"npi":[1740054436]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":61.62,"providers":[{"billed_charge":100.00,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1043.20,"providers":[{"billed_charge":3610.25,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":654.07,"providers":[{"billed_charge":676235.22,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":142575.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":968.27,"providers":[{"billed_charge":133821.08,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":64.18,"npi":[1033120423]}]},{"allowed_amount":855.78,"providers":[{"billed_charge":42463.01,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"251854772"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":956.17,"providers":[{"billed_charge":1577.00,"npi":[1568435477]}]},{"allowed_amount":3029.78,"providers":[{"billed_charge":7753.00,"npi":[1568435477]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":954.00,"providers":[{"billed_charge":100418.69,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1503.02,"providers":[{"billed_charge":302698.63,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2009.81,"providers":[{"billed_charge":133375.77,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"430662495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":548.64,"providers":[{"billed_charge":1031.00,"npi":[1922042704]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1017.60,"providers":[{"billed_charge":15183.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"871558323"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":439.46,"providers":[{"billed_charge":91345.34,"npi":[1063084820]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58.63,"providers":[{"billed_charge":81260.27,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":243.18,"providers":[{"billed_charge":41856.20,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":594.54,"providers":[{"billed_charge":117931.93,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":499.88,"providers":[{"billed_charge":40553.58,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"751300105"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4821.93,"providers":[{"billed_charge":5240.56,"npi":[1679560866]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":668.32,"providers":[{"billed_charge":13205.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"311097818"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5955.11,"providers":[{"billed_charge":7069.50,"npi":[1013950054]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":553.22,"providers":[{"billed_charge":157298.60,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"646008520"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6179.62,"providers":[{"billed_charge":12952.00,"npi":[1154317527]}]}]},{"tin":{"type":"ein","value":"462942963"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":12418.90,"providers":[{"billed_charge":19106.00,"npi":[1427472463]}]},{"allowed_amount":5181.15,"providers":[{"billed_charge":7971.00,"npi":[1427472463]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":23860.11,"providers":[{"billed_charge":391878.00,"npi":[1679557888]}]},{"allowed_amount":142.63,"providers":[{"billed_charge":1123.00,"npi":[1679557888]}]},{"allowed_amount":1817.13,"providers":[{"billed_charge":16152.00,"npi":[1598749707]}]}]},{"tin":{"type":"ein","value":"760354630"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":20209.80,"providers":[{"billed_charge":31092.00,"npi":[1700885076]}]},{"allowed_amount":22146.15,"providers":[{"billed_charge":34071.00,"npi":[1700885076]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":22381.49,"providers":[{"billed_charge":1781125.00,"npi":[1679578439]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":2766.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":345.13,"providers":[{"billed_charge":23968.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1507.59,"providers":[{"billed_charge":36866.57,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"994827700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45.58,"providers":[{"billed_charge":8149.74,"npi":[1336976034]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":938.12,"providers":[{"billed_charge":1190179.27,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":366.59,"providers":[{"billed_charge":3059.66,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"742761145"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1047.38,"providers":[{"billed_charge":4269.00,"npi":[1780731737]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":152.87,"providers":[{"billed_charge":380057.72,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":105.10,"providers":[{"billed_charge":30236.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"742557820"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.07,"providers":[{"billed_charge":9146.00,"npi":[1790782704]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":151.52,"providers":[{"billed_charge":83565.65,"npi":[1073511762]}]},{"allowed_amount":19.26,"providers":[{"billed_charge":408.92,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"812527918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":615.76,"providers":[{"billed_charge":75359.87,"npi":[1396280756]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":866.97,"providers":[{"billed_charge":17648.90,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"464125750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":391.26,"providers":[{"billed_charge":26376.38,"npi":[1457748238]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106.20,"providers":[{"billed_charge":66788.73,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"886000436"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2367.22,"providers":[{"billed_charge":9546.00,"npi":[1548393127]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":1412.72,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"851941193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.40,"providers":[{"billed_charge":27332.40,"npi":[1184233785]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":107423.75,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":214.02,"providers":[{"billed_charge":294375.75,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":103880.89,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"452663071"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7337.20,"providers":[{"billed_charge":11288.00,"npi":[1184911877]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1059.33,"providers":[{"billed_charge":561627.18,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"880803328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1711.60,"providers":[{"billed_charge":58218.86,"npi":[1467199448]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":132.00,"npi":[1871619254]}]},{"allowed_amount":129.11,"providers":[{"billed_charge":1630.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":127080.61,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"510570864"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":401.45,"providers":[{"billed_charge":6965.00,"npi":[1255579389]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2197.96,"providers":[{"billed_charge":557638.78,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":285.26,"providers":[{"billed_charge":5885.08,"npi":[1356960132]}]},{"allowed_amount":391.32,"providers":[{"billed_charge":2736.19,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1356.35,"providers":[{"billed_charge":735466.24,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":146.09,"providers":[{"billed_charge":368.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":707.80,"providers":[{"billed_charge":152732.73,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3186.43,"providers":[{"billed_charge":379401.00,"npi":[1689641680]}]},{"allowed_amount":663.45,"providers":[{"billed_charge":33971.00,"npi":[1003885641]}]},{"allowed_amount":83.53,"providers":[{"billed_charge":40455.00,"npi":[1093783391]}]},{"allowed_amount":95.76,"providers":[{"billed_charge":4046.00,"npi":[1447228747]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.08,"providers":[{"billed_charge":31.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3773.59,"providers":[{"billed_charge":157829.25,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"222592333"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.77,"providers":[{"billed_charge":29.00,"npi":[1922024835]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42.04,"providers":[{"billed_charge":23172.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":52.20,"providers":[{"billed_charge":90.00,"npi":[1720480627]}]},{"allowed_amount":17.40,"providers":[{"billed_charge":30.00,"npi":[1194743013]}]},{"allowed_amount":34.80,"providers":[{"billed_charge":60.00,"npi":[1720480627]}]},{"allowed_amount":174.00,"providers":[{"billed_charge":300.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":216.19,"providers":[{"billed_charge":2110.79,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":192.55,"providers":[{"billed_charge":16278.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"580568702"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":327.91,"providers":[{"billed_charge":991.00,"npi":[1063406684]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1743.02,"providers":[{"billed_charge":101340.17,"npi":[1831629526]}]},{"allowed_amount":6140.30,"providers":[{"billed_charge":221996.21,"npi":[1679903967]}]},{"allowed_amount":3364.81,"providers":[{"billed_charge":119287.47,"npi":[1598196206]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":334.69,"providers":[{"billed_charge":85799.08,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"464958152"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":779.90,"providers":[{"billed_charge":1724.00,"npi":[1669882940]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26277.54,"providers":[{"billed_charge":191517.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13141.60,"providers":[{"billed_charge":86691.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":999.75,"providers":[{"billed_charge":1925.00,"npi":[1154317774]}]},{"allowed_amount":729.55,"providers":[{"billed_charge":81525.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":913.94,"providers":[{"billed_charge":185975.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1380.34,"providers":[{"billed_charge":38364.25,"npi":[1295788735]}]},{"allowed_amount":5856.57,"providers":[{"billed_charge":122795.75,"npi":[1932152337]}]},{"allowed_amount":271.22,"providers":[{"billed_charge":1259.50,"npi":[1730132234]}]},{"allowed_amount":6299.44,"providers":[{"billed_charge":205276.50,"npi":[1982666111]}]},{"allowed_amount":24309.46,"providers":[{"billed_charge":397093.75,"npi":[1730132234]}]},{"allowed_amount":6020.52,"providers":[{"billed_charge":83537.75,"npi":[1295843787]}]},{"allowed_amount":255.60,"providers":[{"billed_charge":2092.25,"npi":[1295843787]}]},{"allowed_amount":1943.40,"providers":[{"billed_charge":40900.00,"npi":[1740233782]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86.78,"providers":[{"billed_charge":169338.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":750.38,"providers":[{"billed_charge":48266.25,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"465735510"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":233.79,"providers":[{"billed_charge":71625.00,"npi":[1164827093]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":3346.62,"providers":[{"billed_charge":9338.00,"npi":[1811973100]}]},{"allowed_amount":10307.90,"providers":[{"billed_charge":32339.00,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"831173631"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2345.85,"providers":[{"billed_charge":3507.00,"npi":[1427536325]}]},{"allowed_amount":816.20,"providers":[{"billed_charge":3388.00,"npi":[1427536325]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":241.80,"providers":[{"billed_charge":338590.56,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3318.97,"providers":[{"billed_charge":26846.55,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"237246265"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1993.63,"providers":[{"billed_charge":3556.00,"npi":[1467412726]}]}]},{"tin":{"type":"ein","value":"721608375"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.04,"providers":[{"billed_charge":25.00,"npi":[1790896710]}]}]},{"tin":{"type":"ein","value":"871558137"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":779.38,"providers":[{"billed_charge":123426.72,"npi":[1992377741]}]}]},{"tin":{"type":"ein","value":"821550918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10464.93,"providers":[{"billed_charge":14116.20,"npi":[1730183658]}]}]},{"tin":{"type":"ein","value":"440577118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2921.13,"providers":[{"billed_charge":6331.15,"npi":[1093740128]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":334.84,"providers":[{"billed_charge":31625.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":154.93,"providers":[{"billed_charge":1693.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"881716225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":153.94,"providers":[{"billed_charge":16138.19,"npi":[1053175794]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":160.51,"providers":[{"billed_charge":221.00,"npi":[1861475626]}]},{"allowed_amount":9.65,"providers":[{"billed_charge":17.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1540.74,"providers":[{"billed_charge":68291.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":230.05,"providers":[{"billed_charge":4549.00,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"720535375"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":994.23,"providers":[{"billed_charge":2475.00,"npi":[1275536799]}]},{"allowed_amount":83.78,"providers":[{"billed_charge":1818.00,"npi":[1275536799]}]}]},{"tin":{"type":"ein","value":"452497248"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9917.61,"providers":[{"billed_charge":15257.79,"npi":[1225381197]}]},{"allowed_amount":16808.76,"providers":[{"billed_charge":153205.72,"npi":[1205382413]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1471.92,"providers":[{"billed_charge":104065.48,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"320493679"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3427.08,"providers":[{"billed_charge":155396.84,"npi":[1134570922]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1053.49,"providers":[{"billed_charge":234435.01,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":236.04,"providers":[{"billed_charge":2089.68,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":664.18,"providers":[{"billed_charge":71807.16,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":714.37,"providers":[{"billed_charge":822.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":213.95,"providers":[{"billed_charge":91055.87,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":4269.20,"providers":[{"billed_charge":6568.00,"npi":[1598744856]}]},{"allowed_amount":28276.30,"providers":[{"billed_charge":43502.00,"npi":[1598744856]}]},{"allowed_amount":53262.95,"providers":[{"billed_charge":81943.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5667.39,"providers":[{"billed_charge":886572.75,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22119.59,"providers":[{"billed_charge":1834387.98,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"362222696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2334.90,"providers":[{"billed_charge":4371.00,"npi":[1760542732]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":16.24,"providers":[{"billed_charge":76.00,"npi":[1720096019]}]},{"allowed_amount":143.70,"providers":[{"billed_charge":672.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":574.10,"providers":[{"billed_charge":1534.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":210.33,"providers":[{"billed_charge":1112.00,"npi":[1366436123]}]},{"allowed_amount":66.00,"providers":[{"billed_charge":963.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"756003896"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":145.48,"providers":[{"billed_charge":16853.00,"npi":[1275581852]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3939.40,"providers":[{"billed_charge":743418.60,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"850289839"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.56,"providers":[{"billed_charge":159.00,"npi":[1902338049]}]}]},{"tin":{"type":"ein","value":"474219674"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":3657.94,"npi":[1518418250]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":33.13,"providers":[{"billed_charge":32586.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"452662980"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":22608.95,"providers":[{"billed_charge":37144.00,"npi":[1154618742]}]},{"allowed_amount":9660.95,"providers":[{"billed_charge":14863.00,"npi":[1154618742]}]}]},{"tin":{"type":"ein","value":"473637912"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3530.46,"providers":[{"billed_charge":174826.61,"npi":[1215449954]}]}]},{"tin":{"type":"ein","value":"716046242"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1063.75,"providers":[{"billed_charge":2651.00,"npi":[1477549756]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":777.12,"providers":[{"billed_charge":15222.94,"npi":[1316617707]}]},{"allowed_amount":30623.09,"providers":[{"billed_charge":9712.61,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4519.37,"providers":[{"billed_charge":408547.06,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.58,"providers":[{"billed_charge":43078.92,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":124.53,"providers":[{"billed_charge":152987.46,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17847.47,"providers":[{"billed_charge":1053755.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1700.42,"providers":[{"billed_charge":711064.37,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13782.36,"providers":[{"billed_charge":40636.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":759.12,"providers":[{"billed_charge":12324.00,"npi":[1447883301]}]},{"allowed_amount":385.10,"providers":[{"billed_charge":7632.00,"npi":[1194787218]}]},{"allowed_amount":94.89,"providers":[{"billed_charge":1555.00,"npi":[1821004151]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":18.18,"providers":[{"billed_charge":2542.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4200.37,"providers":[{"billed_charge":11837.10,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1038.38,"providers":[{"billed_charge":94188.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"726014606"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":181.68,"providers":[{"billed_charge":1252.00,"npi":[1295716637]}]}]},{"tin":{"type":"ein","value":"710664687"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":634.33,"providers":[{"billed_charge":1567.00,"npi":[1083609150]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61.04,"providers":[{"billed_charge":749.00,"npi":[1770522906]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":926.43,"providers":[{"billed_charge":1437.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":105.44,"providers":[{"billed_charge":58473.54,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":994.36,"providers":[{"billed_charge":83993.21,"npi":[1285252593]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":20795.15,"npi":[1770214256]}]}]}]},{"name":"LAB/CHEMISTRY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"301","description":"LABORATORY - CHEMISTRY","allowed_amounts":[{"tin":{"type":"ein","value":"814322087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":861.33,"providers":[{"billed_charge":2903.00,"npi":[1386188837]}]}]},{"tin":{"type":"ein","value":"922719659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":94.30,"providers":[{"billed_charge":80489.44,"npi":[1386325801]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":935.88,"providers":[{"billed_charge":153278.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35.40,"providers":[{"billed_charge":115870.40,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19","20"],"billing_class":"institutional","payments":[{"allowed_amount":38184.88,"providers":[{"billed_charge":2474278.00,"npi":[1992753222]}]},{"allowed_amount":472.15,"providers":[{"billed_charge":5161.00,"npi":[1992753222]}]},{"allowed_amount":354.49,"providers":[{"billed_charge":2503.00,"npi":[1992753222]}]},{"allowed_amount":54.88,"providers":[{"billed_charge":3112.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":213.74,"providers":[{"billed_charge":432025.42,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.08,"providers":[{"billed_charge":23307.00,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"474735982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":2661.71,"npi":[1497115539]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":58372.68,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"465557331"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":2190.06,"npi":[1194125146]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.47,"providers":[{"billed_charge":45154.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1355.44,"providers":[{"billed_charge":242333.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":3982.00,"npi":[1568818417]}]},{"allowed_amount":1761.63,"providers":[{"billed_charge":411010.00,"npi":[1689629941]}]},{"allowed_amount":45.80,"providers":[{"billed_charge":60331.00,"npi":[1033165501]},{"billed_charge":88120.00,"npi":[1275592131]}]},{"allowed_amount":9.41,"providers":[{"billed_charge":103.00,"npi":[1528027786]}]},{"allowed_amount":22.90,"providers":[{"billed_charge":39404.00,"npi":[1073294740]}]},{"allowed_amount":1425.57,"providers":[{"billed_charge":136423.00,"npi":[1528027786]}]},{"allowed_amount":18.82,"providers":[{"billed_charge":206.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":631.87,"providers":[{"billed_charge":94137.00,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":166.84,"providers":[{"billed_charge":51671.38,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"621113169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":574.24,"providers":[{"billed_charge":846.45,"npi":[1144213117]}]}]},{"tin":{"type":"ein","value":"746025069"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25.51,"providers":[{"billed_charge":8055.00,"npi":[1679678767]}]}]},{"tin":{"type":"ein","value":"922924228"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":190.62,"providers":[{"billed_charge":67035.05,"npi":[1700567229]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1834.06,"providers":[{"billed_charge":119465.46,"npi":[1104199017]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2915.03,"providers":[{"billed_charge":138493.00,"npi":[1548226988]}]},{"allowed_amount":53.52,"providers":[{"billed_charge":3616.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":253.32,"providers":[{"billed_charge":20558.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":557.24,"providers":[{"billed_charge":107963.90,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3216.33,"providers":[{"billed_charge":11012.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4107.54,"providers":[{"billed_charge":91544.80,"npi":[1629089966]}]},{"allowed_amount":1508.26,"providers":[{"billed_charge":659350.18,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.86,"providers":[{"billed_charge":34697.34,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":491.70,"providers":[{"billed_charge":316191.78,"npi":[1669472387]}]},{"allowed_amount":27.72,"providers":[{"billed_charge":995.42,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":831.87,"providers":[{"billed_charge":199524.67,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":175.75,"providers":[{"billed_charge":44171.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"251925187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":436.49,"providers":[{"billed_charge":14499.00,"npi":[1568403111]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1035.20,"providers":[{"billed_charge":73211.76,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":669.95,"providers":[{"billed_charge":92071.47,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"736048282"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48.18,"providers":[{"billed_charge":390.00,"npi":[1700882578]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.30,"providers":[{"billed_charge":446.21,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.57,"providers":[{"billed_charge":43503.34,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.70,"providers":[{"billed_charge":62807.73,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":873.69,"providers":[{"billed_charge":87047.44,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"720551963"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.10,"providers":[{"billed_charge":7435.75,"npi":[1972549855]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":40.96,"providers":[{"billed_charge":1028.00,"npi":[1407191984]}]},{"allowed_amount":258.32,"providers":[{"billed_charge":647025.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48.74,"providers":[{"billed_charge":71483.30,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":999.48,"providers":[{"billed_charge":162167.15,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":401.39,"providers":[{"billed_charge":102311.52,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":30.26,"providers":[{"billed_charge":125325.67,"npi":[1013957836]}]},{"allowed_amount":416.09,"providers":[{"billed_charge":9440.79,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":512.35,"providers":[{"billed_charge":62263.50,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"742802643"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":588.88,"npi":[1053317362]}]}]},{"tin":{"type":"ein","value":"741718215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":907.19,"providers":[{"billed_charge":1584.50,"npi":[1699772541]}]}]},{"tin":{"type":"ein","value":"203003947"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":70.74,"providers":[{"billed_charge":1669.75,"npi":[1407169196]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":73.18,"providers":[{"billed_charge":1337.26,"npi":[1033120423]}]},{"allowed_amount":677.25,"providers":[{"billed_charge":611810.01,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":165.20,"providers":[{"billed_charge":101832.84,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2248.61,"providers":[{"billed_charge":1275230.71,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"861463867"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":177713.75,"npi":[1194302877]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":15.14,"providers":[{"billed_charge":290.62,"npi":[1265772362]}]},{"allowed_amount":346.07,"providers":[{"billed_charge":188966.80,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":236.87,"providers":[{"billed_charge":52838.40,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.16,"providers":[{"billed_charge":107157.63,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":6607.00,"npi":[1679557888]}]},{"allowed_amount":1046.49,"providers":[{"billed_charge":1878305.50,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"941105628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":285.50,"providers":[{"billed_charge":1362.00,"npi":[1356496772]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123.90,"providers":[{"billed_charge":332310.42,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":578.34,"providers":[{"billed_charge":86061.00,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3678.07,"providers":[{"billed_charge":602403.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":104.04,"providers":[{"billed_charge":15323.72,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"720408970"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1017.57,"providers":[{"billed_charge":2868.00,"npi":[1295723229]}]}]},{"tin":{"type":"ein","value":"334202263"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":3159.00,"npi":[1366246324]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":37272.74,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"821883948"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":16320.00,"providers":[{"billed_charge":36368.00,"npi":[1649794157]}]},{"allowed_amount":1074.14,"providers":[{"billed_charge":17325.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":125.83,"providers":[{"billed_charge":193820.56,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2718.76,"providers":[{"billed_charge":702594.25,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":195.37,"providers":[{"billed_charge":314460.07,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.03,"providers":[{"billed_charge":21345.54,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":369.66,"providers":[{"billed_charge":9330.50,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":988.98,"providers":[{"billed_charge":112042.78,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70.80,"providers":[{"billed_charge":121894.91,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"861464604"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":159002.30,"npi":[1003493784]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1878.14,"providers":[{"billed_charge":34776.00,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1246.06,"providers":[{"billed_charge":2210.50,"npi":[1154324952]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":76.70,"providers":[{"billed_charge":61238.50,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"720408982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2532.88,"providers":[{"billed_charge":3764.00,"npi":[1417950106]}]}]},{"tin":{"type":"ein","value":"720408984"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":791.39,"providers":[{"billed_charge":2667.00,"npi":[1639160799]}]},{"allowed_amount":1875.92,"providers":[{"billed_charge":6222.00,"npi":[1639160799]}]}]},{"tin":{"type":"ein","value":"822174187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112.10,"providers":[{"billed_charge":50105.97,"npi":[1811475346]}]}]},{"tin":{"type":"ein","value":"861390295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":48842.00,"npi":[1386221067]}]}]},{"tin":{"type":"ein","value":"880803328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":336.75,"providers":[{"billed_charge":84365.63,"npi":[1467199448]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":59.52,"providers":[{"billed_charge":17382.00,"npi":[1083937593]}]},{"allowed_amount":768.36,"providers":[{"billed_charge":2157049.00,"npi":[1497871628]}]},{"allowed_amount":1859.44,"providers":[{"billed_charge":1689995.00,"npi":[1184179194]}]},{"allowed_amount":1027.91,"providers":[{"billed_charge":2870978.00,"npi":[1871619254]}]},{"allowed_amount":7490.00,"providers":[{"billed_charge":1248774.00,"npi":[1184179194]}]},{"allowed_amount":16.90,"providers":[{"billed_charge":2423.00,"npi":[1629828405]}]},{"allowed_amount":485.28,"providers":[{"billed_charge":2745846.00,"npi":[1083937593]}]},{"allowed_amount":85.33,"providers":[{"billed_charge":9482.00,"npi":[1871619254]}]},{"allowed_amount":184.38,"providers":[{"billed_charge":471837.00,"npi":[1629828405]}]}]},{"tin":{"type":"ein","value":"237309937"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1676.54,"providers":[{"billed_charge":4944.00,"npi":[1649299827]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4.75,"providers":[{"billed_charge":1024.79,"npi":[1396138970]}]},{"allowed_amount":69.09,"providers":[{"billed_charge":20583.69,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":555.48,"providers":[{"billed_charge":272959.73,"npi":[1356960132]}]},{"allowed_amount":2500.41,"providers":[{"billed_charge":39494.09,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"770633896"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":230.92,"providers":[{"billed_charge":3462.00,"npi":[1629057229]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.89,"providers":[{"billed_charge":11318.41,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":148.15,"providers":[{"billed_charge":105205.60,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"861380690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":12287.00,"npi":[1477130276]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":282431.30,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72.84,"providers":[{"billed_charge":315200.00,"npi":[1003885641]}]},{"allowed_amount":362.88,"providers":[{"billed_charge":3340817.00,"npi":[1689641680]}]},{"allowed_amount":31.94,"providers":[{"billed_charge":326664.00,"npi":[1093783391]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2273.58,"providers":[{"billed_charge":8639.00,"npi":[1629076468]}]},{"allowed_amount":460.38,"providers":[{"billed_charge":1586.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5882.15,"providers":[{"billed_charge":551849.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2710.34,"providers":[{"billed_charge":4673.00,"npi":[1194743013]}]},{"allowed_amount":393.24,"providers":[{"billed_charge":678.00,"npi":[1720480627]}]},{"allowed_amount":80.62,"providers":[{"billed_charge":139.00,"npi":[1720480627]}]},{"allowed_amount":3650.52,"providers":[{"billed_charge":6294.00,"npi":[1194743013]}]},{"allowed_amount":280.14,"providers":[{"billed_charge":483.00,"npi":[1194743013]}]},{"allowed_amount":7351.50,"providers":[{"billed_charge":12675.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":458.33,"providers":[{"billed_charge":7012.43,"npi":[1477516466]}]},{"allowed_amount":554.76,"providers":[{"billed_charge":448017.20,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"581694098"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2793.13,"providers":[{"billed_charge":6977.00,"npi":[1427055821]}]},{"allowed_amount":508.00,"providers":[{"billed_charge":2089.00,"npi":[1427055821]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.72,"providers":[{"billed_charge":14377.69,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111.64,"providers":[{"billed_charge":18274.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3480.32,"providers":[{"billed_charge":2487091.25,"npi":[1295843787]}]},{"allowed_amount":1211.57,"providers":[{"billed_charge":1034861.25,"npi":[1740233782]}]},{"allowed_amount":3399.46,"providers":[{"billed_charge":2196258.75,"npi":[1982666111]}]},{"allowed_amount":61.71,"providers":[{"billed_charge":10232.75,"npi":[1932152337]}]},{"allowed_amount":153.49,"providers":[{"billed_charge":30139.75,"npi":[1730132234]}]},{"allowed_amount":94.92,"providers":[{"billed_charge":13426.25,"npi":[1295843787]}]},{"allowed_amount":5247.28,"providers":[{"billed_charge":1679158.75,"npi":[1932152337]}]},{"allowed_amount":4178.93,"providers":[{"billed_charge":1024841.00,"npi":[1295788735]}]},{"allowed_amount":13454.65,"providers":[{"billed_charge":7619267.50,"npi":[1730132234]}]},{"allowed_amount":75.48,"providers":[{"billed_charge":11343.00,"npi":[1740233782]}]},{"allowed_amount":75.47,"providers":[{"billed_charge":9777.50,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":171.10,"providers":[{"billed_charge":189082.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"923355103"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":3.14,"providers":[{"billed_charge":12649.14,"npi":[1386405801]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6814.72,"providers":[{"billed_charge":1156882.06,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":17.67,"providers":[{"billed_charge":22994.89,"npi":[1023013448]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":1130.10,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":340.21,"providers":[{"billed_charge":619.00,"npi":[1811973100]}]},{"allowed_amount":1326.00,"providers":[{"billed_charge":4420.00,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":76.70,"providers":[{"billed_charge":97213.00,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"381357020"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1623.00,"providers":[{"billed_charge":1623.00,"npi":[1134144801]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56.31,"providers":[{"billed_charge":12794.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"922748191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41.30,"providers":[{"billed_charge":40330.00,"npi":[1811678337]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6977.70,"providers":[{"billed_charge":54825.76,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1056.62,"providers":[{"billed_charge":3491.18,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1873.70,"providers":[{"billed_charge":2248452.00,"npi":[1548387418]}]},{"allowed_amount":128.61,"providers":[{"billed_charge":28052.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":242.57,"providers":[{"billed_charge":955977.69,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7029.61,"providers":[{"billed_charge":9969.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"210634549"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":259.24,"providers":[{"billed_charge":812.00,"npi":[1013919315]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4646.06,"providers":[{"billed_charge":1575902.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":60.20,"providers":[{"billed_charge":2348.00,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":94.40,"providers":[{"billed_charge":74516.86,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"390807236"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":115.48,"providers":[{"billed_charge":138.00,"npi":[1346228541]}]}]},{"tin":{"type":"ein","value":"922818824"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":447.70,"providers":[{"billed_charge":138266.00,"npi":[1619658135]}]}]},{"tin":{"type":"ein","value":"436004435"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2215.22,"providers":[{"billed_charge":7079.76,"npi":[1891766051]}]}]},{"tin":{"type":"ein","value":"752387418"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":484.24,"providers":[{"billed_charge":72189.34,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":405.04,"providers":[{"billed_charge":45456.50,"npi":[1124796081]}]},{"allowed_amount":91.28,"providers":[{"billed_charge":41487.00,"npi":[1548286172]}]},{"allowed_amount":143.74,"providers":[{"billed_charge":214822.90,"npi":[1124796081]}]},{"allowed_amount":147.65,"providers":[{"billed_charge":25085.45,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"472667968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":405.55,"providers":[{"billed_charge":1589.00,"npi":[1265437644]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1348.57,"providers":[{"billed_charge":301701.10,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":560.10,"providers":[{"billed_charge":16713.24,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100.57,"providers":[{"billed_charge":89283.42,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":17560.97,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"720400933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":129.04,"providers":[{"billed_charge":283.00,"npi":[1275685539]}]}]},{"tin":{"type":"ein","value":"861337129"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":68632.50,"npi":[1871170753]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5896.30,"providers":[{"billed_charge":6728.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":82.60,"providers":[{"billed_charge":71192.30,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"522438452"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":200.00,"npi":[1417279936]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.14,"providers":[{"billed_charge":12115.66,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100.30,"providers":[{"billed_charge":93862.16,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.70,"providers":[{"billed_charge":72069.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1741.10,"providers":[{"billed_charge":8142.00,"npi":[1720096019]}]},{"allowed_amount":2024.91,"providers":[{"billed_charge":9703.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38.45,"providers":[{"billed_charge":26938.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4676.59,"providers":[{"billed_charge":12256.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"331453678"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":14002.22,"npi":[1235954488]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":957.00,"providers":[{"billed_charge":7399.00,"npi":[1366436123]}]},{"allowed_amount":6140.51,"providers":[{"billed_charge":17017.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13506.20,"providers":[{"billed_charge":596381.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"451834769"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3106.09,"providers":[{"billed_charge":7805.00,"npi":[1144227539]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2064.05,"providers":[{"billed_charge":654680.67,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":524.48,"providers":[{"billed_charge":337149.75,"npi":[1770514077]}]},{"allowed_amount":1046.71,"providers":[{"billed_charge":400020.75,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":330.40,"providers":[{"billed_charge":200076.21,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59.00,"providers":[{"billed_charge":88769.86,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":624.30,"providers":[{"billed_charge":122056.66,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.62,"providers":[{"billed_charge":4792.17,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":116986.36,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2635.77,"providers":[{"billed_charge":648387.90,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":46.06,"providers":[{"billed_charge":54433.71,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.24,"providers":[{"billed_charge":39776.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41.30,"providers":[{"billed_charge":55622.25,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"481172106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":349.44,"providers":[{"billed_charge":1861.00,"npi":[1154314789]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":801.51,"providers":[{"billed_charge":181720.00,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":222.42,"providers":[{"billed_charge":733171.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":424.00,"providers":[{"billed_charge":107809.73,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":94.28,"providers":[{"billed_charge":38707.00,"npi":[1447883301]}]},{"allowed_amount":26.78,"providers":[{"billed_charge":5043.00,"npi":[1194787218]}]},{"allowed_amount":5.31,"providers":[{"billed_charge":51740.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112.42,"providers":[{"billed_charge":75664.35,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":131.05,"providers":[{"billed_charge":136833.05,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1081.32,"providers":[{"billed_charge":3027474.00,"npi":[1891789772]}]},{"allowed_amount":82.20,"providers":[{"billed_charge":58935.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4756.94,"providers":[{"billed_charge":13422.82,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"621596506"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1615.38,"providers":[{"billed_charge":20164.00,"npi":[1497792527]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.14,"providers":[{"billed_charge":9951.03,"npi":[1124305065]}]},{"allowed_amount":6.29,"providers":[{"billed_charge":2924.73,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":542.28,"providers":[{"billed_charge":95405.52,"npi":[1770522906]}]},{"allowed_amount":2586.73,"providers":[{"billed_charge":48546.69,"npi":[1770522906]}]}]},{"tin":{"type":"ein","value":"621762428"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45.80,"providers":[{"billed_charge":16856.04,"npi":[1144274226]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59.00,"providers":[{"billed_charge":120216.16,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"314394942"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":344.70,"providers":[{"billed_charge":631.00,"npi":[1255377149]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1525.64,"providers":[{"billed_charge":154897.62,"npi":[1255806410]}]}]}]},{"name":"LAB/IMMUNOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"302","description":"LABORATORY - IMMUNOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":41.17,"providers":[{"billed_charge":3523.00,"npi":[1629828405]}]},{"allowed_amount":364.57,"providers":[{"billed_charge":2042.00,"npi":[1083937593]}]},{"allowed_amount":165.92,"providers":[{"billed_charge":22410.00,"npi":[1497871628]}]},{"allowed_amount":179.91,"providers":[{"billed_charge":32725.00,"npi":[1083937593]}]},{"allowed_amount":564.04,"providers":[{"billed_charge":16358.00,"npi":[1184179194]}]},{"allowed_amount":66.42,"providers":[{"billed_charge":27255.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1956.96,"providers":[{"billed_charge":7048.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":14.55,"providers":[{"billed_charge":569.00,"npi":[1124796081]}]},{"allowed_amount":100.44,"providers":[{"billed_charge":2676.00,"npi":[1548286172]}]},{"allowed_amount":4.27,"providers":[{"billed_charge":9726.05,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19","20"],"billing_class":"institutional","payments":[{"allowed_amount":539.54,"providers":[{"billed_charge":78542.00,"npi":[1992753222]}]},{"allowed_amount":181.41,"providers":[{"billed_charge":2762.00,"npi":[1992753222]}]},{"allowed_amount":19.86,"providers":[{"billed_charge":394.00,"npi":[1992753222]}]},{"allowed_amount":82.41,"providers":[{"billed_charge":1054.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.80,"providers":[{"billed_charge":2410.52,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":336.35,"providers":[{"billed_charge":5638.00,"npi":[1003885641]}]},{"allowed_amount":720.75,"providers":[{"billed_charge":5261.00,"npi":[1093783391]}]},{"allowed_amount":8981.87,"providers":[{"billed_charge":84795.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68.31,"providers":[{"billed_charge":5604.09,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":52.96,"providers":[{"billed_charge":2543.82,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":197.20,"providers":[{"billed_charge":340.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":227.19,"providers":[{"billed_charge":38704.30,"npi":[1477516466]}]},{"allowed_amount":10.36,"providers":[{"billed_charge":1157.78,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":107.22,"providers":[{"billed_charge":5489.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":274.80,"providers":[{"billed_charge":1285.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6161.70,"providers":[{"billed_charge":44846.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":5831.75,"npi":[1295788735]}]},{"allowed_amount":42.36,"providers":[{"billed_charge":9545.25,"npi":[1932152337]}]},{"allowed_amount":133.22,"providers":[{"billed_charge":34988.75,"npi":[1730132234]}]},{"allowed_amount":6.83,"providers":[{"billed_charge":3890.50,"npi":[1740233782]}]},{"allowed_amount":405.55,"providers":[{"billed_charge":39068.75,"npi":[1982666111]}]},{"allowed_amount":55.33,"providers":[{"billed_charge":9616.25,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":158.88,"providers":[{"billed_charge":7098.75,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1617.43,"providers":[{"billed_charge":96844.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.26,"providers":[{"billed_charge":2017.48,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.48,"providers":[{"billed_charge":2548.50,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.48,"providers":[{"billed_charge":2981.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86.60,"providers":[{"billed_charge":4110.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1235.68,"providers":[{"billed_charge":20668.41,"npi":[1629089966]}]},{"allowed_amount":105.90,"providers":[{"billed_charge":7644.76,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":492.46,"providers":[{"billed_charge":32657.90,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":185.36,"providers":[{"billed_charge":4898.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3331.18,"providers":[{"billed_charge":34181.29,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.41,"providers":[{"billed_charge":3842.19,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":643.36,"providers":[{"billed_charge":6658.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":92.36,"providers":[{"billed_charge":180.00,"npi":[1093810327]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.41,"providers":[{"billed_charge":2708.74,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":10522.53,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.26,"providers":[{"billed_charge":39430.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1273.17,"providers":[{"billed_charge":70535.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1851.65,"providers":[{"billed_charge":75499.00,"npi":[1548387418]}]},{"allowed_amount":20.81,"providers":[{"billed_charge":3406.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":510.46,"providers":[{"billed_charge":15573.65,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":439.12,"providers":[{"billed_charge":4434.97,"npi":[1013957836]}]},{"allowed_amount":29.30,"providers":[{"billed_charge":821.89,"npi":[1013957836]}]}]}]},{"name":"LAB/NR DIALYSIS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"304","description":"LABORATORY - NON-ROUTINE DIALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"873660108"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":5.34,"providers":[{"billed_charge":1362.88,"npi":[1134886278]}]}]},{"tin":{"type":"ein","value":"112226275"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":28.83,"providers":[{"billed_charge":5007.81,"npi":[1093827982]}]}]},{"tin":{"type":"ein","value":"751739434"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":1.40,"providers":[{"billed_charge":1879.56,"npi":[1245342120]}]}]},{"tin":{"type":"ein","value":"823064813"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":25.88,"providers":[{"billed_charge":2410.47,"npi":[1780184739]}]}]}]},{"name":"LAB/HEMATOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"305","description":"LABORATORY - HEMATOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":228.49,"providers":[{"billed_charge":271885.00,"npi":[1184179194]}]},{"allowed_amount":22.01,"providers":[{"billed_charge":2509.00,"npi":[1083937593]}]},{"allowed_amount":86.78,"providers":[{"billed_charge":372590.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":103.64,"providers":[{"billed_charge":24345.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":174.77,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":158.78,"providers":[{"billed_charge":4539.48,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19"],"billing_class":"institutional","payments":[{"allowed_amount":387.19,"providers":[{"billed_charge":448140.00,"npi":[1992753222]}]},{"allowed_amount":21.37,"providers":[{"billed_charge":267.00,"npi":[1992753222]}]},{"allowed_amount":46.64,"providers":[{"billed_charge":1744.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.34,"providers":[{"billed_charge":55579.50,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39.22,"providers":[{"billed_charge":238.00,"npi":[1548796378]}]},{"allowed_amount":290.52,"providers":[{"billed_charge":1050.00,"npi":[1629076468]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":207.22,"providers":[{"billed_charge":24649.92,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":8.10,"providers":[{"billed_charge":178.00,"npi":[1033165501]}]},{"allowed_amount":86.22,"providers":[{"billed_charge":11614.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":19860.00,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":432.36,"providers":[{"billed_charge":152594.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":342.20,"providers":[{"billed_charge":590.00,"npi":[1194743013]}]},{"allowed_amount":2071.18,"providers":[{"billed_charge":3571.00,"npi":[1720480627]}]},{"allowed_amount":259.26,"providers":[{"billed_charge":447.00,"npi":[1720480627]}]},{"allowed_amount":211.70,"providers":[{"billed_charge":365.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":37.68,"providers":[{"billed_charge":1758.88,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":467.56,"providers":[{"billed_charge":195989.75,"npi":[1295788735]}]},{"allowed_amount":347.12,"providers":[{"billed_charge":536000.50,"npi":[1982666111]}]},{"allowed_amount":1263.78,"providers":[{"billed_charge":1334672.50,"npi":[1730132234]}]},{"allowed_amount":579.86,"providers":[{"billed_charge":326174.75,"npi":[1932152337]}]},{"allowed_amount":28.91,"providers":[{"billed_charge":3517.00,"npi":[1295843787]}]},{"allowed_amount":173.56,"providers":[{"billed_charge":445436.50,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.34,"providers":[{"billed_charge":312472.75,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":64.00,"providers":[{"billed_charge":50964.00,"npi":[1548226988]}]},{"allowed_amount":7.77,"providers":[{"billed_charge":1417.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":244.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":235.96,"providers":[{"billed_charge":802.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":394.31,"providers":[{"billed_charge":21865.13,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":141.99,"providers":[{"billed_charge":42229.80,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"251925187"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":50.76,"providers":[{"billed_charge":180.00,"npi":[1568403111]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1927.82,"providers":[{"billed_charge":15632.91,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":127.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":24.54,"providers":[{"billed_charge":5225.00,"npi":[1548387418]}]},{"allowed_amount":335.54,"providers":[{"billed_charge":376379.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.04,"providers":[{"billed_charge":30001.79,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":391928.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1013.43,"providers":[{"billed_charge":1398.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":38.17,"providers":[{"billed_charge":1419.97,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":13656.50,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"752387418"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":164.49,"providers":[{"billed_charge":9110.77,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":31.99,"providers":[{"billed_charge":3477.00,"npi":[1548286172]}]},{"allowed_amount":28.71,"providers":[{"billed_charge":3380.15,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":265.15,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51.82,"providers":[{"billed_charge":3007.60,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":176.57,"providers":[{"billed_charge":200.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":50.58,"providers":[{"billed_charge":52421.06,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":19884.90,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":36.78,"providers":[{"billed_charge":172.00,"npi":[1720096019]}]},{"allowed_amount":286.53,"providers":[{"billed_charge":1340.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":253.50,"providers":[{"billed_charge":523963.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":373.11,"providers":[{"billed_charge":1727.00,"npi":[1366436123]}]},{"allowed_amount":236.00,"providers":[{"billed_charge":2407.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59.18,"providers":[{"billed_charge":44528.10,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":687.04,"providers":[{"billed_charge":128343.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":144537.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":753.30,"providers":[{"billed_charge":93185.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":453.90,"providers":[{"billed_charge":171985.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.41,"providers":[{"billed_charge":11533.54,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":90.78,"providers":[{"billed_charge":41594.02,"npi":[1073511762]}]},{"allowed_amount":7.61,"providers":[{"billed_charge":170.03,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":386.76,"providers":[{"billed_charge":1144.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":498.22,"providers":[{"billed_charge":10683.81,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1245.28,"providers":[{"billed_charge":3516.73,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":237.36,"providers":[{"billed_charge":8093.74,"npi":[1770522906]}]},{"allowed_amount":224.73,"providers":[{"billed_charge":5464.49,"npi":[1770522906]}]}]}]},{"name":"LAB/BACT-MIRCO","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"306","description":"LABORATORY - BACTERIOLOGY & MICROBIOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":428.76,"providers":[{"billed_charge":8700.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5348.75,"providers":[{"billed_charge":151118.16,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3137.86,"providers":[{"billed_charge":38291.07,"npi":[1356960132]}]},{"allowed_amount":523.54,"providers":[{"billed_charge":3454.88,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19","20"],"billing_class":"institutional","payments":[{"allowed_amount":307.88,"providers":[{"billed_charge":1308.00,"npi":[1992753222]}]},{"allowed_amount":26924.47,"providers":[{"billed_charge":253629.00,"npi":[1992753222]}]},{"allowed_amount":76.97,"providers":[{"billed_charge":380.00,"npi":[1992753222]}]},{"allowed_amount":96.02,"providers":[{"billed_charge":413.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9116.00,"providers":[{"billed_charge":26696.06,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18613.65,"providers":[{"billed_charge":668209.70,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1477.84,"providers":[{"billed_charge":44535.19,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":271.10,"providers":[{"billed_charge":17713.00,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2537.35,"providers":[{"billed_charge":56139.42,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":201.22,"providers":[{"billed_charge":15683.57,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":566.82,"providers":[{"billed_charge":308378.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2282.84,"providers":[{"billed_charge":12702.00,"npi":[1275592131]}]},{"allowed_amount":3677.23,"providers":[{"billed_charge":28968.00,"npi":[1528027786]}]},{"allowed_amount":228.21,"providers":[{"billed_charge":1021.00,"npi":[1073294740]}]},{"allowed_amount":910.67,"providers":[{"billed_charge":5899.00,"npi":[1033165501]}]},{"allowed_amount":16829.10,"providers":[{"billed_charge":73753.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1961.19,"providers":[{"billed_charge":6161.96,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6665.48,"providers":[{"billed_charge":104502.54,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":521.42,"providers":[{"billed_charge":899.00,"npi":[1194743013]}]},{"allowed_amount":921.04,"providers":[{"billed_charge":1588.00,"npi":[1194743013]}]},{"allowed_amount":5698.50,"providers":[{"billed_charge":9825.00,"npi":[1720480627]}]},{"allowed_amount":899.58,"providers":[{"billed_charge":1551.00,"npi":[1720480627]}]},{"allowed_amount":591.02,"providers":[{"billed_charge":1019.00,"npi":[1720480627]}]},{"allowed_amount":2136.72,"providers":[{"billed_charge":3684.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":386.24,"providers":[{"billed_charge":3285.16,"npi":[1477516466]}]},{"allowed_amount":5904.43,"providers":[{"billed_charge":90545.95,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17504.76,"providers":[{"billed_charge":347511.88,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"746025069"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":500.14,"providers":[{"billed_charge":4503.00,"npi":[1679678767]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20937.12,"providers":[{"billed_charge":371221.00,"npi":[1295843787]}]},{"allowed_amount":7142.70,"providers":[{"billed_charge":101107.50,"npi":[1740233782]}]},{"allowed_amount":9094.27,"providers":[{"billed_charge":217775.50,"npi":[1982666111]}]},{"allowed_amount":6652.85,"providers":[{"billed_charge":133450.25,"npi":[1295788735]}]},{"allowed_amount":49251.75,"providers":[{"billed_charge":895852.50,"npi":[1730132234]}]},{"allowed_amount":10696.12,"providers":[{"billed_charge":193445.00,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70001.58,"providers":[{"billed_charge":250833.25,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2232.07,"providers":[{"billed_charge":61598.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":581.92,"providers":[{"billed_charge":4972.44,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":261.67,"providers":[{"billed_charge":151552.03,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":35.09,"providers":[{"billed_charge":924.00,"npi":[1548226988]}]},{"allowed_amount":20106.89,"providers":[{"billed_charge":108155.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3839.90,"providers":[{"billed_charge":64186.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":424.56,"providers":[{"billed_charge":1129.73,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":82.10,"providers":[{"billed_charge":102491.63,"npi":[1629089966]}]},{"allowed_amount":323.93,"providers":[{"billed_charge":6195.83,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20477.77,"providers":[{"billed_charge":117941.61,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752682017"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":774.40,"providers":[{"billed_charge":6234.92,"npi":[1114998911]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5396.36,"providers":[{"billed_charge":57193.39,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":785.46,"providers":[{"billed_charge":2155.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.76,"providers":[{"billed_charge":7326.04,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1666.27,"providers":[{"billed_charge":12867.63,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1511.90,"providers":[{"billed_charge":4060.41,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1069.75,"providers":[{"billed_charge":14610.65,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4117.44,"providers":[{"billed_charge":57007.04,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9724.03,"providers":[{"billed_charge":137392.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":428.58,"providers":[{"billed_charge":238980.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":93.38,"providers":[{"billed_charge":4719.58,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":105996.63,"providers":[{"billed_charge":3029036.25,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23879.98,"providers":[{"billed_charge":352177.79,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":381.54,"providers":[{"billed_charge":15093.01,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":765.45,"providers":[{"billed_charge":127238.92,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1351.65,"providers":[{"billed_charge":19583.00,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"752387418"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":604.91,"providers":[{"billed_charge":17709.75,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":50.53,"providers":[{"billed_charge":17164.00,"npi":[1548286172]}]},{"allowed_amount":8.07,"providers":[{"billed_charge":3973.00,"npi":[1124796081]}]},{"allowed_amount":8.62,"providers":[{"billed_charge":776.00,"npi":[1548286172]}]},{"allowed_amount":17554.93,"providers":[{"billed_charge":369067.20,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15689.30,"providers":[{"billed_charge":167913.74,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6945.70,"providers":[{"billed_charge":148030.31,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2201.32,"providers":[{"billed_charge":45497.75,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":769.70,"providers":[{"billed_charge":54268.47,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61.44,"providers":[{"billed_charge":17621.69,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":114.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5776.65,"providers":[{"billed_charge":121443.71,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1864.60,"providers":[{"billed_charge":21806.02,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4225.42,"providers":[{"billed_charge":18775.31,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":608.17,"providers":[{"billed_charge":27588.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3751.02,"providers":[{"billed_charge":78909.56,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1962.15,"providers":[{"billed_charge":7809.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":267.30,"providers":[{"billed_charge":1250.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":696.69,"providers":[{"billed_charge":794.75,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35518.35,"providers":[{"billed_charge":475116.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"751584559"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":206.81,"providers":[{"billed_charge":422.00,"npi":[1255325817]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1001.96,"providers":[{"billed_charge":14538.71,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24818.20,"providers":[{"billed_charge":729517.32,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.90,"providers":[{"billed_charge":1718.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":172.30,"providers":[{"billed_charge":63306.92,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":7313.95,"providers":[{"billed_charge":123740.00,"npi":[1932123247]}]},{"allowed_amount":14.38,"providers":[{"billed_charge":105.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13475.02,"providers":[{"billed_charge":103020.72,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3181.22,"providers":[{"billed_charge":54090.88,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.41,"providers":[{"billed_charge":25229.73,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10142.94,"providers":[{"billed_charge":216350.72,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1641.92,"providers":[{"billed_charge":60399.55,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13254.44,"providers":[{"billed_charge":44305.63,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3751.02,"providers":[{"billed_charge":81282.13,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210.88,"providers":[{"billed_charge":123381.48,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70830.94,"providers":[{"billed_charge":224044.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2689.00,"providers":[{"billed_charge":41980.68,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1486.52,"providers":[{"billed_charge":55268.63,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5562.70,"providers":[{"billed_charge":187636.48,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1830.59,"providers":[{"billed_charge":5035.48,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7488.25,"providers":[{"billed_charge":166105.53,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6597.69,"providers":[{"billed_charge":11939.60,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2198.27,"providers":[{"billed_charge":33415.06,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":718.34,"providers":[{"billed_charge":8913.06,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":94.89,"providers":[{"billed_charge":390.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3542.88,"providers":[{"billed_charge":21405.21,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.00,"providers":[{"billed_charge":913.65,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5134.80,"providers":[{"billed_charge":112444.65,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1113.00,"providers":[{"billed_charge":53349.79,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106.21,"providers":[{"billed_charge":652.77,"npi":[1124305065]}]}]},{"tin":{"type":"ein","value":"720408984"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":342.47,"providers":[{"billed_charge":1771.00,"npi":[1639160799]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5990.60,"providers":[{"billed_charge":152313.31,"npi":[1912677295]}]}]}]},{"name":"LAB/UROLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"307","description":"LABORATORY - UROLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.01,"providers":[{"billed_charge":3390.25,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":475.00,"npi":[1497871628]},{"billed_charge":1610.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.29,"providers":[{"billed_charge":3872.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2.25,"providers":[{"billed_charge":55.53,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":12.68,"providers":[{"billed_charge":446.50,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":18.12,"providers":[{"billed_charge":5778.05,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":4.76,"providers":[{"billed_charge":180.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.01,"providers":[{"billed_charge":17795.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58.60,"providers":[{"billed_charge":325.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":138.78,"providers":[{"billed_charge":121711.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.01,"providers":[{"billed_charge":5352.00,"npi":[1528027786]},{"billed_charge":26146.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":11432.59,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.01,"providers":[{"billed_charge":35590.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":185.60,"providers":[{"billed_charge":320.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2.25,"providers":[{"billed_charge":55.53,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":55.28,"providers":[{"billed_charge":523879.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":247.32,"providers":[{"billed_charge":269127.50,"npi":[1295843787]}]},{"allowed_amount":423.50,"providers":[{"billed_charge":923363.50,"npi":[1730132234]}]},{"allowed_amount":88.09,"providers":[{"billed_charge":175973.00,"npi":[1982666111]}]},{"allowed_amount":352.36,"providers":[{"billed_charge":128477.50,"npi":[1295788735]}]},{"allowed_amount":335.41,"providers":[{"billed_charge":206156.00,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":316.04,"providers":[{"billed_charge":95267.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":176.18,"providers":[{"billed_charge":64357.23,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":237.03,"providers":[{"billed_charge":41162.75,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":149.83,"providers":[{"billed_charge":5392.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.00,"providers":[{"billed_charge":8476.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":39.09,"providers":[{"billed_charge":5941.70,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":256.04,"providers":[{"billed_charge":26333.60,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":237.03,"providers":[{"billed_charge":58239.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":126.86,"providers":[{"billed_charge":37701.00,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.52,"providers":[{"billed_charge":3581.11,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":158.80,"providers":[{"billed_charge":2540.79,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":110.14,"providers":[{"billed_charge":326.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56.15,"providers":[{"billed_charge":4867.19,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":92.08,"providers":[{"billed_charge":259.56,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":36.23,"providers":[{"billed_charge":27792.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":1236.00,"npi":[1548387418]}]},{"allowed_amount":88.09,"providers":[{"billed_charge":73679.00,"npi":[1548387418]}]}]}]},{"name":"LAB/OTHER","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"309","description":"LABORATORY - OTHER LABORATORY","allowed_amounts":[{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":17.65,"providers":[{"billed_charge":877.70,"npi":[1548286172]}]},{"allowed_amount":54.54,"providers":[{"billed_charge":1001.10,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":686.16,"providers":[{"billed_charge":16391.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":171.18,"providers":[{"billed_charge":5479.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":214.29,"providers":[{"billed_charge":5596.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3749.16,"providers":[{"billed_charge":2364.78,"npi":[1265772362]}]}]}]},{"name":"PATHOLOGY LAB","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"310","description":"LABORATORY PATHOLOGICAL - GENERAL CLASSIFIATION","allowed_amounts":[{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":7034.24,"providers":[{"billed_charge":12128.00,"npi":[1720480627]}]},{"allowed_amount":439.64,"providers":[{"billed_charge":758.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37778.44,"providers":[{"billed_charge":105978.00,"npi":[1083937593]}]},{"allowed_amount":36673.91,"providers":[{"billed_charge":96094.00,"npi":[1497871628]}]},{"allowed_amount":18081.88,"providers":[{"billed_charge":51640.00,"npi":[1184179194]}]},{"allowed_amount":1408.85,"providers":[{"billed_charge":4274.00,"npi":[1629828405]}]},{"allowed_amount":42555.85,"providers":[{"billed_charge":116853.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":429.56,"providers":[{"billed_charge":4474.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":242.96,"providers":[{"billed_charge":6868.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":75344.20,"providers":[{"billed_charge":298218.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":8467.16,"providers":[{"billed_charge":18597.23,"npi":[1629089966]}]},{"allowed_amount":420.78,"providers":[{"billed_charge":3015.97,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47513.17,"providers":[{"billed_charge":181960.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1051.96,"providers":[{"billed_charge":2629.90,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":299.26,"providers":[{"billed_charge":2400.00,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":161.97,"providers":[{"billed_charge":144.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7282.25,"providers":[{"billed_charge":43200.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7537.95,"providers":[{"billed_charge":22240.00,"npi":[1952723967]}]}]}]},{"name":"PATHOL/CYTOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"311","description":"LABORATORY PATHOLOGICAL - CYTOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":576.48,"providers":[{"billed_charge":1882.50,"npi":[1730132234]}]}]}]},{"name":"PATHOL/HYSTOL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"312","description":"LABORATORY PATHOLOGICAL - HISTOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90.89,"providers":[{"billed_charge":287.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":259.18,"providers":[{"billed_charge":1250.00,"npi":[1891789772]}]}]}]},{"name":"DX X-RAY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"320","description":"RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":213.02,"providers":[{"billed_charge":2687.00,"npi":[1497871628]}]},{"allowed_amount":1627.00,"providers":[{"billed_charge":78749.50,"npi":[1184179194]}]},{"allowed_amount":194.70,"providers":[{"billed_charge":2855.00,"npi":[1871619254]}]},{"allowed_amount":219.41,"providers":[{"billed_charge":31349.50,"npi":[1629828405]}]}]},{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":607.79,"providers":[{"billed_charge":4308.25,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":938.14,"providers":[{"billed_charge":24921.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":370.80,"providers":[{"billed_charge":2165.98,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","20"],"billing_class":"institutional","payments":[{"allowed_amount":61.37,"providers":[{"billed_charge":679.00,"npi":[1992753222]}]},{"allowed_amount":504.56,"providers":[{"billed_charge":525580.00,"npi":[1992753222]}]},{"allowed_amount":687.88,"providers":[{"billed_charge":3621.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22826.28,"providers":[{"billed_charge":190867.57,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10430.88,"providers":[{"billed_charge":95412.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1065.36,"providers":[{"billed_charge":64887.07,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6450.08,"providers":[{"billed_charge":45166.00,"npi":[1528027786]}]},{"allowed_amount":127.65,"providers":[{"billed_charge":2830.00,"npi":[1073294740]}]},{"allowed_amount":3185.60,"providers":[{"billed_charge":30973.00,"npi":[1275592131]}]},{"allowed_amount":1013.60,"providers":[{"billed_charge":8464.00,"npi":[1033165501]}]},{"allowed_amount":23284.63,"providers":[{"billed_charge":183012.00,"npi":[1689629941]}]},{"allowed_amount":282.64,"providers":[{"billed_charge":2288.00,"npi":[1568818417]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22215.34,"providers":[{"billed_charge":198561.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1125.78,"providers":[{"billed_charge":1941.00,"npi":[1194743013]}]},{"allowed_amount":2111.20,"providers":[{"billed_charge":3640.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":86.30,"providers":[{"billed_charge":466.16,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109.56,"providers":[{"billed_charge":49532.17,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9680.05,"providers":[{"billed_charge":68034.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2368.10,"providers":[{"billed_charge":15681.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":511.52,"providers":[{"billed_charge":6004.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3347.50,"providers":[{"billed_charge":1406969.38,"npi":[1730132234]}]},{"allowed_amount":772.36,"providers":[{"billed_charge":389159.63,"npi":[1295843787]}]},{"allowed_amount":652.36,"providers":[{"billed_charge":9030.25,"npi":[1740233782]}]},{"allowed_amount":170.42,"providers":[{"billed_charge":4378.75,"npi":[1730132234]}]},{"allowed_amount":285.30,"providers":[{"billed_charge":3444.50,"npi":[1295843787]}]},{"allowed_amount":286.01,"providers":[{"billed_charge":238282.63,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":448.92,"providers":[{"billed_charge":20620.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58547.52,"providers":[{"billed_charge":446340.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":812.88,"providers":[{"billed_charge":8597.05,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":292.29,"providers":[{"billed_charge":13635.21,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"831173631"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.99,"providers":[{"billed_charge":449.00,"npi":[1427536325]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":271.10,"providers":[{"billed_charge":25826.90,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3369.14,"providers":[{"billed_charge":79064.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":981.89,"providers":[{"billed_charge":538241.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.17,"providers":[{"billed_charge":15078.02,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3846.85,"providers":[{"billed_charge":29878.81,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210.29,"providers":[{"billed_charge":69599.37,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":862.11,"providers":[{"billed_charge":6855.88,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":305.73,"providers":[{"billed_charge":4152.52,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1315.63,"providers":[{"billed_charge":172589.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":515.45,"providers":[{"billed_charge":267023.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111.62,"providers":[{"billed_charge":11234.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":154.12,"providers":[{"billed_charge":2803.25,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5416.71,"providers":[{"billed_charge":244401.30,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23","19"],"billing_class":"institutional","payments":[{"allowed_amount":83946.47,"providers":[{"billed_charge":750924.75,"npi":[1336172105]}]},{"allowed_amount":167.96,"providers":[{"billed_charge":674.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":619.95,"providers":[{"billed_charge":3167.16,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7240.74,"providers":[{"billed_charge":22034.50,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":85.64,"providers":[{"billed_charge":2426.52,"npi":[1548286172]}]},{"allowed_amount":265.21,"providers":[{"billed_charge":17104.20,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":616.18,"providers":[{"billed_charge":49001.53,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":339.13,"providers":[{"billed_charge":31852.60,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":608.52,"providers":[{"billed_charge":5250.05,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1943.24,"providers":[{"billed_charge":198293.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1660.65,"providers":[{"billed_charge":62270.01,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":551.83,"providers":[{"billed_charge":94580.50,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":82.68,"providers":[{"billed_charge":592.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":362.10,"providers":[{"billed_charge":1141826.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32979.09,"providers":[{"billed_charge":703059.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3048.48,"providers":[{"billed_charge":29334.50,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"756003896"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":270.96,"providers":[{"billed_charge":1518.00,"npi":[1275581852]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2595.93,"providers":[{"billed_charge":100724.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":264.89,"providers":[{"billed_charge":246972.70,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26581.92,"providers":[{"billed_charge":231470.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6897.84,"providers":[{"billed_charge":82613.25,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14203.60,"providers":[{"billed_charge":111530.75,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32757.10,"providers":[{"billed_charge":249285.26,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40578.38,"providers":[{"billed_charge":337392.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2653.17,"providers":[{"billed_charge":106866.88,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25705.59,"providers":[{"billed_charge":489079.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.99,"providers":[{"billed_charge":6275.52,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1850.84,"providers":[{"billed_charge":5476.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1832.59,"providers":[{"billed_charge":14556.00,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":492.89,"providers":[{"billed_charge":13312.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2253.11,"providers":[{"billed_charge":6349.73,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2075.04,"providers":[{"billed_charge":40174.00,"npi":[1033568621]}]}]}]},{"name":"DX X-RAY/CHEST","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"324","description":"RADIOLOGY - DIAGNOSTIC - CHEST X-RAY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":34624.19,"providers":[{"billed_charge":511872.00,"npi":[1497871628]}]},{"allowed_amount":22550.48,"providers":[{"billed_charge":352904.00,"npi":[1184179194]}]},{"allowed_amount":3905.39,"providers":[{"billed_charge":58621.00,"npi":[1629828405]}]},{"allowed_amount":48356.86,"providers":[{"billed_charge":685596.00,"npi":[1871619254]}]},{"allowed_amount":40969.95,"providers":[{"billed_charge":624526.00,"npi":[1083937593]}]},{"allowed_amount":176.38,"providers":[{"billed_charge":3472.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1683.45,"providers":[{"billed_charge":14084.90,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3356.85,"providers":[{"billed_charge":8190.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6718.40,"providers":[{"billed_charge":29352.13,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":92016.62,"providers":[{"billed_charge":314998.00,"npi":[1992753222]}]},{"allowed_amount":127.02,"providers":[{"billed_charge":383.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1907.91,"providers":[{"billed_charge":45900.00,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":305.10,"providers":[{"billed_charge":3477.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2060.23,"providers":[{"billed_charge":19528.00,"npi":[1003885641]}]},{"allowed_amount":42018.43,"providers":[{"billed_charge":329134.00,"npi":[1689641680]}]},{"allowed_amount":1696.66,"providers":[{"billed_charge":14556.00,"npi":[1093783391]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1151.36,"providers":[{"billed_charge":5085.20,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":86.30,"providers":[{"billed_charge":568.86,"npi":[1477516466]}]},{"allowed_amount":28099.01,"providers":[{"billed_charge":115093.90,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":386.20,"providers":[{"billed_charge":4067.40,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2960.21,"providers":[{"billed_charge":6462.46,"npi":[1679903967]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2958.12,"providers":[{"billed_charge":27454.95,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":28361.10,"providers":[{"billed_charge":222095.00,"npi":[1740233782]}]},{"allowed_amount":38100.48,"providers":[{"billed_charge":310961.00,"npi":[1932152337]}]},{"allowed_amount":6966.47,"providers":[{"billed_charge":3881.75,"npi":[1740233782]}]},{"allowed_amount":141.10,"providers":[{"billed_charge":1012.25,"npi":[1730132234]},{"billed_charge":1216.50,"npi":[1932152337]}]},{"allowed_amount":69457.36,"providers":[{"billed_charge":545239.25,"npi":[1295843787]}]},{"allowed_amount":185778.72,"providers":[{"billed_charge":1457092.00,"npi":[1730132234]}]},{"allowed_amount":51925.38,"providers":[{"billed_charge":411462.50,"npi":[1982666111]}]},{"allowed_amount":24243.95,"providers":[{"billed_charge":189820.75,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1010.07,"providers":[{"billed_charge":10925.59,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23571.09,"providers":[{"billed_charge":68706.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":135254.19,"providers":[{"billed_charge":332839.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":25215.38,"providers":[{"billed_charge":145417.45,"npi":[1629089966]}]},{"allowed_amount":1795.04,"providers":[{"billed_charge":12933.76,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":33090.52,"providers":[{"billed_charge":84504.09,"npi":[1669472387]}]},{"allowed_amount":171.15,"providers":[{"billed_charge":607.75,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5247.41,"providers":[{"billed_charge":14280.00,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":305.10,"providers":[{"billed_charge":3936.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1236.58,"providers":[{"billed_charge":10034.43,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":561.15,"providers":[{"billed_charge":17220.00,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1708.74,"providers":[{"billed_charge":11668.50,"npi":[1578780870]}]},{"allowed_amount":1075.13,"providers":[{"billed_charge":6528.50,"npi":[1164526786]}]},{"allowed_amount":460.77,"providers":[{"billed_charge":2900.75,"npi":[1124137054]}]},{"allowed_amount":2611.03,"providers":[{"billed_charge":13686.00,"npi":[1093810327]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1146.34,"providers":[{"billed_charge":7223.88,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18393.56,"providers":[{"billed_charge":115634.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":88.19,"providers":[{"billed_charge":1087.00,"npi":[1548387418]}]},{"allowed_amount":31206.53,"providers":[{"billed_charge":253518.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.78,"providers":[{"billed_charge":327.71,"npi":[1407010622]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9202.86,"providers":[{"billed_charge":226620.00,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1535.90,"providers":[{"billed_charge":8488.15,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1010.07,"providers":[{"billed_charge":13548.33,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2433.60,"providers":[{"billed_charge":14927.84,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":181.90,"providers":[{"billed_charge":1956.00,"npi":[1124796081]}]},{"allowed_amount":2746.32,"providers":[{"billed_charge":25397.52,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3591.36,"providers":[{"billed_charge":38752.78,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18842.88,"providers":[{"billed_charge":74867.17,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":531.30,"providers":[{"billed_charge":1640.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2808.60,"providers":[{"billed_charge":24916.45,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2973.21,"providers":[{"billed_charge":85242.00,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5082.32,"providers":[{"billed_charge":52255.00,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13797.26,"providers":[{"billed_charge":126452.25,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10857.81,"providers":[{"billed_charge":45426.10,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6310.44,"providers":[{"billed_charge":14901.37,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2232.40,"providers":[{"billed_charge":14115.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":680.84,"providers":[{"billed_charge":2243.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3155.13,"providers":[{"billed_charge":30325.84,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":484.95,"providers":[{"billed_charge":2184.00,"npi":[1598749707]}]},{"allowed_amount":44260.24,"providers":[{"billed_charge":457754.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1458.99,"providers":[{"billed_charge":34620.00,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24731.68,"providers":[{"billed_charge":140185.38,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14568.57,"providers":[{"billed_charge":69960.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2581.29,"providers":[{"billed_charge":69780.00,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":146.77,"providers":[{"billed_charge":1600.30,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":336.69,"providers":[{"billed_charge":3415.95,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2397.06,"providers":[{"billed_charge":24669.82,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":587.08,"providers":[{"billed_charge":2245.70,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7794.13,"providers":[{"billed_charge":22128.37,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4604.47,"providers":[{"billed_charge":39864.66,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1830.58,"providers":[{"billed_charge":5416.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1163.44,"providers":[{"billed_charge":4663.89,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9721.41,"providers":[{"billed_charge":145390.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":558.10,"providers":[{"billed_charge":5374.00,"npi":[1194787218]}]},{"allowed_amount":230.40,"providers":[{"billed_charge":2042.00,"npi":[1447883301]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2585.53,"providers":[{"billed_charge":9595.74,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":42676.26,"providers":[{"billed_charge":623658.00,"npi":[1891789772]}]},{"allowed_amount":88.19,"providers":[{"billed_charge":5115.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1122.30,"providers":[{"billed_charge":15053.70,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3728.76,"providers":[{"billed_charge":27714.20,"npi":[1346753118]}]}]}]},{"name":"NUC MED/DX","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"341","description":"NUCLEAR MEDICINE - DIAGNOSTIC","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":643.97,"providers":[{"billed_charge":4271.75,"npi":[1730132234]}]}]}]},{"name":"CT SCAN","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"350","description":"CT SCAN - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":435.82,"providers":[{"billed_charge":2910.00,"npi":[1871619254]}]},{"allowed_amount":12114.87,"providers":[{"billed_charge":87413.00,"npi":[1497871628]}]},{"allowed_amount":6999.81,"providers":[{"billed_charge":66544.00,"npi":[1871619254]}]},{"allowed_amount":1854.68,"providers":[{"billed_charge":20235.00,"npi":[1083937593]}]},{"allowed_amount":2632.36,"providers":[{"billed_charge":20370.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25411.74,"providers":[{"billed_charge":849884.19,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3548.48,"providers":[{"billed_charge":87839.99,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":452.71,"providers":[{"billed_charge":3345.00,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3251.81,"providers":[{"billed_charge":95901.10,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":455.18,"providers":[{"billed_charge":10976.00,"npi":[1699244624]}]},{"allowed_amount":6661.05,"providers":[{"billed_charge":157470.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1009.76,"providers":[{"billed_charge":25315.26,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2457.18,"providers":[{"billed_charge":35008.00,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39546.79,"providers":[{"billed_charge":391815.75,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11505.18,"providers":[{"billed_charge":267302.00,"npi":[1528027786]}]},{"allowed_amount":2116.31,"providers":[{"billed_charge":53101.00,"npi":[1033165501]}]},{"allowed_amount":76218.06,"providers":[{"billed_charge":1461921.00,"npi":[1689629941]}]},{"allowed_amount":3374.41,"providers":[{"billed_charge":84750.00,"npi":[1275592131]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58780.03,"providers":[{"billed_charge":665458.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":564.92,"providers":[{"billed_charge":17926.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7429.26,"providers":[{"billed_charge":56850.31,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5945.40,"providers":[{"billed_charge":238258.78,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"371844725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1218.45,"providers":[{"billed_charge":33351.00,"npi":[1962938191]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106429.17,"providers":[{"billed_charge":767473.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16645.68,"providers":[{"billed_charge":109158.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"746025069"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.99,"providers":[{"billed_charge":9000.00,"npi":[1679678767]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4868.93,"providers":[{"billed_charge":115098.25,"npi":[1982666111]}]},{"allowed_amount":2436.16,"providers":[{"billed_charge":68025.25,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":165253.65,"providers":[{"billed_charge":1989096.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":980.60,"providers":[{"billed_charge":22638.70,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8980.42,"providers":[{"billed_charge":178553.73,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86668.58,"providers":[{"billed_charge":337594.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3050.98,"providers":[{"billed_charge":29877.54,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":882.16,"providers":[{"billed_charge":2333.74,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2874.06,"providers":[{"billed_charge":159677.36,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45061.53,"providers":[{"billed_charge":949892.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1974.27,"providers":[{"billed_charge":14940.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2051.55,"providers":[{"billed_charge":22651.75,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5028.08,"providers":[{"billed_charge":220513.69,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2430.38,"providers":[{"billed_charge":42771.96,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":219890.61,"providers":[{"billed_charge":2448927.00,"npi":[1336172105]}]},{"allowed_amount":681.22,"providers":[{"billed_charge":6534.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9983.86,"providers":[{"billed_charge":198409.05,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"320493679"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7444.05,"providers":[{"billed_charge":190975.02,"npi":[1134570922]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27360.72,"providers":[{"billed_charge":588289.40,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":455.18,"providers":[{"billed_charge":12722.84,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4262.91,"providers":[{"billed_charge":113522.04,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":135.55,"providers":[{"billed_charge":16654.69,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2272.82,"providers":[{"billed_charge":74400.94,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":846.16,"providers":[{"billed_charge":40430.70,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1682.42,"providers":[{"billed_charge":10047.37,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4903.47,"providers":[{"billed_charge":181204.00,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14058.58,"providers":[{"billed_charge":299264.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2332.93,"providers":[{"billed_charge":131427.32,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7199.62,"providers":[{"billed_charge":93988.75,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":121743.67,"providers":[{"billed_charge":4793445.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":73750.18,"providers":[{"billed_charge":828879.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19502.90,"providers":[{"billed_charge":228038.00,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":430.08,"providers":[{"billed_charge":8995.64,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9052.10,"providers":[{"billed_charge":315378.29,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38540.50,"providers":[{"billed_charge":456972.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11605.86,"providers":[{"billed_charge":246504.41,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":80265.06,"providers":[{"billed_charge":875160.50,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10150.54,"providers":[{"billed_charge":374811.27,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2322.28,"providers":[{"billed_charge":68456.20,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14719.15,"providers":[{"billed_charge":575957.06,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2192.74,"providers":[{"billed_charge":13110.82,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":681.08,"providers":[{"billed_charge":12866.00,"npi":[1124092036]}]},{"allowed_amount":63971.64,"providers":[{"billed_charge":1328504.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18623.57,"providers":[{"billed_charge":359217.68,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7745.50,"providers":[{"billed_charge":82977.00,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9871.35,"providers":[{"billed_charge":58200.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1433.81,"providers":[{"billed_charge":52151.49,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10101.47,"providers":[{"billed_charge":411849.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4330.34,"providers":[{"billed_charge":87776.61,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26191.99,"providers":[{"billed_charge":566119.76,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3757.12,"providers":[{"billed_charge":210127.32,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6205.60,"providers":[{"billed_charge":149187.82,"npi":[1912677295]}]}]}]},{"name":"CT SCAN/HEAD","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"351","description":"CT SCAN - HEAD SCAN","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18851.28,"providers":[{"billed_charge":269253.00,"npi":[1184179194]}]},{"allowed_amount":50656.34,"providers":[{"billed_charge":614528.00,"npi":[1871619254]}]},{"allowed_amount":35723.56,"providers":[{"billed_charge":464214.00,"npi":[1083937593]}]},{"allowed_amount":9056.77,"providers":[{"billed_charge":139887.00,"npi":[1629828405]}]},{"allowed_amount":33764.78,"providers":[{"billed_charge":480714.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3195.75,"providers":[{"billed_charge":42464.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4615.60,"providers":[{"billed_charge":99022.87,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5864.17,"providers":[{"billed_charge":128055.99,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":201524.15,"providers":[{"billed_charge":3411208.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5144.08,"providers":[{"billed_charge":90169.75,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":423.19,"providers":[{"billed_charge":6170.00,"npi":[1689641680]}]},{"allowed_amount":39081.60,"providers":[{"billed_charge":716968.00,"npi":[1689641680]}]},{"allowed_amount":146.36,"providers":[{"billed_charge":7358.00,"npi":[1093783391]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":546.03,"providers":[{"billed_charge":5954.81,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12044.84,"providers":[{"billed_charge":354800.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21045.44,"providers":[{"billed_charge":390824.21,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":406.65,"providers":[{"billed_charge":27210.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":681.68,"providers":[{"billed_charge":21799.50,"npi":[1982666111]}]},{"allowed_amount":42346.93,"providers":[{"billed_charge":564856.50,"npi":[1295788735]}]},{"allowed_amount":68712.74,"providers":[{"billed_charge":880145.00,"npi":[1295843787]}]},{"allowed_amount":23820.60,"providers":[{"billed_charge":392336.50,"npi":[1740233782]}]},{"allowed_amount":82375.67,"providers":[{"billed_charge":1031421.75,"npi":[1932152337]}]},{"allowed_amount":250397.91,"providers":[{"billed_charge":3434627.50,"npi":[1730132234]}]},{"allowed_amount":697.31,"providers":[{"billed_charge":7482.25,"npi":[1295843787]}]},{"allowed_amount":114014.56,"providers":[{"billed_charge":1466497.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34642.06,"providers":[{"billed_charge":763101.75,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":213.02,"providers":[{"billed_charge":13412.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17552.98,"providers":[{"billed_charge":160680.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":298049.30,"providers":[{"billed_charge":2188814.00,"npi":[1205900370]}]},{"allowed_amount":410.55,"providers":[{"billed_charge":5568.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":22409.86,"providers":[{"billed_charge":345472.67,"npi":[1629089966]}]},{"allowed_amount":166.75,"providers":[{"billed_charge":3020.14,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":12048.82,"providers":[{"billed_charge":294013.46,"npi":[1669472387]}]},{"allowed_amount":860.50,"providers":[{"billed_charge":10880.73,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4881.82,"providers":[{"billed_charge":43011.09,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1722.82,"providers":[{"billed_charge":15549.50,"npi":[1578780870]}]},{"allowed_amount":759.01,"providers":[{"billed_charge":4322.75,"npi":[1093810327]}]},{"allowed_amount":5424.74,"providers":[{"billed_charge":55338.75,"npi":[1093810327]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15687.11,"providers":[{"billed_charge":283145.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":28260.47,"providers":[{"billed_charge":305670.00,"npi":[1548387418]}]},{"allowed_amount":331.42,"providers":[{"billed_charge":5628.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8361.75,"providers":[{"billed_charge":287859.45,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47355.58,"providers":[{"billed_charge":1619989.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1605.64,"providers":[{"billed_charge":29473.54,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16422.26,"providers":[{"billed_charge":221656.86,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":464.85,"providers":[{"billed_charge":58564.65,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3409.52,"providers":[{"billed_charge":162384.13,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1188.13,"providers":[{"billed_charge":64490.60,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10617.78,"providers":[{"billed_charge":171445.99,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3210.10,"providers":[{"billed_charge":192935.12,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1713.01,"providers":[{"billed_charge":33920.45,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1432.14,"providers":[{"billed_charge":52851.43,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47077.64,"providers":[{"billed_charge":308564.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1382.98,"providers":[{"billed_charge":40320.00,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":204.54,"providers":[{"billed_charge":17579.75,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39878.08,"providers":[{"billed_charge":924528.08,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12145.23,"providers":[{"billed_charge":176951.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19086.57,"providers":[{"billed_charge":382294.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3655.10,"providers":[{"billed_charge":86298.25,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11181.02,"providers":[{"billed_charge":225430.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11494.38,"providers":[{"billed_charge":217661.84,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":271.10,"providers":[{"billed_charge":11520.00,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20375.24,"providers":[{"billed_charge":374583.25,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2799.55,"providers":[{"billed_charge":91939.40,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":177.25,"providers":[{"billed_charge":6338.32,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6043.68,"providers":[{"billed_charge":129360.72,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3124.38,"providers":[{"billed_charge":34727.25,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8034.73,"providers":[{"billed_charge":93272.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":354.40,"providers":[{"billed_charge":9419.19,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":36169.66,"providers":[{"billed_charge":513500.00,"npi":[1891789772]}]},{"allowed_amount":435.82,"providers":[{"billed_charge":2427.00,"npi":[1891789772]}]}]}]},{"name":"CT SCAN/BODY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"352","description":"CT SCAN - BODY SCAN","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":139247.70,"providers":[{"billed_charge":2352807.00,"npi":[1871619254]}]},{"allowed_amount":78626.39,"providers":[{"billed_charge":1421848.00,"npi":[1184179194]}]},{"allowed_amount":242.11,"providers":[{"billed_charge":5481.00,"npi":[1083937593,1497871628]}]},{"allowed_amount":160845.23,"providers":[{"billed_charge":2519407.00,"npi":[1083937593]}]},{"allowed_amount":15815.31,"providers":[{"billed_charge":313200.00,"npi":[1629828405]}]},{"allowed_amount":1329.82,"providers":[{"billed_charge":2831.00,"npi":[1871619254]}]},{"allowed_amount":119317.19,"providers":[{"billed_charge":1915086.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":8304.29,"providers":[{"billed_charge":239518.00,"npi":[1073183141]}]},{"allowed_amount":226.97,"providers":[{"billed_charge":6513.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2150.28,"providers":[{"billed_charge":35510.77,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17803.46,"providers":[{"billed_charge":319495.37,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":1030.38,"providers":[{"billed_charge":5360.00,"npi":[1992753222]}]},{"allowed_amount":221931.29,"providers":[{"billed_charge":3941390.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58015.30,"providers":[{"billed_charge":607269.84,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":936.22,"providers":[{"billed_charge":11333.13,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8286.68,"providers":[{"billed_charge":285670.01,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":883.46,"providers":[{"billed_charge":29729.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8961.33,"providers":[{"billed_charge":520978.05,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5123.23,"providers":[{"billed_charge":166480.00,"npi":[1003885641]}]},{"allowed_amount":86186.44,"providers":[{"billed_charge":3368801.00,"npi":[1689641680]}]},{"allowed_amount":6876.64,"providers":[{"billed_charge":238314.00,"npi":[1093783391]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7761.58,"providers":[{"billed_charge":118318.86,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2259.06,"providers":[{"billed_charge":90408.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61233.94,"providers":[{"billed_charge":1001728.92,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4130.96,"providers":[{"billed_charge":55308.13,"npi":[1679903967]}]},{"allowed_amount":5299.49,"providers":[{"billed_charge":52455.56,"npi":[1598196206]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2980.80,"providers":[{"billed_charge":112688.28,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6640.93,"providers":[{"billed_charge":221527.79,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":126653.98,"providers":[{"billed_charge":3676126.75,"npi":[1932152337]}]},{"allowed_amount":91706.87,"providers":[{"billed_charge":3906482.00,"npi":[1982666111]}]},{"allowed_amount":87677.37,"providers":[{"billed_charge":2197803.25,"npi":[1295788735]}]},{"allowed_amount":170046.33,"providers":[{"billed_charge":3773484.00,"npi":[1295843787]}]},{"allowed_amount":509213.73,"providers":[{"billed_charge":12822726.25,"npi":[1730132234]}]},{"allowed_amount":47827.66,"providers":[{"billed_charge":1063021.25,"npi":[1740233782]}]},{"allowed_amount":359.86,"providers":[{"billed_charge":15319.50,"npi":[1982666111]}]},{"allowed_amount":1841.99,"providers":[{"billed_charge":61449.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8626.06,"providers":[{"billed_charge":267180.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9250.00,"providers":[{"billed_charge":286749.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1071.36,"providers":[{"billed_charge":28309.34,"npi":[1104199017]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7158.21,"providers":[{"billed_charge":119835.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":199.70,"providers":[{"billed_charge":12452.00,"npi":[1205900370]}]},{"allowed_amount":177107.97,"providers":[{"billed_charge":3894672.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":57705.99,"providers":[{"billed_charge":1246579.05,"npi":[1629089966]}]},{"allowed_amount":8264.92,"providers":[{"billed_charge":135182.21,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18679.34,"providers":[{"billed_charge":202488.77,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":206.69,"providers":[{"billed_charge":3424.65,"npi":[1669472387]}]},{"allowed_amount":53943.94,"providers":[{"billed_charge":854608.80,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11992.93,"providers":[{"billed_charge":98892.52,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1817.11,"providers":[{"billed_charge":33310.24,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2089.22,"providers":[{"billed_charge":67465.25,"npi":[1164526786]}]},{"allowed_amount":3778.30,"providers":[{"billed_charge":95385.75,"npi":[1578780870]}]},{"allowed_amount":5947.21,"providers":[{"billed_charge":175111.25,"npi":[1093810327]}]},{"allowed_amount":3112.92,"providers":[{"billed_charge":70456.75,"npi":[1124137054]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14721.40,"providers":[{"billed_charge":655568.50,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6074.18,"providers":[{"billed_charge":62052.80,"npi":[1407010622]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":437.93,"providers":[{"billed_charge":10091.00,"npi":[1548387418]}]},{"allowed_amount":88057.82,"providers":[{"billed_charge":1157769.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":69758.53,"providers":[{"billed_charge":2397705.61,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9639.92,"providers":[{"billed_charge":546121.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5138.76,"providers":[{"billed_charge":141530.11,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8883.08,"providers":[{"billed_charge":184065.09,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2843.55,"providers":[{"billed_charge":125771.34,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1453.40,"providers":[{"billed_charge":42018.62,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":46659.85,"providers":[{"billed_charge":982046.32,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3099.46,"providers":[{"billed_charge":146074.48,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21789.37,"providers":[{"billed_charge":948043.58,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2155.49,"providers":[{"billed_charge":60543.70,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":993.66,"providers":[{"billed_charge":13181.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28238.43,"providers":[{"billed_charge":583550.86,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1662.09,"providers":[{"billed_charge":27614.34,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24441.35,"providers":[{"billed_charge":694284.69,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35093.47,"providers":[{"billed_charge":555288.64,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4614.66,"providers":[{"billed_charge":79844.76,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2930.99,"providers":[{"billed_charge":199643.03,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":95027.74,"providers":[{"billed_charge":911305.00,"npi":[1679557888]}]},{"allowed_amount":242.11,"providers":[{"billed_charge":1811.00,"npi":[1679557888]}]},{"allowed_amount":2028.73,"providers":[{"billed_charge":16812.00,"npi":[1598749707]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9743.64,"providers":[{"billed_charge":325072.77,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22642.13,"providers":[{"billed_charge":516348.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47823.32,"providers":[{"billed_charge":1154764.60,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3401.40,"providers":[{"billed_charge":90391.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":203.18,"providers":[{"billed_charge":12827.00,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1687.80,"providers":[{"billed_charge":71690.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1504.65,"providers":[{"billed_charge":54057.04,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109365.56,"providers":[{"billed_charge":1256897.94,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2244.02,"providers":[{"billed_charge":132824.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2666.17,"providers":[{"billed_charge":105359.23,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12875.20,"providers":[{"billed_charge":399374.23,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8942.44,"providers":[{"billed_charge":107130.70,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2142.72,"providers":[{"billed_charge":49321.74,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18107.98,"providers":[{"billed_charge":313554.49,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":135.55,"providers":[{"billed_charge":35791.54,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37762.92,"providers":[{"billed_charge":612532.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1457.46,"providers":[{"billed_charge":4312.00,"npi":[1114435260]}]},{"allowed_amount":10690.83,"providers":[{"billed_charge":31388.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7180.65,"providers":[{"billed_charge":91406.23,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4100.80,"providers":[{"billed_charge":51348.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":308.09,"providers":[{"billed_charge":3245.00,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16326.37,"providers":[{"billed_charge":204801.95,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":348.62,"providers":[{"billed_charge":29902.00,"npi":[1891789772]}]},{"allowed_amount":134785.57,"providers":[{"billed_charge":2207416.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15312.24,"providers":[{"billed_charge":599100.35,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2884.79,"providers":[{"billed_charge":198818.63,"npi":[1912677295]}]}]}]},{"name":"OR SERVICES","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"360","description":"OPERATING ROOM SERVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":42985.31,"providers":[{"billed_charge":197418.00,"npi":[1871619254]}]},{"allowed_amount":34161.16,"providers":[{"billed_charge":64979.34,"npi":[1184179194]}]},{"allowed_amount":51979.44,"providers":[{"billed_charge":146348.00,"npi":[1497871628]}]},{"allowed_amount":18419.84,"providers":[{"billed_charge":33780.00,"npi":[1083937593]}]},{"allowed_amount":72975.54,"providers":[{"billed_charge":208946.50,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":71410.75,"providers":[{"billed_charge":155514.00,"npi":[1477643690]}]},{"allowed_amount":18123.91,"providers":[{"billed_charge":65307.50,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14850.89,"providers":[{"billed_charge":29456.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":17930.85,"providers":[{"billed_charge":43517.99,"npi":[1205900370]}]},{"allowed_amount":321140.76,"providers":[{"billed_charge":453257.98,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":71622.85,"providers":[{"billed_charge":222695.60,"npi":[1124796081]}]},{"allowed_amount":175324.23,"providers":[{"billed_charge":807122.73,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","19"],"billing_class":"institutional","payments":[{"allowed_amount":999.02,"providers":[{"billed_charge":8555.00,"npi":[1992753222]}]},{"allowed_amount":217693.70,"providers":[{"billed_charge":579794.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":18298.04,"providers":[{"billed_charge":27966.97,"npi":[1629089966]}]},{"allowed_amount":95447.74,"providers":[{"billed_charge":180838.57,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27573.56,"providers":[{"billed_charge":45548.73,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":5484.73,"providers":[{"billed_charge":7720.00,"npi":[1417980202]}]},{"allowed_amount":6075.20,"providers":[{"billed_charge":5015.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8168.49,"providers":[{"billed_charge":32275.64,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":15171.27,"providers":[{"billed_charge":77294.00,"npi":[1124092036]}]},{"allowed_amount":10247.78,"providers":[{"billed_charge":50755.67,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":24951.16,"providers":[{"billed_charge":54779.00,"npi":[1689641680]}]},{"allowed_amount":11347.38,"providers":[{"billed_charge":7450.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11222.04,"providers":[{"billed_charge":42093.76,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48622.97,"providers":[{"billed_charge":50544.00,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":22408.73,"providers":[{"billed_charge":103072.00,"npi":[1891789772]}]},{"allowed_amount":7155.30,"providers":[{"billed_charge":30500.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":16336.70,"providers":[{"billed_charge":15300.00,"npi":[1407191984]}]},{"allowed_amount":30557.85,"providers":[{"billed_charge":33411.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3152.60,"providers":[{"billed_charge":27705.00,"npi":[1548387418]}]},{"allowed_amount":29049.33,"providers":[{"billed_charge":99342.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17963.09,"providers":[{"billed_charge":58543.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":5095.49,"providers":[{"billed_charge":11879.50,"npi":[1740233782]}]},{"allowed_amount":9350.10,"providers":[{"billed_charge":18044.50,"npi":[1932152337]}]},{"allowed_amount":383394.04,"providers":[{"billed_charge":760229.12,"npi":[1730132234]}]},{"allowed_amount":24227.50,"providers":[{"billed_charge":40058.25,"npi":[1295788735]}]},{"allowed_amount":214999.72,"providers":[{"billed_charge":799211.72,"npi":[1982666111]}]},{"allowed_amount":84137.74,"providers":[{"billed_charge":175777.25,"npi":[1932152337]}]},{"allowed_amount":10749.84,"providers":[{"billed_charge":28830.00,"npi":[1295843787]}]},{"allowed_amount":32952.85,"providers":[{"billed_charge":66145.75,"npi":[1295843787]}]},{"allowed_amount":76236.74,"providers":[{"billed_charge":254435.50,"npi":[1982666111]}]},{"allowed_amount":13674.28,"providers":[{"billed_charge":20377.75,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22295.64,"providers":[{"billed_charge":16965.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":38678.72,"providers":[{"billed_charge":46041.63,"npi":[1336172105]}]},{"allowed_amount":9895.46,"providers":[{"billed_charge":16061.95,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20265.30,"providers":[{"billed_charge":211421.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40848.24,"providers":[{"billed_charge":64734.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25601.44,"providers":[{"billed_charge":43001.00,"npi":[1104845015]}]}]}]},{"name":"OR/MINOR","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"361","description":"OPERATING ROOM SERVICES - MINOR SURGERY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3374.43,"providers":[{"billed_charge":12291.00,"npi":[1083937593]}]},{"allowed_amount":400.18,"providers":[{"billed_charge":3477.00,"npi":[1184179194]}]},{"allowed_amount":1622.86,"providers":[{"billed_charge":6341.00,"npi":[1497871628]}]},{"allowed_amount":9759.52,"providers":[{"billed_charge":18242.00,"npi":[1497871628]}]},{"allowed_amount":6855.23,"providers":[{"billed_charge":22208.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29505.50,"providers":[{"billed_charge":24778.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10952.06,"providers":[{"billed_charge":45855.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":27677.58,"providers":[{"billed_charge":85482.24,"npi":[1629089966]}]},{"allowed_amount":5534.02,"providers":[{"billed_charge":9401.62,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11150.73,"providers":[{"billed_charge":45704.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1342.08,"providers":[{"billed_charge":3262.83,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12401.20,"providers":[{"billed_charge":28930.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":321.53,"providers":[{"billed_charge":9949.23,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1843.30,"providers":[{"billed_charge":4754.00,"npi":[1679578439]}]}]}]},{"name":"ROUTINE VENIPUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36415","description":"COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":560.24,"providers":[{"billed_charge":7663.63,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12244.05,"providers":[{"billed_charge":48438.00,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1246.70,"providers":[{"billed_charge":5480.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":2790.63,"providers":[{"billed_charge":3070.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"474075276"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27.30,"providers":[{"billed_charge":61.68,"npi":[1629454053]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":173.70,"providers":[{"billed_charge":1800.00,"npi":[1659984441]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.10,"providers":[{"billed_charge":30.00,"npi":[1891855656]}]}]},{"tin":{"type":"ein","value":"753260266"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.90,"providers":[{"billed_charge":80.00,"npi":[1871588236]}]}]},{"tin":{"type":"ein","value":"200462905"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":270.00,"providers":[{"billed_charge":900.00,"npi":[1508524828]}]},{"allowed_amount":54.00,"providers":[{"billed_charge":180.00,"npi":[1508524828]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":845.96,"providers":[{"billed_charge":3042.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"742876515"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":12.00,"npi":[1588638530]}]},{"allowed_amount":218.40,"providers":[{"billed_charge":576.00,"npi":[1588638530]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["13","31"],"billing_class":"professional","payments":[{"allowed_amount":9.10,"providers":[{"billed_charge":54.54,"npi":[1447760814]}]},{"allowed_amount":86.45,"providers":[{"billed_charge":518.13,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":532.35,"providers":[{"billed_charge":1695.46,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"412273820"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15.44,"providers":[{"billed_charge":108.00,"npi":[1568853257]}]},{"allowed_amount":19.30,"providers":[{"billed_charge":135.00,"npi":[1689301889]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.85,"providers":[{"billed_charge":190.89,"npi":[1124391198]}]}]},{"tin":{"type":"ein","value":"752600873"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.52,"providers":[{"billed_charge":324.00,"npi":[1215921978]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","49","81"],"billing_class":"professional","payments":[{"allowed_amount":4.55,"providers":[{"billed_charge":50.00,"npi":[1234567893]}]},{"allowed_amount":146986.20,"providers":[{"billed_charge":1255137.87,"npi":[1234567893]}]},{"allowed_amount":58.59,"providers":[{"billed_charge":376.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"874236160"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1064.70,"providers":[{"billed_charge":2127.06,"npi":[1265186548]}]}]},{"tin":{"type":"ein","value":"746067306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3.00,"providers":[{"billed_charge":16.00,"npi":[1215011747]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":27.30,"providers":[{"billed_charge":300.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.60,"providers":[{"billed_charge":150.00,"npi":[1205344561]}]}]},{"tin":{"type":"ein","value":"900088197"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.10,"providers":[{"billed_charge":42.00,"npi":[1710974811]}]}]},{"tin":{"type":"ein","value":"760579754"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.90,"providers":[{"billed_charge":158.94,"npi":[1043506777]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.60,"providers":[{"billed_charge":180.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":300.00,"npi":[1689687360]}]},{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1053568014]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1350.00,"providers":[{"billed_charge":1350.00,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","81"],"billing_class":"professional","payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":380.00,"npi":[1265493688]}]},{"allowed_amount":4.55,"providers":[{"billed_charge":19.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102196.16,"providers":[{"billed_charge":701346.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":368.55,"providers":[{"billed_charge":2025.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760430777"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.70,"providers":[{"billed_charge":391.80,"npi":[1780730606]}]}]},{"tin":{"type":"ein","value":"760622208"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.20,"providers":[{"billed_charge":59.28,"npi":[1609603836]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.60,"providers":[{"billed_charge":275.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6688.47,"providers":[{"billed_charge":22491.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"810740765"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.00,"providers":[{"billed_charge":576.00,"npi":[1528514221]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":177.45,"providers":[{"billed_charge":585.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.85,"providers":[{"billed_charge":112.00,"npi":[1417335571]}]},{"allowed_amount":36.40,"providers":[{"billed_charge":128.00,"npi":[1982050241]}]},{"allowed_amount":81.90,"providers":[{"billed_charge":288.00,"npi":[1942400601]}]}]},{"tin":{"type":"ein","value":"934354270"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":61.76,"providers":[{"billed_charge":160.00,"npi":[1083845218]}]}]},{"tin":{"type":"ein","value":"843856752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.46,"providers":[{"billed_charge":165.00,"npi":[1366840068]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":153.36,"providers":[{"billed_charge":513.00,"npi":[1154379907]}]}]},{"tin":{"type":"ein","value":"474508856"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.06,"providers":[{"billed_charge":105.00,"npi":[1801528567]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":181.42,"providers":[{"billed_charge":705.47,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":535.72,"providers":[{"billed_charge":3540.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"863331224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":227.50,"providers":[{"billed_charge":900.00,"npi":[1245453166]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":263.90,"providers":[{"billed_charge":362.50,"npi":[1578897765]}]}]}]},{"name":"NJX NONCMPND SCLRSNT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36465","description":"INJECTION OF NON-COMPOUNDED FOAM SCLEROSANT W ULTRSND COMPRESSION MANEUVERS TO GUIDE DISPERSION OF T","allowed_amounts":[{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1110.47,"providers":[{"billed_charge":2669.80,"npi":[1548202799]}]}]}]},{"name":"ENDOVENOUS RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36475","description":"ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREM, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONIT","allowed_amounts":[{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4776.18,"providers":[{"billed_charge":11149.30,"npi":[1548202799]}]}]}]},{"name":"ENDOVEN THER CHEM ADHES 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36482","description":"ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREM, BY TRANSCATHETER DELIVERY OF A CHEMICAL ADH","allowed_amounts":[{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1499.74,"providers":[{"billed_charge":3408.60,"npi":[1548202799]}]}]}]},{"name":"ANESTHESIA","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"370","description":"ANESTHESIA - GENERAL CLASSIFICATIION","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":932.40,"providers":[{"billed_charge":8421.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":8379.60,"providers":[{"billed_charge":215640.60,"npi":[1124796081]}]}]}]},{"name":"BLOOD/PKD RED","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"381","description":"BLOOD - PACKED RED CELLS","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":117.72,"providers":[{"billed_charge":1497.00,"npi":[1548226988]}]},{"allowed_amount":77.96,"providers":[{"billed_charge":499.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3051.49,"providers":[{"billed_charge":7175.00,"npi":[1205900370]}]}]}]},{"name":"BLOOD/STOR-PROC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"390","description":"BLOOD STORAGE AND PROCESSING - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1099.28,"providers":[{"billed_charge":6540.00,"npi":[1871619254]}]},{"allowed_amount":4096.82,"providers":[{"billed_charge":19948.00,"npi":[1083937593]}]},{"allowed_amount":549.64,"providers":[{"billed_charge":3924.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2929.93,"providers":[{"billed_charge":6758.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1923.74,"providers":[{"billed_charge":7194.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":546.00,"providers":[{"billed_charge":2172.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":274.82,"providers":[{"billed_charge":1114.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1620.64,"providers":[{"billed_charge":10069.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":582.40,"providers":[{"billed_charge":1962.50,"npi":[1295788735]},{"billed_charge":19625.00,"npi":[1295843787]},{"billed_charge":6111.75,"npi":[1932152337]}]},{"allowed_amount":1747.20,"providers":[{"billed_charge":30880.25,"npi":[1730132234]}]},{"allowed_amount":1456.00,"providers":[{"billed_charge":10728.25,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1702.20,"providers":[{"billed_charge":5038.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":728.00,"providers":[{"billed_charge":9195.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":189.28,"providers":[{"billed_charge":1855.00,"npi":[1679578439]}]}]}]},{"name":"BLOOD/ADMIN","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"391","description":"BLOOD STORAGE AND PROCESSING - BLOOD ADMINISTRATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":661.21,"providers":[{"billed_charge":5240.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":661.21,"providers":[{"billed_charge":11012.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11157.48,"providers":[{"billed_charge":9802.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1523.85,"providers":[{"billed_charge":14270.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4904.34,"providers":[{"billed_charge":9620.75,"npi":[1730132234]}]},{"allowed_amount":700.62,"providers":[{"billed_charge":1912.50,"npi":[1932152337]},{"billed_charge":927.25,"npi":[1295788735]}]},{"allowed_amount":671.20,"providers":[{"billed_charge":347.75,"npi":[1295843787]}]},{"allowed_amount":1371.82,"providers":[{"billed_charge":2318.25,"npi":[1295843787]}]},{"allowed_amount":4203.72,"providers":[{"billed_charge":13788.25,"npi":[1982666111]}]}]}]},{"name":"Processing and Storage","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"392","description":"Blood and Blood Component Processing and Storage - Administration","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":314.20,"providers":[{"billed_charge":3330.00,"npi":[1548226988]}]}]}]},{"name":"MAMMOGRAPHY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"401","description":"OTHER IMAGING SERVICES - MAMMOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":5712.94,"providers":[{"billed_charge":35955.80,"npi":[1629089966]}]}]}]},{"name":"ULTRASOUND","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"402","description":"OTHER IMAGING SERVICES - ULTRASOUND","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":20245.80,"providers":[{"billed_charge":695124.00,"npi":[1871619254]}]},{"allowed_amount":9810.73,"providers":[{"billed_charge":298082.00,"npi":[1184179194]}]},{"allowed_amount":1622.86,"providers":[{"billed_charge":13468.00,"npi":[1497871628]}]},{"allowed_amount":106.51,"providers":[{"billed_charge":3484.00,"npi":[1083937593]},{"billed_charge":3008.00,"npi":[1871619254]}]},{"allowed_amount":1420.33,"providers":[{"billed_charge":39010.00,"npi":[1629828405]}]},{"allowed_amount":20527.28,"providers":[{"billed_charge":651176.00,"npi":[1083937593]}]},{"allowed_amount":11579.88,"providers":[{"billed_charge":376487.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3042.60,"providers":[{"billed_charge":27568.85,"npi":[1356960132]}]},{"allowed_amount":202.84,"providers":[{"billed_charge":1429.79,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19"],"billing_class":"institutional","payments":[{"allowed_amount":34339.87,"providers":[{"billed_charge":209613.00,"npi":[1992753222]}]},{"allowed_amount":153.41,"providers":[{"billed_charge":783.00,"npi":[1992753222]}]},{"allowed_amount":1039.05,"providers":[{"billed_charge":3918.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8052.11,"providers":[{"billed_charge":85153.76,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5771.01,"providers":[{"billed_charge":38272.50,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4892.89,"providers":[{"billed_charge":208766.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":174.88,"providers":[{"billed_charge":964.00,"npi":[1275592131]}]},{"allowed_amount":4843.72,"providers":[{"billed_charge":48839.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11593.88,"providers":[{"billed_charge":83079.25,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7349.66,"providers":[{"billed_charge":100062.50,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":649.31,"providers":[{"billed_charge":4738.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":340.84,"providers":[{"billed_charge":4673.00,"npi":[1932152337]}]},{"allowed_amount":852.10,"providers":[{"billed_charge":16688.25,"npi":[1740233782]}]},{"allowed_amount":15023.44,"providers":[{"billed_charge":344016.25,"npi":[1982666111]}]},{"allowed_amount":7157.63,"providers":[{"billed_charge":154184.00,"npi":[1295788735]}]},{"allowed_amount":11077.30,"providers":[{"billed_charge":278055.75,"npi":[1932152337]}]},{"allowed_amount":17152.30,"providers":[{"billed_charge":389537.25,"npi":[1295843787]}]},{"allowed_amount":7839.31,"providers":[{"billed_charge":190730.50,"npi":[1740233782]}]},{"allowed_amount":61375.50,"providers":[{"billed_charge":1487135.75,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23951.34,"providers":[{"billed_charge":155080.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":745.53,"providers":[{"billed_charge":19271.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":135.55,"providers":[{"billed_charge":3412.27,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":106.51,"providers":[{"billed_charge":703.00,"npi":[1548226988]}]},{"allowed_amount":7838.00,"providers":[{"billed_charge":45626.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2650.22,"providers":[{"billed_charge":44984.00,"npi":[1477643690]}]},{"allowed_amount":455.13,"providers":[{"billed_charge":9678.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39878.64,"providers":[{"billed_charge":293984.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":26881.55,"providers":[{"billed_charge":209370.35,"npi":[1629089966]}]},{"allowed_amount":10527.36,"providers":[{"billed_charge":116366.63,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":14815.39,"providers":[{"billed_charge":127719.62,"npi":[1669472387]}]},{"allowed_amount":206.69,"providers":[{"billed_charge":527.09,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1825.56,"providers":[{"billed_charge":10024.23,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":370.98,"providers":[{"billed_charge":2142.25,"npi":[1164526786]}]},{"allowed_amount":927.44,"providers":[{"billed_charge":6998.75,"npi":[1093810327]}]},{"allowed_amount":834.70,"providers":[{"billed_charge":3482.00,"npi":[1124137054]}]},{"allowed_amount":3153.32,"providers":[{"billed_charge":16042.00,"npi":[1124137054]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1014.20,"providers":[{"billed_charge":11026.70,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":5550.38,"providers":[{"billed_charge":159067.00,"npi":[1407191984]}]},{"allowed_amount":99.85,"providers":[{"billed_charge":1232.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1729.37,"providers":[{"billed_charge":13573.00,"npi":[1548387418]}]},{"allowed_amount":8122.01,"providers":[{"billed_charge":197395.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5736.88,"providers":[{"billed_charge":188517.34,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26953.84,"providers":[{"billed_charge":171308.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":399.40,"providers":[{"billed_charge":10176.40,"npi":[1124796081]}]},{"allowed_amount":1877.30,"providers":[{"billed_charge":32780.80,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1084.68,"providers":[{"billed_charge":31262.16,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":406.65,"providers":[{"billed_charge":8939.21,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6758.73,"providers":[{"billed_charge":60920.28,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":113.06,"providers":[{"billed_charge":5774.04,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1582.76,"providers":[{"billed_charge":20536.84,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1752.40,"providers":[{"billed_charge":12173.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5912.78,"providers":[{"billed_charge":254844.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":409.08,"providers":[{"billed_charge":3153.25,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10402.93,"providers":[{"billed_charge":169613.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12282.94,"providers":[{"billed_charge":69885.75,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2856.08,"providers":[{"billed_charge":41822.69,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3106.75,"providers":[{"billed_charge":41860.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5354.97,"providers":[{"billed_charge":34012.75,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16290.11,"providers":[{"billed_charge":153710.99,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19272.04,"providers":[{"billed_charge":125901.50,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2661.16,"providers":[{"billed_charge":52309.64,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":757.41,"providers":[{"billed_charge":2451.66,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4042.03,"providers":[{"billed_charge":62318.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1472.03,"providers":[{"billed_charge":10480.33,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1929.97,"providers":[{"billed_charge":58226.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4127.55,"providers":[{"billed_charge":25611.74,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17632.27,"providers":[{"billed_charge":584661.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1286.65,"providers":[{"billed_charge":25514.50,"npi":[1346753118]}]}]}]},{"name":"SCRN MAMMOGRAPHY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"403","description":"OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":21279.39,"providers":[{"billed_charge":136646.73,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":95.68,"providers":[{"billed_charge":415.44,"npi":[1013957836]}]}]}]},{"name":"RESPIRATORY SVC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"410","description":"RESPIRATORY SERVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":470.97,"providers":[{"billed_charge":31558.00,"npi":[1871619254]},{"billed_charge":27498.00,"npi":[1497871628]}]},{"allowed_amount":300.70,"providers":[{"billed_charge":7712.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":190.98,"providers":[{"billed_charge":822.00,"npi":[1205900370]}]},{"allowed_amount":665.49,"providers":[{"billed_charge":75945.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":470.97,"providers":[{"billed_charge":37355.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":318.94,"providers":[{"billed_charge":1915.68,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":155.26,"providers":[{"billed_charge":601.48,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":3542.00,"npi":[1932152337]}]},{"allowed_amount":1059.47,"providers":[{"billed_charge":5817.75,"npi":[1982666111]},{"billed_charge":28021.00,"npi":[1730132234]}]},{"allowed_amount":325.95,"providers":[{"billed_charge":595.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2402.17,"providers":[{"billed_charge":44783.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":114.14,"providers":[{"billed_charge":35545.00,"npi":[1679578439]}]}]}]},{"name":"INHALATION SVC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"412","description":"RESPIRATORY SERVICES - INHALATION SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31.02,"providers":[{"billed_charge":2512.79,"npi":[1972258580]}]}]}]},{"name":"PHYSICAL THERP","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"420","description":"PHYSICAL THERAPY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"208847736"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1992.94,"providers":[{"billed_charge":8404.00,"npi":[1952538431]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":45.44,"providers":[{"billed_charge":614.00,"npi":[1184179194]}]},{"allowed_amount":36.26,"providers":[{"billed_charge":3821.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":97.94,"providers":[{"billed_charge":243.00,"npi":[1205900370]}]},{"allowed_amount":1139.63,"providers":[{"billed_charge":9009.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","19"],"billing_class":"institutional","payments":[{"allowed_amount":96.09,"providers":[{"billed_charge":471.00,"npi":[1992753222]}]},{"allowed_amount":28.98,"providers":[{"billed_charge":127.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":25871.31,"providers":[{"billed_charge":188727.06,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":792.10,"providers":[{"billed_charge":5007.83,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"274586141"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":10407.47,"providers":[{"billed_charge":20562.48,"npi":[1538465901]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":69.75,"providers":[{"billed_charge":701.42,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"362193608"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":458.00,"providers":[{"billed_charge":2323.60,"npi":[1669513941]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":492.66,"providers":[{"billed_charge":6060.00,"npi":[1891789772]}]},{"allowed_amount":181.02,"providers":[{"billed_charge":7075.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":190.34,"providers":[{"billed_charge":2641.00,"npi":[1548387418]}]},{"allowed_amount":399.63,"providers":[{"billed_charge":2849.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":6874.50,"npi":[1295843787]}]},{"allowed_amount":141.29,"providers":[{"billed_charge":2562.75,"npi":[1295788735]}]},{"allowed_amount":339.30,"providers":[{"billed_charge":1948.00,"npi":[1740233782]}]},{"allowed_amount":261.85,"providers":[{"billed_charge":2694.25,"npi":[1730132234]}]},{"allowed_amount":35.50,"providers":[{"billed_charge":1941.00,"npi":[1740233782]}]},{"allowed_amount":357.62,"providers":[{"billed_charge":14723.75,"npi":[1982666111]}]},{"allowed_amount":155.20,"providers":[{"billed_charge":24127.50,"npi":[1730132234]}]},{"allowed_amount":278.45,"providers":[{"billed_charge":19981.00,"npi":[1932152337]}]},{"allowed_amount":483.18,"providers":[{"billed_charge":3730.75,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":87.80,"providers":[{"billed_charge":413.00,"npi":[1336172105]}]},{"allowed_amount":1079.72,"providers":[{"billed_charge":3261.50,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":67.02,"providers":[{"billed_charge":1013.97,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"741857100"},"service_code":["31"],"billing_class":"institutional","payments":[{"allowed_amount":51.89,"providers":[{"billed_charge":375.00,"npi":[1386184190]}]}]}]},{"name":"PHYS THERP/EVAL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"424","description":"PHYSICAL THERAPY - EVALUATION OR RE-EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":75.86,"providers":[{"billed_charge":722.00,"npi":[1871619254]}]},{"allowed_amount":3483.46,"providers":[{"billed_charge":18756.00,"npi":[1871619254]}]},{"allowed_amount":2002.22,"providers":[{"billed_charge":10486.00,"npi":[1497871628]}]},{"allowed_amount":508.92,"providers":[{"billed_charge":2806.00,"npi":[1184179194]}]},{"allowed_amount":679.28,"providers":[{"billed_charge":3200.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":381.36,"providers":[{"billed_charge":413.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":637.62,"providers":[{"billed_charge":1990.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6678.25,"providers":[{"billed_charge":10695.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5661.70,"providers":[{"billed_charge":11494.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":503.81,"providers":[{"billed_charge":2216.80,"npi":[1629089966]}]},{"allowed_amount":4235.67,"providers":[{"billed_charge":15517.60,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1386.23,"providers":[{"billed_charge":3482.52,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":196.68,"providers":[{"billed_charge":206.50,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":787.06,"providers":[{"billed_charge":1387.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":228.33,"providers":[{"billed_charge":2462.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":256.26,"providers":[{"billed_charge":1696.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":572.04,"providers":[{"billed_charge":763.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1209.05,"providers":[{"billed_charge":4957.81,"npi":[1477516466]}]},{"allowed_amount":95.34,"providers":[{"billed_charge":564.17,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":75.86,"providers":[{"billed_charge":640.00,"npi":[1891789772]}]},{"allowed_amount":4119.21,"providers":[{"billed_charge":21316.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":324.55,"providers":[{"billed_charge":1427.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1623.17,"providers":[{"billed_charge":6432.00,"npi":[1548387418]}]},{"allowed_amount":274.62,"providers":[{"billed_charge":1712.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":527.23,"providers":[{"billed_charge":2634.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1523.33,"providers":[{"billed_charge":9721.50,"npi":[1740233782]}]},{"allowed_amount":4431.17,"providers":[{"billed_charge":29255.00,"npi":[1932152337]}]},{"allowed_amount":1653.23,"providers":[{"billed_charge":10610.50,"npi":[1295788735]}]},{"allowed_amount":2251.61,"providers":[{"billed_charge":15954.50,"npi":[1295843787]}]},{"allowed_amount":4980.25,"providers":[{"billed_charge":35711.75,"npi":[1982666111]}]},{"allowed_amount":280.39,"providers":[{"billed_charge":1501.50,"npi":[1295843787]}]},{"allowed_amount":9110.84,"providers":[{"billed_charge":55307.50,"npi":[1730132234]}]},{"allowed_amount":401.77,"providers":[{"billed_charge":2428.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1133.26,"providers":[{"billed_charge":1239.00,"npi":[1336172105]}]},{"allowed_amount":196.68,"providers":[{"billed_charge":274.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":196.68,"providers":[{"billed_charge":206.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99.15,"providers":[{"billed_charge":732.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":359.38,"providers":[{"billed_charge":891.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":450.18,"providers":[{"billed_charge":1161.94,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":149.86,"providers":[{"billed_charge":274.25,"npi":[1104845015]}]}]}]},{"name":"OCCUPATION THER","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"430","description":"OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3079.40,"providers":[{"billed_charge":14296.00,"npi":[1871619254]}]},{"allowed_amount":101.97,"providers":[{"billed_charge":764.00,"npi":[1871619254]}]},{"allowed_amount":1919.58,"providers":[{"billed_charge":9718.00,"npi":[1497871628]}]},{"allowed_amount":147.66,"providers":[{"billed_charge":1075.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":73.61,"providers":[{"billed_charge":2082.00,"npi":[1205900370]}]},{"allowed_amount":23.81,"providers":[{"billed_charge":67.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2241.94,"providers":[{"billed_charge":10654.00,"npi":[1891789772]}]},{"allowed_amount":101.97,"providers":[{"billed_charge":682.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":469.38,"providers":[{"billed_charge":1001.61,"npi":[1629089966]}]},{"allowed_amount":6356.73,"providers":[{"billed_charge":37725.68,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":700.54,"providers":[{"billed_charge":6799.00,"npi":[1548387418]}]},{"allowed_amount":615.88,"providers":[{"billed_charge":2319.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":586.74,"providers":[{"billed_charge":1268.52,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":38.10,"providers":[{"billed_charge":130.25,"npi":[1982666111]}]},{"allowed_amount":51.86,"providers":[{"billed_charge":94.50,"npi":[1740233782]}]},{"allowed_amount":135.80,"providers":[{"billed_charge":2260.00,"npi":[1295843787]}]},{"allowed_amount":39.90,"providers":[{"billed_charge":270.75,"npi":[1740233782]}]},{"allowed_amount":75.16,"providers":[{"billed_charge":3134.50,"npi":[1932152337]}]},{"allowed_amount":152.40,"providers":[{"billed_charge":6052.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"741857100"},"service_code":["31"],"billing_class":"institutional","payments":[{"allowed_amount":188.88,"providers":[{"billed_charge":1350.00,"npi":[1386184190]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":69.80,"providers":[{"billed_charge":1409.31,"npi":[1639992514]}]}]}]},{"name":"OCCUP THERP/EVAL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"434","description":"OCCUPATIONAL THERAPY - EVALUATION OR RE-EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":763.40,"providers":[{"billed_charge":1990.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4311.16,"providers":[{"billed_charge":6020.00,"npi":[1205900370]}]},{"allowed_amount":101.97,"providers":[{"billed_charge":215.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":151.38,"providers":[{"billed_charge":241.00,"npi":[1992753222]}]},{"allowed_amount":1816.56,"providers":[{"billed_charge":3228.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":208.90,"providers":[{"billed_charge":413.95,"npi":[1669472387]}]},{"allowed_amount":2297.90,"providers":[{"billed_charge":5097.77,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":797.94,"providers":[{"billed_charge":1191.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":203.40,"providers":[{"billed_charge":1666.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":690.28,"providers":[{"billed_charge":3426.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1009.20,"providers":[{"billed_charge":3694.50,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":360.84,"providers":[{"billed_charge":1379.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":222.10,"providers":[{"billed_charge":946.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6036.55,"providers":[{"billed_charge":36828.00,"npi":[1982666111]}]},{"allowed_amount":489.45,"providers":[{"billed_charge":2891.25,"npi":[1730132234]}]},{"allowed_amount":8157.50,"providers":[{"billed_charge":46845.75,"npi":[1730132234]}]},{"allowed_amount":163.15,"providers":[{"billed_charge":1028.25,"npi":[1982666111]}]},{"allowed_amount":326.30,"providers":[{"billed_charge":2081.25,"npi":[1295843787]}]},{"allowed_amount":815.75,"providers":[{"billed_charge":4726.25,"npi":[1740233782]}]},{"allowed_amount":1957.80,"providers":[{"billed_charge":11995.00,"npi":[1295843787]}]},{"allowed_amount":625.84,"providers":[{"billed_charge":3544.50,"npi":[1295788735]}]},{"allowed_amount":2503.36,"providers":[{"billed_charge":15750.25,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":605.52,"providers":[{"billed_charge":944.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101.70,"providers":[{"billed_charge":665.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":184.42,"providers":[{"billed_charge":587.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":291.63,"providers":[{"billed_charge":699.18,"npi":[1639992514]}]}]}]},{"name":"SPEECH PATHOL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"440","description":"SPEECH-LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":127.88,"providers":[{"billed_charge":362.00,"npi":[1871619254]}]}]}]},{"name":"SPEECH PATH/VISIT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"441","description":"SPEECH-LANGUAGE PATHOLOGY - VISIT CHARGE","allowed_amounts":[{"tin":{"type":"ein","value":"825360836"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":1235.00,"providers":[{"billed_charge":1541.28,"npi":[1598254989]}]}]}]},{"name":"SPEECH PATH/EVAL","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"444","description":"SPEECH-LANGUAGE PATHOLOGY - EVALUATION OR RE-EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":90.35,"providers":[{"billed_charge":308.00,"npi":[1205900370]}]},{"allowed_amount":136.43,"providers":[{"billed_charge":2253.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":135.50,"providers":[{"billed_charge":328.75,"npi":[1730132234]},{"billed_charge":6686.75,"npi":[1730132234]},{"billed_charge":528.00,"npi":[1982666111]}]}]}]},{"name":"EMERG ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"450","description":"EMERGENCY ROOM - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":46093.80,"providers":[{"billed_charge":270370.71,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":179309.16,"providers":[{"billed_charge":673529.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26846.42,"providers":[{"billed_charge":299323.50,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18044.63,"providers":[{"billed_charge":25277.00,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"461011450"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1092.50,"providers":[{"billed_charge":4701.00,"npi":[1710237599]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15329.31,"providers":[{"billed_charge":60682.00,"npi":[1568818417]}]},{"allowed_amount":75763.97,"providers":[{"billed_charge":224934.00,"npi":[1275592131]}]},{"allowed_amount":126981.50,"providers":[{"billed_charge":356161.00,"npi":[1528027786]}]},{"allowed_amount":32916.45,"providers":[{"billed_charge":119312.00,"npi":[1073294740]}]},{"allowed_amount":57210.82,"providers":[{"billed_charge":165067.00,"npi":[1033165501]}]},{"allowed_amount":479586.24,"providers":[{"billed_charge":1484450.00,"npi":[1689629941]}]},{"allowed_amount":1825.78,"providers":[{"billed_charge":10029.00,"npi":[1487271375]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":115637.61,"providers":[{"billed_charge":573610.40,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"741109636"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6485.62,"providers":[{"billed_charge":21641.25,"npi":[1093708679]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11243.47,"providers":[{"billed_charge":114175.92,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"760698013"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7059.39,"providers":[{"billed_charge":13921.00,"npi":[1780786699]}]}]},{"tin":{"type":"ein","value":"814636159"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2678.55,"providers":[{"billed_charge":33300.00,"npi":[1245755933]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":126057.25,"providers":[{"billed_charge":735027.55,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":119194.66,"providers":[{"billed_charge":953388.26,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"371844725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":52597.50,"providers":[{"billed_charge":396996.99,"npi":[1962938191]}]}]},{"tin":{"type":"ein","value":"746025069"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10550.38,"providers":[{"billed_charge":12567.00,"npi":[1679678767]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45111.68,"providers":[{"billed_charge":329643.33,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3911541.41,"providers":[{"billed_charge":4951161.84,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1097849.94,"providers":[{"billed_charge":2070310.91,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752682017"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37170.32,"providers":[{"billed_charge":156647.90,"npi":[1114998911]}]}]},{"tin":{"type":"ein","value":"251925187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13612.55,"providers":[{"billed_charge":51067.00,"npi":[1568403111]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57068.30,"providers":[{"billed_charge":287211.62,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":65507.91,"providers":[{"billed_charge":577165.38,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"731034824"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1639.67,"providers":[{"billed_charge":6289.00,"npi":[1831103654]}]}]},{"tin":{"type":"ein","value":"334253489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4241.82,"providers":[{"billed_charge":20229.00,"npi":[1518752302]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47694.06,"providers":[{"billed_charge":140572.75,"npi":[1447355771]}]},{"allowed_amount":113122.42,"providers":[{"billed_charge":625501.75,"npi":[1124137054]}]},{"allowed_amount":23670.46,"providers":[{"billed_charge":103665.00,"npi":[1619115383]}]},{"allowed_amount":69957.56,"providers":[{"billed_charge":311542.75,"npi":[1164526786]}]},{"allowed_amount":93059.97,"providers":[{"billed_charge":371567.25,"npi":[1578780870]}]},{"allowed_amount":119206.09,"providers":[{"billed_charge":618429.75,"npi":[1093810327]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":496851.65,"providers":[{"billed_charge":2147747.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741385192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8321.14,"providers":[{"billed_charge":44384.89,"npi":[1972581940]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31807.89,"providers":[{"billed_charge":328000.52,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"871585575"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17049.77,"providers":[{"billed_charge":187646.54,"npi":[1619549474]}]}]},{"tin":{"type":"ein","value":"752796815"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15085.88,"providers":[{"billed_charge":80917.00,"npi":[1295736734]}]}]},{"tin":{"type":"ein","value":"934242663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7719.94,"providers":[{"billed_charge":76012.30,"npi":[1740054436]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":115823.86,"providers":[{"billed_charge":1133343.60,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77996.09,"providers":[{"billed_charge":136769.37,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":249155.56,"providers":[{"billed_charge":2367808.80,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42007.92,"providers":[{"billed_charge":567350.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":91561.81,"providers":[{"billed_charge":263813.74,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":102590.87,"providers":[{"billed_charge":832191.19,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":270838.36,"providers":[{"billed_charge":3233347.48,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58691.97,"providers":[{"billed_charge":170708.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"861463867"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25125.05,"providers":[{"billed_charge":281893.64,"npi":[1194302877]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":376830.80,"providers":[{"billed_charge":951273.96,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":207281.97,"providers":[{"billed_charge":490678.48,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":84580.10,"providers":[{"billed_charge":201696.00,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16737.17,"providers":[{"billed_charge":285424.87,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"752559845"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10594.59,"providers":[{"billed_charge":29501.00,"npi":[1992707228]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1239910.87,"providers":[{"billed_charge":7347076.66,"npi":[1679557888]}]},{"allowed_amount":96138.74,"providers":[{"billed_charge":308630.00,"npi":[1598749707]}]}]},{"tin":{"type":"ein","value":"462942963"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12829.70,"providers":[{"billed_charge":19738.00,"npi":[1427472463]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":170412.42,"providers":[{"billed_charge":1103674.78,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1142932.84,"providers":[{"billed_charge":8892021.90,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":117000.34,"providers":[{"billed_charge":214504.50,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"992069011"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10688.75,"providers":[{"billed_charge":76598.00,"npi":[1477303105]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29850.79,"providers":[{"billed_charge":115118.91,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"821883948"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":940.34,"providers":[{"billed_charge":15658.00,"npi":[1649794157]}]},{"allowed_amount":4564.93,"providers":[{"billed_charge":22850.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":254499.09,"providers":[{"billed_charge":1601514.87,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9312.52,"providers":[{"billed_charge":15983.00,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37873.16,"providers":[{"billed_charge":189620.74,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"861464604"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":50266.03,"providers":[{"billed_charge":472055.76,"npi":[1003493784]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":87027.61,"providers":[{"billed_charge":165090.50,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12498.27,"providers":[{"billed_charge":22312.34,"npi":[1154324952]}]}]},{"tin":{"type":"ein","value":"464125750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11052.10,"providers":[{"billed_charge":57495.00,"npi":[1457748238]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23424.06,"providers":[{"billed_charge":85924.28,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41453.77,"providers":[{"billed_charge":356139.84,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"851941193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16446.66,"providers":[{"billed_charge":56446.98,"npi":[1184233785]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1347.85,"providers":[{"billed_charge":8010.93,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"621789402"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":755.50,"providers":[{"billed_charge":3099.04,"npi":[1700805678]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":125972.06,"providers":[{"billed_charge":1214250.86,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"720408982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6528.45,"providers":[{"billed_charge":13500.00,"npi":[1417950106]}]}]},{"tin":{"type":"ein","value":"720408984"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":970.40,"providers":[{"billed_charge":1876.00,"npi":[1639160799]}]},{"allowed_amount":10733.17,"providers":[{"billed_charge":20335.00,"npi":[1639160799]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":591021.44,"providers":[{"billed_charge":2430925.00,"npi":[1184179194]}]},{"allowed_amount":1287008.16,"providers":[{"billed_charge":5376100.00,"npi":[1083937593]}]},{"allowed_amount":885280.34,"providers":[{"billed_charge":3842809.00,"npi":[1497871628]}]},{"allowed_amount":173259.51,"providers":[{"billed_charge":717463.00,"npi":[1629828405]}]},{"allowed_amount":1269022.53,"providers":[{"billed_charge":5718834.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48380.18,"providers":[{"billed_charge":784055.76,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":236215.09,"providers":[{"billed_charge":914643.87,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"510570864"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6835.21,"providers":[{"billed_charge":25660.00,"npi":[1255579389]}]}]},{"tin":{"type":"ein","value":"822437084"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":352.91,"providers":[{"billed_charge":3500.00,"npi":[1205342755]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21585.68,"providers":[{"billed_charge":62372.95,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99617.69,"providers":[{"billed_charge":710041.45,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":139829.22,"providers":[{"billed_charge":1085439.00,"npi":[1093783391]}]},{"allowed_amount":122397.63,"providers":[{"billed_charge":849282.00,"npi":[1003885641]}]},{"allowed_amount":1169327.94,"providers":[{"billed_charge":7741220.00,"npi":[1689641680]}]},{"allowed_amount":22694.95,"providers":[{"billed_charge":172449.00,"npi":[1447228747]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":176069.14,"providers":[{"billed_charge":14322781.21,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"832804506"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1597.80,"providers":[{"billed_charge":11949.80,"npi":[1174089866]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2158.76,"providers":[{"billed_charge":3722.00,"npi":[1720480627]}]},{"allowed_amount":90242.78,"providers":[{"billed_charge":155591.00,"npi":[1720480627]}]},{"allowed_amount":8635.04,"providers":[{"billed_charge":14888.00,"npi":[1194743013]}]},{"allowed_amount":43683.28,"providers":[{"billed_charge":75316.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":721847.21,"providers":[{"billed_charge":2101605.37,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18211.93,"providers":[{"billed_charge":88710.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"834583207"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2260.09,"providers":[{"billed_charge":50500.53,"npi":[1376108209]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27008.90,"providers":[{"billed_charge":315471.16,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42342.36,"providers":[{"billed_charge":279775.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37129.51,"providers":[{"billed_charge":159188.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61983.85,"providers":[{"billed_charge":837950.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":181117.20,"providers":[{"billed_charge":1121515.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"465735510"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34213.40,"providers":[{"billed_charge":447250.00,"npi":[1164827093]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32054.40,"providers":[{"billed_charge":148190.39,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"352644167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3680.31,"providers":[{"billed_charge":68355.79,"npi":[1801364450]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":635.70,"providers":[{"billed_charge":2119.00,"npi":[1811973100]}]},{"allowed_amount":13066.69,"providers":[{"billed_charge":25824.00,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"862514812"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5712.16,"providers":[{"billed_charge":66346.64,"npi":[1225610108]}]}]},{"tin":{"type":"ein","value":"844288037"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":132325.47,"providers":[{"billed_charge":1286307.59,"npi":[1548800733]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59970.23,"providers":[{"billed_charge":452431.28,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"871558137"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29654.92,"providers":[{"billed_charge":347150.83,"npi":[1992377741]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12428.61,"providers":[{"billed_charge":159000.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"640907122"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":74.00,"providers":[{"billed_charge":615.86,"npi":[1033163092]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":686585.07,"providers":[{"billed_charge":4598278.86,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10583.56,"providers":[{"billed_charge":14437.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"881716225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1506.18,"providers":[{"billed_charge":9908.94,"npi":[1053175794]}]}]},{"tin":{"type":"ein","value":"752387418"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8788.52,"providers":[{"billed_charge":65579.89,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":156751.29,"providers":[{"billed_charge":1030607.45,"npi":[1124796081]}]},{"allowed_amount":19975.50,"providers":[{"billed_charge":109040.05,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106494.90,"providers":[{"billed_charge":725965.91,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34725.90,"providers":[{"billed_charge":104131.63,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99066.88,"providers":[{"billed_charge":663842.72,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":40942.85,"providers":[{"billed_charge":72501.00,"npi":[1598744856]}]},{"allowed_amount":83134.35,"providers":[{"billed_charge":127899.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":188730.21,"providers":[{"billed_charge":942379.73,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77704.29,"providers":[{"billed_charge":356409.72,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"751752253"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8500.76,"providers":[{"billed_charge":11396.50,"npi":[1922031541]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53174.33,"providers":[{"billed_charge":119329.90,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86164.64,"providers":[{"billed_charge":636060.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"331453678"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13161.46,"providers":[{"billed_charge":193394.24,"npi":[1235954488]}]}]},{"tin":{"type":"ein","value":"472616215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30845.75,"providers":[{"billed_charge":418600.00,"npi":[1922468156]}]}]},{"tin":{"type":"ein","value":"751584559"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7281.56,"providers":[{"billed_charge":25924.00,"npi":[1255325817]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":710360.81,"providers":[{"billed_charge":2677476.06,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756003896"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22914.37,"providers":[{"billed_charge":53753.00,"npi":[1275581852]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":256099.66,"providers":[{"billed_charge":468124.00,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"474219674"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2135.39,"providers":[{"billed_charge":8257.00,"npi":[1518418250]}]}]},{"tin":{"type":"ein","value":"473637912"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":143296.22,"providers":[{"billed_charge":75502.40,"npi":[1215449954]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16681.54,"providers":[{"billed_charge":185459.88,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"751977850"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22080.02,"providers":[{"billed_charge":41702.50,"npi":[1396778064]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":95302.45,"providers":[{"billed_charge":751697.48,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":82810.53,"providers":[{"billed_charge":437298.47,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":730547.55,"providers":[{"billed_charge":8258951.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90351.93,"providers":[{"billed_charge":436798.97,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":3134.68,"providers":[{"billed_charge":7857.00,"npi":[1679976120]}]},{"allowed_amount":257686.01,"providers":[{"billed_charge":905174.08,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"813447150"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2535.50,"providers":[{"billed_charge":8927.00,"npi":[1033648852]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33285.06,"providers":[{"billed_charge":356978.48,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":91583.11,"providers":[{"billed_charge":270081.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":295828.13,"providers":[{"billed_charge":1281997.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":259165.90,"providers":[{"billed_charge":563639.61,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1204833.59,"providers":[{"billed_charge":5502571.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79524.45,"providers":[{"billed_charge":224245.91,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"621596506"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10814.34,"providers":[{"billed_charge":16039.00,"npi":[1497792527]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":69670.29,"providers":[{"billed_charge":654578.88,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21972.26,"providers":[{"billed_charge":52215.73,"npi":[1124305065]}]},{"allowed_amount":2423.41,"providers":[{"billed_charge":8512.04,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3764.43,"providers":[{"billed_charge":5839.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3679.85,"providers":[{"billed_charge":63880.00,"npi":[1770214256]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40724.89,"providers":[{"billed_charge":432593.08,"npi":[1255806410]}]}]},{"tin":{"type":"ein","value":"922719659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10870.43,"providers":[{"billed_charge":111193.24,"npi":[1386325801]}]}]},{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":50458.51,"providers":[{"billed_charge":187633.73,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"814322087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99.44,"providers":[{"billed_charge":287.00,"npi":[1386188837]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3820656.01,"providers":[{"billed_charge":7611642.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"621795574"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12320.77,"providers":[{"billed_charge":64560.43,"npi":[1801852736]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":202139.78,"providers":[{"billed_charge":1134979.01,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100834.12,"providers":[{"billed_charge":750242.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15479.07,"providers":[{"billed_charge":142915.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":386638.99,"providers":[{"billed_charge":668451.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112455.94,"providers":[{"billed_charge":367507.21,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29767.33,"providers":[{"billed_charge":167647.46,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"931592669"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16182.84,"providers":[{"billed_charge":191877.99,"npi":[1639853443]}]}]},{"tin":{"type":"ein","value":"472248964"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1010.22,"providers":[{"billed_charge":8256.00,"npi":[1922467315]}]}]},{"tin":{"type":"ein","value":"922924228"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2777.58,"providers":[{"billed_charge":20506.64,"npi":[1700567229]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3156.85,"providers":[{"billed_charge":11081.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"844755191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20200.23,"providers":[{"billed_charge":67161.00,"npi":[1437750163]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42306.59,"providers":[{"billed_charge":288818.64,"npi":[1104199017]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":239774.83,"providers":[{"billed_charge":1433359.00,"npi":[1477643690]}]},{"allowed_amount":4247.25,"providers":[{"billed_charge":33885.00,"npi":[1194507947]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":645526.36,"providers":[{"billed_charge":3850371.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22130.26,"providers":[{"billed_charge":112650.40,"npi":[1780436287]}]},{"allowed_amount":89775.42,"providers":[{"billed_charge":511582.80,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12259.00,"providers":[{"billed_charge":42144.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12106.14,"providers":[{"billed_charge":13790.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":650418.38,"providers":[{"billed_charge":2224670.24,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":238313.01,"providers":[{"billed_charge":669830.29,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34708.36,"providers":[{"billed_charge":147155.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10523.15,"providers":[{"billed_charge":111939.96,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12912.83,"providers":[{"billed_charge":55389.48,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90012.19,"providers":[{"billed_charge":751027.09,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18989.02,"providers":[{"billed_charge":146297.96,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"752426010"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1162.07,"providers":[{"billed_charge":3731.00,"npi":[1073580726]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":67678.79,"providers":[{"billed_charge":515324.37,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"741303720"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6300.58,"providers":[{"billed_charge":33394.00,"npi":[1093744187]}]}]},{"tin":{"type":"ein","value":"720551963"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2418.58,"providers":[{"billed_charge":4956.50,"npi":[1972549855]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10777.08,"providers":[{"billed_charge":28917.69,"npi":[1043641749]}]},{"allowed_amount":49517.56,"providers":[{"billed_charge":129285.16,"npi":[1689002651]}]},{"allowed_amount":138848.32,"providers":[{"billed_charge":346556.99,"npi":[1407010622]}]}]},{"tin":{"type":"ein","value":"813556450"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20483.28,"providers":[{"billed_charge":138326.93,"npi":[1467935866]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31624.28,"providers":[{"billed_charge":523112.75,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":54119.75,"providers":[{"billed_charge":99378.00,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13613.99,"providers":[{"billed_charge":145128.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":121356.36,"providers":[{"billed_charge":742508.23,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":97940.87,"providers":[{"billed_charge":395163.86,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":114682.01,"providers":[{"billed_charge":368996.30,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58219.44,"providers":[{"billed_charge":405455.25,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":561344.33,"providers":[{"billed_charge":1449533.03,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":55079.18,"providers":[{"billed_charge":400082.60,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":63953.50,"providers":[{"billed_charge":424272.97,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"871558323"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21727.67,"providers":[{"billed_charge":259549.27,"npi":[1063084820]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86904.92,"providers":[{"billed_charge":319055.32,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760354630"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":56804.80,"providers":[{"billed_charge":87392.00,"npi":[1700885076]}]},{"allowed_amount":17811.30,"providers":[{"billed_charge":27402.00,"npi":[1700885076]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":800819.67,"providers":[{"billed_charge":1392357.75,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":44424.97,"providers":[{"billed_charge":78461.30,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"334202263"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18563.45,"providers":[{"billed_charge":101586.00,"npi":[1366246324]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43159.06,"providers":[{"billed_charge":444864.37,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":780861.94,"providers":[{"billed_charge":2773763.26,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"994827700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7696.59,"providers":[{"billed_charge":34149.44,"npi":[1336976034]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21349.70,"providers":[{"billed_charge":40361.32,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24190.96,"providers":[{"billed_charge":73202.08,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":995647.68,"providers":[{"billed_charge":1853748.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":339454.47,"providers":[{"billed_charge":691082.50,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"812527918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25817.72,"providers":[{"billed_charge":116857.00,"npi":[1396280756]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":89830.39,"providers":[{"billed_charge":282424.24,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15955.61,"providers":[{"billed_charge":285151.85,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":63699.76,"providers":[{"billed_charge":290168.83,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49276.61,"providers":[{"billed_charge":413794.12,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":616942.62,"providers":[{"billed_charge":957772.68,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":97007.06,"providers":[{"billed_charge":347823.69,"npi":[1912677295]}]}]},{"tin":{"type":"ein","value":"822174187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33868.21,"providers":[{"billed_charge":219139.58,"npi":[1811475346]}]}]},{"tin":{"type":"ein","value":"880803328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27089.57,"providers":[{"billed_charge":207683.02,"npi":[1467199448]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70926.45,"providers":[{"billed_charge":204213.26,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":248312.08,"providers":[{"billed_charge":610888.48,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"301195747"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8196.51,"providers":[{"billed_charge":124910.55,"npi":[1003476961]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":469461.05,"providers":[{"billed_charge":1655952.74,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"334202404"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27792.24,"providers":[{"billed_charge":141467.00,"npi":[1053105619]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":67131.03,"providers":[{"billed_charge":414401.60,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"741698143"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4729.95,"providers":[{"billed_charge":11547.00,"npi":[1124052162]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19625.01,"providers":[{"billed_charge":46888.00,"npi":[1548796378]}]},{"allowed_amount":12387.62,"providers":[{"billed_charge":27592.00,"npi":[1629076468]}]}]},{"tin":{"type":"ein","value":"621754940"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":816.85,"providers":[{"billed_charge":5177.59,"npi":[1851343909]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":779558.23,"providers":[{"billed_charge":1211083.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100142.71,"providers":[{"billed_charge":271908.73,"npi":[1598196206]}]},{"allowed_amount":119128.91,"providers":[{"billed_charge":299295.48,"npi":[1831629526]}]},{"allowed_amount":204161.12,"providers":[{"billed_charge":518567.07,"npi":[1679903967]}]}]},{"tin":{"type":"ein","value":"331073948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23726.78,"providers":[{"billed_charge":91379.99,"npi":[1063411767]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":104478.22,"providers":[{"billed_charge":751031.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51480.48,"providers":[{"billed_charge":108653.86,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"202848116"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12203.08,"providers":[{"billed_charge":22863.75,"npi":[1629138029]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":661223.23,"providers":[{"billed_charge":3118587.25,"npi":[1295788735]}]},{"allowed_amount":1121176.75,"providers":[{"billed_charge":5041032.00,"npi":[1932152337]}]},{"allowed_amount":1418954.91,"providers":[{"billed_charge":7015736.00,"npi":[1295843787]}]},{"allowed_amount":697496.95,"providers":[{"billed_charge":3312953.00,"npi":[1740233782]}]},{"allowed_amount":1450085.82,"providers":[{"billed_charge":6843337.00,"npi":[1982666111]}]},{"allowed_amount":4905756.37,"providers":[{"billed_charge":22705202.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1634207.39,"providers":[{"billed_charge":2783163.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28018.67,"providers":[{"billed_charge":327659.88,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5355.44,"providers":[{"billed_charge":14413.16,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"821550918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7626.67,"providers":[{"billed_charge":10153.00,"npi":[1730183658]}]}]},{"tin":{"type":"ein","value":"752302928"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7784.77,"providers":[{"billed_charge":21203.00,"npi":[1740273994]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1033762.38,"providers":[{"billed_charge":4076130.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2167988.22,"providers":[{"billed_charge":4274010.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"922631837"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3399.00,"providers":[{"billed_charge":32255.99,"npi":[1457047664]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18689.87,"providers":[{"billed_charge":106139.00,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":98482.61,"providers":[{"billed_charge":934582.16,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"922818824"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13414.74,"providers":[{"billed_charge":109399.92,"npi":[1619658135]}]}]},{"tin":{"type":"ein","value":"992497065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20995.25,"providers":[{"billed_charge":137821.97,"npi":[1083444780]}]}]},{"tin":{"type":"ein","value":"452497248"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41047.91,"providers":[{"billed_charge":212473.80,"npi":[1205382413]}]}]},{"tin":{"type":"ein","value":"412101361"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7061.20,"providers":[{"billed_charge":16657.12,"npi":[1962504340]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66394.57,"providers":[{"billed_charge":113544.40,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"320493679"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":104286.72,"providers":[{"billed_charge":747256.58,"npi":[1134570922]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":63091.21,"providers":[{"billed_charge":679806.20,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":156544.02,"providers":[{"billed_charge":1305927.06,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"861337129"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11273.99,"providers":[{"billed_charge":123686.60,"npi":[1871170753]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32257.21,"providers":[{"billed_charge":534044.11,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16082.09,"providers":[{"billed_charge":18318.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":380660.35,"providers":[{"billed_charge":2113077.57,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6904.57,"providers":[{"billed_charge":105696.81,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"383862800"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3317.08,"providers":[{"billed_charge":6913.27,"npi":[1467476556]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35284.65,"providers":[{"billed_charge":293112.02,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1262.49,"providers":[{"billed_charge":5904.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47207.54,"providers":[{"billed_charge":90183.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32517.20,"providers":[{"billed_charge":73246.38,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13173.91,"providers":[{"billed_charge":34369.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42479.68,"providers":[{"billed_charge":369902.66,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":25221.81,"providers":[{"billed_charge":36366.00,"npi":[1366436123]}]},{"allowed_amount":613.16,"providers":[{"billed_charge":4032.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"741857100"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11425.10,"providers":[{"billed_charge":20634.32,"npi":[1780823021]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":574796.62,"providers":[{"billed_charge":1471094.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":136237.81,"providers":[{"billed_charge":844842.90,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":517.27,"providers":[{"billed_charge":179950.50,"npi":[1770514077]}]},{"allowed_amount":403091.85,"providers":[{"billed_charge":720380.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47707.58,"providers":[{"billed_charge":446590.99,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12030.83,"providers":[{"billed_charge":35752.67,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"756003935"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6344.70,"providers":[{"billed_charge":22716.00,"npi":[1174526529]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":453344.74,"providers":[{"billed_charge":555536.04,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":573772.84,"providers":[{"billed_charge":1685304.59,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":110236.27,"providers":[{"billed_charge":357875.84,"npi":[1346729159]}]},{"allowed_amount":32655.97,"providers":[{"billed_charge":99007.29,"npi":[1902366305]}]},{"allowed_amount":27781.26,"providers":[{"billed_charge":86581.97,"npi":[1144781501]}]}]},{"tin":{"type":"ein","value":"481172106"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":6149.40,"providers":[{"billed_charge":10552.00,"npi":[1154314789]}]},{"allowed_amount":671.65,"providers":[{"billed_charge":6390.00,"npi":[1154314789]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29316.97,"providers":[{"billed_charge":332244.16,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56382.12,"providers":[{"billed_charge":381681.00,"npi":[1194787218]}]},{"allowed_amount":7619.78,"providers":[{"billed_charge":41145.00,"npi":[1821004151]}]},{"allowed_amount":16447.65,"providers":[{"billed_charge":111287.00,"npi":[1780867390]}]},{"allowed_amount":69984.43,"providers":[{"billed_charge":370299.00,"npi":[1447883301]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24293.25,"providers":[{"billed_charge":254924.52,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":78219.13,"providers":[{"billed_charge":581861.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20536.27,"providers":[{"billed_charge":98840.18,"npi":[1770522906]}]}]},{"tin":{"type":"ein","value":"621762428"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14428.39,"providers":[{"billed_charge":37270.65,"npi":[1144274226]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":91745.57,"providers":[{"billed_charge":625066.38,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":36044.67,"providers":[{"billed_charge":599694.61,"npi":[1285252593]}]}]}]},{"name":"OTHER EMER ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"459","description":"EMERGENCY ROOM - OTHER EMERGENCY ROOM","allowed_amounts":[{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.97,"providers":[{"billed_charge":20909.73,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"862127343"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":305.74,"providers":[{"billed_charge":99111.62,"npi":[1457935611]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4800.42,"providers":[{"billed_charge":3811.00,"npi":[1932123247]}]}]}]},{"name":"PULMONARY FUNC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"460","description":"PULMONARY FUNCTION - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":251.24,"providers":[{"billed_charge":1033.38,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":166.35,"providers":[{"billed_charge":1458.82,"npi":[1528064649]}]}]}]},{"name":"CARDIOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"480","description":"CARDIOLOGY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19"],"billing_class":"institutional","payments":[{"allowed_amount":3861.40,"providers":[{"billed_charge":244900.00,"npi":[1992753222]}]},{"allowed_amount":790.97,"providers":[{"billed_charge":4255.00,"npi":[1992753222]}]},{"allowed_amount":5443.34,"providers":[{"billed_charge":24214.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":14212.82,"providers":[{"billed_charge":164044.25,"npi":[1982666111]}]},{"allowed_amount":1757.40,"providers":[{"billed_charge":11102.00,"npi":[1982666111]},{"billed_charge":42236.00,"npi":[1295788735]},{"billed_charge":43684.00,"npi":[1740233782]}]},{"allowed_amount":5759.01,"providers":[{"billed_charge":145424.25,"npi":[1295843787]}]},{"allowed_amount":2144.78,"providers":[{"billed_charge":103459.00,"npi":[1932152337]}]},{"allowed_amount":878.70,"providers":[{"billed_charge":17109.25,"npi":[1730132234]},{"billed_charge":11102.00,"npi":[1295843787]},{"billed_charge":15929.00,"npi":[1932152337]},{"billed_charge":4827.00,"npi":[1740233782]}]},{"allowed_amount":4900.26,"providers":[{"billed_charge":372195.25,"npi":[1730132234]}]}]}]},{"name":"CARDIAC CATH LAB","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"481","description":"CARDIOLOGY - CARDIAC CATH LAB","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17152.00,"providers":[{"billed_charge":25298.00,"npi":[1871619254]}]},{"allowed_amount":4864.65,"providers":[{"billed_charge":10349.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10309.18,"providers":[{"billed_charge":20428.50,"npi":[1730132234]}]},{"allowed_amount":5154.59,"providers":[{"billed_charge":12736.00,"npi":[1295788735]}]}]}]},{"name":"ECHOCARDIOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"483","description":"CARDIOLOGY - ECHOCARDIOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":549.19,"providers":[{"billed_charge":12540.00,"npi":[1871619254]}]},{"allowed_amount":4975.68,"providers":[{"billed_charge":177591.00,"npi":[1871619254]}]},{"allowed_amount":1658.56,"providers":[{"billed_charge":82572.00,"npi":[1083937593]}]},{"allowed_amount":829.28,"providers":[{"billed_charge":86253.00,"npi":[1184179194]},{"billed_charge":167070.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":791.34,"providers":[{"billed_charge":3052.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":10158.85,"providers":[{"billed_charge":14743.00,"npi":[1205900370]}]},{"allowed_amount":33361.21,"providers":[{"billed_charge":124698.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":700.18,"providers":[{"billed_charge":10936.00,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1084.31,"providers":[{"billed_charge":4315.93,"npi":[1669472387]},{"billed_charge":50297.63,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":544.58,"providers":[{"billed_charge":18570.00,"npi":[1124092036]}]},{"allowed_amount":341.06,"providers":[{"billed_charge":4428.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1450.50,"providers":[{"billed_charge":25718.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":537.38,"providers":[{"billed_charge":5477.42,"npi":[1477516466]}]},{"allowed_amount":3649.07,"providers":[{"billed_charge":53064.83,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4877.68,"providers":[{"billed_charge":178119.00,"npi":[1891789772]}]},{"allowed_amount":1582.68,"providers":[{"billed_charge":40707.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":633.25,"providers":[{"billed_charge":15598.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3317.12,"providers":[{"billed_charge":85793.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":461.08,"providers":[{"billed_charge":6830.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":746.74,"providers":[{"billed_charge":19236.00,"npi":[1679578439]}]}]}]},{"name":"AMBUL SURG","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"490","description":"AMBULATORY SURGICAL CARE - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"462356251"},"service_code":["24"],"billing_class":"institutional","payments":[{"allowed_amount":7191.30,"providers":[{"billed_charge":26000.00,"npi":[1538579313]}]}]}]},{"name":"ABD PARACENTESIS W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49083","description":"ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE","allowed_amounts":[{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":233.46,"providers":[{"billed_charge":722.00,"npi":[1609867126]}]},{"allowed_amount":1354.92,"providers":[{"billed_charge":5054.00,"npi":[1609867126]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":174.14,"providers":[{"billed_charge":2028.00,"npi":[1124513817]}]}]}]},{"name":"CLINIC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"510","description":"CLINIC - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3505.30,"providers":[{"billed_charge":4964.00,"npi":[1205900370]}]},{"allowed_amount":18695.71,"providers":[{"billed_charge":14951.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":202.08,"providers":[{"billed_charge":361.22,"npi":[1629089966]}]},{"allowed_amount":7182.30,"providers":[{"billed_charge":16200.75,"npi":[1629089966]}]}]}]},{"name":"PEDS CLINIC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"515","description":"CLINIC - PEDIATRIC CLINIC","allowed_amounts":[{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":4286.63,"providers":[{"billed_charge":22196.00,"npi":[1548286172]}]},{"allowed_amount":15227.36,"providers":[{"billed_charge":92689.00,"npi":[1124796081]}]}]}]},{"name":"US URINE CAPACITY MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51798","description":"MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND, NON-IMAGING","allowed_amounts":[{"tin":{"type":"ein","value":"300944941"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.15,"providers":[{"billed_charge":120.00,"npi":[1366048498]}]}]}]},{"name":"RURAL/CLINIC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"521","description":"FREE-STANDING CLINIC - RURAL HEALTH-CLINIC","allowed_amounts":[{"tin":{"type":"ein","value":"812117336"},"service_code":["72"],"billing_class":"institutional","payments":[{"allowed_amount":2913.59,"providers":[{"billed_charge":3859.00,"npi":[1962271692]}]}]}]},{"name":"AMBULANCE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"540","description":"AMBULANCE - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":76232.52,"providers":[{"billed_charge":130549.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":119268.54,"providers":[{"billed_charge":268983.75,"npi":[1982666111]}]}]}]},{"name":"MRI","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"610","description":"MRI - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":242.11,"providers":[{"billed_charge":3955.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":226.97,"providers":[{"billed_charge":4111.00,"npi":[1205900370]}]},{"allowed_amount":17261.28,"providers":[{"billed_charge":199843.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4460.35,"providers":[{"billed_charge":53815.04,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6526.15,"providers":[{"billed_charge":67752.27,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":572.34,"providers":[{"billed_charge":12890.50,"npi":[1730132234]}]},{"allowed_amount":1532.06,"providers":[{"billed_charge":9594.75,"npi":[1982666111]}]},{"allowed_amount":1825.56,"providers":[{"billed_charge":36625.75,"npi":[1982666111]}]},{"allowed_amount":2329.66,"providers":[{"billed_charge":44977.75,"npi":[1730132234]}]}]}]},{"name":"MRI-BRAIN","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"611","description":"MRI - BRAIN (INCLUDING BRAINSTEM)","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":242.11,"providers":[{"billed_charge":2322.00,"npi":[1871619254]}]},{"allowed_amount":365.59,"providers":[{"billed_charge":26029.00,"npi":[1497871628]}]},{"allowed_amount":1445.87,"providers":[{"billed_charge":40074.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2726.32,"providers":[{"billed_charge":117629.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":540.14,"providers":[{"billed_charge":32763.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1748.36,"providers":[{"billed_charge":6743.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1213.92,"providers":[{"billed_charge":5576.00,"npi":[1548387418]}]},{"allowed_amount":1445.87,"providers":[{"billed_charge":27770.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":387.38,"providers":[{"billed_charge":33587.50,"npi":[1932152337]},{"billed_charge":24606.00,"npi":[1295788735]}]},{"allowed_amount":3397.92,"providers":[{"billed_charge":78627.25,"npi":[1982666111]}]},{"allowed_amount":1532.06,"providers":[{"billed_charge":17183.50,"npi":[1730132234]}]},{"allowed_amount":1347.10,"providers":[{"billed_charge":178681.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2983.28,"providers":[{"billed_charge":29759.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":461.86,"providers":[{"billed_charge":8347.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":319.72,"providers":[{"billed_charge":13088.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":826.31,"providers":[{"billed_charge":53445.00,"npi":[1679578439]}]}]}]},{"name":"MRI-SPINE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"612","description":"MRI - SPINAL CORD (INCLUDING SPINE)","allowed_amounts":[{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6451.48,"providers":[{"billed_charge":61960.16,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":365.59,"providers":[{"billed_charge":9735.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6614.73,"providers":[{"billed_charge":74054.14,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":348.71,"providers":[{"billed_charge":1271.00,"npi":[1992753222]},{"billed_charge":15650.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":242.11,"providers":[{"billed_charge":5898.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":865.84,"providers":[{"billed_charge":12525.25,"npi":[1982666111]}]},{"allowed_amount":2324.28,"providers":[{"billed_charge":127540.00,"npi":[1730132234]}]},{"allowed_amount":5491.34,"providers":[{"billed_charge":143168.75,"npi":[1982666111]}]},{"allowed_amount":1369.94,"providers":[{"billed_charge":20788.50,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3797.04,"providers":[{"billed_charge":47883.00,"npi":[1336172105]}]}]}]},{"name":"MAGNETIC RESONANCE TECHNOLOG","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"614","description":"MAGNETIC RESONANCE TECHNOLOGY - MRI -OTHER","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":541.15,"providers":[{"billed_charge":6866.50,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":242.11,"providers":[{"billed_charge":2763.00,"npi":[1891789772]}]},{"allowed_amount":1080.28,"providers":[{"billed_charge":6075.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":357.71,"providers":[{"billed_charge":5877.00,"npi":[1548387418]}]}]}]},{"name":"DRUG/DETAIL CODE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"636","description":"DRUGS REQ SPEC IDENTIFICATION - DRUGS REQ DETAILED CODING*","allowed_amounts":[{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":336.95,"providers":[{"billed_charge":16674.40,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":22856.65,"providers":[{"billed_charge":920584.36,"npi":[1992753222]}]},{"allowed_amount":9.72,"providers":[{"billed_charge":118.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"621795574"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.60,"providers":[{"billed_charge":723.60,"npi":[1801852736]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":551.32,"providers":[{"billed_charge":15776.88,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.29,"providers":[{"billed_charge":15567.39,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.69,"providers":[{"billed_charge":5362.85,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":707.75,"providers":[{"billed_charge":61231.44,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72.83,"providers":[{"billed_charge":16507.50,"npi":[1689629941]}]},{"allowed_amount":13.62,"providers":[{"billed_charge":4096.25,"npi":[1528027786]}]},{"allowed_amount":13.12,"providers":[{"billed_charge":4269.75,"npi":[1275592131]}]},{"allowed_amount":2.89,"providers":[{"billed_charge":2685.75,"npi":[1033165501]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70.63,"providers":[{"billed_charge":246005.00,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":10.20,"providers":[{"billed_charge":1258.00,"npi":[1265568638]}]},{"allowed_amount":1049.11,"providers":[{"billed_charge":8954.74,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":382.50,"providers":[{"billed_charge":14012.83,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"814636159"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.58,"providers":[{"billed_charge":4800.00,"npi":[1245755933]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2080.15,"providers":[{"billed_charge":51037.58,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"931592669"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.82,"providers":[{"billed_charge":6811.02,"npi":[1639853443]}]}]},{"tin":{"type":"ein","value":"135596796"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57.90,"providers":[{"billed_charge":193.00,"npi":[1780600577]}]}]},{"tin":{"type":"ein","value":"746025069"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.20,"providers":[{"billed_charge":310.40,"npi":[1679678767]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.58,"providers":[{"billed_charge":323.29,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"621762537"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.18,"providers":[{"billed_charge":137.00,"npi":[1861439952]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.81,"providers":[{"billed_charge":3599.73,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3830.15,"providers":[{"billed_charge":34854.58,"npi":[1477643690]}]},{"allowed_amount":4648.32,"providers":[{"billed_charge":78567.83,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":26965.74,"providers":[{"billed_charge":77122.80,"npi":[1548226988]}]},{"allowed_amount":11323.62,"providers":[{"billed_charge":77606.26,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.65,"providers":[{"billed_charge":2535.46,"npi":[1780436287]}]},{"allowed_amount":9.20,"providers":[{"billed_charge":4939.88,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":871.64,"providers":[{"billed_charge":3024.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":85954.96,"providers":[{"billed_charge":150826.25,"npi":[1205900370]}]},{"allowed_amount":1921.93,"providers":[{"billed_charge":7655.32,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":656.54,"providers":[{"billed_charge":30149.35,"npi":[1629089966]}]},{"allowed_amount":10504.09,"providers":[{"billed_charge":138855.48,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15793.54,"providers":[{"billed_charge":83657.27,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752682017"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.29,"providers":[{"billed_charge":5845.48,"npi":[1114998911]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":485.28,"providers":[{"billed_charge":15445.60,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57.94,"providers":[{"billed_charge":27948.08,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":51.44,"providers":[{"billed_charge":22977.25,"npi":[1124137054]}]},{"allowed_amount":10.33,"providers":[{"billed_charge":4839.25,"npi":[1619115383]}]},{"allowed_amount":0.60,"providers":[{"billed_charge":853.25,"npi":[1447355771]}]},{"allowed_amount":406.95,"providers":[{"billed_charge":22737.50,"npi":[1093810327]}]},{"allowed_amount":1.24,"providers":[{"billed_charge":4197.13,"npi":[1124137054]}]},{"allowed_amount":4887.23,"providers":[{"billed_charge":37209.75,"npi":[1578780870]}]},{"allowed_amount":9.21,"providers":[{"billed_charge":9001.25,"npi":[1164526786]}]}]},{"tin":{"type":"ein","value":"752426010"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.23,"providers":[{"billed_charge":540.00,"npi":[1073580726]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":377.99,"providers":[{"billed_charge":5500.48,"npi":[1407191984]}]},{"allowed_amount":695.44,"providers":[{"billed_charge":220335.86,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":998.85,"providers":[{"billed_charge":6319.98,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"813556450"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":137.14,"providers":[{"billed_charge":61.00,"npi":[1467935866]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.10,"providers":[{"billed_charge":10320.92,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.83,"providers":[{"billed_charge":12787.68,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72.21,"providers":[{"billed_charge":14721.08,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"871585575"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.55,"providers":[{"billed_charge":19414.52,"npi":[1619549474]}]}]},{"tin":{"type":"ein","value":"112226275"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":266.26,"providers":[{"billed_charge":24207.43,"npi":[1871884163]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61.79,"providers":[{"billed_charge":46538.23,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"272025690"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":66.79,"providers":[{"billed_charge":18607.52,"npi":[1013957836]}]},{"allowed_amount":0.78,"providers":[{"billed_charge":249.64,"npi":[1013957836]}]}]},{"tin":{"type":"ein","value":"311439334"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.23,"providers":[{"billed_charge":87.35,"npi":[1982784534]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.20,"providers":[{"billed_charge":6372.93,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":825.52,"providers":[{"billed_charge":10975.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1942.64,"providers":[{"billed_charge":11839.00,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7849.26,"providers":[{"billed_charge":51540.51,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"621656022"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.29,"providers":[{"billed_charge":730.02,"npi":[1619924719]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40.10,"providers":[{"billed_charge":4534.13,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1457.98,"providers":[{"billed_charge":48762.73,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":82.36,"providers":[{"billed_charge":5856.75,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"871558323"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.34,"providers":[{"billed_charge":12111.46,"npi":[1063084820]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":229.52,"providers":[{"billed_charge":18602.91,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":118.51,"providers":[{"billed_charge":6355.20,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"473231590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.62,"providers":[{"billed_charge":1529.07,"npi":[1578933818]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":145.47,"providers":[{"billed_charge":4223.28,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72.65,"providers":[{"billed_charge":29352.80,"npi":[1194548073]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":15856.64,"providers":[{"billed_charge":376641.18,"npi":[1679557888]}]},{"allowed_amount":70.43,"providers":[{"billed_charge":8097.32,"npi":[1598749707]}]},{"allowed_amount":188.30,"providers":[{"billed_charge":3349.57,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"462942963"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":1036.37,"providers":[{"billed_charge":1594.40,"npi":[1427472463]}]},{"allowed_amount":2974.24,"providers":[{"billed_charge":4575.75,"npi":[1427472463]}]}]},{"tin":{"type":"ein","value":"760354630"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":3696.55,"providers":[{"billed_charge":5687.00,"npi":[1700885076]}]},{"allowed_amount":7002.45,"providers":[{"billed_charge":10773.00,"npi":[1700885076]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3502.06,"providers":[{"billed_charge":28329.31,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18273.53,"providers":[{"billed_charge":375713.75,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":397.14,"providers":[{"billed_charge":1860.11,"npi":[1104845015]}]},{"allowed_amount":2230.26,"providers":[{"billed_charge":147829.33,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.32,"providers":[{"billed_charge":1948.45,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":828.32,"providers":[{"billed_charge":464624.22,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"994827700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.29,"providers":[{"billed_charge":2050.60,"npi":[1336976034]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.94,"providers":[{"billed_charge":438.75,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11162.27,"providers":[{"billed_charge":172305.13,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.47,"providers":[{"billed_charge":4771.09,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":687.80,"providers":[{"billed_charge":41833.98,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":135.28,"providers":[{"billed_charge":1539.27,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":144.11,"providers":[{"billed_charge":15729.19,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":327.05,"providers":[{"billed_charge":6924.09,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":67.88,"providers":[{"billed_charge":25124.66,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":616.15,"providers":[{"billed_charge":1039.20,"npi":[1154324952]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.15,"providers":[{"billed_charge":25581.29,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"851941193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.55,"providers":[{"billed_charge":1139.59,"npi":[1184233785]}]}]},{"tin":{"type":"ein","value":"621789402"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.00,"providers":[{"billed_charge":131.80,"npi":[1700805678]}]}]},{"tin":{"type":"ein","value":"720408982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":131.15,"providers":[{"billed_charge":437.10,"npi":[1417950106]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":188.57,"providers":[{"billed_charge":7352.42,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":291.60,"providers":[{"billed_charge":20431.44,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":3960.68,"providers":[{"billed_charge":236427.50,"npi":[1497871628]}]},{"allowed_amount":5758.67,"providers":[{"billed_charge":365979.00,"npi":[1871619254]}]},{"allowed_amount":5697.22,"providers":[{"billed_charge":374802.00,"npi":[1083937593]}]},{"allowed_amount":151.82,"providers":[{"billed_charge":778234.00,"npi":[1184179194]}]},{"allowed_amount":15935.89,"providers":[{"billed_charge":131619.50,"npi":[1629828405]}]},{"allowed_amount":0.69,"providers":[{"billed_charge":7351.00,"npi":[1083937593]}]},{"allowed_amount":2262.32,"providers":[{"billed_charge":186993.00,"npi":[1184179194]}]},{"allowed_amount":452.59,"providers":[{"billed_charge":7190.50,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":153.90,"providers":[{"billed_charge":14493.88,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"237309937"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51.73,"providers":[{"billed_charge":172.40,"npi":[1649299827]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43.06,"providers":[{"billed_charge":3920.97,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":159.18,"providers":[{"billed_charge":21734.71,"npi":[1356960132]}]},{"allowed_amount":799.08,"providers":[{"billed_charge":6937.65,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":678.92,"providers":[{"billed_charge":261120.03,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"301195747"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.50,"providers":[{"billed_charge":1149.90,"npi":[1003476961]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.08,"providers":[{"billed_charge":3668.16,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"334202404"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":141.32,"providers":[{"billed_charge":541.00,"npi":[1053105619]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":142.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2130.62,"providers":[{"billed_charge":9691.25,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"741698143"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.07,"providers":[{"billed_charge":588.70,"npi":[1124052162]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.75,"providers":[{"billed_charge":10782.01,"npi":[1003885641]}]},{"allowed_amount":2547.66,"providers":[{"billed_charge":160238.84,"npi":[1689641680]}]},{"allowed_amount":448.57,"providers":[{"billed_charge":4860.13,"npi":[1447228747]}]},{"allowed_amount":14247.98,"providers":[{"billed_charge":127620.06,"npi":[1093783391]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":28.78,"providers":[{"billed_charge":143.16,"npi":[1629076468]}]},{"allowed_amount":163.37,"providers":[{"billed_charge":544.57,"npi":[1629076468]}]},{"allowed_amount":501.83,"providers":[{"billed_charge":1672.71,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48.50,"providers":[{"billed_charge":35540.18,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"222592333"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":298.71,"providers":[{"billed_charge":995.68,"npi":[1922024835]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9044.74,"providers":[{"billed_charge":151065.47,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":271.44,"providers":[{"billed_charge":468.00,"npi":[1194743013]}]},{"allowed_amount":728.51,"providers":[{"billed_charge":1256.05,"npi":[1720480627]}]},{"allowed_amount":4292.17,"providers":[{"billed_charge":7400.30,"npi":[1720480627]}]},{"allowed_amount":2024.17,"providers":[{"billed_charge":3489.95,"npi":[1194743013]}]},{"allowed_amount":28768.99,"providers":[{"billed_charge":49601.70,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.96,"providers":[{"billed_charge":1677.50,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17275.48,"providers":[{"billed_charge":91854.85,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"331073948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10861.13,"providers":[{"billed_charge":14321.48,"npi":[1063411767]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.60,"providers":[{"billed_charge":20599.99,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":733.27,"providers":[{"billed_charge":4854.76,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4468.85,"providers":[{"billed_charge":31720.18,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"202848116"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.26,"providers":[{"billed_charge":1872.32,"npi":[1629138029]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.76,"providers":[{"billed_charge":1558.19,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.51,"providers":[{"billed_charge":176.40,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1113.18,"providers":[{"billed_charge":10010.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6169.67,"providers":[{"billed_charge":179063.75,"npi":[1932152337]}]},{"allowed_amount":21952.95,"providers":[{"billed_charge":223811.62,"npi":[1295843787]}]},{"allowed_amount":3.82,"providers":[{"billed_charge":2739.50,"npi":[1740233782]},{"billed_charge":4435.50,"npi":[1295843787]}]},{"allowed_amount":543.41,"providers":[{"billed_charge":84084.75,"npi":[1295788735]}]},{"allowed_amount":35807.65,"providers":[{"billed_charge":650465.25,"npi":[1730132234]}]},{"allowed_amount":1.10,"providers":[{"billed_charge":2224.50,"npi":[1932152337]}]},{"allowed_amount":598.34,"providers":[{"billed_charge":5405.50,"npi":[1982666111]}]},{"allowed_amount":0.56,"providers":[{"billed_charge":4643.75,"npi":[1730132234]}]},{"allowed_amount":1010.20,"providers":[{"billed_charge":63857.25,"npi":[1740233782]}]},{"allowed_amount":28948.35,"providers":[{"billed_charge":308004.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68565.83,"providers":[{"billed_charge":471247.71,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":107.98,"providers":[{"billed_charge":35778.20,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":5079.22,"providers":[{"billed_charge":31068.02,"npi":[1023013448]}]},{"allowed_amount":635.34,"providers":[{"billed_charge":3230.86,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"465735510"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":152.46,"providers":[{"billed_charge":7050.00,"npi":[1164827093]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":198.57,"providers":[{"billed_charge":1571.73,"npi":[1811973100]}]},{"allowed_amount":505.86,"providers":[{"billed_charge":1686.27,"npi":[1811973100]}]},{"allowed_amount":345.28,"providers":[{"billed_charge":1348.74,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":4058.78,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":875.97,"providers":[{"billed_charge":7242.36,"npi":[1154315307]}]},{"allowed_amount":1.33,"providers":[{"billed_charge":11.22,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"823064813"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":203.79,"providers":[{"billed_charge":42986.44,"npi":[1780184739]}]}]},{"tin":{"type":"ein","value":"871558137"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.67,"providers":[{"billed_charge":19760.70,"npi":[1992377741]}]}]},{"tin":{"type":"ein","value":"821550918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":367.62,"providers":[{"billed_charge":493.53,"npi":[1730183658]}]}]},{"tin":{"type":"ein","value":"752302928"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.40,"providers":[{"billed_charge":98.00,"npi":[1740273994]}]}]},{"tin":{"type":"ein","value":"440577118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":246.90,"providers":[{"billed_charge":831.95,"npi":[1093740128]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":647.08,"providers":[{"billed_charge":3520.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":9603.35,"providers":[{"billed_charge":266557.00,"npi":[1548387418]}]},{"allowed_amount":398.52,"providers":[{"billed_charge":6915.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":190.42,"providers":[{"billed_charge":2322.59,"npi":[1336172105]}]},{"allowed_amount":24712.88,"providers":[{"billed_charge":409672.76,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":861.37,"providers":[{"billed_charge":1199.00,"npi":[1861475626]}]},{"allowed_amount":24.98,"providers":[{"billed_charge":44.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"210634549"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":838.37,"providers":[{"billed_charge":2794.60,"npi":[1013919315]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.17,"providers":[{"billed_charge":888.75,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"720535375"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":33.30,"providers":[{"billed_charge":111.00,"npi":[1275536799]}]},{"allowed_amount":661.46,"providers":[{"billed_charge":5895.91,"npi":[1275536799]}]}]},{"tin":{"type":"ein","value":"436004435"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":150.52,"providers":[{"billed_charge":501.72,"npi":[1891766051]}]}]},{"tin":{"type":"ein","value":"752387418"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":466.48,"providers":[{"billed_charge":1457.75,"npi":[1508810573]}]},{"allowed_amount":642.80,"providers":[{"billed_charge":16520.64,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":11.74,"providers":[{"billed_charge":1700.33,"npi":[1548286172]}]},{"allowed_amount":78257.24,"providers":[{"billed_charge":855112.50,"npi":[1124796081]}]},{"allowed_amount":51774.80,"providers":[{"billed_charge":383615.37,"npi":[1548286172]}]},{"allowed_amount":284.58,"providers":[{"billed_charge":11429.01,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":177.61,"providers":[{"billed_charge":2968.32,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"843654542"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.35,"providers":[{"billed_charge":1575.49,"npi":[1245878990]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":191.73,"providers":[{"billed_charge":10553.88,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":709.05,"providers":[{"billed_charge":15972.72,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":7082.54,"providers":[{"billed_charge":11196.20,"npi":[1598744856]}]},{"allowed_amount":1448.72,"providers":[{"billed_charge":2228.80,"npi":[1598744856]}]},{"allowed_amount":217.10,"providers":[{"billed_charge":334.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35.63,"providers":[{"billed_charge":15199.65,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"751752253"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.70,"providers":[{"billed_charge":223.40,"npi":[1922031541]}]}]},{"tin":{"type":"ein","value":"522438452"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1478.88,"providers":[{"billed_charge":3081.00,"npi":[1417279936]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.22,"providers":[{"billed_charge":2156.22,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4528.04,"providers":[{"billed_charge":33358.73,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"383862800"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":265.29,"providers":[{"billed_charge":884.29,"npi":[1467476556]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.03,"providers":[{"billed_charge":1019.16,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"756001193"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.27,"providers":[{"billed_charge":20.00,"npi":[1720096019]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23","19"],"billing_class":"institutional","payments":[{"allowed_amount":3067.56,"providers":[{"billed_charge":10456.00,"npi":[1285798918]}]},{"allowed_amount":7.61,"providers":[{"billed_charge":11821.20,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"751584559"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.45,"providers":[{"billed_charge":293.25,"npi":[1255325817]}]}]},{"tin":{"type":"ein","value":"472616215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":854.50,"providers":[{"billed_charge":7250.00,"npi":[1922468156]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":365.11,"providers":[{"billed_charge":897.16,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2169.55,"providers":[{"billed_charge":153272.58,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4669.40,"providers":[{"billed_charge":96071.72,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"756003896"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":0.69,"providers":[{"billed_charge":341.70,"npi":[1275581852]}]},{"allowed_amount":14.94,"providers":[{"billed_charge":1082.28,"npi":[1275581852]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5983.50,"providers":[{"billed_charge":58430.42,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":461.32,"providers":[{"billed_charge":90927.42,"npi":[1770514077]}]},{"allowed_amount":19.50,"providers":[{"billed_charge":200647.81,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"452662980"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2075.45,"providers":[{"billed_charge":3393.00,"npi":[1154618742]}]}]},{"tin":{"type":"ein","value":"473637912"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77.87,"providers":[{"billed_charge":24875.95,"npi":[1215449954]}]}]},{"tin":{"type":"ein","value":"751977850"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.92,"providers":[{"billed_charge":2065.54,"npi":[1396778064]}]}]},{"tin":{"type":"ein","value":"716046242"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":78.50,"providers":[{"billed_charge":261.61,"npi":[1477549756]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.48,"providers":[{"billed_charge":3783.82,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"412002771"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56.68,"providers":[{"billed_charge":188.90,"npi":[1427103910]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3826.66,"providers":[{"billed_charge":26945.72,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":727.00,"providers":[{"billed_charge":498437.41,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.11,"providers":[{"billed_charge":2571.93,"npi":[1144781501]}]},{"allowed_amount":17.92,"providers":[{"billed_charge":1547.04,"npi":[1902366305]}]},{"allowed_amount":69.57,"providers":[{"billed_charge":4898.92,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":0.70,"providers":[{"billed_charge":2731.73,"npi":[1124092036]}]},{"allowed_amount":17988.10,"providers":[{"billed_charge":320083.40,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"481172106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":442.01,"providers":[{"billed_charge":1473.31,"npi":[1154314789]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4616.67,"providers":[{"billed_charge":152450.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2794.28,"providers":[{"billed_charge":8205.80,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51.31,"providers":[{"billed_charge":4215.77,"npi":[1194787218]}]},{"allowed_amount":15.87,"providers":[{"billed_charge":9562.46,"npi":[1447883301]}]},{"allowed_amount":11.63,"providers":[{"billed_charge":1268.35,"npi":[1780867390]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":922.76,"providers":[{"billed_charge":12305.15,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":381.69,"providers":[{"billed_charge":23556.00,"npi":[1891789772]}]},{"allowed_amount":17610.20,"providers":[{"billed_charge":534245.50,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":710.92,"providers":[{"billed_charge":2006.03,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"726014606"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.80,"providers":[{"billed_charge":32.66,"npi":[1295716637]}]}]},{"tin":{"type":"ein","value":"873660108"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":123.75,"providers":[{"billed_charge":35730.25,"npi":[1134886278]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4573.47,"providers":[{"billed_charge":55569.85,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"272814378"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.80,"providers":[{"billed_charge":555.82,"npi":[1841562709]}]}]},{"tin":{"type":"ein","value":"856003005"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":353.11,"providers":[{"billed_charge":813.60,"npi":[1689747552]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.66,"providers":[{"billed_charge":113.38,"npi":[1851108765]}]},{"allowed_amount":7794.55,"providers":[{"billed_charge":6785.75,"npi":[1124305065]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":327.83,"providers":[{"billed_charge":508.50,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"581725656"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7306.43,"providers":[{"billed_charge":24354.82,"npi":[1770522906]}]}]},{"tin":{"type":"ein","value":"621762428"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":13380.38,"npi":[1144274226]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.79,"providers":[{"billed_charge":575.00,"npi":[1770214256]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":574.04,"providers":[{"billed_charge":8835.02,"npi":[1285252593]}]}]}]},{"name":"SELF-ADMINISTRABLE DRUGS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"637","description":"SELF-ADMINISTRABLE DRUGS","allowed_amounts":[{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.80,"providers":[{"billed_charge":172.41,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.90,"providers":[{"billed_charge":4280.32,"npi":[1366815144]}]}]}]},{"name":"HOSPICE/RTN HOME","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"651","description":"HOSPICE SERVICES - ROUTINE HOME CARE","allowed_amounts":[{"tin":{"type":"ein","value":"202170043"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":2812.00,"providers":[{"billed_charge":3230.00,"npi":[1013901719]}]}]},{"tin":{"type":"ein","value":"272755934"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":12136.00,"providers":[{"billed_charge":78395.28,"npi":[1942512892]}]}]},{"tin":{"type":"ein","value":"203086182"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":6820.00,"providers":[{"billed_charge":6820.00,"npi":[1437290277]}]}]},{"tin":{"type":"ein","value":"742368758"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":1248.00,"providers":[{"billed_charge":1680.00,"npi":[1851590442]}]}]},{"tin":{"type":"ein","value":"752573838"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":1036.00,"providers":[{"billed_charge":1572.34,"npi":[1376574384]}]}]},{"tin":{"type":"ein","value":"650866305"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":372.00,"providers":[{"billed_charge":372.00,"npi":[1609915966]}]}]}]},{"name":"HOSPICE/NON-RESPITE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"656","description":"HOSPICE SERVICES - GENERAL INPATIENT CARE (NON-RESPITE)","allowed_amounts":[{"tin":{"type":"ein","value":"650866305"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":4185.00,"providers":[{"billed_charge":4185.00,"npi":[1609915966]}]}]}]},{"name":"CT HEAD/BRAIN W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70450","description":"COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"814972048"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":75.54,"providers":[{"billed_charge":370.00,"npi":[1922291863]}]},{"allowed_amount":37.77,"providers":[{"billed_charge":185.00,"npi":[1578568903]}]},{"allowed_amount":438.41,"providers":[{"billed_charge":2035.00,"npi":[1922291863]}]},{"allowed_amount":64.54,"providers":[{"billed_charge":370.00,"npi":[1578568903]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":837.15,"providers":[{"billed_charge":3576.00,"npi":[1407149941]}]},{"allowed_amount":1583.52,"providers":[{"billed_charge":7152.00,"npi":[1285838862]}]},{"allowed_amount":95.28,"providers":[{"billed_charge":447.00,"npi":[1285838862]}]},{"allowed_amount":91.19,"providers":[{"billed_charge":298.00,"npi":[1104263839]}]},{"allowed_amount":31.76,"providers":[{"billed_charge":149.00,"npi":[1366707564,1740609684]}]},{"allowed_amount":127.04,"providers":[{"billed_charge":596.00,"npi":[1306003579]}]},{"allowed_amount":73.78,"providers":[{"billed_charge":298.00,"npi":[1407149941]}]},{"allowed_amount":39.76,"providers":[{"billed_charge":149.00,"npi":[1306003579]}]},{"allowed_amount":143.04,"providers":[{"billed_charge":596.00,"npi":[1285838862]}]},{"allowed_amount":190.56,"providers":[{"billed_charge":894.00,"npi":[1326007972]}]},{"allowed_amount":569.44,"providers":[{"billed_charge":2441.00,"npi":[1366707564]}]},{"allowed_amount":487.79,"providers":[{"billed_charge":1753.00,"npi":[1730316118]}]},{"allowed_amount":63.52,"providers":[{"billed_charge":298.00,"npi":[1740609684]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":585.78,"providers":[{"billed_charge":4578.00,"npi":[1003806654]}]},{"allowed_amount":79.52,"providers":[{"billed_charge":654.00,"npi":[1538159389,1750685806,1649612763,1174986657,1003806654,1568787836]}]},{"allowed_amount":77.94,"providers":[{"billed_charge":654.00,"npi":[1184983538,1346534120]}]},{"allowed_amount":606.70,"providers":[{"billed_charge":4578.00,"npi":[1568787836]}]},{"allowed_amount":240.09,"providers":[{"billed_charge":1962.00,"npi":[1568651065]}]},{"allowed_amount":830.44,"providers":[{"billed_charge":6213.00,"npi":[1922017409]}]},{"allowed_amount":39.76,"providers":[{"billed_charge":327.00,"npi":[1871583278,1538159389,1558772731,1700131760,1750685806,1568787836]}]},{"allowed_amount":1034.22,"providers":[{"billed_charge":7848.00,"npi":[1649612763]}]},{"allowed_amount":929.12,"providers":[{"billed_charge":7194.00,"npi":[1346534120]}]},{"allowed_amount":379.65,"providers":[{"billed_charge":2943.00,"npi":[1841396025]}]},{"allowed_amount":116.12,"providers":[{"billed_charge":981.00,"npi":[1700131760]}]},{"allowed_amount":119.28,"providers":[{"billed_charge":981.00,"npi":[1376991935,1871819565]}]},{"allowed_amount":825.39,"providers":[{"billed_charge":6213.00,"npi":[1538159389]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":1635.00,"npi":[1407397847]}]},{"allowed_amount":206.13,"providers":[{"billed_charge":1635.00,"npi":[1750329470]}]},{"allowed_amount":345.19,"providers":[{"billed_charge":2616.00,"npi":[1558772731]}]},{"allowed_amount":1236.65,"providers":[{"billed_charge":9483.00,"npi":[1639368939]}]},{"allowed_amount":364.74,"providers":[{"billed_charge":2943.00,"npi":[1093913675]}]},{"allowed_amount":343.34,"providers":[{"billed_charge":2616.00,"npi":[1184983538]}]},{"allowed_amount":276.74,"providers":[{"billed_charge":2289.00,"npi":[1306081518]}]},{"allowed_amount":184.23,"providers":[{"billed_charge":1308.00,"npi":[1174986657]}]},{"allowed_amount":117.70,"providers":[{"billed_charge":981.00,"npi":[1306081518,1639368939]}]},{"allowed_amount":1356.16,"providers":[{"billed_charge":10137.00,"npi":[1407397847]}]},{"allowed_amount":516.86,"providers":[{"billed_charge":3924.00,"npi":[1871583278]}]},{"allowed_amount":1123.08,"providers":[{"billed_charge":8175.00,"npi":[1205223799]}]},{"allowed_amount":631.32,"providers":[{"billed_charge":4578.00,"npi":[1306081518]}]},{"allowed_amount":296.82,"providers":[{"billed_charge":2289.00,"npi":[1871819565]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":327.00,"npi":[1093913675,1376991935]}]},{"allowed_amount":463.92,"providers":[{"billed_charge":3924.00,"npi":[1700131760]}]},{"allowed_amount":1085.90,"providers":[{"billed_charge":8175.00,"npi":[1952696692]}]},{"allowed_amount":1860.11,"providers":[{"billed_charge":14061.00,"npi":[1376991935]}]},{"allowed_amount":472.38,"providers":[{"billed_charge":3924.00,"npi":[1952696692]}]},{"allowed_amount":436.38,"providers":[{"billed_charge":3270.00,"npi":[1750685806]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":833.64,"providers":[{"billed_charge":2090.00,"npi":[1164733416]}]},{"allowed_amount":238.56,"providers":[{"billed_charge":660.00,"npi":[1225070311]}]},{"allowed_amount":901.56,"providers":[{"billed_charge":2310.00,"npi":[1093759193]}]},{"allowed_amount":274.86,"providers":[{"billed_charge":660.00,"npi":[1295260735]}]},{"allowed_amount":39.76,"providers":[{"billed_charge":110.00,"npi":[1225070311,1164733416,1538546577,1700011053,1679367221]}]},{"allowed_amount":119.28,"providers":[{"billed_charge":330.00,"npi":[1225070311,1538546577,1093759193,1700011053]}]},{"allowed_amount":2004.56,"providers":[{"billed_charge":5720.00,"npi":[1700011053]}]},{"allowed_amount":45.81,"providers":[{"billed_charge":110.00,"npi":[1295260735]}]},{"allowed_amount":198.80,"providers":[{"billed_charge":550.00,"npi":[1164733416]}]},{"allowed_amount":1207.20,"providers":[{"billed_charge":3300.00,"npi":[1538546577]}]},{"allowed_amount":2219.48,"providers":[{"billed_charge":6050.00,"npi":[1679367221]}]},{"allowed_amount":2833.08,"providers":[{"billed_charge":7590.00,"npi":[1225070311]}]},{"allowed_amount":159.04,"providers":[{"billed_charge":440.00,"npi":[1679367221]}]}]},{"tin":{"type":"ein","value":"751286819"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":744.50,"providers":[{"billed_charge":1680.00,"npi":[1568416204]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":114.54,"providers":[{"billed_charge":444.00,"npi":[1295799088,1457447120,1538123138]}]},{"allowed_amount":2557.38,"providers":[{"billed_charge":9472.00,"npi":[1295799088]}]},{"allowed_amount":305.44,"providers":[{"billed_charge":1184.00,"npi":[1417290511]}]},{"allowed_amount":362.28,"providers":[{"billed_charge":1480.00,"npi":[1972548139]}]},{"allowed_amount":76.36,"providers":[{"billed_charge":296.00,"npi":[1972548139]}]},{"allowed_amount":152.72,"providers":[{"billed_charge":592.00,"npi":[1417290511,1295799088]}]},{"allowed_amount":2017.77,"providers":[{"billed_charge":7844.00,"npi":[1538123138]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":148.00,"npi":[1528370319,1538123138]}]},{"allowed_amount":1289.64,"providers":[{"billed_charge":5032.00,"npi":[1457447120]}]},{"allowed_amount":267.26,"providers":[{"billed_charge":1036.00,"npi":[1457447120]}]},{"allowed_amount":3476.25,"providers":[{"billed_charge":12876.00,"npi":[1417290511]}]},{"allowed_amount":121.95,"providers":[{"billed_charge":444.00,"npi":[1528370319]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":341.73,"providers":[{"billed_charge":1728.00,"npi":[1508363292]}]},{"allowed_amount":240.33,"providers":[{"billed_charge":1344.00,"npi":[1396186367]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":192.00,"npi":[1396186367,1508363292]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1627.10,"providers":[{"billed_charge":15925.00,"npi":[1528384138]}]},{"allowed_amount":257.20,"providers":[{"billed_charge":2548.00,"npi":[1366708000]}]},{"allowed_amount":321.55,"providers":[{"billed_charge":3185.00,"npi":[1437112851]}]},{"allowed_amount":4681.25,"providers":[{"billed_charge":46501.00,"npi":[1528384138]}]},{"allowed_amount":569.70,"providers":[{"billed_charge":5733.00,"npi":[1679501522]}]},{"allowed_amount":4193.37,"providers":[{"billed_charge":41405.00,"npi":[1295837292]}]},{"allowed_amount":252.00,"providers":[{"billed_charge":2548.00,"npi":[1922121607]}]},{"allowed_amount":2839.70,"providers":[{"billed_charge":28028.00,"npi":[1467696633]}]},{"allowed_amount":9086.74,"providers":[{"billed_charge":89817.00,"npi":[1922121607]}]},{"allowed_amount":258.55,"providers":[{"billed_charge":2548.00,"npi":[1356359335]}]},{"allowed_amount":3812.87,"providers":[{"billed_charge":38220.00,"npi":[1356359335]}]},{"allowed_amount":320.20,"providers":[{"billed_charge":3185.00,"npi":[1609254754]}]},{"allowed_amount":1099.70,"providers":[{"billed_charge":10829.00,"npi":[1992152342]}]},{"allowed_amount":196.80,"providers":[{"billed_charge":1911.00,"npi":[1760477236]}]},{"allowed_amount":1229.55,"providers":[{"billed_charge":12103.00,"npi":[1679501522]}]},{"allowed_amount":383.20,"providers":[{"billed_charge":3822.00,"npi":[1316149172]}]},{"allowed_amount":325.40,"providers":[{"billed_charge":3185.00,"npi":[1467696633]}]},{"allowed_amount":322.80,"providers":[{"billed_charge":3185.00,"npi":[1992152342]}]},{"allowed_amount":191.60,"providers":[{"billed_charge":1911.00,"npi":[1225472392]}]},{"allowed_amount":324.15,"providers":[{"billed_charge":3185.00,"npi":[1922121607]}]},{"allowed_amount":194.20,"providers":[{"billed_charge":1911.00,"npi":[1679020937,1548443542]}]},{"allowed_amount":9269.35,"providers":[{"billed_charge":91728.00,"npi":[1679501522]}]},{"allowed_amount":65.60,"providers":[{"billed_charge":637.00,"npi":[1295837292,1033646971,1609254754,1760477236,1679020937,1255597803]}]},{"allowed_amount":63.00,"providers":[{"billed_charge":637.00,"npi":[1841287018,1033646971,1760477236,1437112851]}]},{"allowed_amount":1686.15,"providers":[{"billed_charge":16562.00,"npi":[1679020937]}]},{"allowed_amount":2052.60,"providers":[{"billed_charge":20384.00,"npi":[1003078015]}]},{"allowed_amount":127.35,"providers":[{"billed_charge":1274.00,"npi":[1356359335]}]},{"allowed_amount":262.40,"providers":[{"billed_charge":2548.00,"npi":[1225472392]}]},{"allowed_amount":4751.77,"providers":[{"billed_charge":47138.00,"npi":[1316149172]}]},{"allowed_amount":576.15,"providers":[{"billed_charge":5733.00,"npi":[1205876943]}]},{"allowed_amount":127.30,"providers":[{"billed_charge":1274.00,"npi":[1255597803]}]},{"allowed_amount":2926.56,"providers":[{"billed_charge":29302.00,"npi":[1437112851]}]},{"allowed_amount":128.60,"providers":[{"billed_charge":1274.00,"npi":[1467696633,1992152342,1205876943]}]},{"allowed_amount":189.00,"providers":[{"billed_charge":1911.00,"npi":[1316149172]}]},{"allowed_amount":259.80,"providers":[{"billed_charge":2548.00,"npi":[1689840076]}]},{"allowed_amount":780.75,"providers":[{"billed_charge":7644.00,"npi":[1295837292]}]},{"allowed_amount":126.00,"providers":[{"billed_charge":1274.00,"npi":[1366708000,1740710169]}]},{"allowed_amount":581.35,"providers":[{"billed_charge":5733.00,"npi":[1841287018]}]},{"allowed_amount":951.65,"providers":[{"billed_charge":9555.00,"npi":[1528384138]}]},{"allowed_amount":719.00,"providers":[{"billed_charge":7007.00,"npi":[1003078015]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1557.54,"providers":[{"billed_charge":9537.00,"npi":[1720280530]}]},{"allowed_amount":1565.38,"providers":[{"billed_charge":7667.00,"npi":[1598290652]}]},{"allowed_amount":704.01,"providers":[{"billed_charge":3553.00,"npi":[1962512269]}]},{"allowed_amount":5413.17,"providers":[{"billed_charge":25993.00,"npi":[1093717001]}]},{"allowed_amount":3283.29,"providers":[{"billed_charge":16269.00,"npi":[1598290652]}]},{"allowed_amount":1947.18,"providers":[{"billed_charge":9537.00,"npi":[1811981590]}]},{"allowed_amount":274.86,"providers":[{"billed_charge":1683.00,"npi":[1225003320]}]},{"allowed_amount":1259.94,"providers":[{"billed_charge":6171.00,"npi":[1235422619]}]},{"allowed_amount":183.24,"providers":[{"billed_charge":1122.00,"npi":[1720280530,1477045284,1386694040]}]},{"allowed_amount":114.54,"providers":[{"billed_charge":561.00,"npi":[1235422619,1720066749,1598290652]}]},{"allowed_amount":44.67,"providers":[{"billed_charge":187.00,"npi":[1396940342]}]},{"allowed_amount":763.50,"providers":[{"billed_charge":4675.00,"npi":[1386694040]}]},{"allowed_amount":381.80,"providers":[{"billed_charge":1870.00,"npi":[1962512269,1811981590]}]},{"allowed_amount":954.50,"providers":[{"billed_charge":4675.00,"npi":[1720066749]}]},{"allowed_amount":1365.57,"providers":[{"billed_charge":6171.00,"npi":[1720066749]}]},{"allowed_amount":549.72,"providers":[{"billed_charge":3366.00,"npi":[1881776821]}]},{"allowed_amount":213.78,"providers":[{"billed_charge":1309.00,"npi":[1720280530]}]},{"allowed_amount":6153.36,"providers":[{"billed_charge":29546.00,"npi":[1811981590]}]},{"allowed_amount":91.62,"providers":[{"billed_charge":561.00,"npi":[1881776821,1477045284]}]},{"allowed_amount":76.36,"providers":[{"billed_charge":374.00,"npi":[1962512269,1235422619]}]},{"allowed_amount":2923.23,"providers":[{"billed_charge":13651.00,"npi":[1235422619]}]},{"allowed_amount":30.54,"providers":[{"billed_charge":187.00,"npi":[1881776821]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":187.00,"npi":[1093717001]}]},{"allowed_amount":1099.44,"providers":[{"billed_charge":6732.00,"npi":[1477045284]}]},{"allowed_amount":1465.92,"providers":[{"billed_charge":8976.00,"npi":[1225003320]}]},{"allowed_amount":397.02,"providers":[{"billed_charge":2431.00,"npi":[1225003320]}]},{"allowed_amount":1412.66,"providers":[{"billed_charge":6919.00,"npi":[1093717001]}]},{"allowed_amount":2473.74,"providers":[{"billed_charge":15147.00,"npi":[1386694040]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":232.74,"providers":[{"billed_charge":735.00,"npi":[1336247907]}]},{"allowed_amount":167.08,"providers":[{"billed_charge":525.00,"npi":[1427578129]}]},{"allowed_amount":166.42,"providers":[{"billed_charge":525.00,"npi":[1144677154]}]},{"allowed_amount":33.16,"providers":[{"billed_charge":105.00,"npi":[1528293263,1700106234]}]},{"allowed_amount":167.72,"providers":[{"billed_charge":525.00,"npi":[1144677154]}]},{"allowed_amount":134.55,"providers":[{"billed_charge":420.00,"npi":[1336247907]}]},{"allowed_amount":66.96,"providers":[{"billed_charge":210.00,"npi":[1427578129]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1234.64,"providers":[{"billed_charge":5083.00,"npi":[1013187889]}]},{"allowed_amount":536.80,"providers":[{"billed_charge":2210.00,"npi":[1831323096]}]},{"allowed_amount":107.36,"providers":[{"billed_charge":442.00,"npi":[1689965279,1548215726,1326368739]}]},{"allowed_amount":268.40,"providers":[{"billed_charge":1105.00,"npi":[1558937037,1831431543]}]},{"allowed_amount":429.44,"providers":[{"billed_charge":1768.00,"npi":[1548458185,1982647988,1689612574]}]},{"allowed_amount":751.52,"providers":[{"billed_charge":3094.00,"npi":[1558937037]}]},{"allowed_amount":644.16,"providers":[{"billed_charge":2652.00,"npi":[1548215726,1063286763]}]},{"allowed_amount":79.52,"providers":[{"billed_charge":442.00,"npi":[1992989859]}]},{"allowed_amount":483.12,"providers":[{"billed_charge":1989.00,"npi":[1689612574,1063286763]}]},{"allowed_amount":214.72,"providers":[{"billed_charge":884.00,"npi":[1558937037,1982647988,1447785126]}]},{"allowed_amount":805.20,"providers":[{"billed_charge":3315.00,"npi":[1447785126]}]},{"allowed_amount":161.04,"providers":[{"billed_charge":663.00,"npi":[1689965279,1982647988,1548215726,1831323096,1770146797]}]},{"allowed_amount":590.48,"providers":[{"billed_charge":2431.00,"npi":[1497970412,1831431543]}]},{"allowed_amount":53.68,"providers":[{"billed_charge":221.00,"npi":[1447785126,1831323096,1770146797]}]},{"allowed_amount":148.40,"providers":[{"billed_charge":884.00,"npi":[1992989859]}]},{"allowed_amount":697.84,"providers":[{"billed_charge":2873.00,"npi":[1538368584]}]},{"allowed_amount":375.76,"providers":[{"billed_charge":1547.00,"npi":[1063286763]}]},{"allowed_amount":912.56,"providers":[{"billed_charge":3757.00,"npi":[1497970412]}]},{"allowed_amount":322.08,"providers":[{"billed_charge":1326.00,"npi":[1497970412,1831431543]}]},{"allowed_amount":1288.32,"providers":[{"billed_charge":5304.00,"npi":[1437197878]}]},{"allowed_amount":159.04,"providers":[{"billed_charge":884.00,"npi":[1992989859]}]}]},{"tin":{"type":"ein","value":"751375446"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":160.38,"providers":[{"billed_charge":1194.00,"npi":[1922440247]}]},{"allowed_amount":26.73,"providers":[{"billed_charge":199.00,"npi":[1922440247]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":114.54,"providers":[{"billed_charge":696.00,"npi":[1942734629]}]},{"allowed_amount":305.44,"providers":[{"billed_charge":1856.00,"npi":[1366947509]}]},{"allowed_amount":152.72,"providers":[{"billed_charge":928.00,"npi":[1336431352]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":232.00,"npi":[1891226114]}]},{"allowed_amount":267.26,"providers":[{"billed_charge":1624.00,"npi":[1336431352]}]},{"allowed_amount":801.78,"providers":[{"billed_charge":4872.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":153.34,"providers":[{"billed_charge":3040.00,"npi":[1982023461]}]},{"allowed_amount":617.20,"providers":[{"billed_charge":12160.00,"npi":[1982023461]}]},{"allowed_amount":76.13,"providers":[{"billed_charge":1216.00,"npi":[1710143565]}]},{"allowed_amount":122.80,"providers":[{"billed_charge":2432.00,"npi":[1215284898]}]},{"allowed_amount":61.08,"providers":[{"billed_charge":1216.00,"npi":[1528599180]}]},{"allowed_amount":30.54,"providers":[{"billed_charge":608.00,"npi":[1427068766,1154825172,1215284898]}]},{"allowed_amount":123.44,"providers":[{"billed_charge":2432.00,"npi":[1154825172]}]},{"allowed_amount":460.66,"providers":[{"billed_charge":9120.00,"npi":[1528599180]}]}]},{"tin":{"type":"ein","value":"741671142"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":91.63,"providers":[{"billed_charge":164.00,"npi":[1326020702]}]},{"allowed_amount":733.04,"providers":[{"billed_charge":1312.00,"npi":[1326020702]}]}]},{"tin":{"type":"ein","value":"741548876"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":37.77,"providers":[{"billed_charge":185.00,"npi":[1811996382]}]},{"allowed_amount":482.94,"providers":[{"billed_charge":2220.00,"npi":[1811996382]}]},{"allowed_amount":197.59,"providers":[{"billed_charge":925.00,"npi":[1831196047]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":229.08,"providers":[{"billed_charge":1116.00,"npi":[1811162449]}]},{"allowed_amount":76.36,"providers":[{"billed_charge":372.00,"npi":[1346201308,1003203951]}]},{"allowed_amount":199.23,"providers":[{"billed_charge":930.00,"npi":[1922064294]}]},{"allowed_amount":166.62,"providers":[{"billed_charge":744.00,"npi":[1003203951,1366410409]}]},{"allowed_amount":38.18,"providers":[{"billed_charge":186.00,"npi":[1750398236,1366410409]}]},{"allowed_amount":32.61,"providers":[{"billed_charge":186.00,"npi":[1346201308,1750398236]}]},{"allowed_amount":142.50,"providers":[{"billed_charge":744.00,"npi":[1326482886]}]},{"allowed_amount":683.46,"providers":[{"billed_charge":3348.00,"npi":[1811162449]}]},{"allowed_amount":190.90,"providers":[{"billed_charge":930.00,"npi":[1922064294]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":62.13,"providers":[{"billed_charge":285.75,"npi":[1234567893]}]},{"allowed_amount":72.20,"providers":[{"billed_charge":239.00,"npi":[1234567893]}]}]}]},{"name":"CT MAXILLOFACIAL W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70486","description":"COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"741613878"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":286.57,"providers":[{"billed_charge":888.00,"npi":[1700011053]}]},{"allowed_amount":80.16,"providers":[{"billed_charge":222.00,"npi":[1225070311]}]},{"allowed_amount":128.02,"providers":[{"billed_charge":333.00,"npi":[1679367221]}]},{"allowed_amount":558.97,"providers":[{"billed_charge":1443.00,"npi":[1225070311]}]},{"allowed_amount":34.24,"providers":[{"billed_charge":111.00,"npi":[1538546577]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":77.90,"providers":[{"billed_charge":470.00,"npi":[1811981590]}]},{"allowed_amount":38.48,"providers":[{"billed_charge":235.00,"npi":[1811981590]}]}]}]},{"name":"CT ANGIOGRAPHY HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70496","description":"COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF","allowed_amounts":[{"tin":{"type":"ein","value":"751459885"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":315.70,"providers":[{"billed_charge":6205.00,"npi":[1669882965]}]},{"allowed_amount":62.62,"providers":[{"billed_charge":1241.00,"npi":[1669882965]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":398.04,"providers":[{"billed_charge":3537.00,"npi":[1528384138]}]},{"allowed_amount":1304.93,"providers":[{"billed_charge":11790.00,"npi":[1528384138]}]},{"allowed_amount":919.96,"providers":[{"billed_charge":8253.00,"npi":[1679501522]}]},{"allowed_amount":661.64,"providers":[{"billed_charge":5895.00,"npi":[1679501522]}]},{"allowed_amount":4236.47,"providers":[{"billed_charge":37728.00,"npi":[1679501522]}]},{"allowed_amount":268.88,"providers":[{"billed_charge":2358.00,"npi":[1528384138]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":234.84,"providers":[{"billed_charge":951.00,"npi":[1811981590]}]},{"allowed_amount":158.46,"providers":[{"billed_charge":634.00,"npi":[1093717001]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":220.00,"providers":[{"billed_charge":910.00,"npi":[1063286763]}]}]}]},{"name":"CT ANGIOGRAPHY NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70498","description":"COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF","allowed_amounts":[{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":317.00,"providers":[{"billed_charge":4760.00,"npi":[1669882965]}]},{"allowed_amount":126.54,"providers":[{"billed_charge":1904.00,"npi":[1669882965]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":801.36,"providers":[{"billed_charge":8514.00,"npi":[1679501522]}]},{"allowed_amount":1449.93,"providers":[{"billed_charge":15609.00,"npi":[1528384138]}]},{"allowed_amount":131.93,"providers":[{"billed_charge":1419.00,"npi":[1528384138]}]},{"allowed_amount":521.92,"providers":[{"billed_charge":5676.00,"npi":[1679501522]}]},{"allowed_amount":263.60,"providers":[{"billed_charge":2838.00,"npi":[1528384138]}]},{"allowed_amount":4632.00,"providers":[{"billed_charge":49665.00,"npi":[1679501522]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":78.28,"providers":[{"billed_charge":317.00,"npi":[1811981590]}]},{"allowed_amount":547.96,"providers":[{"billed_charge":2219.00,"npi":[1811981590]}]},{"allowed_amount":66.87,"providers":[{"billed_charge":317.00,"npi":[1811981590]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":325.92,"providers":[{"billed_charge":1820.00,"npi":[1992989859]}]},{"allowed_amount":162.96,"providers":[{"billed_charge":910.00,"npi":[1992989859]}]},{"allowed_amount":220.00,"providers":[{"billed_charge":910.00,"npi":[1497970412,1063286763]}]},{"allowed_amount":110.00,"providers":[{"billed_charge":455.00,"npi":[1831323096]}]},{"allowed_amount":95.33,"providers":[{"billed_charge":455.00,"npi":[1992989859]}]}]}]},{"name":"MRI BRAIN STEM W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70551","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":165.18,"providers":[{"billed_charge":783.00,"npi":[1285838862]}]},{"allowed_amount":440.48,"providers":[{"billed_charge":2088.00,"npi":[1285838862]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":132.38,"providers":[{"billed_charge":518.00,"npi":[1417290511]}]},{"allowed_amount":463.33,"providers":[{"billed_charge":1813.00,"npi":[1457447120]}]},{"allowed_amount":794.28,"providers":[{"billed_charge":3108.00,"npi":[1457447120]}]},{"allowed_amount":330.95,"providers":[{"billed_charge":1295.00,"npi":[1417290511]}]},{"allowed_amount":77.44,"providers":[{"billed_charge":259.00,"npi":[1417290511,1457447120]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":66.19,"providers":[{"billed_charge":344.00,"npi":[1396186367]}]},{"allowed_amount":728.09,"providers":[{"billed_charge":3784.00,"npi":[1396186367]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":334.46,"providers":[{"billed_charge":3129.00,"npi":[1922121607]}]},{"allowed_amount":778.03,"providers":[{"billed_charge":7301.00,"npi":[1922121607]}]},{"allowed_amount":675.75,"providers":[{"billed_charge":6258.00,"npi":[1295837292]}]},{"allowed_amount":218.42,"providers":[{"billed_charge":2086.00,"npi":[1295837292]}]},{"allowed_amount":332.15,"providers":[{"billed_charge":3129.00,"npi":[1528384138]}]},{"allowed_amount":109.21,"providers":[{"billed_charge":1043.00,"npi":[1295837292]}]},{"allowed_amount":552.88,"providers":[{"billed_charge":5215.00,"npi":[1528384138]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":132.38,"providers":[{"billed_charge":552.00,"npi":[1235422619]}]},{"allowed_amount":330.95,"providers":[{"billed_charge":1380.00,"npi":[1235422619]}]},{"allowed_amount":515.02,"providers":[{"billed_charge":2208.00,"npi":[1235422619]}]},{"allowed_amount":2647.60,"providers":[{"billed_charge":11040.00,"npi":[1235422619]}]},{"allowed_amount":264.76,"providers":[{"billed_charge":1104.00,"npi":[1093717001]}]}]}]},{"name":"MRI BRAIN STEM W/O & W/DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70553","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, BRAIN (INCLUDING BRAIN STEM); WITHOUT CONTRAST MATERIAL, FO","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":170.07,"providers":[{"billed_charge":1674.00,"npi":[1528384138]}]},{"allowed_amount":177.61,"providers":[{"billed_charge":1674.00,"npi":[1528384138]}]},{"allowed_amount":1586.10,"providers":[{"billed_charge":15066.00,"npi":[1295837292]}]},{"allowed_amount":347.68,"providers":[{"billed_charge":3348.00,"npi":[1295837292]}]},{"allowed_amount":340.14,"providers":[{"billed_charge":3348.00,"npi":[1295837292]}]},{"allowed_amount":1043.04,"providers":[{"billed_charge":10044.00,"npi":[1528384138]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":103.07,"providers":[{"billed_charge":457.00,"npi":[1235422619]}]},{"allowed_amount":412.28,"providers":[{"billed_charge":1828.00,"npi":[1235422619]}]},{"allowed_amount":1133.77,"providers":[{"billed_charge":5027.00,"npi":[1235422619]}]},{"allowed_amount":296.67,"providers":[{"billed_charge":1371.00,"npi":[1235422619]}]}]}]},{"name":"RECOVERY ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"710","description":"RECOVERY ROOM - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":628.50,"providers":[{"billed_charge":6508.00,"npi":[1548226988]}]}]}]},{"name":"X-RAY EXAM CHEST 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"741940911"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":41.00,"npi":[1811283930]}]},{"allowed_amount":66.08,"providers":[{"billed_charge":328.00,"npi":[1811283930]}]},{"allowed_amount":229.62,"providers":[{"billed_charge":1107.00,"npi":[1811283930]}]}]},{"tin":{"type":"ein","value":"814972048"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":24.51,"providers":[{"billed_charge":81.00,"npi":[1578568903,1780116764]}]},{"allowed_amount":243.70,"providers":[{"billed_charge":783.00,"npi":[1780116764]}]},{"allowed_amount":457.52,"providers":[{"billed_charge":1512.00,"npi":[1275538597]}]},{"allowed_amount":8.17,"providers":[{"billed_charge":27.00,"npi":[1275538597]}]},{"allowed_amount":32.68,"providers":[{"billed_charge":108.00,"npi":[1922291863]}]},{"allowed_amount":280.12,"providers":[{"billed_charge":864.00,"npi":[1275538597]}]},{"allowed_amount":371.62,"providers":[{"billed_charge":1188.00,"npi":[1922291863]}]},{"allowed_amount":130.72,"providers":[{"billed_charge":432.00,"npi":[1922291863]}]},{"allowed_amount":40.06,"providers":[{"billed_charge":135.00,"npi":[1699717363]}]},{"allowed_amount":374.96,"providers":[{"billed_charge":1161.00,"npi":[1578568903]}]},{"allowed_amount":171.57,"providers":[{"billed_charge":567.00,"npi":[1578568903]}]},{"allowed_amount":163.40,"providers":[{"billed_charge":540.00,"npi":[1780116764]}]}]},{"tin":{"type":"ein","value":"760452719"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":28.68,"providers":[{"billed_charge":96.00,"npi":[1003870882]}]}]},{"tin":{"type":"ein","value":"260717903"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":67.56,"providers":[{"billed_charge":392.00,"npi":[1396940342]}]},{"allowed_amount":171.12,"providers":[{"billed_charge":980.00,"npi":[1386694040]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21","32"],"billing_class":"professional","payments":[{"allowed_amount":37.54,"providers":[{"billed_charge":160.00,"npi":[1972724086]}]},{"allowed_amount":234.22,"providers":[{"billed_charge":908.00,"npi":[1104263839]}]},{"allowed_amount":396.36,"providers":[{"billed_charge":1708.00,"npi":[1285838862]}]},{"allowed_amount":20.58,"providers":[{"billed_charge":96.00,"npi":[1831517770,1033616396,1699112060,1285838862,1740609684,1932465812,1437503232]}]},{"allowed_amount":483.00,"providers":[{"billed_charge":2080.00,"npi":[1407149941]}]},{"allowed_amount":36.04,"providers":[{"billed_charge":128.00,"npi":[1588647663]}]},{"allowed_amount":57.22,"providers":[{"billed_charge":204.00,"npi":[1295797322]}]},{"allowed_amount":350.12,"providers":[{"billed_charge":1228.00,"npi":[1164868212]}]},{"allowed_amount":96.04,"providers":[{"billed_charge":448.00,"npi":[1700096435]}]},{"allowed_amount":75.46,"providers":[{"billed_charge":332.00,"npi":[1831583939]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":64.00,"npi":[1588647663]}]},{"allowed_amount":165.57,"providers":[{"billed_charge":640.00,"npi":[1750648507]}]},{"allowed_amount":274.40,"providers":[{"billed_charge":1280.00,"npi":[1578820866]}]},{"allowed_amount":38.64,"providers":[{"billed_charge":128.00,"npi":[1790747921]}]},{"allowed_amount":275.02,"providers":[{"billed_charge":1184.00,"npi":[1730316118]}]},{"allowed_amount":27.44,"providers":[{"billed_charge":128.00,"npi":[1700096435,1578820866,1518100213,1902164825,1326007972]}]},{"allowed_amount":68.60,"providers":[{"billed_charge":320.00,"npi":[1750624144]}]},{"allowed_amount":137.20,"providers":[{"billed_charge":620.00,"npi":[1740609684]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":76.00,"npi":[1164868212]}]},{"allowed_amount":325.66,"providers":[{"billed_charge":1424.00,"npi":[1306003579]}]},{"allowed_amount":83.34,"providers":[{"billed_charge":320.00,"npi":[1164868212]}]},{"allowed_amount":48.02,"providers":[{"billed_charge":224.00,"npi":[1487858270]}]},{"allowed_amount":41.30,"providers":[{"billed_charge":140.00,"npi":[1104263839]}]},{"allowed_amount":49.79,"providers":[{"billed_charge":224.00,"npi":[1770927287]}]},{"allowed_amount":8.26,"providers":[{"billed_charge":12.00,"npi":[1245261783]},{"billed_charge":32.00,"npi":[1699731836,1295797322,1104263839]}]},{"allowed_amount":244.40,"providers":[{"billed_charge":1100.00,"npi":[1407149941]}]},{"allowed_amount":41.67,"providers":[{"billed_charge":160.00,"npi":[1750648507]}]},{"allowed_amount":150.92,"providers":[{"billed_charge":704.00,"npi":[1770927287]}]},{"allowed_amount":212.66,"providers":[{"billed_charge":972.00,"npi":[1578820866]}]},{"allowed_amount":97.04,"providers":[{"billed_charge":300.00,"npi":[1699731836]}]},{"allowed_amount":77.61,"providers":[{"billed_charge":352.00,"npi":[1407149941]}]},{"allowed_amount":142.51,"providers":[{"billed_charge":620.00,"npi":[1285838862]}]},{"allowed_amount":13.72,"providers":[{"billed_charge":64.00,"npi":[1831517770,1306003579,1972724086,1730316118,1750624144,1831583939,1518100213]},{"billed_charge":44.00,"npi":[1356389597]}]},{"allowed_amount":6.86,"providers":[{"billed_charge":12.00,"npi":[1518100213]},{"billed_charge":32.00,"npi":[1831517770,1871989780,1407485014,1194107839,1356389597,1477930337,1033616396,1518100213,1568969533,1366707564,1477782969,1508804337]}]},{"allowed_amount":411.60,"providers":[{"billed_charge":1880.00,"npi":[1326007972]}]},{"allowed_amount":144.06,"providers":[{"billed_charge":672.00,"npi":[1902164825]}]},{"allowed_amount":34.30,"providers":[{"billed_charge":140.00,"npi":[1326007972]},{"billed_charge":160.00,"npi":[1194107839,1700096435,1568969533,1437503232]}]},{"allowed_amount":192.08,"providers":[{"billed_charge":876.00,"npi":[1932465812]}]},{"allowed_amount":34.15,"providers":[{"billed_charge":128.00,"npi":[1699731836]}]},{"allowed_amount":129.20,"providers":[{"billed_charge":448.00,"npi":[1245261783]}]},{"allowed_amount":171.04,"providers":[{"billed_charge":640.00,"npi":[1750648507]}]},{"allowed_amount":116.62,"providers":[{"billed_charge":544.00,"npi":[1831583939]}]},{"allowed_amount":175.26,"providers":[{"billed_charge":728.00,"npi":[1366707564]}]},{"allowed_amount":61.74,"providers":[{"billed_charge":268.00,"npi":[1407485014]}]},{"allowed_amount":399.22,"providers":[{"billed_charge":1676.00,"npi":[1366707564]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":48.00,"npi":[1790014496]}]},{"allowed_amount":324.29,"providers":[{"billed_charge":816.00,"npi":[1760477236]}]},{"allowed_amount":149.86,"providers":[{"billed_charge":408.00,"npi":[1174850333]}]},{"allowed_amount":82.71,"providers":[{"billed_charge":216.00,"npi":[1790014496]}]},{"allowed_amount":179.34,"providers":[{"billed_charge":504.00,"npi":[1194253070]}]},{"allowed_amount":8.63,"providers":[{"billed_charge":24.00,"npi":[1659532174,1306231733]}]},{"allowed_amount":34.52,"providers":[{"billed_charge":96.00,"npi":[1760477236]}]},{"allowed_amount":219.74,"providers":[{"billed_charge":600.00,"npi":[1659532174]}]},{"allowed_amount":141.67,"providers":[{"billed_charge":408.00,"npi":[1306231733]}]},{"allowed_amount":27.21,"providers":[{"billed_charge":72.00,"npi":[1073001236]}]},{"allowed_amount":25.89,"providers":[{"billed_charge":72.00,"npi":[1194253070,1174850333]}]},{"allowed_amount":250.27,"providers":[{"billed_charge":696.00,"npi":[1790014496]}]},{"allowed_amount":543.69,"providers":[{"billed_charge":1512.00,"npi":[1487644910]}]},{"allowed_amount":69.04,"providers":[{"billed_charge":192.00,"npi":[1487644910]}]},{"allowed_amount":104.00,"providers":[{"billed_charge":312.00,"npi":[1487644910]}]},{"allowed_amount":457.39,"providers":[{"billed_charge":1272.00,"npi":[1174850333]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":132.16,"providers":[{"billed_charge":512.00,"npi":[1417290511]}]},{"allowed_amount":8.26,"providers":[{"billed_charge":32.00,"npi":[1528370319,1356667547,1457447120]}]},{"allowed_amount":313.88,"providers":[{"billed_charge":1216.00,"npi":[1528370319]}]},{"allowed_amount":553.42,"providers":[{"billed_charge":2144.00,"npi":[1295799088]}]},{"allowed_amount":1368.80,"providers":[{"billed_charge":5120.00,"npi":[1417290511]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":64.00,"npi":[1760988125]}]},{"allowed_amount":74.34,"providers":[{"billed_charge":288.00,"npi":[1679796783,1457447120]}]},{"allowed_amount":297.36,"providers":[{"billed_charge":1152.00,"npi":[1538123138]}]},{"allowed_amount":109.98,"providers":[{"billed_charge":416.00,"npi":[1528370319]}]},{"allowed_amount":9.66,"providers":[{"billed_charge":32.00,"npi":[1770842817]}]},{"allowed_amount":45.70,"providers":[{"billed_charge":160.00,"npi":[1679796783]}]},{"allowed_amount":33.04,"providers":[{"billed_charge":128.00,"npi":[1760988125,1770842817]}]},{"allowed_amount":1946.94,"providers":[{"billed_charge":7328.00,"npi":[1295799088]}]},{"allowed_amount":1693.30,"providers":[{"billed_charge":6560.00,"npi":[1417290511]}]},{"allowed_amount":86.20,"providers":[{"billed_charge":320.00,"npi":[1760988125]}]},{"allowed_amount":50.16,"providers":[{"billed_charge":192.00,"npi":[1457447120]}]},{"allowed_amount":412.06,"providers":[{"billed_charge":1632.00,"npi":[1538123138]}]},{"allowed_amount":28.98,"providers":[{"billed_charge":96.00,"npi":[1356667547]}]},{"allowed_amount":173.46,"providers":[{"billed_charge":672.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":40.98,"providers":[{"billed_charge":160.00,"npi":[1649404849]}]},{"allowed_amount":66.08,"providers":[{"billed_charge":256.00,"npi":[1649404849]}]},{"allowed_amount":263.06,"providers":[{"billed_charge":992.00,"npi":[1396186367]}]},{"allowed_amount":218.10,"providers":[{"billed_charge":800.00,"npi":[1649404849]}]},{"allowed_amount":400.90,"providers":[{"billed_charge":1440.00,"npi":[1508363292]}]},{"allowed_amount":90.86,"providers":[{"billed_charge":352.00,"npi":[1568665321]}]},{"allowed_amount":160.88,"providers":[{"billed_charge":576.00,"npi":[1568665321]}]},{"allowed_amount":123.90,"providers":[{"billed_charge":480.00,"npi":[1568665321]}]},{"allowed_amount":33.04,"providers":[{"billed_charge":128.00,"npi":[1508363292]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":96.00,"npi":[1215378872]}]},{"allowed_amount":181.72,"providers":[{"billed_charge":704.00,"npi":[1396186367]}]},{"allowed_amount":82.60,"providers":[{"billed_charge":320.00,"npi":[1396186367,1508363292]}]},{"allowed_amount":43.10,"providers":[{"billed_charge":160.00,"npi":[1215378872]}]}]},{"tin":{"type":"ein","value":"990576438"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":99.12,"providers":[{"billed_charge":384.00,"npi":[1215198163]}]},{"allowed_amount":57.82,"providers":[{"billed_charge":224.00,"npi":[1699717363]}]},{"allowed_amount":30.84,"providers":[{"billed_charge":128.00,"npi":[1215198163]}]},{"allowed_amount":36.04,"providers":[{"billed_charge":128.00,"npi":[1699717363]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":197.53,"providers":[{"billed_charge":2464.00,"npi":[1780624254]}]},{"allowed_amount":695.50,"providers":[{"billed_charge":8800.00,"npi":[1679501522]}]},{"allowed_amount":180.53,"providers":[{"billed_charge":2288.00,"npi":[1952651325]}]},{"allowed_amount":256.32,"providers":[{"billed_charge":3168.00,"npi":[1316294655]}]},{"allowed_amount":98.46,"providers":[{"billed_charge":1232.00,"npi":[1548443542]}]},{"allowed_amount":56.96,"providers":[{"billed_charge":704.00,"npi":[1215181177]}]},{"allowed_amount":122.97,"providers":[{"billed_charge":1584.00,"npi":[1730381575]}]},{"allowed_amount":112.70,"providers":[{"billed_charge":1408.00,"npi":[1326493990]}]},{"allowed_amount":27.87,"providers":[{"billed_charge":352.00,"npi":[1609254754,1952651325]}]},{"allowed_amount":3325.46,"providers":[{"billed_charge":41888.00,"npi":[1467440594]}]},{"allowed_amount":28.17,"providers":[{"billed_charge":352.00,"npi":[1679020937,1992152342]}]},{"allowed_amount":83.30,"providers":[{"billed_charge":1056.00,"npi":[1679501522]}]},{"allowed_amount":464.72,"providers":[{"billed_charge":5808.00,"npi":[1528384138]}]},{"allowed_amount":41.80,"providers":[{"billed_charge":528.00,"npi":[1487641650]}]},{"allowed_amount":3825.95,"providers":[{"billed_charge":48224.00,"npi":[1689840076]}]},{"allowed_amount":447.41,"providers":[{"billed_charge":5632.00,"npi":[1205876943]}]},{"allowed_amount":14.24,"providers":[{"billed_charge":176.00,"npi":[1699186775,1225472392,1215181177,1902164825,1316294655]}]},{"allowed_amount":295.07,"providers":[{"billed_charge":3696.00,"npi":[1689840076]}]},{"allowed_amount":54.82,"providers":[{"billed_charge":704.00,"npi":[1528384138]}]},{"allowed_amount":181.75,"providers":[{"billed_charge":2288.00,"npi":[1386690592]}]},{"allowed_amount":309.61,"providers":[{"billed_charge":3872.00,"npi":[1922121607]}]},{"allowed_amount":1853.08,"providers":[{"billed_charge":23408.00,"npi":[1346237401]}]},{"allowed_amount":2756.52,"providers":[{"billed_charge":34496.00,"npi":[1689878282]}]},{"allowed_amount":2078.05,"providers":[{"billed_charge":26224.00,"npi":[1346237401]}]},{"allowed_amount":83.29,"providers":[{"billed_charge":1056.00,"npi":[1487073474]}]},{"allowed_amount":96.93,"providers":[{"billed_charge":1232.00,"npi":[1689878282]}]},{"allowed_amount":2306.50,"providers":[{"billed_charge":29040.00,"npi":[1326242983]}]},{"allowed_amount":184.20,"providers":[{"billed_charge":2288.00,"npi":[1215181177,1417240755]}]},{"allowed_amount":209.94,"providers":[{"billed_charge":2640.00,"npi":[1144491911]}]},{"allowed_amount":42.72,"providers":[{"billed_charge":528.00,"npi":[1437655834]}]},{"allowed_amount":645.23,"providers":[{"billed_charge":8096.00,"npi":[1689878282]}]},{"allowed_amount":13.63,"providers":[{"billed_charge":176.00,"npi":[1528384138,1841287018,1487641650,1619078235,1619173721]}]},{"allowed_amount":68.15,"providers":[{"billed_charge":880.00,"npi":[1073777249]}]},{"allowed_amount":266.59,"providers":[{"billed_charge":3344.00,"npi":[1417903618]}]},{"allowed_amount":447.74,"providers":[{"billed_charge":5632.00,"npi":[1841287018]}]},{"allowed_amount":54.52,"providers":[{"billed_charge":704.00,"npi":[1548443542]}]},{"allowed_amount":126.32,"providers":[{"billed_charge":1584.00,"npi":[1417903618]}]},{"allowed_amount":2135.06,"providers":[{"billed_charge":26928.00,"npi":[1073723144]}]},{"allowed_amount":163.56,"providers":[{"billed_charge":2112.00,"npi":[1467440594]}]},{"allowed_amount":293.85,"providers":[{"billed_charge":3696.00,"npi":[1679020937]}]},{"allowed_amount":435.92,"providers":[{"billed_charge":5456.00,"npi":[1326242983]}]},{"allowed_amount":504.39,"providers":[{"billed_charge":6336.00,"npi":[1548443542]}]},{"allowed_amount":27.26,"providers":[{"billed_charge":352.00,"npi":[1073777249,1730381575,1922121607,1417240755,1619078235,1326242983,1205876943]}]},{"allowed_amount":81.78,"providers":[{"billed_charge":1056.00,"npi":[1073723144]}]},{"allowed_amount":152.37,"providers":[{"billed_charge":1936.00,"npi":[1144491911]}]},{"allowed_amount":529.53,"providers":[{"billed_charge":6688.00,"npi":[1609254754]}]},{"allowed_amount":84.22,"providers":[{"billed_charge":1056.00,"npi":[1902164825]}]},{"allowed_amount":126.63,"providers":[{"billed_charge":1584.00,"npi":[1487641650]}]},{"allowed_amount":323.24,"providers":[{"billed_charge":4048.00,"npi":[1073723144]}]},{"allowed_amount":235.66,"providers":[{"billed_charge":2992.00,"npi":[1417240755]}]},{"allowed_amount":167.51,"providers":[{"billed_charge":2112.00,"npi":[1467440594]}]},{"allowed_amount":55.74,"providers":[{"billed_charge":704.00,"npi":[1679501522]}]},{"allowed_amount":180.84,"providers":[{"billed_charge":2288.00,"npi":[1841287018]}]},{"allowed_amount":432.90,"providers":[{"billed_charge":5456.00,"npi":[1699186775]}]},{"allowed_amount":185.12,"providers":[{"billed_charge":2288.00,"npi":[1225472392]}]},{"allowed_amount":182.67,"providers":[{"billed_charge":2288.00,"npi":[1205876943]}]},{"allowed_amount":28.48,"providers":[{"billed_charge":352.00,"npi":[1144491911,1699186775,1225472392,1326493990,1386690592,1780624254]}]},{"allowed_amount":534.08,"providers":[{"billed_charge":6688.00,"npi":[1992152342]}]},{"allowed_amount":190.82,"providers":[{"billed_charge":2464.00,"npi":[1740710169]}]},{"allowed_amount":136.91,"providers":[{"billed_charge":1760.00,"npi":[1689840076]}]},{"allowed_amount":2042.61,"providers":[{"billed_charge":25696.00,"npi":[1073777249]}]},{"allowed_amount":212.38,"providers":[{"billed_charge":2640.00,"npi":[1780624254]}]},{"allowed_amount":69.37,"providers":[{"billed_charge":880.00,"npi":[1346237401]}]},{"allowed_amount":113.31,"providers":[{"billed_charge":1408.00,"npi":[1609254754,1679020937]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":33.00,"npi":[1073587788,1720066749]}]},{"allowed_amount":214.76,"providers":[{"billed_charge":858.00,"npi":[1093717001]}]},{"allowed_amount":13.22,"providers":[{"billed_charge":66.00,"npi":[1477045284]}]},{"allowed_amount":3056.20,"providers":[{"billed_charge":12210.00,"npi":[1093717001]}]},{"allowed_amount":2522.86,"providers":[{"billed_charge":9933.00,"npi":[1962512269]}]},{"allowed_amount":109.24,"providers":[{"billed_charge":462.00,"npi":[1720066749]}]},{"allowed_amount":6165.32,"providers":[{"billed_charge":24354.00,"npi":[1093717001]}]},{"allowed_amount":74.34,"providers":[{"billed_charge":297.00,"npi":[1073587788]}]},{"allowed_amount":416.43,"providers":[{"billed_charge":2079.00,"npi":[1477045284]}]},{"allowed_amount":33.04,"providers":[{"billed_charge":132.00,"npi":[1720066749]}]},{"allowed_amount":1627.22,"providers":[{"billed_charge":6501.00,"npi":[1962512269]}]},{"allowed_amount":203.24,"providers":[{"billed_charge":792.00,"npi":[1073587788]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":99.00,"npi":[1235422619]}]},{"allowed_amount":600.44,"providers":[{"billed_charge":2442.00,"npi":[1235422619]}]},{"allowed_amount":82.60,"providers":[{"billed_charge":330.00,"npi":[1811981590]}]},{"allowed_amount":1697.66,"providers":[{"billed_charge":6963.00,"npi":[1811981590]}]},{"allowed_amount":171.86,"providers":[{"billed_charge":858.00,"npi":[1477045284]}]},{"allowed_amount":528.64,"providers":[{"billed_charge":2112.00,"npi":[1811981590]}]},{"allowed_amount":371.70,"providers":[{"billed_charge":1485.00,"npi":[1235422619]}]},{"allowed_amount":173.46,"providers":[{"billed_charge":693.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"741586031"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":25.00,"npi":[1841631280]}]},{"allowed_amount":43.06,"providers":[{"billed_charge":125.00,"npi":[1841631280]}]},{"allowed_amount":82.60,"providers":[{"billed_charge":251.00,"npi":[1841631280]}]}]},{"tin":{"type":"ein","value":"751292603"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":33.04,"providers":[{"billed_charge":136.00,"npi":[1942488531]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":102.00,"npi":[1235263401,1699958157]}]},{"allowed_amount":156.94,"providers":[{"billed_charge":646.00,"npi":[1699958157]}]},{"allowed_amount":75.16,"providers":[{"billed_charge":306.00,"npi":[1942488531]}]},{"allowed_amount":38.64,"providers":[{"billed_charge":136.00,"npi":[1235263401]}]},{"allowed_amount":165.20,"providers":[{"billed_charge":680.00,"npi":[1235263401]}]},{"allowed_amount":9.66,"providers":[{"billed_charge":34.00,"npi":[1699958157]}]}]},{"tin":{"type":"ein","value":"751375446"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":52.02,"providers":[{"billed_charge":297.00,"npi":[1598912933]}]},{"allowed_amount":5.78,"providers":[{"billed_charge":33.00,"npi":[1598912933,1922532746]}]},{"allowed_amount":184.96,"providers":[{"billed_charge":1056.00,"npi":[1649700931]}]},{"allowed_amount":63.58,"providers":[{"billed_charge":363.00,"npi":[1699093831,1952500258]}]},{"allowed_amount":17.34,"providers":[{"billed_charge":99.00,"npi":[1649700931,1255380937,1003268194]}]},{"allowed_amount":11.56,"providers":[{"billed_charge":66.00,"npi":[1508918673,1952500258,1013008754,1164838363,1598912933,1003268194,1164621637]}]},{"allowed_amount":23.12,"providers":[{"billed_charge":132.00,"npi":[1699093831,1164621637]}]},{"allowed_amount":34.68,"providers":[{"billed_charge":198.00,"npi":[1013008754,1649700931,1255380937]}]},{"allowed_amount":41.30,"providers":[{"billed_charge":165.00,"npi":[1952362428]}]},{"allowed_amount":102.92,"providers":[{"billed_charge":396.00,"npi":[1952362428]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":66.00,"npi":[1952362428]}]},{"allowed_amount":69.36,"providers":[{"billed_charge":396.00,"npi":[1922440247]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":49.00,"npi":[1336431352,1891226114]}]},{"allowed_amount":107.38,"providers":[{"billed_charge":637.00,"npi":[1942734629]}]},{"allowed_amount":57.82,"providers":[{"billed_charge":343.00,"npi":[1942734629]}]},{"allowed_amount":66.08,"providers":[{"billed_charge":392.00,"npi":[1558868265]}]},{"allowed_amount":74.34,"providers":[{"billed_charge":441.00,"npi":[1558868265]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":98.00,"npi":[1073018073]}]},{"allowed_amount":239.54,"providers":[{"billed_charge":1421.00,"npi":[1891226114,1073018073]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":147.00,"npi":[1366947509]}]},{"allowed_amount":189.98,"providers":[{"billed_charge":1127.00,"npi":[1336431352]}]},{"allowed_amount":528.64,"providers":[{"billed_charge":3136.00,"npi":[1366947509]}]},{"allowed_amount":479.08,"providers":[{"billed_charge":2842.00,"npi":[1366947509]}]},{"allowed_amount":280.84,"providers":[{"billed_charge":1666.00,"npi":[1336431352]}]},{"allowed_amount":264.32,"providers":[{"billed_charge":1568.00,"npi":[1891226114]}]},{"allowed_amount":371.70,"providers":[{"billed_charge":2205.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"460713261"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":271.88,"providers":[{"billed_charge":651.52,"npi":[1710926308]}]},{"allowed_amount":20.13,"providers":[{"billed_charge":61.08,"npi":[1316203144]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":15.01,"providers":[{"billed_charge":496.00,"npi":[1154825172]}]},{"allowed_amount":67.27,"providers":[{"billed_charge":2480.00,"npi":[1801214325]}]},{"allowed_amount":40.22,"providers":[{"billed_charge":1488.00,"npi":[1740667922]}]},{"allowed_amount":106.46,"providers":[{"billed_charge":3968.00,"npi":[1982023461]}]},{"allowed_amount":179.87,"providers":[{"billed_charge":6696.00,"npi":[1083058317]}]},{"allowed_amount":13.22,"providers":[{"billed_charge":496.00,"npi":[1467897793]}]},{"allowed_amount":20.11,"providers":[{"billed_charge":744.00,"npi":[1053844209,1548605983,1801214325]}]},{"allowed_amount":79.74,"providers":[{"billed_charge":2976.00,"npi":[1083058317]}]},{"allowed_amount":19.83,"providers":[{"billed_charge":744.00,"npi":[1093211567,1083032726]}]},{"allowed_amount":53.21,"providers":[{"billed_charge":1736.00,"npi":[1710143565]}]},{"allowed_amount":96.88,"providers":[{"billed_charge":3472.00,"npi":[1952854994]}]},{"allowed_amount":967.59,"providers":[{"billed_charge":35960.00,"npi":[1982023461]}]},{"allowed_amount":6.76,"providers":[{"billed_charge":248.00,"npi":[1639667660]}]},{"allowed_amount":34.84,"providers":[{"billed_charge":1240.00,"npi":[1154825172]}]},{"allowed_amount":467.20,"providers":[{"billed_charge":17360.00,"npi":[1861854952]}]},{"allowed_amount":6.75,"providers":[{"billed_charge":248.00,"npi":[1053844209,1134515497]}]},{"allowed_amount":53.44,"providers":[{"billed_charge":1984.00,"npi":[1134515497]}]},{"allowed_amount":253.14,"providers":[{"billed_charge":9424.00,"npi":[1528599180]}]},{"allowed_amount":26.58,"providers":[{"billed_charge":992.00,"npi":[1750815171,1215284898]}]},{"allowed_amount":50.34,"providers":[{"billed_charge":1736.00,"npi":[1366945156]}]},{"allowed_amount":159.62,"providers":[{"billed_charge":5952.00,"npi":[1750815171]}]},{"allowed_amount":43.75,"providers":[{"billed_charge":1488.00,"npi":[1154825172]}]},{"allowed_amount":66.10,"providers":[{"billed_charge":2480.00,"npi":[1215284898]}]},{"allowed_amount":26.72,"providers":[{"billed_charge":992.00,"npi":[1942681549]}]},{"allowed_amount":29.88,"providers":[{"billed_charge":992.00,"npi":[1528551629]}]},{"allowed_amount":8.26,"providers":[{"billed_charge":248.00,"npi":[1376930131]}]},{"allowed_amount":14.87,"providers":[{"billed_charge":496.00,"npi":[1952854994,1093211567]}]},{"allowed_amount":152.31,"providers":[{"billed_charge":5704.00,"npi":[1467897793]}]},{"allowed_amount":67.36,"providers":[{"billed_charge":2480.00,"npi":[1942681549]}]},{"allowed_amount":20.26,"providers":[{"billed_charge":744.00,"npi":[1851667026]}]},{"allowed_amount":13.36,"providers":[{"billed_charge":496.00,"npi":[1710143565,1750815171,1174936496]}]},{"allowed_amount":35.03,"providers":[{"billed_charge":1240.00,"npi":[1366945156]}]},{"allowed_amount":99.29,"providers":[{"billed_charge":3720.00,"npi":[1528599180]}]},{"allowed_amount":19.97,"providers":[{"billed_charge":744.00,"npi":[1528599180,1740667922]}]},{"allowed_amount":6.61,"providers":[{"billed_charge":248.00,"npi":[1053844209,1861854952,1548605983,1710143565,1083058317,1033648712,1700298254,1134515497,1215284898]}]},{"allowed_amount":93.24,"providers":[{"billed_charge":3472.00,"npi":[1467897793]}]},{"allowed_amount":275.21,"providers":[{"billed_charge":10168.00,"npi":[1942681549]}]},{"allowed_amount":33.61,"providers":[{"billed_charge":1240.00,"npi":[1851667026]}]},{"allowed_amount":161.72,"providers":[{"billed_charge":5952.00,"npi":[1174936496]}]},{"allowed_amount":26.86,"providers":[{"billed_charge":992.00,"npi":[1174936496]}]},{"allowed_amount":26.44,"providers":[{"billed_charge":992.00,"npi":[1013354133]}]},{"allowed_amount":33.05,"providers":[{"billed_charge":1240.00,"npi":[1982023461]}]},{"allowed_amount":431.61,"providers":[{"billed_charge":16120.00,"npi":[1013354133]}]},{"allowed_amount":106.60,"providers":[{"billed_charge":3968.00,"npi":[1861854952]}]},{"allowed_amount":53.16,"providers":[{"billed_charge":1984.00,"npi":[1528551629]}]},{"allowed_amount":131.62,"providers":[{"billed_charge":4712.00,"npi":[1376930131]}]},{"allowed_amount":48.38,"providers":[{"billed_charge":1736.00,"npi":[1952854994]}]},{"allowed_amount":46.55,"providers":[{"billed_charge":1736.00,"npi":[1013354133]}]}]},{"tin":{"type":"ein","value":"741671142"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":39.66,"providers":[{"billed_charge":70.00,"npi":[1801813266]}]},{"allowed_amount":59.49,"providers":[{"billed_charge":105.00,"npi":[1063728103]}]}]},{"tin":{"type":"ein","value":"741548876"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":61.84,"providers":[{"billed_charge":252.00,"npi":[1902169527]}]},{"allowed_amount":16.34,"providers":[{"billed_charge":72.00,"npi":[1295730620]}]},{"allowed_amount":16.54,"providers":[{"billed_charge":72.00,"npi":[1225033558,1568402196]}]},{"allowed_amount":8.17,"providers":[{"billed_charge":36.00,"npi":[1811164452,1902169527,1831196047,1811996382,1568402196]}]},{"allowed_amount":91.74,"providers":[{"billed_charge":432.00,"npi":[1811164452]}]},{"allowed_amount":16.62,"providers":[{"billed_charge":72.00,"npi":[1952798084]}]},{"allowed_amount":73.53,"providers":[{"billed_charge":324.00,"npi":[1831196047]}]},{"allowed_amount":24.51,"providers":[{"billed_charge":108.00,"npi":[1811164452,1225033558]}]},{"allowed_amount":57.19,"providers":[{"billed_charge":252.00,"npi":[1952798084]}]},{"allowed_amount":356.38,"providers":[{"billed_charge":1476.00,"npi":[1831196047]}]},{"allowed_amount":130.72,"providers":[{"billed_charge":576.00,"npi":[1902169527]}]},{"allowed_amount":85.28,"providers":[{"billed_charge":360.00,"npi":[1508183153]}]},{"allowed_amount":151.14,"providers":[{"billed_charge":684.00,"npi":[1811996382]}]},{"allowed_amount":40.85,"providers":[{"billed_charge":180.00,"npi":[1508183153]}]}]},{"tin":{"type":"ein","value":"742620408"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":548.68,"providers":[{"billed_charge":2143.89,"npi":[1114993169]}]},{"allowed_amount":39.66,"providers":[{"billed_charge":154.98,"npi":[1114993169]}]},{"allowed_amount":13.22,"providers":[{"billed_charge":51.66,"npi":[1942559349]}]},{"allowed_amount":650.30,"providers":[{"billed_charge":2531.34,"npi":[1942559349]}]},{"allowed_amount":6.61,"providers":[{"billed_charge":25.83,"npi":[1114993169]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":41.00,"npi":[1235399171,1497781074,1851453534,1861872020]}]},{"allowed_amount":62.42,"providers":[{"billed_charge":287.00,"npi":[1386821171]}]},{"allowed_amount":20.04,"providers":[{"billed_charge":82.00,"npi":[1134574882]}]},{"allowed_amount":72.08,"providers":[{"billed_charge":328.00,"npi":[1619312832,1851453534]}]},{"allowed_amount":14.12,"providers":[{"billed_charge":82.00,"npi":[1235399171]}]},{"allowed_amount":33.44,"providers":[{"billed_charge":164.00,"npi":[1861872020]}]},{"allowed_amount":94.26,"providers":[{"billed_charge":451.00,"npi":[1134574882]}]},{"allowed_amount":75.80,"providers":[{"billed_charge":410.00,"npi":[1396773842]}]},{"allowed_amount":33.04,"providers":[{"billed_charge":164.00,"npi":[1396773842,1851453534,1619312832]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":123.00,"npi":[1346201308,1003203951,1740240357]}]},{"allowed_amount":23.78,"providers":[{"billed_charge":123.00,"npi":[1760630065]}]},{"allowed_amount":185.40,"providers":[{"billed_charge":820.00,"npi":[1497781074]}]},{"allowed_amount":50.16,"providers":[{"billed_charge":246.00,"npi":[1346201308]}]},{"allowed_amount":43.10,"providers":[{"billed_charge":205.00,"npi":[1740240357]}]},{"allowed_amount":28.98,"providers":[{"billed_charge":123.00,"npi":[1003203951]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":13.22,"providers":[{"billed_charge":496.00,"npi":[1234567893]}]},{"allowed_amount":31.13,"providers":[{"billed_charge":274.00,"npi":[1234567893]}]},{"allowed_amount":44.45,"providers":[{"billed_charge":424.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":64.36,"providers":[{"billed_charge":469.00,"npi":[1144424748]}]},{"allowed_amount":129.08,"providers":[{"billed_charge":1005.00,"npi":[1700857679]}]},{"allowed_amount":43.15,"providers":[{"billed_charge":335.00,"npi":[1346243144]}]},{"allowed_amount":17.47,"providers":[{"billed_charge":134.00,"npi":[1306166657]}]},{"allowed_amount":59.47,"providers":[{"billed_charge":469.00,"npi":[1639407083]}]},{"allowed_amount":180.95,"providers":[{"billed_charge":1340.00,"npi":[1346243144]}]},{"allowed_amount":97.39,"providers":[{"billed_charge":670.00,"npi":[1437111952]}]},{"allowed_amount":9.66,"providers":[{"billed_charge":67.00,"npi":[1043539851,1376954446]}]},{"allowed_amount":205.07,"providers":[{"billed_charge":1474.00,"npi":[1497744999]}]},{"allowed_amount":117.69,"providers":[{"billed_charge":871.00,"npi":[1932454972]}]},{"allowed_amount":202.56,"providers":[{"billed_charge":1474.00,"npi":[1932199767]}]},{"allowed_amount":20.20,"providers":[{"billed_charge":134.00,"npi":[1851381404]}]},{"allowed_amount":51.04,"providers":[{"billed_charge":402.00,"npi":[1033268925]}]},{"allowed_amount":43.54,"providers":[{"billed_charge":335.00,"npi":[1457400335]}]},{"allowed_amount":154.97,"providers":[{"billed_charge":1206.00,"npi":[1467672824,1538159272]}]},{"allowed_amount":68.30,"providers":[{"billed_charge":536.00,"npi":[1255321907]}]},{"allowed_amount":85.56,"providers":[{"billed_charge":670.00,"npi":[1093030157]}]},{"allowed_amount":8.26,"providers":[{"billed_charge":67.00,"npi":[1457400335,1538159272]}]},{"allowed_amount":16.89,"providers":[{"billed_charge":134.00,"npi":[1902868425,1932454972,1871936591]}]},{"allowed_amount":433.60,"providers":[{"billed_charge":3283.00,"npi":[1902868425]}]},{"allowed_amount":19.76,"providers":[{"billed_charge":134.00,"npi":[1235443789]}]},{"allowed_amount":8.63,"providers":[{"billed_charge":67.00,"npi":[1467672824,1851682876,1467457796,1629211768,1437111952,1346534120,1144424748,1245220102]}]},{"allowed_amount":76.93,"providers":[{"billed_charge":603.00,"npi":[1053516898]}]},{"allowed_amount":317.09,"providers":[{"billed_charge":2479.00,"npi":[1629211768]}]},{"allowed_amount":58.41,"providers":[{"billed_charge":469.00,"npi":[1881191617]}]},{"allowed_amount":34.15,"providers":[{"billed_charge":268.00,"npi":[1902868425]}]},{"allowed_amount":50.30,"providers":[{"billed_charge":402.00,"npi":[1831365261]}]},{"allowed_amount":170.75,"providers":[{"billed_charge":1340.00,"npi":[1245220102]}]},{"allowed_amount":47.02,"providers":[{"billed_charge":335.00,"npi":[1770939753]}]},{"allowed_amount":77.30,"providers":[{"billed_charge":603.00,"npi":[1932454972]}]},{"allowed_amount":17.26,"providers":[{"billed_charge":134.00,"npi":[1881191617,1669656567,1346243144]}]},{"allowed_amount":284.42,"providers":[{"billed_charge":2211.00,"npi":[1437111952]}]},{"allowed_amount":41.56,"providers":[{"billed_charge":335.00,"npi":[1598772915]}]},{"allowed_amount":33.75,"providers":[{"billed_charge":268.00,"npi":[1255321907]}]},{"allowed_amount":120.08,"providers":[{"billed_charge":938.00,"npi":[1932199767]}]},{"allowed_amount":25.89,"providers":[{"billed_charge":201.00,"npi":[1043539851,1346534120,1376954446,1639407083]}]},{"allowed_amount":93.91,"providers":[{"billed_charge":670.00,"npi":[1295725828]}]},{"allowed_amount":172.60,"providers":[{"billed_charge":1340.00,"npi":[1497744999]}]},{"allowed_amount":261.52,"providers":[{"billed_charge":1809.00,"npi":[1851682876]}]},{"allowed_amount":806.36,"providers":[{"billed_charge":5896.00,"npi":[1346534120]}]},{"allowed_amount":174.30,"providers":[{"billed_charge":1340.00,"npi":[1033268925]}]},{"allowed_amount":170.66,"providers":[{"billed_charge":1206.00,"npi":[1245220102]}]},{"allowed_amount":59.72,"providers":[{"billed_charge":402.00,"npi":[1871936591]}]},{"allowed_amount":186.69,"providers":[{"billed_charge":1407.00,"npi":[1669656567]}]},{"allowed_amount":185.56,"providers":[{"billed_charge":1474.00,"npi":[1053516898]}]},{"allowed_amount":255.57,"providers":[{"billed_charge":1809.00,"npi":[1538159272]}]},{"allowed_amount":52.41,"providers":[{"billed_charge":402.00,"npi":[1700857679]}]},{"allowed_amount":129.54,"providers":[{"billed_charge":871.00,"npi":[1093030157]}]},{"allowed_amount":25.52,"providers":[{"billed_charge":201.00,"npi":[1770939753,1871936591,1295725828]}]},{"allowed_amount":51.78,"providers":[{"billed_charge":402.00,"npi":[1467457796,1235443789]}]},{"allowed_amount":105.20,"providers":[{"billed_charge":737.00,"npi":[1467457796]}]},{"allowed_amount":30.30,"providers":[{"billed_charge":201.00,"npi":[1790050052]}]},{"allowed_amount":25.15,"providers":[{"billed_charge":201.00,"npi":[1851381404]}]},{"allowed_amount":249.93,"providers":[{"billed_charge":1809.00,"npi":[1629211768]}]},{"allowed_amount":46.58,"providers":[{"billed_charge":335.00,"npi":[1831365261]}]},{"allowed_amount":132.55,"providers":[{"billed_charge":938.00,"npi":[1467672824]}]}]},{"tin":{"type":"ein","value":"751286819"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":32.24,"providers":[{"billed_charge":72.00,"npi":[1720049273]},{"billed_charge":143.00,"npi":[1720049273]}]}]},{"tin":{"type":"ein","value":"752537587"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":75.00,"npi":[1407290513]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":7.34,"providers":[{"billed_charge":24.00,"npi":[1114303070]}]},{"allowed_amount":102.11,"providers":[{"billed_charge":336.00,"npi":[1932105319]}]},{"allowed_amount":14.52,"providers":[{"billed_charge":48.00,"npi":[1114303070]}]},{"allowed_amount":51.22,"providers":[{"billed_charge":168.00,"npi":[1932105319]}]},{"allowed_amount":14.36,"providers":[{"billed_charge":48.00,"npi":[1275595076]}]},{"allowed_amount":21.54,"providers":[{"billed_charge":72.00,"npi":[1285643916]}]},{"allowed_amount":21.86,"providers":[{"billed_charge":72.00,"npi":[1275595076]}]},{"allowed_amount":93.50,"providers":[{"billed_charge":312.00,"npi":[1366505125]}]},{"allowed_amount":28.87,"providers":[{"billed_charge":96.00,"npi":[1366505125]}]},{"allowed_amount":21.70,"providers":[{"billed_charge":72.00,"npi":[1285643916]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":431.05,"providers":[{"billed_charge":1776.00,"npi":[1871932913]}]},{"allowed_amount":174.75,"providers":[{"billed_charge":720.00,"npi":[1669660866,1083447999]}]},{"allowed_amount":640.75,"providers":[{"billed_charge":2640.00,"npi":[1538368584]}]},{"allowed_amount":11.65,"providers":[{"billed_charge":48.00,"npi":[1992150221,1881910297,1871932913,1427780782,1649411638,1669660866,1518901461,1497792808]}]},{"allowed_amount":93.20,"providers":[{"billed_charge":384.00,"npi":[1992150221]}]},{"allowed_amount":675.70,"providers":[{"billed_charge":2784.00,"npi":[1437197878]}]},{"allowed_amount":23.30,"providers":[{"billed_charge":96.00,"npi":[1881910297,1104867225,1538368584,1538133095]}]},{"allowed_amount":46.60,"providers":[{"billed_charge":192.00,"npi":[1548458185,1588839104]}]},{"allowed_amount":209.70,"providers":[{"billed_charge":864.00,"npi":[1548458185]}]},{"allowed_amount":116.50,"providers":[{"billed_charge":480.00,"npi":[1154363042,1467841346]}]},{"allowed_amount":69.90,"providers":[{"billed_charge":288.00,"npi":[1427780782]}]},{"allowed_amount":81.55,"providers":[{"billed_charge":336.00,"npi":[1871932913,1427780782,1649411638]}]},{"allowed_amount":337.85,"providers":[{"billed_charge":1392.00,"npi":[1497792808]}]},{"allowed_amount":151.45,"providers":[{"billed_charge":624.00,"npi":[1538133095]}]},{"allowed_amount":177.34,"providers":[{"billed_charge":768.00,"npi":[1235177866]}]},{"allowed_amount":454.35,"providers":[{"billed_charge":1872.00,"npi":[1538368584]}]},{"allowed_amount":768.90,"providers":[{"billed_charge":3168.00,"npi":[1518901461]}]},{"allowed_amount":302.90,"providers":[{"billed_charge":1248.00,"npi":[1548458185]}]},{"allowed_amount":139.80,"providers":[{"billed_charge":576.00,"npi":[1881910297,1104867225,1154506202]}]},{"allowed_amount":58.25,"providers":[{"billed_charge":240.00,"npi":[1578065967,1447853262]}]},{"allowed_amount":52.42,"providers":[{"billed_charge":240.00,"npi":[1235177866]}]},{"allowed_amount":34.95,"providers":[{"billed_charge":144.00,"npi":[1083447999,1437197878]}]},{"allowed_amount":908.70,"providers":[{"billed_charge":3744.00,"npi":[1649411638,1154506202]}]},{"allowed_amount":361.15,"providers":[{"billed_charge":1488.00,"npi":[1467841346]}]},{"allowed_amount":186.40,"providers":[{"billed_charge":768.00,"npi":[1104867225,1437197878]}]},{"allowed_amount":396.10,"providers":[{"billed_charge":1632.00,"npi":[1013187889]}]},{"allowed_amount":163.10,"providers":[{"billed_charge":672.00,"npi":[1447853262]}]},{"allowed_amount":1211.60,"providers":[{"billed_charge":4992.00,"npi":[1578065967]}]},{"allowed_amount":244.65,"providers":[{"billed_charge":1008.00,"npi":[1326368739]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":49.32,"providers":[{"billed_charge":132.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"760686474"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":74.34,"providers":[{"billed_charge":405.00,"npi":[1245236413]}]},{"allowed_amount":280.84,"providers":[{"billed_charge":1530.00,"npi":[1245236413]}]},{"allowed_amount":432.12,"providers":[{"billed_charge":2340.00,"npi":[1245236413]}]}]}]},{"name":"X-RAY EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71046","description":"RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"814972048"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":39.14,"providers":[{"billed_charge":128.00,"npi":[1275538597]}]},{"allowed_amount":31.18,"providers":[{"billed_charge":96.00,"npi":[1275538597]}]},{"allowed_amount":29.28,"providers":[{"billed_charge":96.00,"npi":[1275538597]}]},{"allowed_amount":48.80,"providers":[{"billed_charge":160.00,"npi":[1922291863]}]},{"allowed_amount":48.90,"providers":[{"billed_charge":160.00,"npi":[1922291863]}]},{"allowed_amount":9.76,"providers":[{"billed_charge":32.00,"npi":[1922291863]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":24.63,"providers":[{"billed_charge":117.00,"npi":[1578820866,1407149941]}]},{"allowed_amount":82.10,"providers":[{"billed_charge":365.00,"npi":[1578820866]}]},{"allowed_amount":16.42,"providers":[{"billed_charge":78.00,"npi":[1407149941]}]},{"allowed_amount":8.21,"providers":[{"billed_charge":39.00,"npi":[1578820866]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":76.68,"providers":[{"billed_charge":574.00,"npi":[1053516898]}]},{"allowed_amount":204.49,"providers":[{"billed_charge":1476.00,"npi":[1669656567]}]},{"allowed_amount":382.65,"providers":[{"billed_charge":3034.00,"npi":[1346534120]}]},{"allowed_amount":192.93,"providers":[{"billed_charge":1476.00,"npi":[1902868425]}]},{"allowed_amount":68.87,"providers":[{"billed_charge":492.00,"npi":[1932454972]}]},{"allowed_amount":9.86,"providers":[{"billed_charge":82.00,"npi":[1932454972]}]},{"allowed_amount":205.65,"providers":[{"billed_charge":1476.00,"npi":[1598772915]}]},{"allowed_amount":10.27,"providers":[{"billed_charge":82.00,"npi":[1932454972,1346534120]}]},{"allowed_amount":115.97,"providers":[{"billed_charge":902.00,"npi":[1346243144]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":115.33,"providers":[{"billed_charge":290.00,"npi":[1073001236]}]},{"allowed_amount":219.92,"providers":[{"billed_charge":609.00,"npi":[1487644910]}]},{"allowed_amount":431.07,"providers":[{"billed_charge":1189.00,"npi":[1760477236,1306231733]}]},{"allowed_amount":395.01,"providers":[{"billed_charge":1102.00,"npi":[1659532174]}]},{"allowed_amount":12.02,"providers":[{"billed_charge":29.00,"npi":[1790014496,1174850333]}]},{"allowed_amount":20.54,"providers":[{"billed_charge":58.00,"npi":[1760477236]}]},{"allowed_amount":10.27,"providers":[{"billed_charge":29.00,"npi":[1790014496,1487644910,1306231733]}]},{"allowed_amount":315.10,"providers":[{"billed_charge":870.00,"npi":[1194253070]}]},{"allowed_amount":30.81,"providers":[{"billed_charge":87.00,"npi":[1487644910]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":738.89,"providers":[{"billed_charge":2812.00,"npi":[1417290511]}]},{"allowed_amount":29.58,"providers":[{"billed_charge":114.00,"npi":[1295799088]}]},{"allowed_amount":49.30,"providers":[{"billed_charge":190.00,"npi":[1417290511]}]},{"allowed_amount":62.12,"providers":[{"billed_charge":266.00,"npi":[1457447120]}]},{"allowed_amount":88.74,"providers":[{"billed_charge":342.00,"npi":[1538123138]}]},{"allowed_amount":820.08,"providers":[{"billed_charge":3192.00,"npi":[1295799088]}]},{"allowed_amount":818.38,"providers":[{"billed_charge":3154.00,"npi":[1417290511]}]},{"allowed_amount":9.86,"providers":[{"billed_charge":38.00,"npi":[1972548139,1457447120,1538123138]}]},{"allowed_amount":178.83,"providers":[{"billed_charge":722.00,"npi":[1538123138]}]},{"allowed_amount":1587.46,"providers":[{"billed_charge":6118.00,"npi":[1295799088]}]},{"allowed_amount":78.88,"providers":[{"billed_charge":304.00,"npi":[1457447120]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":11.54,"providers":[{"billed_charge":38.00,"npi":[1649404849]}]},{"allowed_amount":108.46,"providers":[{"billed_charge":418.00,"npi":[1396186367]}]},{"allowed_amount":19.72,"providers":[{"billed_charge":76.00,"npi":[1649404849]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":751.78,"providers":[{"billed_charge":9016.00,"npi":[1689840076]}]},{"allowed_amount":643.17,"providers":[{"billed_charge":7644.00,"npi":[1346237401]}]},{"allowed_amount":16.27,"providers":[{"billed_charge":196.00,"npi":[1073723144]}]},{"allowed_amount":886.58,"providers":[{"billed_charge":10584.00,"npi":[1073777249]}]},{"allowed_amount":443.73,"providers":[{"billed_charge":5292.00,"npi":[1073723144]}]},{"allowed_amount":33.22,"providers":[{"billed_charge":392.00,"npi":[1689840076]}]},{"allowed_amount":32.54,"providers":[{"billed_charge":392.00,"npi":[1326242983]}]},{"allowed_amount":220.35,"providers":[{"billed_charge":2548.00,"npi":[1346237401]}]},{"allowed_amount":16.95,"providers":[{"billed_charge":196.00,"npi":[1841287018]}]},{"allowed_amount":593.00,"providers":[{"billed_charge":7056.00,"npi":[1467440594]}]},{"allowed_amount":48.81,"providers":[{"billed_charge":588.00,"npi":[1073777249]}]},{"allowed_amount":115.93,"providers":[{"billed_charge":1372.00,"npi":[1467440594]}]},{"allowed_amount":114.93,"providers":[{"billed_charge":1372.00,"npi":[1841287018]}]},{"allowed_amount":543.43,"providers":[{"billed_charge":6468.00,"npi":[1346237401]}]},{"allowed_amount":84.75,"providers":[{"billed_charge":980.00,"npi":[1467440594]}]},{"allowed_amount":130.84,"providers":[{"billed_charge":1568.00,"npi":[1326242983]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":107.38,"providers":[{"billed_charge":468.00,"npi":[1811981590]}]},{"allowed_amount":7.89,"providers":[{"billed_charge":39.00,"npi":[1477045284]}]},{"allowed_amount":473.12,"providers":[{"billed_charge":1872.00,"npi":[1962512269]}]},{"allowed_amount":128.18,"providers":[{"billed_charge":507.00,"npi":[1962512269]}]},{"allowed_amount":321.73,"providers":[{"billed_charge":1287.00,"npi":[1962512269]}]},{"allowed_amount":9.86,"providers":[{"billed_charge":39.00,"npi":[1811981590,1235422619]}]},{"allowed_amount":16.86,"providers":[{"billed_charge":78.00,"npi":[1720066749]}]},{"allowed_amount":29.58,"providers":[{"billed_charge":117.00,"npi":[1811981590]}]},{"allowed_amount":56.80,"providers":[{"billed_charge":234.00,"npi":[1235422619]}]},{"allowed_amount":226.78,"providers":[{"billed_charge":897.00,"npi":[1093717001]}]},{"allowed_amount":157.76,"providers":[{"billed_charge":624.00,"npi":[1093717001]}]},{"allowed_amount":959.87,"providers":[{"billed_charge":3822.00,"npi":[1093717001]}]},{"allowed_amount":47.34,"providers":[{"billed_charge":234.00,"npi":[1477045284]}]},{"allowed_amount":542.30,"providers":[{"billed_charge":2145.00,"npi":[1720066749]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":13.86,"providers":[{"billed_charge":57.00,"npi":[1538368584,1437197878]}]},{"allowed_amount":69.30,"providers":[{"billed_charge":285.00,"npi":[1538133095]}]},{"allowed_amount":304.92,"providers":[{"billed_charge":1254.00,"npi":[1538368584]}]},{"allowed_amount":166.32,"providers":[{"billed_charge":684.00,"npi":[1437197878]}]},{"allowed_amount":138.60,"providers":[{"billed_charge":570.00,"npi":[1427780782]}]},{"allowed_amount":180.18,"providers":[{"billed_charge":741.00,"npi":[1013187889]}]},{"allowed_amount":41.58,"providers":[{"billed_charge":171.00,"npi":[1548458185]}]},{"allowed_amount":110.88,"providers":[{"billed_charge":456.00,"npi":[1538133095]}]},{"allowed_amount":152.46,"providers":[{"billed_charge":627.00,"npi":[1538368584]}]},{"allowed_amount":55.44,"providers":[{"billed_charge":228.00,"npi":[1548458185]}]},{"allowed_amount":27.72,"providers":[{"billed_charge":114.00,"npi":[1104867225,1427780782,1437197878]}]},{"allowed_amount":97.02,"providers":[{"billed_charge":399.00,"npi":[1467841346]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":860.86,"providers":[{"billed_charge":10270.00,"npi":[1992768147]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":29.58,"providers":[{"billed_charge":183.00,"npi":[1073018073]}]},{"allowed_amount":39.44,"providers":[{"billed_charge":244.00,"npi":[1073018073]}]},{"allowed_amount":128.18,"providers":[{"billed_charge":793.00,"npi":[1366947509]}]},{"allowed_amount":9.86,"providers":[{"billed_charge":61.00,"npi":[1336431352]}]},{"allowed_amount":19.72,"providers":[{"billed_charge":122.00,"npi":[1366947509,1073018073]}]},{"allowed_amount":69.02,"providers":[{"billed_charge":427.00,"npi":[1336431352]}]},{"allowed_amount":118.32,"providers":[{"billed_charge":732.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":1281.00,"npi":[1982023461]}]},{"allowed_amount":23.67,"providers":[{"billed_charge":549.00,"npi":[1982023461]}]},{"allowed_amount":8.06,"providers":[{"billed_charge":183.00,"npi":[1982023461]}]}]},{"tin":{"type":"ein","value":"742620408"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":7.89,"providers":[{"billed_charge":30.87,"npi":[1114993169,1942559349]}]},{"allowed_amount":23.67,"providers":[{"billed_charge":92.61,"npi":[1114993169]}]},{"allowed_amount":47.34,"providers":[{"billed_charge":185.22,"npi":[1114993169]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":128.18,"providers":[{"billed_charge":624.00,"npi":[1497781074]}]},{"allowed_amount":82.99,"providers":[{"billed_charge":384.00,"npi":[1619312832]}]},{"allowed_amount":39.94,"providers":[{"billed_charge":192.00,"npi":[1497781074]}]}]},{"tin":{"type":"ein","value":"760686474"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":9.86,"providers":[{"billed_charge":57.00,"npi":[1245236413]}]},{"allowed_amount":28.40,"providers":[{"billed_charge":171.00,"npi":[1245236413]}]},{"allowed_amount":78.88,"providers":[{"billed_charge":456.00,"npi":[1245236413]}]}]}]},{"name":"CT THORAX W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71250","description":"COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":96.74,"providers":[{"billed_charge":408.00,"npi":[1811981590,1598290652]}]},{"allowed_amount":195.82,"providers":[{"billed_charge":816.00,"npi":[1720066749]}]},{"allowed_amount":41.32,"providers":[{"billed_charge":204.00,"npi":[1811981590]}]},{"allowed_amount":97.91,"providers":[{"billed_charge":408.00,"npi":[1598290652]}]},{"allowed_amount":48.37,"providers":[{"billed_charge":204.00,"npi":[1962512269,1598290652]}]},{"allowed_amount":241.85,"providers":[{"billed_charge":1020.00,"npi":[1962512269,1720066749]}]},{"allowed_amount":145.11,"providers":[{"billed_charge":612.00,"npi":[1720066749]}]},{"allowed_amount":193.48,"providers":[{"billed_charge":816.00,"npi":[1811981590]}]}]}]},{"name":"CT THORAX W/DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71260","description":"COMPUTED TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S)","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":104.36,"providers":[{"billed_charge":432.00,"npi":[1417290511]}]},{"allowed_amount":52.18,"providers":[{"billed_charge":216.00,"npi":[1417290511,1972548139]}]},{"allowed_amount":183.15,"providers":[{"billed_charge":648.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":179.12,"providers":[{"billed_charge":1630.00,"npi":[1366767303]}]},{"allowed_amount":1426.04,"providers":[{"billed_charge":13040.00,"npi":[1366767303]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":255.81,"providers":[{"billed_charge":1120.00,"npi":[1598290652]}]},{"allowed_amount":750.95,"providers":[{"billed_charge":3360.00,"npi":[1811981590]}]},{"allowed_amount":166.96,"providers":[{"billed_charge":896.00,"npi":[1720280530]}]},{"allowed_amount":104.36,"providers":[{"billed_charge":448.00,"npi":[1811981590,1093717001,1598290652]}]},{"allowed_amount":292.18,"providers":[{"billed_charge":1568.00,"npi":[1386694040]}]},{"allowed_amount":61.05,"providers":[{"billed_charge":224.00,"npi":[1093717001]}]},{"allowed_amount":83.48,"providers":[{"billed_charge":448.00,"npi":[1720280530]}]},{"allowed_amount":375.66,"providers":[{"billed_charge":2016.00,"npi":[1386694040]}]},{"allowed_amount":521.80,"providers":[{"billed_charge":2240.00,"npi":[1811981590]}]},{"allowed_amount":41.74,"providers":[{"billed_charge":224.00,"npi":[1386694040]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":439.68,"providers":[{"billed_charge":1950.00,"npi":[1437197878]}]},{"allowed_amount":73.28,"providers":[{"billed_charge":325.00,"npi":[1548458185,1104867225,1669660866]}]},{"allowed_amount":879.36,"providers":[{"billed_charge":3900.00,"npi":[1538368584]}]},{"allowed_amount":146.56,"providers":[{"billed_charge":650.00,"npi":[1104867225]}]},{"allowed_amount":219.84,"providers":[{"billed_charge":975.00,"npi":[1548458185,1538368584]}]},{"allowed_amount":512.96,"providers":[{"billed_charge":2275.00,"npi":[1538368584]}]}]}]},{"name":"CT ANGIOGRAPHY CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71275","description":"COMPUTED TOMOGRAPHIC ANGIOGRAPHY, CHEST (NONCORONARY), WITH CONTRAST MATERIAL(S), INCLUDING NONCONTR","allowed_amounts":[{"tin":{"type":"ein","value":"746223317"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":81.76,"providers":[{"billed_charge":498.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":1074.77,"providers":[{"billed_charge":8040.00,"npi":[1598772915]}]},{"allowed_amount":170.68,"providers":[{"billed_charge":1340.00,"npi":[1598772915]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":272.54,"providers":[{"billed_charge":3330.00,"npi":[1073777249]}]},{"allowed_amount":281.62,"providers":[{"billed_charge":3330.00,"npi":[1689840076]}]},{"allowed_amount":557.33,"providers":[{"billed_charge":6660.00,"npi":[1952651325]}]},{"allowed_amount":2333.81,"providers":[{"billed_charge":28305.00,"npi":[1487073474]}]},{"allowed_amount":1795.07,"providers":[{"billed_charge":21645.00,"npi":[1699186775]}]},{"allowed_amount":416.52,"providers":[{"billed_charge":4995.00,"npi":[1699186775]}]},{"allowed_amount":1513.02,"providers":[{"billed_charge":18315.00,"npi":[1689840076]}]},{"allowed_amount":134.90,"providers":[{"billed_charge":1665.00,"npi":[1689840076,1538185046,1952651325]}]},{"allowed_amount":140.81,"providers":[{"billed_charge":1665.00,"npi":[1699186775]}]},{"allowed_amount":413.35,"providers":[{"billed_charge":4995.00,"npi":[1487073474]}]},{"allowed_amount":677.24,"providers":[{"billed_charge":8325.00,"npi":[1073777249]}]},{"allowed_amount":970.68,"providers":[{"billed_charge":11655.00,"npi":[1538185046]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":636.18,"providers":[{"billed_charge":2752.00,"npi":[1598290652]}]},{"allowed_amount":235.34,"providers":[{"billed_charge":1032.00,"npi":[1093717001]}]},{"allowed_amount":572.32,"providers":[{"billed_charge":2408.00,"npi":[1811981590]}]},{"allowed_amount":163.52,"providers":[{"billed_charge":688.00,"npi":[1811981590]}]},{"allowed_amount":853.32,"providers":[{"billed_charge":3440.00,"npi":[1811981590]}]},{"allowed_amount":245.28,"providers":[{"billed_charge":1032.00,"npi":[1093717001]}]},{"allowed_amount":327.04,"providers":[{"billed_charge":1376.00,"npi":[1598290652]}]}]}]},{"name":"X-RAY EXAM NECK SPINE 2-3 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72040","description":"RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 2 OR 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":40.68,"providers":[{"billed_charge":156.00,"npi":[1417290511]}]},{"allowed_amount":35.70,"providers":[{"billed_charge":117.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":37.97,"providers":[{"billed_charge":216.00,"npi":[1093717001]}]},{"allowed_amount":20.34,"providers":[{"billed_charge":108.00,"npi":[1093717001]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":38.95,"providers":[{"billed_charge":395.00,"npi":[1992768147]}]}]}]},{"name":"X-RAY EXAM NECK SPINE 4/5VWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72050","description":"RADIOLOGIC EXAMINATION, SPINE, CERVICAL; 4 OR 5 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["11","23"],"billing_class":"professional","payments":[{"allowed_amount":12.40,"providers":[{"billed_charge":62.00,"npi":[1720066749]}]},{"allowed_amount":161.19,"providers":[{"billed_charge":806.00,"npi":[1093717001]}]}]}]},{"name":"X-RAY EXAM THORAC SPINE 2VWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72070","description":"RADIOLOGIC EXAMINATION, SPINE; THORACIC, 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":10.79,"providers":[{"billed_charge":39.00,"npi":[1417290511]}]},{"allowed_amount":46.10,"providers":[{"billed_charge":195.00,"npi":[1417290511]}]}]}]},{"name":"X-RAY EXAM L-S SPINE 2/3 VWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72100","description":"RADIOLOGIC EXAMINATION, SPINE, LUMBOSACRAL; 2 OR 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":416.97,"providers":[{"billed_charge":1599.00,"npi":[1417290511]}]},{"allowed_amount":231.58,"providers":[{"billed_charge":780.00,"npi":[1417290511]}]},{"allowed_amount":40.68,"providers":[{"billed_charge":156.00,"npi":[1538123138]}]},{"allowed_amount":30.51,"providers":[{"billed_charge":117.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":61.02,"providers":[{"billed_charge":312.00,"npi":[1497781074]}]},{"allowed_amount":11.90,"providers":[{"billed_charge":52.00,"npi":[1497781074]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":17.38,"providers":[{"billed_charge":104.00,"npi":[1720066749]}]},{"allowed_amount":294.93,"providers":[{"billed_charge":1508.00,"npi":[1720066749]}]},{"allowed_amount":40.68,"providers":[{"billed_charge":208.00,"npi":[1962512269]}]},{"allowed_amount":46.66,"providers":[{"billed_charge":260.00,"npi":[1962512269]}]},{"allowed_amount":657.94,"providers":[{"billed_charge":3380.00,"npi":[1093717001]}]},{"allowed_amount":10.17,"providers":[{"billed_charge":52.00,"npi":[1093717001]}]},{"allowed_amount":91.53,"providers":[{"billed_charge":468.00,"npi":[1093717001]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":584.25,"providers":[{"billed_charge":5925.00,"npi":[1992768147]}]}]}]},{"name":"CT NECK SPINE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72125","description":"COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"741613878"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":699.90,"providers":[{"billed_charge":1792.00,"npi":[1679367221]}]},{"allowed_amount":1060.16,"providers":[{"billed_charge":2816.00,"npi":[1225070311]}]},{"allowed_amount":716.21,"providers":[{"billed_charge":2176.00,"npi":[1700011053]}]},{"allowed_amount":202.06,"providers":[{"billed_charge":512.00,"npi":[1538546577]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":52.14,"providers":[{"billed_charge":186.00,"npi":[1295799088]}]},{"allowed_amount":44.56,"providers":[{"billed_charge":186.00,"npi":[1295799088]}]},{"allowed_amount":607.42,"providers":[{"billed_charge":2418.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":73.52,"providers":[{"billed_charge":722.00,"npi":[1528384138]}]},{"allowed_amount":3158.06,"providers":[{"billed_charge":30324.00,"npi":[1295837292]}]},{"allowed_amount":2165.38,"providers":[{"billed_charge":20938.00,"npi":[1922121607]}]},{"allowed_amount":152.80,"providers":[{"billed_charge":1444.00,"npi":[1316149172,1548443542]}]},{"allowed_amount":673.20,"providers":[{"billed_charge":6498.00,"npi":[1003078015]}]},{"allowed_amount":892.50,"providers":[{"billed_charge":8664.00,"npi":[1679501522]}]},{"allowed_amount":519.14,"providers":[{"billed_charge":5054.00,"npi":[1528384138]}]},{"allowed_amount":1200.08,"providers":[{"billed_charge":11552.00,"npi":[1316149172]}]},{"allowed_amount":76.40,"providers":[{"billed_charge":722.00,"npi":[1295837292,1437112851]}]},{"allowed_amount":298.58,"providers":[{"billed_charge":2888.00,"npi":[1346237401]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":178.25,"providers":[{"billed_charge":1190.00,"npi":[1225003320]}]},{"allowed_amount":89.12,"providers":[{"billed_charge":476.00,"npi":[1811981590,1093717001]}]},{"allowed_amount":90.20,"providers":[{"billed_charge":476.00,"npi":[1235422619]}]},{"allowed_amount":320.85,"providers":[{"billed_charge":2142.00,"npi":[1386694040]}]},{"allowed_amount":222.80,"providers":[{"billed_charge":1190.00,"npi":[1811981590]}]},{"allowed_amount":71.30,"providers":[{"billed_charge":476.00,"npi":[1720280530,1225003320]}]},{"allowed_amount":878.02,"providers":[{"billed_charge":4522.00,"npi":[1598290652]}]},{"allowed_amount":1006.28,"providers":[{"billed_charge":5236.00,"npi":[1093717001]}]},{"allowed_amount":133.68,"providers":[{"billed_charge":714.00,"npi":[1598290652]}]},{"allowed_amount":35.65,"providers":[{"billed_charge":238.00,"npi":[1720280530,1386694040]}]},{"allowed_amount":1529.22,"providers":[{"billed_charge":8330.00,"npi":[1811981590]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":687.61,"providers":[{"billed_charge":3058.00,"npi":[1437197878]}]},{"allowed_amount":1000.16,"providers":[{"billed_charge":4448.00,"npi":[1538368584]}]},{"allowed_amount":375.06,"providers":[{"billed_charge":1668.00,"npi":[1497792808]}]},{"allowed_amount":750.12,"providers":[{"billed_charge":3336.00,"npi":[1548458185]}]},{"allowed_amount":125.02,"providers":[{"billed_charge":556.00,"npi":[1538133095,1467841346]}]},{"allowed_amount":500.08,"providers":[{"billed_charge":2224.00,"npi":[1104867225]}]},{"allowed_amount":812.63,"providers":[{"billed_charge":3614.00,"npi":[1669660866]}]},{"allowed_amount":312.55,"providers":[{"billed_charge":1390.00,"npi":[1427780782,1013187889]}]},{"allowed_amount":1187.69,"providers":[{"billed_charge":5282.00,"npi":[1437197878]}]},{"allowed_amount":187.53,"providers":[{"billed_charge":834.00,"npi":[1427780782,1538133095,1467841346]}]},{"allowed_amount":1437.73,"providers":[{"billed_charge":6394.00,"npi":[1538368584]}]},{"allowed_amount":437.57,"providers":[{"billed_charge":1946.00,"npi":[1548458185]}]},{"allowed_amount":62.51,"providers":[{"billed_charge":278.00,"npi":[1548458185,1669660866,1538368584]}]}]}]},{"name":"CT CHEST SPINE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72128","description":"COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":517.52,"providers":[{"billed_charge":5005.00,"npi":[1528384138]}]},{"allowed_amount":151.54,"providers":[{"billed_charge":1430.00,"npi":[1679501522]}]}]}]},{"name":"CT LUMBAR SPINE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72131","description":"COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":223.44,"providers":[{"billed_charge":2043.00,"npi":[1528384138]}]},{"allowed_amount":296.96,"providers":[{"billed_charge":2724.00,"npi":[1356359335]}]},{"allowed_amount":229.20,"providers":[{"billed_charge":2043.00,"npi":[1528384138]}]},{"allowed_amount":2314.80,"providers":[{"billed_charge":21111.00,"npi":[1528384138]}]},{"allowed_amount":76.40,"providers":[{"billed_charge":681.00,"npi":[1356359335]}]},{"allowed_amount":520.76,"providers":[{"billed_charge":4767.00,"npi":[1679501522]}]},{"allowed_amount":1115.94,"providers":[{"billed_charge":10215.00,"npi":[1922121607]}]}]}]},{"name":"MRI NECK SPINE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72141","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, CERVICAL; WITHOUT CONTRAST MATER","allowed_amounts":[{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.50,"providers":[{"billed_charge":2756.00,"npi":[1518960269]}]}]}]},{"name":"MRI LUMBAR SPINE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72148","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, SPINAL CANAL AND CONTENTS, LUMBAR; WITHOUT CONTRAST MATERIA","allowed_amounts":[{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1047.11,"providers":[{"billed_charge":24804.00,"npi":[1518960269]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":447.94,"providers":[{"billed_charge":4172.00,"npi":[1528384138]}]},{"allowed_amount":109.71,"providers":[{"billed_charge":1043.00,"npi":[1295837292]}]},{"allowed_amount":548.55,"providers":[{"billed_charge":5215.00,"npi":[1295837292]}]},{"allowed_amount":767.97,"providers":[{"billed_charge":7301.00,"npi":[1528384138]}]},{"allowed_amount":674.44,"providers":[{"billed_charge":6258.00,"npi":[1295837292]}]},{"allowed_amount":228.52,"providers":[{"billed_charge":2086.00,"npi":[1528384138]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2286.36,"providers":[{"billed_charge":47400.00,"npi":[1992768147]}]}]}]},{"name":"X-RAY EXAM OF PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72170","description":"RADIOLOGIC EXAMINATION, PELVIS; 1 OR 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":15.88,"providers":[{"billed_charge":88.00,"npi":[1093717001]}]},{"allowed_amount":64.28,"providers":[{"billed_charge":352.00,"npi":[1093717001]}]}]}]},{"name":"MRI PELVIS W/O & W/DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72197","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, PELVIS; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY CONTRAST","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":3407.60,"providers":[{"billed_charge":38320.00,"npi":[1366767303]}]}]}]},{"name":"OTHER/DELIV-LABOR","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"729","description":"LABOR ROOM/DELIVERY - OTHER LABOR ROOM/DELIVERY","allowed_amounts":[{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1921.90,"providers":[{"billed_charge":2812.50,"npi":[1417980202]}]}]}]},{"name":"EKG/ECG","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"730","description":"EKG/ECG - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":288.63,"providers":[{"billed_charge":6389.50,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":612.24,"providers":[{"billed_charge":648620.00,"npi":[1497871628]}]},{"allowed_amount":272.10,"providers":[{"billed_charge":868175.00,"npi":[1871619254]},{"billed_charge":406105.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":156.39,"providers":[{"billed_charge":25382.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19","20"],"billing_class":"institutional","payments":[{"allowed_amount":428.50,"providers":[{"billed_charge":2645.00,"npi":[1992753222]}]},{"allowed_amount":865.89,"providers":[{"billed_charge":764934.00,"npi":[1992753222]}]},{"allowed_amount":85.70,"providers":[{"billed_charge":529.00,"npi":[1992753222]}]},{"allowed_amount":257.10,"providers":[{"billed_charge":1587.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":288.63,"providers":[{"billed_charge":27722.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":681.56,"providers":[{"billed_charge":62318.52,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":577.26,"providers":[{"billed_charge":128914.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":168.10,"providers":[{"billed_charge":17511.94,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":199.30,"providers":[{"billed_charge":26569.84,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":288.63,"providers":[{"billed_charge":67423.25,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1298.64,"providers":[{"billed_charge":8614.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":915.00,"npi":[1679557888]}]},{"allowed_amount":233.93,"providers":[{"billed_charge":466650.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4534.84,"providers":[{"billed_charge":32912.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":251.47,"providers":[{"billed_charge":10944.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1088.40,"providers":[{"billed_charge":268809.25,"npi":[1295788735]}]},{"allowed_amount":544.20,"providers":[{"billed_charge":663984.50,"npi":[1295843787]}]},{"allowed_amount":95.20,"providers":[{"billed_charge":4155.00,"npi":[1730132234]},{"billed_charge":1038.75,"npi":[1295788735]}]},{"allowed_amount":285.60,"providers":[{"billed_charge":7768.00,"npi":[1740233782]}]},{"allowed_amount":816.30,"providers":[{"billed_charge":443996.00,"npi":[1932152337]},{"billed_charge":2113667.00,"npi":[1730132234]},{"billed_charge":647545.25,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":402.30,"providers":[{"billed_charge":300615.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"720423651"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1043.35,"providers":[{"billed_charge":1450.00,"npi":[1366436123]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":577.26,"providers":[{"billed_charge":76120.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":544.20,"providers":[{"billed_charge":262648.65,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":285.28,"providers":[{"billed_charge":12663.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":119.00,"providers":[{"billed_charge":1170.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":931.00,"providers":[{"billed_charge":488824.00,"npi":[1205900370]}]},{"allowed_amount":111.56,"providers":[{"billed_charge":980.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100.58,"providers":[{"billed_charge":106847.16,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":279.45,"providers":[{"billed_charge":4230.70,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":577.26,"providers":[{"billed_charge":94118.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1101.38,"providers":[{"billed_charge":155791.55,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1765.99,"providers":[{"billed_charge":14192.92,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":582.87,"providers":[{"billed_charge":9461.95,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3010.74,"providers":[{"billed_charge":8880.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":204.08,"providers":[{"billed_charge":885395.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.10,"providers":[{"billed_charge":346902.00,"npi":[1548387418]}]}]}]},{"name":"X-RAY EXAM OF SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73030","description":"RADIOLOGIC EXAMINATION, SHOULDER; COMPLETE, MINIMUM OF 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.41,"providers":[{"billed_charge":192.12,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.96,"providers":[{"billed_charge":138.00,"npi":[1770939753]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":139.61,"providers":[{"billed_charge":495.00,"npi":[1417290511]}]},{"allowed_amount":17.14,"providers":[{"billed_charge":66.00,"npi":[1417290511]}]},{"allowed_amount":119.98,"providers":[{"billed_charge":462.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["11","23"],"billing_class":"professional","payments":[{"allowed_amount":14.14,"providers":[{"billed_charge":153.00,"npi":[1467440594]}]},{"allowed_amount":43.37,"providers":[{"billed_charge":459.00,"npi":[1467440594]}]},{"allowed_amount":129.51,"providers":[{"billed_charge":1377.00,"npi":[1689840076]}]},{"allowed_amount":42.42,"providers":[{"billed_charge":459.00,"npi":[1073777249]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.57,"providers":[{"billed_charge":49.00,"npi":[1962512269]}]},{"allowed_amount":34.28,"providers":[{"billed_charge":196.00,"npi":[1093717001]}]},{"allowed_amount":460.32,"providers":[{"billed_charge":2646.00,"npi":[1093717001]}]},{"allowed_amount":419.93,"providers":[{"billed_charge":2401.00,"npi":[1720066749]}]},{"allowed_amount":25.71,"providers":[{"billed_charge":147.00,"npi":[1962512269,1093717001]}]},{"allowed_amount":72.11,"providers":[{"billed_charge":392.00,"npi":[1962512269]}]}]}]},{"name":"X-RAY EXAM OF FOREARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73090","description":"RADIOLOGIC EXAMINATION; FOREARM, 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":65.45,"providers":[{"billed_charge":324.00,"npi":[1093717001]}]},{"allowed_amount":14.62,"providers":[{"billed_charge":72.00,"npi":[1093717001]}]}]}]},{"name":"ANES UPR GI NDSC PX NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"731","description":"ANESTHESIA FOR UPPER GASTROINTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED PROXIMAL TO DUODEN","allowed_amounts":[{"tin":{"type":"ein","value":"271009253"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":210.53,"providers":[{"billed_charge":1260.00,"npi":[1548686710]}]},{"allowed_amount":691.74,"providers":[{"billed_charge":4140.00,"npi":[1639795750]}]},{"allowed_amount":390.98,"providers":[{"billed_charge":2340.00,"npi":[1548686710]}]},{"allowed_amount":932.34,"providers":[{"billed_charge":5580.00,"npi":[1639795750]}]}]},{"tin":{"type":"ein","value":"273821065"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":5478.36,"providers":[{"billed_charge":17900.00,"npi":[1750741583]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":12576.30,"providers":[{"billed_charge":62830.00,"npi":[1609019892]}]}]},{"tin":{"type":"ein","value":"760482007"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":6453.54,"providers":[{"billed_charge":30090.00,"npi":[1922080688]}]}]}]},{"name":"X-RAY EXAM OF WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73110","description":"RADIOLOGIC EXAMINATION, WRIST; COMPLETE, MINIMUM OF 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1323.63,"providers":[{"billed_charge":3812.00,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16.07,"providers":[{"billed_charge":60.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","23"],"billing_class":"professional","payments":[{"allowed_amount":142.12,"providers":[{"billed_charge":684.00,"npi":[1093717001]}]},{"allowed_amount":174.68,"providers":[{"billed_charge":836.00,"npi":[1720066749]}]}]}]},{"name":"X-RAY EXAM OF HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73130","description":"RADIOLOGIC EXAMINATION, HAND; MINIMUM OF 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1172.25,"providers":[{"billed_charge":3376.10,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":103.22,"providers":[{"billed_charge":390.00,"npi":[1417290511]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":30.00,"npi":[1417290511]}]},{"allowed_amount":62.52,"providers":[{"billed_charge":210.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":53.90,"providers":[{"billed_charge":536.00,"npi":[1326242983]}]},{"allowed_amount":13.10,"providers":[{"billed_charge":134.00,"npi":[1689840076]}]},{"allowed_amount":255.14,"providers":[{"billed_charge":2546.00,"npi":[1689840076]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":273.19,"providers":[{"billed_charge":1292.00,"npi":[1093717001]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":38.00,"npi":[1962512269,1093717001]}]},{"allowed_amount":412.88,"providers":[{"billed_charge":1976.00,"npi":[1720066749]}]},{"allowed_amount":43.94,"providers":[{"billed_charge":190.00,"npi":[1962512269]}]},{"allowed_amount":29.63,"providers":[{"billed_charge":152.00,"npi":[1811981590]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":11.21,"providers":[{"billed_charge":38.00,"npi":[1538368584]}]},{"allowed_amount":22.42,"providers":[{"billed_charge":76.00,"npi":[1437197878]}]},{"allowed_amount":56.05,"providers":[{"billed_charge":190.00,"npi":[1538368584]}]},{"allowed_amount":33.63,"providers":[{"billed_charge":114.00,"npi":[1538368584]}]}]}]},{"name":"X-RAY EXAM OF FINGER(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73140","description":"RADIOLOGIC EXAMINATION, FINGER(S), MINIMUM OF 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":20.26,"providers":[{"billed_charge":87.00,"npi":[1093717001]}]}]}]},{"name":"MRI JOINT UPR EXTREM W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73221","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL(S)","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23"],"billing_class":"professional","payments":[{"allowed_amount":71.09,"providers":[{"billed_charge":288.00,"npi":[1235422619]}]},{"allowed_amount":182.28,"providers":[{"billed_charge":864.00,"npi":[1235422619]}]},{"allowed_amount":243.04,"providers":[{"billed_charge":1152.00,"npi":[1235422619]}]}]}]},{"name":"X-RAY EXAM HIP UNI 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73502","description":"RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":23.80,"providers":[{"billed_charge":76.00,"npi":[1093717001]}]}]}]},{"name":"X-RAY EXAM OF KNEE 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73562","description":"RADIOLOGIC EXAMINATION, KNEE; 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.57,"providers":[{"billed_charge":33.00,"npi":[1417290511]}]},{"allowed_amount":239.96,"providers":[{"billed_charge":924.00,"npi":[1417290511]}]},{"allowed_amount":166.18,"providers":[{"billed_charge":627.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":7.32,"providers":[{"billed_charge":32.00,"npi":[1649404849]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":14.14,"providers":[{"billed_charge":140.00,"npi":[1528384138]}]},{"allowed_amount":121.14,"providers":[{"billed_charge":1260.00,"npi":[1073777249]}]},{"allowed_amount":56.87,"providers":[{"billed_charge":560.00,"npi":[1528384138]}]},{"allowed_amount":209.82,"providers":[{"billed_charge":2100.00,"npi":[1689840076]}]},{"allowed_amount":57.51,"providers":[{"billed_charge":560.00,"npi":[1467440594]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.57,"providers":[{"billed_charge":44.00,"npi":[1720066749]}]},{"allowed_amount":498.54,"providers":[{"billed_charge":2508.00,"npi":[1093717001]}]},{"allowed_amount":702.74,"providers":[{"billed_charge":3608.00,"npi":[1720066749]}]},{"allowed_amount":27.38,"providers":[{"billed_charge":132.00,"npi":[1811981590]}]},{"allowed_amount":17.14,"providers":[{"billed_charge":88.00,"npi":[1093717001]}]},{"allowed_amount":25.71,"providers":[{"billed_charge":132.00,"npi":[1093717001]}]},{"allowed_amount":7.32,"providers":[{"billed_charge":44.00,"npi":[1720066749]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":12.10,"providers":[{"billed_charge":45.00,"npi":[1427780782,1538368584]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":997.75,"providers":[{"billed_charge":9875.00,"npi":[1992768147]}]}]}]},{"name":"X-RAY EXAM OF KNEES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73565","description":"RADIOLOGIC EXAMINATION, KNEE; BOTH KNEES, STANDING, ANTEROPOSTERIOR","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":155.22,"providers":[{"billed_charge":442.68,"npi":[1083623656]}]}]}]},{"name":"X-RAY EXAM OF LOWER LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73590","description":"RADIOLOGIC EXAMINATION; TIBIA AND FIBULA, 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":39.80,"providers":[{"billed_charge":174.00,"npi":[1417290511]}]},{"allowed_amount":7.31,"providers":[{"billed_charge":29.00,"npi":[1417290511]}]},{"allowed_amount":14.62,"providers":[{"billed_charge":58.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":68.01,"providers":[{"billed_charge":762.00,"npi":[1689840076]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":105.90,"providers":[{"billed_charge":588.00,"npi":[1093717001]}]},{"allowed_amount":14.62,"providers":[{"billed_charge":84.00,"npi":[1093717001]}]}]}]},{"name":"X-RAY EXAM OF ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.65,"providers":[{"billed_charge":335.40,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":57.50,"providers":[{"billed_charge":210.00,"npi":[1417290511]}]},{"allowed_amount":47.64,"providers":[{"billed_charge":180.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":179.35,"providers":[{"billed_charge":1876.00,"npi":[1689840076]}]},{"allowed_amount":13.38,"providers":[{"billed_charge":134.00,"npi":[1528384138]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":6.78,"providers":[{"billed_charge":39.00,"npi":[1720066749]}]},{"allowed_amount":15.88,"providers":[{"billed_charge":78.00,"npi":[1093717001]}]},{"allowed_amount":98.93,"providers":[{"billed_charge":468.00,"npi":[1811981590]}]},{"allowed_amount":25.36,"providers":[{"billed_charge":117.00,"npi":[1962512269]}]},{"allowed_amount":334.96,"providers":[{"billed_charge":1638.00,"npi":[1093717001]}]},{"allowed_amount":7.94,"providers":[{"billed_charge":39.00,"npi":[1962512269,1811981590,1093717001]}]},{"allowed_amount":357.30,"providers":[{"billed_charge":1755.00,"npi":[1720066749]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":11.21,"providers":[{"billed_charge":41.00,"npi":[1538368584]}]}]}]},{"name":"X-RAY EXAM OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADIOLOGIC EXAMINATION, FOOT; COMPLETE, MINIMUM OF 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":440.60,"providers":[{"billed_charge":1256.00,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":25.10,"providers":[{"billed_charge":201.00,"npi":[1770939753]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":114.60,"providers":[{"billed_charge":435.00,"npi":[1417290511]}]},{"allowed_amount":111.01,"providers":[{"billed_charge":406.00,"npi":[1417290511]}]},{"allowed_amount":7.64,"providers":[{"billed_charge":29.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":12.61,"providers":[{"billed_charge":127.00,"npi":[1528384138]}]},{"allowed_amount":25.46,"providers":[{"billed_charge":254.00,"npi":[1528384138]}]},{"allowed_amount":64.17,"providers":[{"billed_charge":635.00,"npi":[1326242983]}]},{"allowed_amount":13.17,"providers":[{"billed_charge":127.00,"npi":[1073777249]}]},{"allowed_amount":44.97,"providers":[{"billed_charge":508.00,"npi":[1073777249]}]},{"allowed_amount":172.98,"providers":[{"billed_charge":1905.00,"npi":[1689840076]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":501.24,"providers":[{"billed_charge":2665.00,"npi":[1093717001]}]},{"allowed_amount":15.28,"providers":[{"billed_charge":82.00,"npi":[1811981590,1093717001]}]},{"allowed_amount":7.64,"providers":[{"billed_charge":41.00,"npi":[1962512269,1811981590]}]},{"allowed_amount":443.12,"providers":[{"billed_charge":2378.00,"npi":[1720066749]}]},{"allowed_amount":76.40,"providers":[{"billed_charge":410.00,"npi":[1093717001]}]},{"allowed_amount":122.94,"providers":[{"billed_charge":697.00,"npi":[1811981590]}]},{"allowed_amount":30.92,"providers":[{"billed_charge":164.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.42,"providers":[{"billed_charge":395.00,"npi":[1992768147]}]}]}]},{"name":"MRI JNT OF LWR EXTRE W/O DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73721","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, ANY JOINT OF LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1746.49,"providers":[{"billed_charge":38584.00,"npi":[1518960269]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":194.09,"providers":[{"billed_charge":852.00,"npi":[1235422619]}]},{"allowed_amount":145.83,"providers":[{"billed_charge":852.00,"npi":[1578539557]}]},{"allowed_amount":364.56,"providers":[{"billed_charge":1704.00,"npi":[1235422619]}]},{"allowed_amount":789.88,"providers":[{"billed_charge":3692.00,"npi":[1235422619]}]},{"allowed_amount":121.52,"providers":[{"billed_charge":568.00,"npi":[1235422619]}]}]}]},{"name":"EEG","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"740","description":"EEG - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":499.04,"providers":[{"billed_charge":5899.75,"npi":[1730132234]}]}]}]},{"name":"X-RAY EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW","allowed_amounts":[{"tin":{"type":"ein","value":"746223317"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":8.26,"providers":[{"billed_charge":49.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":86.30,"providers":[{"billed_charge":240.00,"npi":[1003892506]}]},{"allowed_amount":8.63,"providers":[{"billed_charge":24.00,"npi":[1467625285]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":123.90,"providers":[{"billed_charge":480.00,"npi":[1417290511]}]},{"allowed_amount":115.64,"providers":[{"billed_charge":448.00,"npi":[1417290511]}]},{"allowed_amount":16.72,"providers":[{"billed_charge":64.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"742620408"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":39.66,"providers":[{"billed_charge":154.98,"npi":[1942559349]}]},{"allowed_amount":185.08,"providers":[{"billed_charge":723.24,"npi":[1942559349]}]},{"allowed_amount":72.71,"providers":[{"billed_charge":284.13,"npi":[1114993169]}]},{"allowed_amount":46.27,"providers":[{"billed_charge":180.81,"npi":[1942559349]}]},{"allowed_amount":145.42,"providers":[{"billed_charge":568.26,"npi":[1114993169]}]},{"allowed_amount":6.61,"providers":[{"billed_charge":25.83,"npi":[1942559349]}]},{"allowed_amount":19.83,"providers":[{"billed_charge":77.49,"npi":[1114993169]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":13.63,"providers":[{"billed_charge":161.00,"npi":[1467440594]}]},{"allowed_amount":55.13,"providers":[{"billed_charge":644.00,"npi":[1467440594]}]},{"allowed_amount":99.07,"providers":[{"billed_charge":1127.00,"npi":[1467440594]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":66.08,"providers":[{"billed_charge":264.00,"npi":[1962512269]}]},{"allowed_amount":7.06,"providers":[{"billed_charge":33.00,"npi":[1811981590]}]},{"allowed_amount":24.78,"providers":[{"billed_charge":99.00,"npi":[1093717001]}]},{"allowed_amount":256.06,"providers":[{"billed_charge":1023.00,"npi":[1093717001]}]},{"allowed_amount":136.36,"providers":[{"billed_charge":528.00,"npi":[1962512269]}]},{"allowed_amount":212.16,"providers":[{"billed_charge":858.00,"npi":[1093717001]}]},{"allowed_amount":239.54,"providers":[{"billed_charge":957.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":46.60,"providers":[{"billed_charge":192.00,"npi":[1932441276,1568572519]}]},{"allowed_amount":11.65,"providers":[{"billed_charge":48.00,"npi":[1235248964,1326368739]}]},{"allowed_amount":384.45,"providers":[{"billed_charge":1584.00,"npi":[1508376856]}]},{"allowed_amount":34.95,"providers":[{"billed_charge":144.00,"npi":[1568572519,1326368739]}]}]}]},{"name":"X-RAY EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74019","description":"RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":39.15,"providers":[{"billed_charge":168.00,"npi":[1093717001]}]}]}]},{"name":"CT ABD & PELVIS W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74176","description":"COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL","allowed_amounts":[{"tin":{"type":"ein","value":"751292603"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":389.80,"providers":[{"billed_charge":1750.00,"npi":[1235263401]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":77.96,"providers":[{"billed_charge":555.00,"npi":[1558868265]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":64.88,"providers":[{"billed_charge":305.00,"npi":[1730316118,1578820866,1285838862,1326007972]}]},{"allowed_amount":259.52,"providers":[{"billed_charge":1220.00,"npi":[1578820866]}]},{"allowed_amount":1284.28,"providers":[{"billed_charge":5795.00,"npi":[1407149941]}]},{"allowed_amount":194.64,"providers":[{"billed_charge":915.00,"npi":[1730316118,1407149941]}]},{"allowed_amount":614.00,"providers":[{"billed_charge":2745.00,"npi":[1285838862]}]},{"allowed_amount":146.04,"providers":[{"billed_charge":610.00,"npi":[1285838862]}]},{"allowed_amount":129.76,"providers":[{"billed_charge":610.00,"npi":[1578820866,1366707564,1407149941]}]},{"allowed_amount":903.60,"providers":[{"billed_charge":3965.00,"npi":[1366707564]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1285.06,"providers":[{"billed_charge":11830.00,"npi":[1902868425]}]},{"allowed_amount":91.21,"providers":[{"billed_charge":845.00,"npi":[1144424748]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":2433.75,"providers":[{"billed_charge":9393.00,"npi":[1295799088]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":909.00,"npi":[1295799088]}]},{"allowed_amount":1287.09,"providers":[{"billed_charge":4848.00,"npi":[1417290511]}]},{"allowed_amount":467.76,"providers":[{"billed_charge":1818.00,"npi":[1417290511,1295799088]}]},{"allowed_amount":857.56,"providers":[{"billed_charge":3333.00,"npi":[1972548139]}]},{"allowed_amount":311.84,"providers":[{"billed_charge":1212.00,"npi":[1417290511]}]},{"allowed_amount":155.92,"providers":[{"billed_charge":606.00,"npi":[1538123138]}]},{"allowed_amount":1129.28,"providers":[{"billed_charge":4242.00,"npi":[1972548139]}]},{"allowed_amount":77.96,"providers":[{"billed_charge":303.00,"npi":[1972548139,1538123138]}]},{"allowed_amount":655.85,"providers":[{"billed_charge":2424.00,"npi":[1538123138]}]},{"allowed_amount":91.21,"providers":[{"billed_charge":303.00,"npi":[1457447120]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":133.91,"providers":[{"billed_charge":1617.00,"npi":[1487073474]}]},{"allowed_amount":401.73,"providers":[{"billed_charge":4851.00,"npi":[1487073474]}]},{"allowed_amount":131.39,"providers":[{"billed_charge":1617.00,"npi":[1487073474]}]},{"allowed_amount":774.59,"providers":[{"billed_charge":9702.00,"npi":[1346237401]}]},{"allowed_amount":391.17,"providers":[{"billed_charge":4851.00,"npi":[1073777249]}]},{"allowed_amount":257.26,"providers":[{"billed_charge":3234.00,"npi":[1144491911,1346237401]}]},{"allowed_amount":393.93,"providers":[{"billed_charge":4851.00,"npi":[1689840076]}]},{"allowed_amount":128.63,"providers":[{"billed_charge":1617.00,"npi":[1073777249,1689840076]}]},{"allowed_amount":265.30,"providers":[{"billed_charge":3234.00,"npi":[1144491911]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1169.40,"providers":[{"billed_charge":3960.00,"npi":[1093717001]}]},{"allowed_amount":540.03,"providers":[{"billed_charge":1848.00,"npi":[1396940342]}]},{"allowed_amount":8314.71,"providers":[{"billed_charge":27984.00,"npi":[1811981590]}]},{"allowed_amount":2744.28,"providers":[{"billed_charge":11616.00,"npi":[1720280530]}]},{"allowed_amount":2338.80,"providers":[{"billed_charge":7920.00,"npi":[1811981590]}]},{"allowed_amount":77.96,"providers":[{"billed_charge":264.00,"npi":[1720066749,1598290652]}]},{"allowed_amount":2619.54,"providers":[{"billed_charge":11088.00,"npi":[1225003320]}]},{"allowed_amount":623.70,"providers":[{"billed_charge":2640.00,"npi":[1225003320]}]},{"allowed_amount":249.48,"providers":[{"billed_charge":1056.00,"npi":[1720280530]}]},{"allowed_amount":187.11,"providers":[{"billed_charge":792.00,"npi":[1225003320]}]},{"allowed_amount":1309.77,"providers":[{"billed_charge":5544.00,"npi":[1386694040]}]},{"allowed_amount":389.80,"providers":[{"billed_charge":1320.00,"npi":[1093717001]}]},{"allowed_amount":561.33,"providers":[{"billed_charge":2376.00,"npi":[1720280530]}]},{"allowed_amount":3615.17,"providers":[{"billed_charge":12672.00,"npi":[1598290652]}]},{"allowed_amount":1091.44,"providers":[{"billed_charge":3696.00,"npi":[1598290652]}]},{"allowed_amount":233.88,"providers":[{"billed_charge":792.00,"npi":[1396940342,1811981590]}]},{"allowed_amount":6287.79,"providers":[{"billed_charge":21120.00,"npi":[1235422619]}]},{"allowed_amount":857.56,"providers":[{"billed_charge":2904.00,"npi":[1235422619]}]},{"allowed_amount":1559.20,"providers":[{"billed_charge":5280.00,"npi":[1235422619]}]},{"allowed_amount":739.83,"providers":[{"billed_charge":2640.00,"npi":[1962512269]}]},{"allowed_amount":1060.29,"providers":[{"billed_charge":4488.00,"npi":[1477045284]}]},{"allowed_amount":545.72,"providers":[{"billed_charge":1848.00,"npi":[1720066749]}]},{"allowed_amount":5239.08,"providers":[{"billed_charge":22176.00,"npi":[1386694040]}]},{"allowed_amount":155.92,"providers":[{"billed_charge":528.00,"npi":[1720066749]}]},{"allowed_amount":6795.98,"providers":[{"billed_charge":23232.00,"npi":[1093717001]}]},{"allowed_amount":374.22,"providers":[{"billed_charge":1584.00,"npi":[1477045284]}]},{"allowed_amount":2556.80,"providers":[{"billed_charge":8184.00,"npi":[1720066749]}]},{"allowed_amount":436.59,"providers":[{"billed_charge":1848.00,"npi":[1386694040]}]}]}]},{"name":"CT ABD & PELV W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74177","description":"COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST MATERIAL(S)","allowed_amounts":[{"tin":{"type":"ein","value":"741940911"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1015.07,"providers":[{"billed_charge":4290.00,"npi":[1811283930]}]}]},{"tin":{"type":"ein","value":"814972048"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":562.58,"providers":[{"billed_charge":2275.00,"npi":[1922291863]}]},{"allowed_amount":162.42,"providers":[{"billed_charge":650.00,"npi":[1922291863]}]},{"allowed_amount":244.49,"providers":[{"billed_charge":975.00,"npi":[1922291863]}]},{"allowed_amount":81.21,"providers":[{"billed_charge":325.00,"npi":[1922291863]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":834.77,"providers":[{"billed_charge":3840.00,"npi":[1366707564]}]},{"allowed_amount":1362.00,"providers":[{"billed_charge":6203.00,"npi":[1578820866]}]},{"allowed_amount":443.74,"providers":[{"billed_charge":1920.00,"npi":[1285838862]}]},{"allowed_amount":1196.10,"providers":[{"billed_charge":4480.00,"npi":[1104263839]}]},{"allowed_amount":1668.76,"providers":[{"billed_charge":6843.00,"npi":[1306003579]}]},{"allowed_amount":204.30,"providers":[{"billed_charge":960.00,"npi":[1750624144,1366707564]}]},{"allowed_amount":96.02,"providers":[{"billed_charge":320.00,"npi":[1245261783]}]},{"allowed_amount":166.13,"providers":[{"billed_charge":640.00,"npi":[1164868212]}]},{"allowed_amount":340.50,"providers":[{"billed_charge":1600.00,"npi":[1407149941,1932465812]}]},{"allowed_amount":136.20,"providers":[{"billed_charge":640.00,"npi":[1578820866,1740609684]}]},{"allowed_amount":2636.70,"providers":[{"billed_charge":10683.00,"npi":[1366707564]}]},{"allowed_amount":358.07,"providers":[{"billed_charge":1600.00,"npi":[1285838862]}]},{"allowed_amount":3782.02,"providers":[{"billed_charge":16000.00,"npi":[1407149941]}]},{"allowed_amount":68.10,"providers":[{"billed_charge":320.00,"npi":[1730316118,1407149941,1740609684,1326007972]}]},{"allowed_amount":544.80,"providers":[{"billed_charge":2560.00,"npi":[1578820866]}]},{"allowed_amount":1293.90,"providers":[{"billed_charge":5686.00,"npi":[1326007972]}]},{"allowed_amount":2584.70,"providers":[{"billed_charge":10092.00,"npi":[1730316118]}]},{"allowed_amount":2884.65,"providers":[{"billed_charge":12406.00,"npi":[1285838862]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":670.35,"providers":[{"billed_charge":6321.00,"npi":[1962668947]}]},{"allowed_amount":342.61,"providers":[{"billed_charge":3612.00,"npi":[1457400335]}]},{"allowed_amount":774.79,"providers":[{"billed_charge":7224.00,"npi":[1851895718]}]},{"allowed_amount":100.23,"providers":[{"billed_charge":903.00,"npi":[1245550458]}]},{"allowed_amount":643.30,"providers":[{"billed_charge":6321.00,"npi":[1770939753]}]},{"allowed_amount":296.48,"providers":[{"billed_charge":2709.00,"npi":[1578095063]}]},{"allowed_amount":3647.44,"providers":[{"billed_charge":34314.00,"npi":[1598772915]}]},{"allowed_amount":893.65,"providers":[{"billed_charge":8127.00,"npi":[1689061459]}]},{"allowed_amount":388.29,"providers":[{"billed_charge":3612.00,"npi":[1679563050]}]},{"allowed_amount":1660.02,"providers":[{"billed_charge":15351.00,"npi":[1093030157]}]},{"allowed_amount":82.07,"providers":[{"billed_charge":903.00,"npi":[1679563050,1093030157,1689061459]}]},{"allowed_amount":1040.01,"providers":[{"billed_charge":9933.00,"npi":[1346534120]}]},{"allowed_amount":488.52,"providers":[{"billed_charge":4515.00,"npi":[1851682876]}]},{"allowed_amount":766.82,"providers":[{"billed_charge":8127.00,"npi":[1144424748]}]},{"allowed_amount":2828.52,"providers":[{"billed_charge":28896.00,"npi":[1902868425]}]},{"allowed_amount":85.67,"providers":[{"billed_charge":903.00,"npi":[1962668947,1093030157]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":200.46,"providers":[{"billed_charge":472.00,"npi":[1467625285]}]},{"allowed_amount":196.96,"providers":[{"billed_charge":472.00,"npi":[1073001236]}]},{"allowed_amount":1788.20,"providers":[{"billed_charge":4720.00,"npi":[1760477236]}]},{"allowed_amount":1853.41,"providers":[{"billed_charge":5192.00,"npi":[1194253070]}]},{"allowed_amount":1734.10,"providers":[{"billed_charge":4720.00,"npi":[1306231733]}]},{"allowed_amount":720.69,"providers":[{"billed_charge":1888.00,"npi":[1003892506]}]},{"allowed_amount":2354.56,"providers":[{"billed_charge":6372.00,"npi":[1659532174]}]},{"allowed_amount":171.34,"providers":[{"billed_charge":472.00,"npi":[1003892506,1306231733]}]},{"allowed_amount":85.67,"providers":[{"billed_charge":236.00,"npi":[1003892506,1306231733]}]}]},{"tin":{"type":"ein","value":"751286819"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2080.39,"providers":[{"billed_charge":4693.00,"npi":[1568416204]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1222.35,"providers":[{"billed_charge":4680.00,"npi":[1508363292]}]},{"allowed_amount":82.07,"providers":[{"billed_charge":360.00,"npi":[1508363292]}]},{"allowed_amount":480.10,"providers":[{"billed_charge":1800.00,"npi":[1568665321]}]},{"allowed_amount":328.28,"providers":[{"billed_charge":1440.00,"npi":[1508363292]}]},{"allowed_amount":402.37,"providers":[{"billed_charge":1800.00,"npi":[1396186367]}]},{"allowed_amount":164.14,"providers":[{"billed_charge":720.00,"npi":[1568665321]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":192.04,"providers":[{"billed_charge":634.00,"npi":[1528370319]}]},{"allowed_amount":574.49,"providers":[{"billed_charge":2219.00,"npi":[1972548139,1295799088]}]},{"allowed_amount":246.21,"providers":[{"billed_charge":951.00,"npi":[1417290511]}]},{"allowed_amount":656.56,"providers":[{"billed_charge":2536.00,"npi":[1295799088]}]},{"allowed_amount":902.77,"providers":[{"billed_charge":3487.00,"npi":[1417290511]}]},{"allowed_amount":2964.43,"providers":[{"billed_charge":11412.00,"npi":[1972548139]}]},{"allowed_amount":4604.39,"providers":[{"billed_charge":16484.00,"npi":[1417290511]}]},{"allowed_amount":328.28,"providers":[{"billed_charge":1268.00,"npi":[1457447120,1538123138]}]},{"allowed_amount":4906.17,"providers":[{"billed_charge":19020.00,"npi":[1538123138]}]},{"allowed_amount":1231.05,"providers":[{"billed_charge":4755.00,"npi":[1972548139]}]},{"allowed_amount":2491.95,"providers":[{"billed_charge":9510.00,"npi":[1457447120]}]},{"allowed_amount":6974.41,"providers":[{"billed_charge":25677.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":2357.91,"providers":[{"billed_charge":28764.00,"npi":[1326242983]}]},{"allowed_amount":965.76,"providers":[{"billed_charge":11844.00,"npi":[1992792063]}]},{"allowed_amount":1354.20,"providers":[{"billed_charge":16920.00,"npi":[1346237401]}]},{"allowed_amount":406.26,"providers":[{"billed_charge":5076.00,"npi":[1073777249]}]},{"allowed_amount":5755.54,"providers":[{"billed_charge":71064.00,"npi":[1073777249]}]},{"allowed_amount":4851.24,"providers":[{"billed_charge":59220.00,"npi":[1689840076]}]},{"allowed_amount":2210.17,"providers":[{"billed_charge":27072.00,"npi":[1467440594]}]},{"allowed_amount":1245.29,"providers":[{"billed_charge":15228.00,"npi":[1487641650]}]},{"allowed_amount":3711.79,"providers":[{"billed_charge":45684.00,"npi":[1497252753]}]},{"allowed_amount":553.24,"providers":[{"billed_charge":6768.00,"npi":[1316149172]}]},{"allowed_amount":836.28,"providers":[{"billed_charge":10152.00,"npi":[1417240755]}]},{"allowed_amount":270.84,"providers":[{"billed_charge":3384.00,"npi":[1992792063,1326242983]}]},{"allowed_amount":4857.62,"providers":[{"billed_charge":59220.00,"npi":[1548443542]}]},{"allowed_amount":1790.16,"providers":[{"billed_charge":21996.00,"npi":[1689878282]}]},{"allowed_amount":424.08,"providers":[{"billed_charge":5076.00,"npi":[1215181177,1902164825]}]},{"allowed_amount":6965.26,"providers":[{"billed_charge":84600.00,"npi":[1487073474]}]},{"allowed_amount":8884.74,"providers":[{"billed_charge":109980.00,"npi":[1346237401]}]},{"allowed_amount":1666.18,"providers":[{"billed_charge":20304.00,"npi":[1841287018]}]},{"allowed_amount":2493.33,"providers":[{"billed_charge":30456.00,"npi":[1083895379]}]},{"allowed_amount":418.14,"providers":[{"billed_charge":5076.00,"npi":[1033646971]}]},{"allowed_amount":412.20,"providers":[{"billed_charge":5076.00,"npi":[1083895379]}]},{"allowed_amount":420.89,"providers":[{"billed_charge":5076.00,"npi":[1487073474]}]},{"allowed_amount":1368.83,"providers":[{"billed_charge":16920.00,"npi":[1144491911]}]},{"allowed_amount":2031.30,"providers":[{"billed_charge":25380.00,"npi":[1740710169]}]},{"allowed_amount":553.56,"providers":[{"billed_charge":6768.00,"npi":[1689878282]}]},{"allowed_amount":2184.54,"providers":[{"billed_charge":27072.00,"npi":[1366767303]}]},{"allowed_amount":141.36,"providers":[{"billed_charge":1692.00,"npi":[1699186775,1144491911,1073777249,1689840076,1841287018,1174615652,1538185046,1073553970]}]},{"allowed_amount":2538.54,"providers":[{"billed_charge":30456.00,"npi":[1366767303]}]},{"allowed_amount":273.59,"providers":[{"billed_charge":3384.00,"npi":[1841287018]}]},{"allowed_amount":1248.48,"providers":[{"billed_charge":15228.00,"npi":[1538185046]}]},{"allowed_amount":565.44,"providers":[{"billed_charge":6768.00,"npi":[1366767303]}]},{"allowed_amount":138.17,"providers":[{"billed_charge":1692.00,"npi":[1487641650]}]},{"allowed_amount":1236.60,"providers":[{"billed_charge":15228.00,"npi":[1609254754]}]},{"allowed_amount":842.22,"providers":[{"billed_charge":10152.00,"npi":[1780624254]}]},{"allowed_amount":135.42,"providers":[{"billed_charge":1692.00,"npi":[1689840076,1215181177,1033646971,1538185046,1548443542,1497252753]}]},{"allowed_amount":1931.52,"providers":[{"billed_charge":23688.00,"npi":[1952651325]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":4858.10,"providers":[{"billed_charge":23902.00,"npi":[1225003320]}]},{"allowed_amount":5585.93,"providers":[{"billed_charge":21318.00,"npi":[1598290652]}]},{"allowed_amount":1313.00,"providers":[{"billed_charge":6460.00,"npi":[1720280530]}]},{"allowed_amount":18414.52,"providers":[{"billed_charge":71706.00,"npi":[1811981590]}]},{"allowed_amount":11747.98,"providers":[{"billed_charge":44574.00,"npi":[1093717001]}]},{"allowed_amount":492.42,"providers":[{"billed_charge":1938.00,"npi":[1962512269]}]},{"allowed_amount":738.63,"providers":[{"billed_charge":2907.00,"npi":[1235422619]}]},{"allowed_amount":656.50,"providers":[{"billed_charge":3230.00,"npi":[1225003320]}]},{"allowed_amount":2133.82,"providers":[{"billed_charge":8398.00,"npi":[1598290652]}]},{"allowed_amount":4431.78,"providers":[{"billed_charge":17442.00,"npi":[1811981590]}]},{"allowed_amount":82.07,"providers":[{"billed_charge":323.00,"npi":[1235422619]}]},{"allowed_amount":410.35,"providers":[{"billed_charge":1615.00,"npi":[1396940342]}]},{"allowed_amount":2215.89,"providers":[{"billed_charge":8721.00,"npi":[1235422619]}]},{"allowed_amount":65.65,"providers":[{"billed_charge":323.00,"npi":[1881776821]}]},{"allowed_amount":638.61,"providers":[{"billed_charge":2584.00,"npi":[1396940342]}]},{"allowed_amount":3200.73,"providers":[{"billed_charge":12597.00,"npi":[1093717001]}]},{"allowed_amount":787.80,"providers":[{"billed_charge":3876.00,"npi":[1386694040]}]},{"allowed_amount":9191.00,"providers":[{"billed_charge":45220.00,"npi":[1386694040]}]},{"allowed_amount":1313.12,"providers":[{"billed_charge":5168.00,"npi":[1811981590]}]},{"allowed_amount":164.14,"providers":[{"billed_charge":646.00,"npi":[1598290652]}]},{"allowed_amount":2494.70,"providers":[{"billed_charge":12274.00,"npi":[1477045284]}]},{"allowed_amount":246.21,"providers":[{"billed_charge":969.00,"npi":[1962512269,1093717001]}]},{"allowed_amount":656.56,"providers":[{"billed_charge":2584.00,"npi":[1720066749]}]},{"allowed_amount":393.90,"providers":[{"billed_charge":1938.00,"npi":[1477045284]}]},{"allowed_amount":1679.59,"providers":[{"billed_charge":6783.00,"npi":[1962512269]}]},{"allowed_amount":1116.05,"providers":[{"billed_charge":5491.00,"npi":[1720280530]}]},{"allowed_amount":2166.45,"providers":[{"billed_charge":10659.00,"npi":[1386694040]}]},{"allowed_amount":459.55,"providers":[{"billed_charge":2261.00,"npi":[1881776821]}]},{"allowed_amount":4334.62,"providers":[{"billed_charge":16150.00,"npi":[1720066749]}]},{"allowed_amount":4398.55,"providers":[{"billed_charge":21641.00,"npi":[1720280530]}]},{"allowed_amount":328.25,"providers":[{"billed_charge":1615.00,"npi":[1477045284]}]},{"allowed_amount":7324.96,"providers":[{"billed_charge":27778.00,"npi":[1235422619]}]},{"allowed_amount":1805.54,"providers":[{"billed_charge":7106.00,"npi":[1720066749]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":357.78,"providers":[{"billed_charge":1115.00,"npi":[1932176047]}]},{"allowed_amount":142.48,"providers":[{"billed_charge":446.00,"npi":[1972360535]}]},{"allowed_amount":213.66,"providers":[{"billed_charge":669.00,"npi":[1972360535]}]},{"allowed_amount":71.24,"providers":[{"billed_charge":223.00,"npi":[1932176047]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":115.65,"providers":[{"billed_charge":471.00,"npi":[1508376856,1548458185,1235248964,1467841346]}]},{"allowed_amount":3122.55,"providers":[{"billed_charge":12717.00,"npi":[1538368584]}]},{"allowed_amount":809.55,"providers":[{"billed_charge":3297.00,"npi":[1548458185,1104867225,1235248964]}]},{"allowed_amount":1272.15,"providers":[{"billed_charge":5181.00,"npi":[1437197878]}]},{"allowed_amount":1734.75,"providers":[{"billed_charge":7065.00,"npi":[1538368584]}]},{"allowed_amount":346.95,"providers":[{"billed_charge":1413.00,"npi":[1588839104,1427780782,1538368584,1538133095]}]},{"allowed_amount":578.25,"providers":[{"billed_charge":2355.00,"npi":[1508376856,1548458185]}]},{"allowed_amount":925.20,"providers":[{"billed_charge":3768.00,"npi":[1104867225,1013187889,1467841346]}]},{"allowed_amount":231.30,"providers":[{"billed_charge":942.00,"npi":[1588839104,1104867225,1427780782,1235248964,1669660866,1326368739]}]},{"allowed_amount":3585.15,"providers":[{"billed_charge":14601.00,"npi":[1437197878]}]}]},{"tin":{"type":"ein","value":"751292603"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":288.06,"providers":[{"billed_charge":1125.00,"npi":[1699958157]}]},{"allowed_amount":410.35,"providers":[{"billed_charge":1875.00,"npi":[1699958157]}]}]},{"tin":{"type":"ein","value":"751375446"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":114.90,"providers":[{"billed_charge":916.00,"npi":[1003268194]}]},{"allowed_amount":57.45,"providers":[{"billed_charge":458.00,"npi":[1003268194]}]},{"allowed_amount":631.95,"providers":[{"billed_charge":5038.00,"npi":[1922440247]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":574.49,"providers":[{"billed_charge":4060.00,"npi":[1891226114]}]},{"allowed_amount":246.21,"providers":[{"billed_charge":1740.00,"npi":[1942734629]}]},{"allowed_amount":902.77,"providers":[{"billed_charge":6380.00,"npi":[1366947509]}]},{"allowed_amount":820.70,"providers":[{"billed_charge":5800.00,"npi":[1336431352]}]},{"allowed_amount":82.07,"providers":[{"billed_charge":580.00,"npi":[1942734629]}]},{"allowed_amount":492.42,"providers":[{"billed_charge":3480.00,"npi":[1336431352,1558868265,1891226114]}]},{"allowed_amount":328.28,"providers":[{"billed_charge":2320.00,"npi":[1073018073]}]},{"allowed_amount":164.14,"providers":[{"billed_charge":1160.00,"npi":[1366947509,1073018073,1942734629]}]},{"allowed_amount":1148.98,"providers":[{"billed_charge":8120.00,"npi":[1336431352,1366947509,1073018073]}]},{"allowed_amount":1231.05,"providers":[{"billed_charge":8700.00,"npi":[1558868265]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":795.84,"providers":[{"billed_charge":20052.00,"npi":[1942681549]}]},{"allowed_amount":465.00,"providers":[{"billed_charge":11697.00,"npi":[1083058317]}]},{"allowed_amount":196.95,"providers":[{"billed_charge":5013.00,"npi":[1013354133]}]},{"allowed_amount":265.28,"providers":[{"billed_charge":6684.00,"npi":[1376930131]}]},{"allowed_amount":1057.19,"providers":[{"billed_charge":26736.00,"npi":[1013354133]}]},{"allowed_amount":925.98,"providers":[{"billed_charge":23394.00,"npi":[1306954615]}]},{"allowed_amount":462.23,"providers":[{"billed_charge":11697.00,"npi":[1861854952]}]},{"allowed_amount":801.20,"providers":[{"billed_charge":20052.00,"npi":[1174936496]}]},{"allowed_amount":133.98,"providers":[{"billed_charge":3342.00,"npi":[1154825172,1942681549]}]},{"allowed_amount":696.25,"providers":[{"billed_charge":16710.00,"npi":[1154825172]}]},{"allowed_amount":66.99,"providers":[{"billed_charge":1671.00,"npi":[1366945156]}]},{"allowed_amount":131.30,"providers":[{"billed_charge":3342.00,"npi":[1013354133]}]},{"allowed_amount":65.65,"providers":[{"billed_charge":1671.00,"npi":[1376930131,1174936496,1750815171,1366945156]}]},{"allowed_amount":132.64,"providers":[{"billed_charge":3342.00,"npi":[1083058317,1750815171,1174936496]}]}]},{"tin":{"type":"ein","value":"741548876"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":590.95,"providers":[{"billed_charge":2275.00,"npi":[1811996382]}]},{"allowed_amount":164.40,"providers":[{"billed_charge":650.00,"npi":[1831196047]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":140.22,"providers":[{"billed_charge":796.00,"npi":[1851453534]}]},{"allowed_amount":236.24,"providers":[{"billed_charge":1194.00,"npi":[1356871875]}]},{"allowed_amount":82.07,"providers":[{"billed_charge":398.00,"npi":[1346201308,1396773842,1851453534]}]},{"allowed_amount":594.41,"providers":[{"billed_charge":2786.00,"npi":[1497781074]}]},{"allowed_amount":690.43,"providers":[{"billed_charge":3184.00,"npi":[1346201308]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":176.14,"providers":[{"billed_charge":723.00,"npi":[1234567893]}]}]}]},{"name":"CT ABD & PELV 1/> REGNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74178","description":"COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS, FOLL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":74.85,"providers":[{"billed_charge":351.00,"npi":[1578820866]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":154.84,"providers":[{"billed_charge":1630.00,"npi":[1366767303]}]}]}]},{"name":"MRI ABDOMEN W/O & W/DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74183","description":"MAGNETIC RESONANCE (EG, PROTON) IMAGING, ABDOMEN; WITHOUT CONTRAST MATERIAL(S), FOLLOWED BY WITH CON","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":170.38,"providers":[{"billed_charge":1916.00,"npi":[1366767303]}]}]}]},{"name":"CINE/VID X-RAY, THROAT/ESOPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74230","description":"SWALLOWING FUNCTION, WITH CINERADIOGRAPHY/VIDEORADIOGRAPHY","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":23.86,"providers":[{"billed_charge":93.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.86,"providers":[{"billed_charge":98.00,"npi":[1093717001]}]}]}]},{"name":"X-RAY UPPER GI DELAY W/O KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74240","description":"RADIOLOGIC EXAMINATION, GASTROINTESTINAL TRACT, UPPER; WITH OR WITHOUT DELAYED IMAGES, WITHOUT KUB","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":108.78,"providers":[{"billed_charge":363.00,"npi":[1972548139]}]}]}]},{"name":"GASTR-INTS SVS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"750","description":"GASTRO-INTESTINAL SERVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3910.31,"providers":[{"billed_charge":4618.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17476.91,"providers":[{"billed_charge":23399.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1180.99,"providers":[{"billed_charge":1027.00,"npi":[1548387418]}]},{"allowed_amount":1418.01,"providers":[{"billed_charge":900.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1788.38,"providers":[{"billed_charge":6157.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24885.81,"providers":[{"billed_charge":60489.25,"npi":[1730132234]}]},{"allowed_amount":1502.53,"providers":[{"billed_charge":4588.00,"npi":[1295788735]}]}]}]},{"name":"CT ANGIO HRT W/3D IMAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75574","description":"COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEART, CORONARY ARTERIES AND BYPASS GRAFTS (WHEN PRESENT), WITH CO","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":89.13,"providers":[{"billed_charge":382.00,"npi":[1578820866]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":176.95,"providers":[{"billed_charge":2258.00,"npi":[1285861708]}]}]}]},{"name":"TREATMENT ROOM/OBSERV ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"760","description":"TREATMENT OR OBSERVATION ROOM - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5974.79,"providers":[{"billed_charge":271330.00,"npi":[1134783913]}]}]}]},{"name":"TREATMENT ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"761","description":"TREATMENT OR OBSERVATION ROOM - TREATMENT ROOM","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":59.50,"providers":[{"billed_charge":292.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":238.37,"providers":[{"billed_charge":658.38,"npi":[1477516466]}]},{"allowed_amount":5814.06,"providers":[{"billed_charge":9028.74,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11317.06,"providers":[{"billed_charge":61601.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":977.42,"providers":[{"billed_charge":23329.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":14366.18,"providers":[{"billed_charge":73910.75,"npi":[1740233782]}]},{"allowed_amount":2596.58,"providers":[{"billed_charge":4804.25,"npi":[1295843787]}]},{"allowed_amount":44743.32,"providers":[{"billed_charge":269402.25,"npi":[1982666111]}]},{"allowed_amount":11244.64,"providers":[{"billed_charge":82089.75,"npi":[1295788735]}]},{"allowed_amount":19885.12,"providers":[{"billed_charge":138196.25,"npi":[1295843787]}]},{"allowed_amount":31777.63,"providers":[{"billed_charge":161351.50,"npi":[1932152337]}]},{"allowed_amount":144078.73,"providers":[{"billed_charge":759912.00,"npi":[1730132234]}]}]}]},{"name":"OBSERVATION ROOM","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"762","description":"TREATMENT OR OBSERVATION ROOM - OBSERVATION ROOM","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":236.49,"providers":[{"billed_charge":67158.00,"npi":[1184179194]}]},{"allowed_amount":984.00,"providers":[{"billed_charge":149978.00,"npi":[1184179194]}]},{"allowed_amount":614.09,"providers":[{"billed_charge":8932.00,"npi":[1083937593]}]},{"allowed_amount":5304.04,"providers":[{"billed_charge":3432.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":328.07,"providers":[{"billed_charge":10313.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1310.40,"providers":[{"billed_charge":143387.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3061.86,"providers":[{"billed_charge":76956.00,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":21216.16,"providers":[{"billed_charge":18566.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2652.02,"providers":[{"billed_charge":11785.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":5059.08,"providers":[{"billed_charge":640.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3264.30,"providers":[{"billed_charge":2248319.25,"npi":[1730132234]}]},{"allowed_amount":4065.06,"providers":[{"billed_charge":21621.75,"npi":[1295843787]}]},{"allowed_amount":25459.38,"providers":[{"billed_charge":78549.50,"npi":[1730132234]}]},{"allowed_amount":4243.23,"providers":[{"billed_charge":28131.00,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2528.58,"providers":[{"billed_charge":2385.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":5005.38,"providers":[{"billed_charge":5474.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":835.20,"providers":[{"billed_charge":49300.00,"npi":[1689629941]}]}]}]},{"name":"3D RENDER W/INTRP POSTPROCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76376","description":"3D REND W INTERPRETATION AND RPTNG OF COMPUTED TOMOGRAPHY, NOT REQ IMG PSTPRCSNG ON AN INDEP WKSTN,","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":98.90,"providers":[{"billed_charge":350.00,"npi":[1699731836]}]},{"allowed_amount":27.49,"providers":[{"billed_charge":105.00,"npi":[1699731836]}]},{"allowed_amount":26.73,"providers":[{"billed_charge":105.00,"npi":[1699731836]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":7.13,"providers":[{"billed_charge":183.00,"npi":[1174936496]}]},{"allowed_amount":7.27,"providers":[{"billed_charge":183.00,"npi":[1174936496]}]}]}]},{"name":"3D RENDER W/INTRP POSTPROCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76377","description":"3D REND W INTERPRETATION AND RPTNG OF COMPUTED TOMOGRAPHY, REQ IMG PSTPRCSNG ON AN INDEP WKSTN, MAG","allowed_amounts":[{"tin":{"type":"ein","value":"760686474"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":106.89,"providers":[{"billed_charge":375.00,"npi":[1245236413]}]},{"allowed_amount":424.81,"providers":[{"billed_charge":1375.00,"npi":[1245236413]}]},{"allowed_amount":213.78,"providers":[{"billed_charge":750.00,"npi":[1245236413]}]}]}]},{"name":"ECHO EXAM OF HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76506","description":"ECHOENCEPHALOGRAPHY, REAL TIME WITH IMAGE DOCUMENTATION (GRAY SCALE) (FOR DETERMINATION OF VENTRICUL","allowed_amounts":[{"tin":{"type":"ein","value":"742620408"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":45.78,"providers":[{"billed_charge":178.68,"npi":[1114993169]}]},{"allowed_amount":595.14,"providers":[{"billed_charge":2322.84,"npi":[1407003015]}]}]}]},{"name":"US EXAM OF HEAD AND NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76536","description":"ULTRASOUND, SOFT TISSUES OF HEAD AND NECK (EG, THYROID, PARATHYROID, PAROTID), REAL TIME WITH IMAGE","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":25.44,"providers":[{"billed_charge":98.00,"npi":[1417290511]}]},{"allowed_amount":203.52,"providers":[{"billed_charge":784.00,"npi":[1538123138]}]},{"allowed_amount":483.36,"providers":[{"billed_charge":1862.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":388.50,"providers":[{"billed_charge":2890.00,"npi":[1518960269]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":25.44,"providers":[{"billed_charge":130.00,"npi":[1720066749]}]},{"allowed_amount":330.72,"providers":[{"billed_charge":1690.00,"npi":[1720066749]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":321.81,"providers":[{"billed_charge":3885.00,"npi":[1992768147]}]}]}]},{"name":"ULTRASOUND BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76641","description":"ULTRASOUND, BREAST, UNILATERAL, REAL TIME WITH IMAGE DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED;","allowed_amounts":[{"tin":{"type":"ein","value":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1032.68,"providers":[{"billed_charge":9792.00,"npi":[1285876433]}]},{"allowed_amount":99.56,"providers":[{"billed_charge":1088.00,"npi":[1811037013]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":28.25,"providers":[{"billed_charge":128.00,"npi":[1295799088]}]},{"allowed_amount":4150.56,"providers":[{"billed_charge":19584.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":806.53,"providers":[{"billed_charge":2590.00,"npi":[1407857832]}]},{"allowed_amount":1036.98,"providers":[{"billed_charge":3330.00,"npi":[1356359384]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1022.94,"providers":[{"billed_charge":9620.00,"npi":[1386629780]}]},{"allowed_amount":5042.06,"providers":[{"billed_charge":52910.00,"npi":[1770936908]}]},{"allowed_amount":745.90,"providers":[{"billed_charge":7215.00,"npi":[1962065573]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23"],"billing_class":"professional","payments":[{"allowed_amount":1028.10,"providers":[{"billed_charge":4224.00,"npi":[1134514896]}]},{"allowed_amount":8780.64,"providers":[{"billed_charge":36224.00,"npi":[1134514896]}]},{"allowed_amount":562.24,"providers":[{"billed_charge":2432.00,"npi":[1134514896]}]}]}]},{"name":"ULTRASOUND BREAST LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76642","description":"ULTRASOUND, BREAST, UNILATERAL, REAL TIME WITH IMAGE DOCUMENTATION, INCLUDING AXILLA WHEN PERFORMED;","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":25.57,"providers":[{"billed_charge":120.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"741597116"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":349.43,"providers":[{"billed_charge":538.00,"npi":[1730614546]}]},{"allowed_amount":325.17,"providers":[{"billed_charge":538.00,"npi":[1669904637]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":925.44,"providers":[{"billed_charge":4284.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":61.70,"providers":[{"billed_charge":318.22,"npi":[1861872020]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":205.38,"providers":[{"billed_charge":944.00,"npi":[1134514896]}]},{"allowed_amount":1974.29,"providers":[{"billed_charge":8142.00,"npi":[1134514896]}]},{"allowed_amount":46.27,"providers":[{"billed_charge":236.00,"npi":[1134514896]}]}]}]},{"name":"US EXAM, ABDOM, COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76700","description":"ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"746223317"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":217.62,"providers":[{"billed_charge":1386.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":105.76,"providers":[{"billed_charge":426.00,"npi":[1770927287]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1196.91,"providers":[{"billed_charge":4686.00,"npi":[1417290511]}]},{"allowed_amount":42.44,"providers":[{"billed_charge":142.00,"npi":[1417290511]}]},{"allowed_amount":36.27,"providers":[{"billed_charge":142.00,"npi":[1972548139,1457447120]}]},{"allowed_amount":1450.80,"providers":[{"billed_charge":5680.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":36.27,"providers":[{"billed_charge":172.00,"npi":[1396186367]}]}]},{"tin":{"type":"ein","value":"204771148"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":546.66,"providers":[{"billed_charge":3000.00,"npi":[1487736583]}]}]},{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.02,"providers":[{"billed_charge":2312.00,"npi":[1518960269]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":184.59,"providers":[{"billed_charge":1662.00,"npi":[1497252753]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":108.81,"providers":[{"billed_charge":456.00,"npi":[1962512269]}]},{"allowed_amount":326.43,"providers":[{"billed_charge":1368.00,"npi":[1962512269]}]},{"allowed_amount":87.06,"providers":[{"billed_charge":456.00,"npi":[1477045284]}]},{"allowed_amount":72.54,"providers":[{"billed_charge":304.00,"npi":[1720066749]}]},{"allowed_amount":174.12,"providers":[{"billed_charge":912.00,"npi":[1477045284]}]},{"allowed_amount":652.86,"providers":[{"billed_charge":2736.00,"npi":[1720066749]}]},{"allowed_amount":435.30,"providers":[{"billed_charge":2280.00,"npi":[1477045284]}]},{"allowed_amount":73.43,"providers":[{"billed_charge":304.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6346.48,"providers":[{"billed_charge":72520.00,"npi":[1992768147]}]}]}]},{"name":"ECHO EXAM OF ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76705","description":"ULTRASOUND, ABDOMINAL, REAL TIME WITH IMAGE DOCUMENTATION; LIMITED (EG, SINGLE ORGAN, QUADRANT, FOLL","allowed_amounts":[{"tin":{"type":"ein","value":"746223317"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":26.41,"providers":[{"billed_charge":206.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":43.90,"providers":[{"billed_charge":208.00,"npi":[1407149941]}]},{"allowed_amount":315.25,"providers":[{"billed_charge":1183.00,"npi":[1407149941]}]},{"allowed_amount":21.95,"providers":[{"billed_charge":104.00,"npi":[1366707564]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":132.05,"providers":[{"billed_charge":515.00,"npi":[1457447120]}]},{"allowed_amount":237.69,"providers":[{"billed_charge":927.00,"npi":[1295799088]}]},{"allowed_amount":52.82,"providers":[{"billed_charge":206.00,"npi":[1417290511,1457447120]}]},{"allowed_amount":312.42,"providers":[{"billed_charge":1236.00,"npi":[1295799088]}]},{"allowed_amount":79.23,"providers":[{"billed_charge":309.00,"npi":[1538123138]}]},{"allowed_amount":290.51,"providers":[{"billed_charge":1133.00,"npi":[1417290511]}]},{"allowed_amount":369.74,"providers":[{"billed_charge":1442.00,"npi":[1295799088]}]},{"allowed_amount":53.46,"providers":[{"billed_charge":206.00,"npi":[1457447120,1538123138]}]},{"allowed_amount":84.36,"providers":[{"billed_charge":309.00,"npi":[1417290511]}]},{"allowed_amount":92.70,"providers":[{"billed_charge":309.00,"npi":[1972548139]}]},{"allowed_amount":633.84,"providers":[{"billed_charge":2472.00,"npi":[1972548139]}]},{"allowed_amount":26.41,"providers":[{"billed_charge":103.00,"npi":[1972548139]}]},{"allowed_amount":158.46,"providers":[{"billed_charge":618.00,"npi":[1538123138]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":43.58,"providers":[{"billed_charge":462.00,"npi":[1144491911,1467440594]}]},{"allowed_amount":267.90,"providers":[{"billed_charge":2772.00,"npi":[1487073474]}]},{"allowed_amount":221.58,"providers":[{"billed_charge":2310.00,"npi":[1497252753]}]},{"allowed_amount":89.92,"providers":[{"billed_charge":924.00,"npi":[1548443542]}]},{"allowed_amount":313.32,"providers":[{"billed_charge":3234.00,"npi":[1487073474]}]},{"allowed_amount":1469.24,"providers":[{"billed_charge":15246.00,"npi":[1497252753]}]},{"allowed_amount":90.84,"providers":[{"billed_charge":924.00,"npi":[1487073474]}]},{"allowed_amount":267.00,"providers":[{"billed_charge":2772.00,"npi":[1467440594]}]},{"allowed_amount":226.16,"providers":[{"billed_charge":2310.00,"npi":[1225230501]}]},{"allowed_amount":489.44,"providers":[{"billed_charge":5082.00,"npi":[1467440594]}]},{"allowed_amount":224.32,"providers":[{"billed_charge":2310.00,"npi":[1225230501]}]},{"allowed_amount":87.16,"providers":[{"billed_charge":924.00,"npi":[1497252753]}]},{"allowed_amount":88.06,"providers":[{"billed_charge":924.00,"npi":[1225230501]}]},{"allowed_amount":45.42,"providers":[{"billed_charge":462.00,"npi":[1548443542]}]}]},{"tin":{"type":"ein","value":"760686474"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":26.41,"providers":[{"billed_charge":104.00,"npi":[1245236413]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":316.95,"providers":[{"billed_charge":1830.00,"npi":[1477045284]}]},{"allowed_amount":42.26,"providers":[{"billed_charge":244.00,"npi":[1477045284]}]},{"allowed_amount":430.14,"providers":[{"billed_charge":1830.00,"npi":[1912274572]}]},{"allowed_amount":237.69,"providers":[{"billed_charge":1098.00,"npi":[1811981590,1235422619]}]},{"allowed_amount":1103.52,"providers":[{"billed_charge":5246.00,"npi":[1093717001]}]},{"allowed_amount":343.33,"providers":[{"billed_charge":1586.00,"npi":[1962512269,1093717001]}]},{"allowed_amount":52.82,"providers":[{"billed_charge":244.00,"npi":[1235422619]}]},{"allowed_amount":686.64,"providers":[{"billed_charge":3172.00,"npi":[1235422619]}]},{"allowed_amount":105.64,"providers":[{"billed_charge":488.00,"npi":[1912274572]}]},{"allowed_amount":79.23,"providers":[{"billed_charge":366.00,"npi":[1811981590]}]},{"allowed_amount":686.66,"providers":[{"billed_charge":3172.00,"npi":[1962512269]}]},{"allowed_amount":845.12,"providers":[{"billed_charge":3904.00,"npi":[1093717001]}]},{"allowed_amount":380.34,"providers":[{"billed_charge":2196.00,"npi":[1477045284]}]},{"allowed_amount":22.56,"providers":[{"billed_charge":122.00,"npi":[1720066749]}]},{"allowed_amount":464.86,"providers":[{"billed_charge":2684.00,"npi":[1477045284]}]},{"allowed_amount":456.12,"providers":[{"billed_charge":2196.00,"npi":[1811981590]}]},{"allowed_amount":61.80,"providers":[{"billed_charge":244.00,"npi":[1073587788]}]},{"allowed_amount":26.41,"providers":[{"billed_charge":122.00,"npi":[1720066749]}]},{"allowed_amount":877.92,"providers":[{"billed_charge":4026.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2084.71,"providers":[{"billed_charge":32375.00,"npi":[1992768147]}]}]}]},{"name":"US EXAM ABDO BACK WALL, COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76770","description":"ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":165.45,"providers":[{"billed_charge":645.00,"npi":[1972548139,1295799088]}]},{"allowed_amount":33.09,"providers":[{"billed_charge":129.00,"npi":[1417290511]}]},{"allowed_amount":132.36,"providers":[{"billed_charge":516.00,"npi":[1457447120]}]},{"allowed_amount":28.27,"providers":[{"billed_charge":129.00,"npi":[1417290511]}]},{"allowed_amount":297.81,"providers":[{"billed_charge":1161.00,"npi":[1295799088]}]},{"allowed_amount":32.76,"providers":[{"billed_charge":129.00,"npi":[1972548139]}]},{"allowed_amount":231.63,"providers":[{"billed_charge":903.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":33.09,"providers":[{"billed_charge":154.00,"npi":[1962512269,1720066749]}]},{"allowed_amount":132.36,"providers":[{"billed_charge":616.00,"npi":[1093717001,1720066749]}]},{"allowed_amount":28.27,"providers":[{"billed_charge":154.00,"npi":[1962512269]}]},{"allowed_amount":99.27,"providers":[{"billed_charge":462.00,"npi":[1093717001]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.84,"providers":[{"billed_charge":1295.00,"npi":[1992768147]}]}]}]},{"name":"US EXAM ABDO BACK WALL, LIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76775","description":"ULTRASOUND, RETROPERITONEAL (EG, RENAL, AORTA, NODES), REAL TIME WITH IMAGE DOCUMENTATION; LIMITED","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":353.55,"providers":[{"billed_charge":3152.00,"npi":[1487073474]}]},{"allowed_amount":179.52,"providers":[{"billed_charge":1576.00,"npi":[1487073474]}]}]}]},{"name":"OB US < 14 WKS SINGLE FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76801","description":"ULTRSND, PREGNANT UTERUS, REAL TIME W IMG DOCUMENTATION, FETAL AND MATERNAL EVALUATION, FIRST TRIMES","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":384.63,"providers":[{"billed_charge":1575.00,"npi":[1093717001]}]}]}]},{"name":"OB US LIMITED FETUS(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76815","description":"ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, LIMITED (EG, FETAL HEART BEAT, PLAC","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":611.00,"providers":[{"billed_charge":2280.00,"npi":[1295799088]}]},{"allowed_amount":234.82,"providers":[{"billed_charge":912.00,"npi":[1295799088]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":570.00,"npi":[1295799088]}]}]}]},{"name":"OB US FOLLOW-UP PER FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76816","description":"ULTRASOUND, PREGNANT UTERUS, REAL TIME WITH IMAGE DOCUMENTATION, FOLLOW-UP (EG, RE-EVALUATION OF FET","allowed_amounts":[{"tin":{"type":"ein","value":"752668016"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":847.14,"providers":[{"billed_charge":1580.28,"npi":[1972036747]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":143.29,"providers":[{"billed_charge":269.00,"npi":[1316253305]}]}]}]},{"name":"TRANSVAGINAL US, NON-OB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"ULTRASOUND, TRANSVAGINAL","allowed_amounts":[{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2306.61,"providers":[{"billed_charge":16762.00,"npi":[1518960269]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":155.85,"providers":[{"billed_charge":765.00,"npi":[1497781074]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1745.76,"providers":[{"billed_charge":3968.00,"npi":[1730445628]}]}]}]},{"name":"US EXAM, PELVIC, COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76856","description":"ULTRASOUND, PELVIC (NONOBSTETRIC), REAL TIME WITH IMAGE DOCUMENTATION; COMPLETE","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":524.79,"providers":[{"billed_charge":2057.00,"npi":[1972548139]}]},{"allowed_amount":15.44,"providers":[{"billed_charge":121.00,"npi":[1295799088]}]},{"allowed_amount":30.87,"providers":[{"billed_charge":121.00,"npi":[1972548139]}]},{"allowed_amount":26.37,"providers":[{"billed_charge":121.00,"npi":[1538123138]}]},{"allowed_amount":61.74,"providers":[{"billed_charge":242.00,"npi":[1538123138]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":172.83,"providers":[{"billed_charge":966.00,"npi":[1477045284]}]},{"allowed_amount":197.52,"providers":[{"billed_charge":1104.00,"npi":[1477045284]}]},{"allowed_amount":651.27,"providers":[{"billed_charge":2898.00,"npi":[1235422619]}]},{"allowed_amount":92.61,"providers":[{"billed_charge":414.00,"npi":[1962512269,1811981590]}]},{"allowed_amount":185.23,"providers":[{"billed_charge":966.00,"npi":[1093717001]}]},{"allowed_amount":123.48,"providers":[{"billed_charge":552.00,"npi":[1235422619]}]},{"allowed_amount":223.59,"providers":[{"billed_charge":966.00,"npi":[1962512269]}]},{"allowed_amount":30.87,"providers":[{"billed_charge":138.00,"npi":[1235422619]}]},{"allowed_amount":24.69,"providers":[{"billed_charge":138.00,"npi":[1477045284]}]},{"allowed_amount":874.86,"providers":[{"billed_charge":3864.00,"npi":[1093717001]}]},{"allowed_amount":710.01,"providers":[{"billed_charge":3174.00,"npi":[1720066749]}]},{"allowed_amount":338.82,"providers":[{"billed_charge":1518.00,"npi":[1811981590]}]},{"allowed_amount":61.74,"providers":[{"billed_charge":276.00,"npi":[1962512269,1093717001]}]}]},{"tin":{"type":"ein","value":"208479803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3083.10,"providers":[{"billed_charge":38850.00,"npi":[1992768147]}]}]}]},{"name":"CT SCAN FOR THERAPY GUIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77014","description":"COMPUTED TOMOGRAPHY GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS","allowed_amounts":[{"tin":{"type":"ein","value":"752512142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":367.02,"providers":[{"billed_charge":1464.00,"npi":[1700220183]}]}]},{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15064.10,"providers":[{"billed_charge":59461.00,"npi":[1508390816]}]}]}]},{"name":"BREAST TOMOSYNTHESIS UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77061","description":"DIGITAL BREAST TOMOSYNTHESIS; UNILATERAL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":90.48,"providers":[{"billed_charge":270.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2067.39,"providers":[{"billed_charge":4731.00,"npi":[1134514896]}]}]}]},{"name":"BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77062","description":"DIGITAL BREAST TOMOSYNTHESIS; BILATERAL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":408.65,"providers":[{"billed_charge":990.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":38.07,"providers":[{"billed_charge":83.00,"npi":[1134514896]}]},{"allowed_amount":3832.16,"providers":[{"billed_charge":7138.00,"npi":[1134514896]}]}]}]},{"name":"BREAST TOMOSYNTHESIS BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77063","description":"SCREENING DIGITAL BREAST TOMOSYNTHESIS, BILATERAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P","allowed_amounts":[{"tin":{"type":"ein","value":"751375446"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":75.72,"providers":[{"billed_charge":268.00,"npi":[1003815325]}]},{"allowed_amount":492.18,"providers":[{"billed_charge":1742.00,"npi":[1003815325]}]}]},{"tin":{"type":"ein","value":"814972048"},"service_code":["22","19"],"billing_class":"professional","payments":[{"allowed_amount":1319.76,"providers":[{"billed_charge":3750.00,"npi":[1275538597]}]},{"allowed_amount":27.04,"providers":[{"billed_charge":75.00,"npi":[1578568903]}]},{"allowed_amount":1178.74,"providers":[{"billed_charge":3300.00,"npi":[1578568903]}]}]},{"tin":{"type":"ein","value":"933488906"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":309.06,"providers":[{"billed_charge":2250.00,"npi":[1841071040]}]}]},{"tin":{"type":"ein","value":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7672.26,"providers":[{"billed_charge":56910.00,"npi":[1285876433]}]},{"allowed_amount":1665.72,"providers":[{"billed_charge":13008.00,"npi":[1811037013]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":5263.60,"providers":[{"billed_charge":24910.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1489.54,"providers":[{"billed_charge":5100.00,"npi":[1790959427]}]},{"allowed_amount":2154.44,"providers":[{"billed_charge":7800.00,"npi":[1578550745]}]},{"allowed_amount":1876.14,"providers":[{"billed_charge":7350.00,"npi":[1356359384]}]},{"allowed_amount":1417.40,"providers":[{"billed_charge":5250.00,"npi":[1477823813]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":23741.72,"providers":[{"billed_charge":91052.00,"npi":[1295799088]}]},{"allowed_amount":1433.12,"providers":[{"billed_charge":5459.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":4836.00,"providers":[{"billed_charge":20696.00,"npi":[1770936908]}]},{"allowed_amount":89.24,"providers":[{"billed_charge":398.00,"npi":[1407834963]}]},{"allowed_amount":46.50,"providers":[{"billed_charge":199.00,"npi":[1952832859]}]},{"allowed_amount":4768.82,"providers":[{"billed_charge":20497.00,"npi":[1386629780]}]},{"allowed_amount":1283.35,"providers":[{"billed_charge":5572.00,"npi":[1083683015]}]},{"allowed_amount":401.58,"providers":[{"billed_charge":1791.00,"npi":[1770761009]}]},{"allowed_amount":3263.92,"providers":[{"billed_charge":14129.00,"npi":[1962065573]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1297.92,"providers":[{"billed_charge":2880.96,"npi":[1861872020]}]},{"allowed_amount":324.48,"providers":[{"billed_charge":720.24,"npi":[1497781074]}]}]},{"tin":{"type":"ein","value":"760652186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":472.31,"providers":[{"billed_charge":2388.00,"npi":[1720367857]}]},{"allowed_amount":552.85,"providers":[{"billed_charge":2587.00,"npi":[1962065573]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":23.10,"providers":[{"billed_charge":83.00,"npi":[1134514896]}]},{"allowed_amount":16906.76,"providers":[{"billed_charge":51958.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1189.76,"providers":[{"billed_charge":2816.00,"npi":[1720069834]}]}]}]},{"name":"DX MAMMO INCL CAD UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":422.24,"providers":[{"billed_charge":2002.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":217.62,"providers":[{"billed_charge":822.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":185.84,"providers":[{"billed_charge":957.00,"npi":[1962065573]}]},{"allowed_amount":810.81,"providers":[{"billed_charge":4147.00,"npi":[1770936908]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":359.06,"providers":[{"billed_charge":1053.00,"npi":[1134514896]}]},{"allowed_amount":2865.33,"providers":[{"billed_charge":9243.00,"npi":[1134514896]}]}]}]},{"name":"DX MAMMO INCL CAD BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":408.65,"providers":[{"billed_charge":1936.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"741597116"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":631.89,"providers":[{"billed_charge":1500.00,"npi":[1669904637]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2361.68,"providers":[{"billed_charge":8533.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1604.40,"providers":[{"billed_charge":8421.00,"npi":[1770936908]}]},{"allowed_amount":503.94,"providers":[{"billed_charge":2807.00,"npi":[1962065573]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":5079.84,"providers":[{"billed_charge":16302.00,"npi":[1134514896]}]},{"allowed_amount":631.40,"providers":[{"billed_charge":2002.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":222.80,"providers":[{"billed_charge":530.00,"npi":[1720069834]}]}]}]},{"name":"SCR MAMMO BI INCL CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST), INCLUDING COMPUTER-AIDED DETECTION (","allowed_amounts":[{"tin":{"type":"ein","value":"814972048"},"service_code":["22","19"],"billing_class":"professional","payments":[{"allowed_amount":1533.15,"providers":[{"billed_charge":5625.00,"npi":[1578568903]}]},{"allowed_amount":34.35,"providers":[{"billed_charge":125.00,"npi":[1578568903]}]},{"allowed_amount":1703.46,"providers":[{"billed_charge":6250.00,"npi":[1275538597]}]}]},{"tin":{"type":"ein","value":"933488906"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":749.79,"providers":[{"billed_charge":3375.00,"npi":[1841071040]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":6683.15,"providers":[{"billed_charge":31255.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11","15"],"billing_class":"professional","payments":[{"allowed_amount":125.83,"providers":[{"billed_charge":210.00,"npi":[1790959427]}]},{"allowed_amount":5297.41,"providers":[{"billed_charge":10920.00,"npi":[1578550745]}]},{"allowed_amount":4617.92,"providers":[{"billed_charge":10290.00,"npi":[1356359384]}]},{"allowed_amount":3472.89,"providers":[{"billed_charge":6930.00,"npi":[1790959427]}]},{"allowed_amount":3422.55,"providers":[{"billed_charge":7350.00,"npi":[1477823813]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":30160.08,"providers":[{"billed_charge":114920.00,"npi":[1295799088]}]},{"allowed_amount":1820.55,"providers":[{"billed_charge":6890.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":510.12,"providers":[{"billed_charge":2655.00,"npi":[1770761009]}]},{"allowed_amount":1634.38,"providers":[{"billed_charge":8260.00,"npi":[1083683015]}]},{"allowed_amount":6148.48,"providers":[{"billed_charge":30680.00,"npi":[1770936908]}]},{"allowed_amount":113.36,"providers":[{"billed_charge":590.00,"npi":[1407834963]}]},{"allowed_amount":4172.98,"providers":[{"billed_charge":20945.00,"npi":[1962065573]}]},{"allowed_amount":59.12,"providers":[{"billed_charge":295.00,"npi":[1952832859]}]},{"allowed_amount":6061.86,"providers":[{"billed_charge":30385.00,"npi":[1386629780]}]}]},{"tin":{"type":"ein","value":"760652186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1330.38,"providers":[{"billed_charge":6812.00,"npi":[1962065573]}]},{"allowed_amount":1146.98,"providers":[{"billed_charge":6288.00,"npi":[1720367857]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":29721.34,"providers":[{"billed_charge":103054.00,"npi":[1134514896]}]},{"allowed_amount":3998.20,"providers":[{"billed_charge":14280.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"751375446"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":96.20,"providers":[{"billed_charge":340.00,"npi":[1003815325]}]},{"allowed_amount":625.30,"providers":[{"billed_charge":2210.00,"npi":[1003815325]}]}]},{"tin":{"type":"ein","value":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18591.85,"providers":[{"billed_charge":147000.00,"npi":[1285876433]}]},{"allowed_amount":4027.50,"providers":[{"billed_charge":33600.00,"npi":[1811037013]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":549.60,"providers":[{"billed_charge":1216.00,"npi":[1497781074]}]},{"allowed_amount":1932.19,"providers":[{"billed_charge":4332.00,"npi":[1861872020]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":171.75,"providers":[{"billed_charge":537.00,"npi":[1770787830]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1511.40,"providers":[{"billed_charge":3520.00,"npi":[1720069834]}]}]}]},{"name":"DXA BONE DENSITY, AXIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77080","description":"DUAL-ENERGY X-RAY ABSORPTIOMETRY (DXA), BONE DENSITY STUDY, 1 OR MORE SITES; AXIAL SKELETON (EG, HIP","allowed_amounts":[{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":281.20,"providers":[{"billed_charge":1368.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":316.66,"providers":[{"billed_charge":2550.00,"npi":[1356359384]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":757.35,"providers":[{"billed_charge":2975.00,"npi":[1417290511]}]},{"allowed_amount":106.92,"providers":[{"billed_charge":420.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":229.95,"providers":[{"billed_charge":2910.00,"npi":[1770936908]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":25.64,"providers":[{"billed_charge":234.00,"npi":[1093717001]}]},{"allowed_amount":10.42,"providers":[{"billed_charge":78.00,"npi":[1962512269]}]},{"allowed_amount":98.01,"providers":[{"billed_charge":858.00,"npi":[1962512269,1093717001]}]}]}]},{"name":"VACCINE ADMIN","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"771","description":"PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION","allowed_amounts":[{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77.78,"providers":[{"billed_charge":1040.56,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79.16,"providers":[{"billed_charge":2337.50,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.12,"providers":[{"billed_charge":31862.00,"npi":[1992753222]}]}]}]},{"name":"RADIATION PHYSICS CONSULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSULTATION, INCLUDING ASSESSMENT OF TREATMENT PARAMETERS, QUALITY ASSUR","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1289.42,"providers":[{"billed_charge":3773.00,"npi":[1508390816]}]}]}]},{"name":"RADIATION TX MANAGEMENT X5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT, 5 TREATMENTS","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2825.90,"providers":[{"billed_charge":11737.00,"npi":[1508390816]}]}]}]},{"name":"TELEMEDICINE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"780","description":"TELEMEDICINE - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":187.32,"providers":[{"billed_charge":240.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":515.13,"providers":[{"billed_charge":660.00,"npi":[1891789772]}]}]}]},{"name":"PET IMAGE W/CT SKULL-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78815","description":"POSITRON EMISSION TOMOGRAPHY (PET) W CONCURRENTLY ACQUIRED COMPUTED TOMOGRAPHY (CT) FOR ATTENUATION","allowed_amounts":[{"tin":{"type":"ein","value":"450480099"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1743.82,"providers":[{"billed_charge":4173.00,"npi":[1275021958]}]},{"allowed_amount":670.70,"providers":[{"billed_charge":1605.00,"npi":[1063907533]}]}]}]},{"name":"METABOLIC PANEL TOTAL CA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80048","description":"BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310)","allowed_amounts":[{"tin":{"type":"ein","value":"751664109"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":61.00,"providers":[{"billed_charge":152.50,"npi":[1821077728]}]},{"allowed_amount":6.10,"providers":[{"billed_charge":15.25,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":40.32,"providers":[{"billed_charge":96.00,"npi":[1326017872]}]},{"allowed_amount":13.44,"providers":[{"billed_charge":32.00,"npi":[1326017872]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2824.48,"providers":[{"billed_charge":43488.21,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":101.52,"providers":[{"billed_charge":406.08,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.59,"providers":[{"billed_charge":954.36,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.61,"providers":[{"billed_charge":451.50,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7933.31,"providers":[{"billed_charge":79868.18,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":440.00,"providers":[{"billed_charge":1530.00,"npi":[1174172845]}]}]}]},{"name":"GENERAL HEALTH PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80050","description":"GENERAL HEALTH PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: COMPREHENSIVE METABOLIC PANEL (80053) BL","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.50,"providers":[{"billed_charge":400.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":117.36,"providers":[{"billed_charge":279.44,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":731.56,"providers":[{"billed_charge":2599.62,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3513.77,"providers":[{"billed_charge":26850.00,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":811334.65,"providers":[{"billed_charge":3245034.70,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":86.72,"providers":[{"billed_charge":340.00,"npi":[1487087144]}]},{"allowed_amount":195.12,"providers":[{"billed_charge":765.00,"npi":[1184250524]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4070.00,"providers":[{"billed_charge":23232.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26732.05,"providers":[{"billed_charge":158382.39,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17256.21,"providers":[{"billed_charge":183715.76,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":747114.71,"providers":[{"billed_charge":2988367.07,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":41.98,"providers":[{"billed_charge":112.80,"npi":[1730617523]}]},{"allowed_amount":7640.36,"providers":[{"billed_charge":20458.80,"npi":[1730617523]}]}]}]},{"name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80051","description":"ELECTROLYTE PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CARBON DIOXIDE (BICARBONATE) (82374) CHLORI","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":110.31,"providers":[{"billed_charge":2210.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.78,"providers":[{"billed_charge":288.02,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.04,"providers":[{"billed_charge":1853.31,"npi":[1234567893]}]}]}]},{"name":"COMPREHEN METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTA","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2326.78,"providers":[{"billed_charge":15522.50,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"751664109"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":56.80,"providers":[{"billed_charge":142.00,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":116.16,"providers":[{"billed_charge":462.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.24,"providers":[{"billed_charge":253.44,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":31.68,"npi":[1639791007]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5427.84,"providers":[{"billed_charge":21711.36,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":249421.91,"providers":[{"billed_charge":2390840.20,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":21.12,"providers":[{"billed_charge":220.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":524.87,"providers":[{"billed_charge":1927.20,"npi":[1730617523]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.96,"providers":[{"billed_charge":60.00,"npi":[1053568014]}]},{"allowed_amount":253.44,"providers":[{"billed_charge":720.00,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.04,"providers":[{"billed_charge":264.00,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":42.24,"providers":[{"billed_charge":168.96,"npi":[1295513000]}]},{"allowed_amount":10.56,"providers":[{"billed_charge":42.24,"npi":[1770586703]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2814.24,"providers":[{"billed_charge":19188.00,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":20.00,"npi":[1265493688]}]},{"allowed_amount":8.40,"providers":[{"billed_charge":20.00,"npi":[1326017872]}]},{"allowed_amount":36.96,"providers":[{"billed_charge":791.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1203.79,"providers":[{"billed_charge":3192.00,"npi":[1841798667]}]},{"allowed_amount":770.88,"providers":[{"billed_charge":2044.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":491.04,"providers":[{"billed_charge":3255.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":65077.02,"providers":[{"billed_charge":1027578.59,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":850.08,"providers":[{"billed_charge":3400.32,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760430777"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.84,"providers":[{"billed_charge":52.80,"npi":[1780730606]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3305.28,"providers":[{"billed_charge":49256.95,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"810740765"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":90.00,"npi":[1528514221]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":158.40,"providers":[{"billed_charge":1375.67,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":445.89,"providers":[{"billed_charge":8382.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.24,"providers":[{"billed_charge":211.20,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":739.20,"providers":[{"billed_charge":3640.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":116.16,"providers":[{"billed_charge":770.00,"npi":[1699744144]}]}]}]},{"name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80061","description":"LIPID PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: CHOLESTEROL, SERUM, TOTAL (82465) LIPOPROTEIN, DI","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2278.50,"providers":[{"billed_charge":24341.05,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":56.90,"providers":[{"billed_charge":150.00,"npi":[1053568014]}]},{"allowed_amount":482.04,"providers":[{"billed_charge":1080.00,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":451.31,"providers":[{"billed_charge":1758.13,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.97,"providers":[{"billed_charge":715.00,"npi":[1487087144]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1420.40,"providers":[{"billed_charge":6360.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":850.90,"providers":[{"billed_charge":2159.00,"npi":[1487429874]}]},{"allowed_amount":1400.30,"providers":[{"billed_charge":3553.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":536.00,"providers":[{"billed_charge":2142.40,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135864.05,"providers":[{"billed_charge":2863046.83,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7872.50,"providers":[{"billed_charge":106276.54,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1271.12,"providers":[{"billed_charge":12285.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":730.41,"providers":[{"billed_charge":2619.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.40,"providers":[{"billed_charge":720.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1259.60,"providers":[{"billed_charge":6294.24,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.87,"providers":[{"billed_charge":1610.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1624.75,"providers":[{"billed_charge":9215.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15121.90,"providers":[{"billed_charge":126753.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296949.54,"providers":[{"billed_charge":4527961.56,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2022.42,"providers":[{"billed_charge":7432.56,"npi":[1730617523]}]}]}]},{"name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80069","description":"RENAL FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) CALCIUM, TOTAL (82310) C","allowed_amounts":[{"tin":{"type":"ein","value":"751664109"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":47.52,"providers":[{"billed_charge":118.80,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1026.37,"providers":[{"billed_charge":17059.92,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1759.72,"providers":[{"billed_charge":26220.22,"npi":[1234567893]}]}]}]},{"name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80074","description":"ACUTE HEPATITIS PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: HEPATITIS A ANTIBODY (HAAB), IGM ANTIBO","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":428.94,"providers":[{"billed_charge":3400.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15290.30,"providers":[{"billed_charge":306672.62,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":166.74,"providers":[{"billed_charge":666.82,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":905.16,"providers":[{"billed_charge":2297.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13458.30,"providers":[{"billed_charge":109039.35,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1262.46,"providers":[{"billed_charge":14559.49,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35791.62,"providers":[{"billed_charge":567769.00,"npi":[1234567893]}]}]}]},{"name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80076","description":"HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (8224","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1612.10,"providers":[{"billed_charge":24633.37,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":303.96,"providers":[{"billed_charge":1639.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3697.42,"providers":[{"billed_charge":42565.57,"npi":[1234567893]}]}]}]},{"name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80081","description":"OBSTETRIC PANEL (INCLUDES HIV TESTING)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3773.28,"providers":[{"billed_charge":47627.16,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28014.76,"providers":[{"billed_charge":303564.50,"npi":[1234567893]}]}]}]},{"name":"ASSAY, CARBAMAZEPINE, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80156","description":"CARBAMAZEPINE; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.59,"providers":[{"billed_charge":419.88,"npi":[1234567893]}]}]}]},{"name":"ASSAY DIPROPYLACETIC ACD TOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80164","description":"VALPROIC ACID (DIPROPYLACETIC ACID); TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.84,"providers":[{"billed_charge":936.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":220.42,"providers":[{"billed_charge":3257.56,"npi":[1234567893]}]}]}]},{"name":"DRUG SCRN QUAN LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80177","description":"LEVETIRACETAM","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.90,"providers":[{"billed_charge":223.92,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":315.83,"providers":[{"billed_charge":4998.71,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF LITHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80178","description":"LITHIUM","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.09,"providers":[{"billed_charge":1528.20,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80197","description":"TACROLIMUS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":98.88,"providers":[{"billed_charge":2933.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":305.74,"providers":[{"billed_charge":8567.56,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80202","description":"VANCOMYCIN","allowed_amounts":[{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.39,"providers":[{"billed_charge":189.56,"npi":[1558717827]}]}]}]},{"name":"DRUG TEST PRSMV INSTRMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80306","description":"DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; READ BY","allowed_amounts":[{"tin":{"type":"ein","value":"412273820"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36.40,"providers":[{"billed_charge":630.00,"npi":[1568853257]}]}]}]},{"name":"DRUG TEST PRSMV CHEM ANLYZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80307","description":"DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; BY INSTR","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23154.19,"providers":[{"billed_charge":279105.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"464163620"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4474.08,"providers":[{"billed_charge":28800.00,"npi":[1265854855]}]}]},{"tin":{"type":"ein","value":"383665708"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.14,"providers":[{"billed_charge":340.00,"npi":[1215055256]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3796.95,"providers":[{"billed_charge":17274.92,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"853374426"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":186.42,"providers":[{"billed_charge":800.00,"npi":[1245838671]}]}]},{"tin":{"type":"ein","value":"473204624"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3079.96,"providers":[{"billed_charge":7056.00,"npi":[1629301700]}]},{"allowed_amount":1172.04,"providers":[{"billed_charge":3024.00,"npi":[1902280019]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10923.04,"providers":[{"billed_charge":40460.22,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6466.48,"providers":[{"billed_charge":25601.68,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3107.00,"providers":[{"billed_charge":15000.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":497.12,"providers":[{"billed_charge":2982.72,"npi":[1801226543]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":621.40,"providers":[{"billed_charge":4729.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"830973361"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22556.82,"providers":[{"billed_charge":180454.56,"npi":[1447814272]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":310.70,"providers":[{"billed_charge":750.00,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"471489220"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":310.70,"providers":[{"billed_charge":2398.15,"npi":[1861895500]}]}]},{"tin":{"type":"ein","value":"472177895"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":963.17,"providers":[{"billed_charge":4293.27,"npi":[1477925188]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":714.61,"providers":[{"billed_charge":5566.00,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"474579289"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1336.01,"providers":[{"billed_charge":8016.06,"npi":[1720448061]}]}]},{"tin":{"type":"ein","value":"800686939"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":838.89,"providers":[{"billed_charge":1836.00,"npi":[1699045674]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2019.55,"providers":[{"billed_charge":7800.00,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1273.87,"providers":[{"billed_charge":5095.48,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1662.78,"providers":[{"billed_charge":8025.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":652.47,"providers":[{"billed_charge":3328.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30243.50,"providers":[{"billed_charge":147057.96,"npi":[1234567893]}]}]}]},{"name":"ALCOHOLS BIOMARKERS 1OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80321","description":"ALCOHOL BIOMARKERS; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":419.72,"providers":[{"billed_charge":1678.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":381.67,"providers":[{"billed_charge":1526.57,"npi":[1234567893]}]}]}]},{"name":"ALKALOIDS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80323","description":"ALKALOIDS, NOT OTHERWISE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2166.03,"providers":[{"billed_charge":7222.95,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.29,"providers":[{"billed_charge":145.13,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":145.59,"providers":[{"billed_charge":582.22,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREEN AMPHETAMINES 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80324","description":"AMPHETAMINES; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":210.44,"providers":[{"billed_charge":841.71,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":733.83,"providers":[{"billed_charge":2935.32,"npi":[1234567893]}]}]}]},{"name":"AMPHETAMINES 3OR 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80325","description":"AMPHETAMINES; 3 OR 4","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2644.08,"providers":[{"billed_charge":12453.52,"npi":[1982091617]}]}]}]},{"name":"ANTIDEPRESSANTS CLASS 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80333","description":"ANTIDEPRESSANTS, SEROTONERGIC CLASS; 3-5","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4534.42,"providers":[{"billed_charge":22200.52,"npi":[1982091617]}]}]}]},{"name":"ANTIDEPRESSANT TRICYCLIC 3-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80336","description":"ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS; 3-5","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3677.93,"providers":[{"billed_charge":17079.92,"npi":[1982091617]}]}]}]},{"name":"TRICYCLIC & CYCLICALS 6/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80337","description":"ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS; 6 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.40,"providers":[{"billed_charge":241.56,"npi":[1234567893]}]}]}]},{"name":"ANTIDEPRESSANT NOT SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80338","description":"ANTIDEPRESSANTS, NOT OTHERWISE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3498.46,"providers":[{"billed_charge":17045.14,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.07,"providers":[{"billed_charge":208.11,"npi":[1234567893]}]}]}]},{"name":"ANTIPSYCHOTICS NOS 7/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80344","description":"ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED; 7 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5862.38,"providers":[{"billed_charge":29818.18,"npi":[1982091617]}]}]}]},{"name":"DRUG SCREENING BARBITURATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80345","description":"BARBITURATES","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":775.97,"providers":[{"billed_charge":2080.23,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.29,"providers":[{"billed_charge":13.16,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.00,"providers":[{"billed_charge":183.84,"npi":[1234567893]}]}]}]},{"name":"BENZODIAZEPINES1-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80346","description":"BENZODIAZEPINES; 1-12","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8342.26,"providers":[{"billed_charge":46789.60,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":402.99,"providers":[{"billed_charge":1611.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":553.90,"providers":[{"billed_charge":2215.65,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80348","description":"BUPRENORPHINE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":611.75,"providers":[{"billed_charge":2059.80,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.20,"providers":[{"billed_charge":624.64,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":332.87,"providers":[{"billed_charge":1331.17,"npi":[1234567893]}]}]}]},{"name":"CANNABINOIDS, NATURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80349","description":"CANNABINOIDS, NATURAL","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2371.68,"providers":[{"billed_charge":8519.52,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":761.22,"providers":[{"billed_charge":3044.77,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1549.33,"providers":[{"billed_charge":6197.07,"npi":[1234567893]}]}]}]},{"name":"CANNABINOIDS SYNTHETIC 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80351","description":"CANNABINOIDS, SYNTHETIC; 4-6","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2304.76,"providers":[{"billed_charge":10248.52,"npi":[1982091617]}]}]}]},{"name":"DRUG SCREENING COCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80353","description":"COCAINE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1862.99,"providers":[{"billed_charge":5242.51,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.79,"providers":[{"billed_charge":267.15,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":293.83,"providers":[{"billed_charge":1175.18,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING FENTANYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80354","description":"FENTANYL","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2826.72,"providers":[{"billed_charge":11504.18,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139.85,"providers":[{"billed_charge":559.24,"npi":[1234567893]}]}]}]},{"name":"GABAPENTIN, NON-BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80355","description":"GABAPENTIN, NON-BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2648.14,"providers":[{"billed_charge":10358.68,"npi":[1982091617]}]}]}]},{"name":"HEROIN METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80356","description":"HEROIN METABOLITE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1846.19,"providers":[{"billed_charge":5242.51,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.94,"providers":[{"billed_charge":47.70,"npi":[1234567893]}]}]}]},{"name":"KETAMINE AND NORKETAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80357","description":"KETAMINE AND NORKETAMINE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.25,"providers":[{"billed_charge":8.98,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80358","description":"METHADONE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2168.49,"providers":[{"billed_charge":7255.67,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.43,"providers":[{"billed_charge":69.71,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.83,"providers":[{"billed_charge":403.21,"npi":[1234567893]}]}]}]},{"name":"METHYLENEDIOXYAMPHETAMINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80359","description":"METHYLENEDIOXYAMPHETAMINES (MDA, MDEA, MDMA)","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2180.55,"providers":[{"billed_charge":7306.42,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":93.79,"providers":[{"billed_charge":375.07,"npi":[1234567893]}]}]}]},{"name":"METHYLPHENIDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80360","description":"METHYLPHENIDATE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":756.74,"providers":[{"billed_charge":2063.91,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.38,"providers":[{"billed_charge":57.49,"npi":[1234567893]}]}]}]},{"name":"OPIATES, 1 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80361","description":"OPIATES, 1 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2848.30,"providers":[{"billed_charge":11524.39,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":798.34,"providers":[{"billed_charge":3193.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":976.61,"providers":[{"billed_charge":3906.03,"npi":[1234567893]}]}]}]},{"name":"OPIOIDS & OPIATE ANALOGS 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80362","description":"OPIOIDS AND OPIATE ANALOGS; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.96,"providers":[{"billed_charge":107.86,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.43,"providers":[{"billed_charge":221.71,"npi":[1234567893]}]}]}]},{"name":"OPIOIDS & OPIATE ANALOGS 3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80363","description":"OPIOIDS AND OPIATE ANALOGS; 3 OR 4","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.85,"providers":[{"billed_charge":223.42,"npi":[1234567893]}]}]}]},{"name":"OPIOID &OPIATE ANALOG 5/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80364","description":"OPIOIDS AND OPIATE ANALOGS; 5 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4942.76,"providers":[{"billed_charge":24277.47,"npi":[1982091617]}]}]}]},{"name":"DRUG SCREENING OXYCODONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80365","description":"OXYCODONE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1917.35,"providers":[{"billed_charge":5755.10,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.48,"providers":[{"billed_charge":417.78,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":121.27,"providers":[{"billed_charge":484.72,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING PREGABALIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80366","description":"PREGABALIN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":15.71,"npi":[1234567893]}]}]}]},{"name":"SEDATIVE HYPNOTICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80368","description":"SEDATIVE HYPNOTICS (NON-BENZODIAZEPINES)","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1547.70,"providers":[{"billed_charge":4219.14,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.15,"providers":[{"billed_charge":48.59,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.63,"providers":[{"billed_charge":282.51,"npi":[1234567893]}]}]}]},{"name":"SKEL MUSC RELAXANT 3 OR MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80370","description":"SKELETAL MUSCLE RELAXANTS; 3 OR MORE","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2586.92,"providers":[{"billed_charge":12274.24,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.34,"providers":[{"billed_charge":241.43,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING TAPENTADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80372","description":"TAPENTADOL","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1399.51,"providers":[{"billed_charge":3704.27,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.69,"providers":[{"billed_charge":14.75,"npi":[1234567893]}]}]}]},{"name":"DRUG SCREENING TRAMADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80373","description":"TRAMADOL","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1385.78,"providers":[{"billed_charge":3707.80,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.75,"providers":[{"billed_charge":90.97,"npi":[1234567893]}]}]}]},{"name":"DRUG/SUBSTANCE NOS 4-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80376","description":"DRUG(S) OR SUBSTANCE(S), DEFINITIVE, QUALITATIVE OR QUANTITATIVE, NOT OTHERWISE SPECIFIED; 4-6","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.60,"providers":[{"billed_charge":47.98,"npi":[1982091617]}]}]}]},{"name":"URINALYSIS NONAUTO W/SCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81000","description":"URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES,","allowed_amounts":[{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.23,"providers":[{"billed_charge":368.00,"npi":[1831383355]}]}]}]},{"name":"URINALYSIS AUTO W/SCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81001","description":"URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES,","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":147.40,"providers":[{"billed_charge":2871.91,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.57,"providers":[{"billed_charge":171.18,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.95,"providers":[{"billed_charge":39.65,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.35,"providers":[{"billed_charge":325.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12144.80,"providers":[{"billed_charge":345572.22,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.30,"providers":[{"billed_charge":700.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1068.48,"providers":[{"billed_charge":8930.88,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":159.00,"providers":[{"billed_charge":2829.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35114.44,"providers":[{"billed_charge":802207.31,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":2.16,"providers":[{"billed_charge":7.93,"npi":[1730617523]}]},{"allowed_amount":170.64,"providers":[{"billed_charge":626.47,"npi":[1730617523]}]}]}]},{"name":"URINALYSIS NONAUTO W/O SCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81002","description":"URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES,","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":353.22,"providers":[{"billed_charge":6049.04,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.28,"providers":[{"billed_charge":110.00,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":135.72,"providers":[{"billed_charge":1170.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45.88,"providers":[{"billed_charge":465.31,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.60,"providers":[{"billed_charge":400.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":63.00,"npi":[1760010458]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81","20"],"billing_class":"professional","payments":[{"allowed_amount":4.14,"providers":[{"billed_charge":35.00,"npi":[1234567893]}]},{"allowed_amount":95.92,"providers":[{"billed_charge":1617.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":504.60,"providers":[{"billed_charge":2900.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.80,"providers":[{"billed_charge":1750.00,"npi":[1730445628]}]}]}]},{"name":"URINALYSIS AUTO W/O SCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81003","description":"URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES,","allowed_amounts":[{"tin":{"type":"ein","value":"831683025"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3.84,"providers":[{"billed_charge":80.00,"npi":[1720295652]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.60,"providers":[{"billed_charge":367.50,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.52,"providers":[{"billed_charge":72.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":17.28,"providers":[{"billed_charge":57.60,"npi":[1770998999]}]},{"allowed_amount":4.80,"providers":[{"billed_charge":16.00,"npi":[1861861262]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.26,"providers":[{"billed_charge":9.00,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1752.30,"providers":[{"billed_charge":32509.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":543.53,"providers":[{"billed_charge":14092.25,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"300944941"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.25,"providers":[{"billed_charge":175.00,"npi":[1366048498]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.50,"providers":[{"billed_charge":500.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"752302928"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":4.52,"providers":[{"billed_charge":88.00,"npi":[1578265302]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":31.68,"providers":[{"billed_charge":825.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.13,"providers":[{"billed_charge":5.63,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1341.31,"providers":[{"billed_charge":11181.54,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"863331224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.26,"providers":[{"billed_charge":14.00,"npi":[1245453166]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1.30,"providers":[{"billed_charge":25.00,"npi":[1689950891]}]}]},{"tin":{"type":"ein","value":"270653014"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":73.48,"providers":[{"billed_charge":1680.00,"npi":[1063000909]}]},{"allowed_amount":25.92,"providers":[{"billed_charge":648.00,"npi":[1518567353]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":7.68,"providers":[{"billed_charge":40.00,"npi":[1234567893]}]},{"allowed_amount":5005.86,"providers":[{"billed_charge":102872.06,"npi":[1234567893]}]}]}]},{"name":"URINALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81005","description":"URINALYSIS; QUALITATIVE OR SEMIQUANTITATIVE, EXCEPT IMMUNOASSAYS","allowed_amounts":[{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.28,"providers":[{"billed_charge":80.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":2.76,"providers":[{"billed_charge":90.00,"npi":[1538526702]}]}]}]},{"name":"URINE SCREEN FOR BACTERIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81007","description":"URINALYSIS; BACTERIURIA SCREEN, EXCEPT BY CULTURE OR DIPSTICK","allowed_amounts":[{"tin":{"type":"ein","value":"832089228"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":89.94,"providers":[{"billed_charge":112.44,"npi":[1033680681]}]}]}]},{"name":"MICROSCOPIC EXAM OF URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81015","description":"URINALYSIS; MICROSCOPIC ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":184.83,"providers":[{"billed_charge":2791.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.84,"providers":[{"billed_charge":1936.80,"npi":[1234567893]}]}]}]},{"name":"URINE PREGNANCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81025","description":"URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.41,"providers":[{"billed_charge":222.28,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"760537608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.34,"providers":[{"billed_charge":350.00,"npi":[1770583411]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.31,"providers":[{"billed_charge":27.00,"npi":[1861494130]}]},{"allowed_amount":34.48,"providers":[{"billed_charge":216.00,"npi":[1053607390]}]},{"allowed_amount":8.62,"providers":[{"billed_charge":54.00,"npi":[1629413224]}]}]},{"tin":{"type":"ein","value":"464908071"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.17,"providers":[{"billed_charge":180.81,"npi":[1871849083]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.89,"providers":[{"billed_charge":809.37,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"270653014"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":14.64,"providers":[{"billed_charge":124.00,"npi":[1518567353]}]},{"allowed_amount":138.50,"providers":[{"billed_charge":1099.60,"npi":[1063000909]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","81","20"],"billing_class":"professional","payments":[{"allowed_amount":22.30,"providers":[{"billed_charge":70.00,"npi":[1234567893]}]},{"allowed_amount":1070.96,"providers":[{"billed_charge":12804.15,"npi":[1234567893]}]},{"allowed_amount":3.66,"providers":[{"billed_charge":25.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":56.03,"providers":[{"billed_charge":260.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.08,"providers":[{"billed_charge":1120.00,"npi":[1730445628]}]}]}]},{"name":"ANES LWR INTST NDSC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"811","description":"ANESTHESIA FOR LOWER INTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED DISTAL TO DUODENUM; NOT","allowed_amounts":[{"tin":{"type":"ein","value":"273821065"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":608.71,"providers":[{"billed_charge":2000.00,"npi":[1750741583]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1007.34,"providers":[{"billed_charge":10065.00,"npi":[1497086425]}]},{"allowed_amount":13553.10,"providers":[{"billed_charge":67710.00,"npi":[1609019892]}]}]}]},{"name":"ANES LWR INTST SCR COLSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"812","description":"ANESTHESIA FOR LOWER INTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED DISTAL TO DUODENUM; SCRE","allowed_amounts":[{"tin":{"type":"ein","value":"300706634"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1676.70,"providers":[{"billed_charge":8250.00,"npi":[1457639726]}]}]},{"tin":{"type":"ein","value":"320293376"},"service_code":["22","24"],"billing_class":"professional","payments":[{"allowed_amount":1204.00,"providers":[{"billed_charge":8500.00,"npi":[1114138377]}]},{"allowed_amount":1277.55,"providers":[{"billed_charge":34000.00,"npi":[1114138377]}]}]},{"tin":{"type":"ein","value":"842830378"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1560.00,"providers":[{"billed_charge":6480.00,"npi":[1013076736]}]},{"allowed_amount":13000.00,"providers":[{"billed_charge":54000.00,"npi":[1912237868]}]},{"allowed_amount":1625.00,"providers":[{"billed_charge":6750.00,"npi":[1114027745]}]},{"allowed_amount":8775.00,"providers":[{"billed_charge":36450.00,"npi":[1114131703]}]}]},{"tin":{"type":"ein","value":"271009253"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1142.87,"providers":[{"billed_charge":8100.00,"npi":[1639795750]}]},{"allowed_amount":180.45,"providers":[{"billed_charge":1260.00,"npi":[1548686710]}]}]},{"tin":{"type":"ein","value":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":591.51,"providers":[{"billed_charge":7250.00,"npi":[1407842370]}]},{"allowed_amount":651.66,"providers":[{"billed_charge":8190.00,"npi":[1205038205]}]}]},{"tin":{"type":"ein","value":"273821065"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1095.69,"providers":[{"billed_charge":4300.00,"npi":[1750741583]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":29181.90,"providers":[{"billed_charge":171105.00,"npi":[1609019892]}]}]},{"tin":{"type":"ein","value":"201218565"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":792.00,"providers":[{"billed_charge":12169.00,"npi":[1881465052]}]}]},{"tin":{"type":"ein","value":"850709838"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":691.74,"providers":[{"billed_charge":7641.00,"npi":[1083070072]}]}]},{"tin":{"type":"ein","value":"742569713"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":812.04,"providers":[{"billed_charge":4800.00,"npi":[1144026196]}]}]},{"tin":{"type":"ein","value":"760462852"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1885.00,"providers":[{"billed_charge":7685.00,"npi":[1235128042]}]}]},{"tin":{"type":"ein","value":"760482007"},"service_code":["22","24"],"billing_class":"professional","payments":[{"allowed_amount":822.53,"providers":[{"billed_charge":9145.00,"npi":[1629317359]}]},{"allowed_amount":158.18,"providers":[{"billed_charge":1770.00,"npi":[1093076101]}]},{"allowed_amount":26510.13,"providers":[{"billed_charge":146615.00,"npi":[1922080688]}]},{"allowed_amount":5251.41,"providers":[{"billed_charge":28910.00,"npi":[1417992017]}]},{"allowed_amount":442.89,"providers":[{"billed_charge":2360.00,"npi":[1417992017]}]},{"allowed_amount":8921.07,"providers":[{"billed_charge":48970.00,"npi":[1659420875]}]}]}]},{"name":"BCR/ABL1 GENE MAJOR BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81206","description":"BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; MAJOR BREAKPOINT, QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":432.86,"providers":[{"billed_charge":1721.58,"npi":[1841375094]}]}]}]},{"name":"BCR/ABL1 GENE MINOR BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81207","description":"BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; MINOR BREAKPOINT, QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":382.38,"providers":[{"billed_charge":1520.82,"npi":[1841375094]}]}]}]},{"name":"BCR/ABL1 GENE OTHER BP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81208","description":"BCR/ABL1 (T(9;22)) (EG, CHRONIC MYELOGENOUS LEUKEMIA) TRANSLOCATION ANALYSIS; OTHER BREAKPOINT, QUAL","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":918.56,"providers":[{"billed_charge":3004.68,"npi":[1841375094]}]}]}]},{"name":"CALR GENE COM VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81219","description":"CALR (CALRETICULIN) (EG, MYELOPROLIFERATIVE DISORDERS), GENE ANALYSIS, COMMON VARIANTS IN EXON 9","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1406.04,"providers":[{"billed_charge":5959.80,"npi":[1841375094]}]}]}]},{"name":"CFTR GENE COM VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81220","description":"CFTR (CYSTIC FIBROSIS TRANSMEMBRANE CONDUCTANCE REGULATOR) (EG, CYSTIC FIBROSIS) GENE ANALYSIS; COMM","allowed_amounts":[{"tin":{"type":"ein","value":"10894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25642.63,"providers":[{"billed_charge":59500.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55891.48,"providers":[{"billed_charge":479378.72,"npi":[1234567893]}]}]}]},{"name":"F5 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81241","description":"F5 (COAGULATION FACTOR V) (EG, HEREDITARY HYPERCOAGULABILITY) GENE ANALYSIS, LEIDEN VARIANT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.04,"providers":[{"billed_charge":672.72,"npi":[1234567893]}]}]}]},{"name":"FMR1 GENE DETECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81243","description":"FMR1 (FRAGILE X MENTAL RETARDATION 1) (EG, FRAGILE X MENTAL RETARDATION) GENE ANALYSIS; EVALUATION T","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":999.20,"providers":[{"billed_charge":8489.97,"npi":[1234567893]}]}]}]},{"name":"HBA1/HBA2 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81257","description":"HBA1/HBA2 (ALPHA GLOBIN 1 AND ALPHA GLOBIN 2) (EG, ALPHA THALASSEMIA, HB BART HYDROPS FETALIS SYNDRO","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1172.65,"providers":[{"billed_charge":6736.09,"npi":[1234567893]}]}]}]},{"name":"JAK2 GENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81270","description":"JAK2 (JANUS KINASE 2) (EG, MYELOPROLIFERATIVE DISORDER) GENE ANALYSIS, P.VAL617PHE (V617F) VARIANT","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1406.11,"providers":[{"billed_charge":5453.77,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":373.17,"providers":[{"billed_charge":3011.63,"npi":[1234567893]}]}]}]},{"name":"JAK2 GENE TRGT SEQUENCE ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2655.72,"providers":[{"billed_charge":9723.00,"npi":[1841375094]}]}]}]},{"name":"ANES UPR LWR GI NDSC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"813","description":"ANESTHESIA FOR COMBINED UPPER AND LOWER GASTROINTESTINAL ENDOSCOPIC PROCEDURES, ENDOSCOPE INTRODUCED","allowed_amounts":[{"tin":{"type":"ein","value":"760482007"},"service_code":["24","21"],"billing_class":"professional","payments":[{"allowed_amount":7655.67,"providers":[{"billed_charge":44545.00,"npi":[1417992017]}]},{"allowed_amount":759.24,"providers":[{"billed_charge":3540.00,"npi":[1922080688]}]},{"allowed_amount":1075.59,"providers":[{"billed_charge":5015.00,"npi":[1659420875]}]},{"allowed_amount":15817.50,"providers":[{"billed_charge":73750.00,"npi":[1922080688]}]}]}]},{"name":"SMN1 GENE DOS/DELETION ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"10894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3000.00,"providers":[{"billed_charge":3000.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13673.20,"providers":[{"billed_charge":73432.45,"npi":[1234567893]}]}]}]},{"name":"MPL GENE COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81338","description":"MPL GENE ANALYSIS COMMON VARIANTS","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2155.71,"providers":[{"billed_charge":7892.25,"npi":[1841375094]}]}]}]},{"name":"HBB GENE COM VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81361","description":"HBB (HEMOGLOBIN, SUBUNIT BETA) (EG, SICKLE CELL ANEMIA, BETA THALASSEMIA, HEMOGLOBINOPATHY); COMMON","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1155.54,"providers":[{"billed_charge":3819.80,"npi":[1234567893]}]}]}]},{"name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81364","description":"HBB (HEMOGLOBIN, SUBUNIT BETA) (EG, SICKLE CELL ANEMIA, BETA THALASSEMIA, HEMOGLOBINOPATHY); FULL GE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2254.54,"providers":[{"billed_charge":6762.93,"npi":[1234567893]}]}]}]},{"name":"HLA I TYPING 1 ANTIGEN LR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81374","description":"HLA CLASS I TYPING, LOW RESOLUTION (EG, ANTIGEN EQUIVALENTS); ONE ANTIGEN EQUIVALENT (EG, B*27), EAC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":353.64,"providers":[{"billed_charge":1499.40,"npi":[1234567893]}]}]}]},{"name":"HLA I TYPING 1 ALLELE HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81381","description":"HLA CLASS I TYPING, HIGH RESOLUTION (IE, ALLELES OR ALLELE GROUPS); ONE ALLELE OR ALLELE GROUP (EG,","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106.19,"providers":[{"billed_charge":181.65,"npi":[1234567893]}]}]}]},{"name":"MOPATH PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3889.20,"providers":[{"billed_charge":16297.60,"npi":[1598314437]}]}]}]},{"name":"MOPATH PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1511.68,"providers":[{"billed_charge":2560.00,"npi":[1234567893]}]}]}]},{"name":"MOPATH PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4239.75,"providers":[{"billed_charge":11925.00,"npi":[1234567893]}]}]}]},{"name":"MOPATH PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63460.00,"providers":[{"billed_charge":204700.00,"npi":[1234567893]}]}]}]},{"name":"FETAL CHRMOML ANEUPLOIDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY (EG, TRISOMY 21, MONOSOMY X) GENOMIC SEQUENCE ANALYSIS PANEL, CIRCULATI","allowed_amounts":[{"tin":{"type":"ein","value":"10894487"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12762.61,"providers":[{"billed_charge":113100.00,"npi":[1558672279]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":286920.94,"providers":[{"billed_charge":1159828.40,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2277.18,"providers":[{"billed_charge":15000.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165129.71,"providers":[{"billed_charge":1612134.87,"npi":[1234567893]}]}]}]},{"name":"FETAL CHRMOML MICRODELTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81422","description":"FETAL CHROMOSOMAL MICRODELETION(S) GENOMIC SEQUENCE ANALYSIS (EG, DIGEORGE SYNDROME, CRI-DU-CHAT SYN","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":232269.30,"providers":[{"billed_charge":929077.20,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3042.24,"providers":[{"billed_charge":11988.00,"npi":[1234567893]}]}]}]},{"name":"HRDTRY BRST CA-RLATD DSORDRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81432","description":"HEREDITARY BREAST CANCER-RELATED DISORDERS (EG, HEREDITARY BREAST CANCER, HEREDITARY OVARIAN CANCER,","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":50820.25,"providers":[{"billed_charge":324492.00,"npi":[1234567893]}]}]}]},{"name":"GENETIC TSTG SEVERE INH COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7086.14,"providers":[{"billed_charge":53051.56,"npi":[1234567893]}]}]}]},{"name":"SO/HL 51/>GSAP RNA ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81456","description":"SO/HEMATOLYMPHOID NEO/DO 51/>RNA ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":160414.53,"providers":[{"billed_charge":216600.00,"npi":[1740733708]}]}]}]},{"name":"Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81464","description":"Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":106268.80,"providers":[{"billed_charge":121600.00,"npi":[1740733708]}]}]}]},{"name":"NFCT DS BV RNA VAG FLU ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81513","description":"NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG","allowed_amounts":[{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9200.28,"providers":[{"billed_charge":27606.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":927.16,"providers":[{"billed_charge":4635.54,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12409.10,"providers":[{"billed_charge":54931.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9765.82,"providers":[{"billed_charge":43094.18,"npi":[1234567893]}]}]}]},{"name":"NFCT DS BV&VAGINITIS DNA ALG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81514","description":"NFCT DS BCT VAGINOSIS&VAGINITIS DNA VAG FLU ALG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2723.04,"providers":[{"billed_charge":31000.00,"npi":[1234567893]}]}]}]},{"name":"Under Multianalyte Assays with Algorithmic Analyses","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81517","description":"Under Multianalyte Assays with Algorithmic Analyses","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":845.68,"providers":[{"billed_charge":3660.80,"npi":[1234567893]}]}]}]},{"name":"ONCOLOGY COLORECTAL SCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81528","description":"ONCOLOGY (COLORECTAL) SCREENING, QUANTITATIVE REAL-TIME TARGET AND SIGNAL AMPL OF 10 DNA MARKERS (KR","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1589709.88,"providers":[{"billed_charge":2127444.00,"npi":[1234567893]}]}]}]},{"name":"NFCT DS CHRNC HCV 6 ASSAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81596","description":"NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR","allowed_amounts":[{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":144.40,"providers":[{"billed_charge":1260.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":656.89,"providers":[{"billed_charge":5110.34,"npi":[1234567893]}]}]}]},{"name":"UNLISTED MAAA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81599","description":"UNLISTED MULTIANALYTE ASSAY WITH ALGORITHMIC ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"472289700"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1620.00,"providers":[{"billed_charge":5400.00,"npi":[1871220764]}]}]},{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":54247.50,"providers":[{"billed_charge":180825.00,"npi":[1598314437]}]}]}]},{"name":"ASSAY OF ACTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE (ACTH)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":695.10,"providers":[{"billed_charge":5559.30,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2314.14,"providers":[{"billed_charge":18649.05,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF SERUM ALBUMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82040","description":"ALBUMIN; SERUM, PLASMA OR WHOLE BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.67,"providers":[{"billed_charge":2220.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":237.60,"providers":[{"billed_charge":2258.99,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6395.21,"providers":[{"billed_charge":11478.16,"npi":[1234567893]}]}]}]},{"name":"MICROALBUMIN, QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82043","description":"ALBUMIN; URINE (EG, MICROALBUMIN), QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":280.70,"providers":[{"billed_charge":5965.45,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.50,"providers":[{"billed_charge":80.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11348.68,"providers":[{"billed_charge":272873.55,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.83,"providers":[{"billed_charge":543.32,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1343.85,"providers":[{"billed_charge":8295.60,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":705.16,"providers":[{"billed_charge":22093.38,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33252.28,"providers":[{"billed_charge":737356.95,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.11,"providers":[{"billed_charge":130.05,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82085","description":"ALDOLASE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":65.95,"providers":[{"billed_charge":813.42,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82088","description":"ALDOSTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1045.95,"providers":[{"billed_charge":6846.22,"npi":[1234567893]}]}]}]},{"name":"HEMO/COMPOSITE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"821","description":"HEMODIALYSIS - OUTPT OR HOME - HEMODIALYSIS/COMPOSITE RATE","allowed_amounts":[{"tin":{"type":"ein","value":"863925405"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":6400.00,"providers":[{"billed_charge":182211.36,"npi":[1457927899]}]}]},{"tin":{"type":"ein","value":"882795816"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":2667.00,"providers":[{"billed_charge":26496.00,"npi":[1780387712]}]}]},{"tin":{"type":"ein","value":"472491294"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":1311.06,"providers":[{"billed_charge":32848.32,"npi":[1225436199]}]}]},{"tin":{"type":"ein","value":"873660108"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":22225.00,"providers":[{"billed_charge":220800.00,"npi":[1134886278]}]}]},{"tin":{"type":"ein","value":"472392851"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":14390.00,"providers":[{"billed_charge":93550.00,"npi":[1720478944]}]}]},{"tin":{"type":"ein","value":"301218678"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":11557.00,"providers":[{"billed_charge":148046.73,"npi":[1861015067]}]}]},{"tin":{"type":"ein","value":"472460376"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":43251.81,"providers":[{"billed_charge":292530.00,"npi":[1144614942]}]}]},{"tin":{"type":"ein","value":"112226275"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":41730.70,"providers":[{"billed_charge":503424.00,"npi":[1093827982]}]},{"allowed_amount":1778.00,"providers":[{"billed_charge":17664.00,"npi":[1982803748]}]}]},{"tin":{"type":"ein","value":"834391137"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":2667.00,"providers":[{"billed_charge":26496.00,"npi":[1922575323]}]}]},{"tin":{"type":"ein","value":"923355103"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":56845.49,"providers":[{"billed_charge":1503243.72,"npi":[1386405801]}]}]},{"tin":{"type":"ein","value":"812969143"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":11557.00,"providers":[{"billed_charge":106757.04,"npi":[1295361475]}]}]},{"tin":{"type":"ein","value":"823064813"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":26670.00,"providers":[{"billed_charge":264960.00,"npi":[1780184739]}]}]}]},{"name":"ALPHA-1-ANTITRYPSIN, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":274.04,"providers":[{"billed_charge":3587.68,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":605.72,"providers":[{"billed_charge":7354.53,"npi":[1234567893]}]}]}]},{"name":"ALPHA-FETOPROTEIN, SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82105","description":"ALPHA-FETOPROTEIN (AFP); SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2625.66,"providers":[{"billed_charge":45893.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.68,"providers":[{"billed_charge":843.84,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":202.75,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4522.78,"providers":[{"billed_charge":63039.25,"npi":[1234567893]}]}]}]},{"name":"ALPHA-FETOPROTEIN L3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82107","description":"ALPHA-FETOPROTEIN (AFP); AFP-L3 FRACTION ISOFORM AND TOTAL AFP (INCLUDING RATIO)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":353.57,"providers":[{"billed_charge":2134.21,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82140","description":"AMMONIA","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.66,"providers":[{"billed_charge":1171.47,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":297.62,"providers":[{"billed_charge":4154.59,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82150","description":"AMYLASE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":902.48,"providers":[{"billed_charge":13135.84,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.52,"providers":[{"billed_charge":1359.96,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2181.90,"providers":[{"billed_charge":29965.90,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":443.88,"providers":[{"billed_charge":1875.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82157","description":"ANDROSTENEDIONE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.57,"providers":[{"billed_charge":293.39,"npi":[1234567893]}]}]}]},{"name":"ANGIOTENSIN I ENZYME TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82164","description":"ANGIOTENSIN I - CONVERTING ENZYME (ACE)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.76,"providers":[{"billed_charge":160.86,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.08,"providers":[{"billed_charge":1010.10,"npi":[1234567893]}]}]}]},{"name":"chemistry test for anti-mullerian hormone (AMH)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82166","description":"chemistry test for anti-mullerian hormone (AMH)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":903.63,"providers":[{"billed_charge":6775.47,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4345.95,"providers":[{"billed_charge":24490.08,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF APOLIPOPROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82172","description":"APOLIPOPROTEIN, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":232.03,"providers":[{"billed_charge":803.14,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":253.04,"providers":[{"billed_charge":572.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1223.80,"providers":[{"billed_charge":7534.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2330.29,"providers":[{"billed_charge":5081.68,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1233.77,"providers":[{"billed_charge":4520.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF BETA-2 PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82232","description":"BETA-2 MICROGLOBULIN","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":266.97,"providers":[{"billed_charge":3795.00,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":211.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":334.38,"providers":[{"billed_charge":5637.10,"npi":[1234567893]}]}]}]},{"name":"Under Chemistry Procedures","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82233","description":"Under Chemistry Procedures","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":250.00,"npi":[1234567893]}]}]}]},{"name":"Under Chemistry Procedures","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82234","description":"Under Chemistry Procedures","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.50,"providers":[{"billed_charge":250.00,"npi":[1234567893]}]}]}]},{"name":"BILIRUBIN, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82247","description":"BILIRUBIN; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":233.55,"providers":[{"billed_charge":1096.73,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6255.61,"providers":[{"billed_charge":8472.28,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":256.98,"providers":[{"billed_charge":990.00,"npi":[1174172845]}]}]}]},{"name":"BILIRUBIN, DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82248","description":"BILIRUBIN; DIRECT","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.67,"providers":[{"billed_charge":170.68,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":894.41,"providers":[{"billed_charge":9017.28,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2157.70,"providers":[{"billed_charge":12483.01,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":355.87,"providers":[{"billed_charge":1500.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY TEST FOR BLOOD, FECAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82274","description":"BLOOD, OCCULT, BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY, QUALITATIVE, FECES, 1-3 SIMULTANEOU","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6092.90,"providers":[{"billed_charge":85301.08,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.48,"providers":[{"billed_charge":1781.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8973.85,"providers":[{"billed_charge":112999.44,"npi":[1234567893]}]}]}]},{"name":"VITAMIN D 25 HYDROXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82306","description":"VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.58,"providers":[{"billed_charge":864.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1994.32,"providers":[{"billed_charge":23471.08,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":893.35,"providers":[{"billed_charge":3226.40,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":577.20,"providers":[{"billed_charge":2308.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.58,"providers":[{"billed_charge":111.00,"npi":[1487087144]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1598.40,"providers":[{"billed_charge":3996.00,"npi":[1487429874]}]},{"allowed_amount":2723.20,"providers":[{"billed_charge":6808.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":119773.44,"providers":[{"billed_charge":1878316.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3152.40,"providers":[{"billed_charge":12609.60,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8909.60,"providers":[{"billed_charge":59680.85,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1569.60,"providers":[{"billed_charge":5460.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2471.60,"providers":[{"billed_charge":12358.00,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3596.40,"providers":[{"billed_charge":16524.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.60,"providers":[{"billed_charge":198.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10345.20,"providers":[{"billed_charge":86731.92,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":346079.26,"providers":[{"billed_charge":4409487.69,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":18.49,"providers":[{"billed_charge":74.00,"npi":[1730617523]}]},{"allowed_amount":4234.21,"providers":[{"billed_charge":16946.00,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82310","description":"CALCIUM; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.06,"providers":[{"billed_charge":2294.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":220.10,"providers":[{"billed_charge":1370.53,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6060.49,"providers":[{"billed_charge":8971.58,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF CALCIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82330","description":"CALCIUM; IONIZED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.31,"providers":[{"billed_charge":976.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1604.61,"providers":[{"billed_charge":12449.46,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":958.24,"providers":[{"billed_charge":3500.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF CALCIUM IN URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82340","description":"CALCIUM; URINE QUANTITATIVE, TIMED SPECIMEN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41.53,"providers":[{"billed_charge":588.30,"npi":[1234567893]}]}]}]},{"name":"ASSAY, BLOOD CARBON DIOXIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82374","description":"CARBON DIOXIDE (BICARBONATE)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":306.14,"providers":[{"billed_charge":467.62,"npi":[1234567893]}]}]}]},{"name":"CARCINOEMBRYONIC ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN (CEA)","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.48,"providers":[{"billed_charge":116.60,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":796.60,"providers":[{"billed_charge":10017.04,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2822.21,"providers":[{"billed_charge":32379.04,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82390","description":"CERULOPLASMIN","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":334.88,"providers":[{"billed_charge":4683.64,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":587.82,"providers":[{"billed_charge":7764.24,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF BLOOD CHLORIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82435","description":"CHLORIDE; BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.04,"providers":[{"billed_charge":27.95,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5449.78,"providers":[{"billed_charge":5946.82,"npi":[1234567893]}]}]}]},{"name":"ASSAY, OTHER FLUID CHLORIDES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82438","description":"CHLORIDE; OTHER SOURCE","allowed_amounts":[{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":152.50,"providers":[{"billed_charge":600.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY, BLD/SERUM CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82465","description":"CHOLESTEROL, SERUM OR WHOLE BLOOD, TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.83,"providers":[{"billed_charge":133.86,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":177.23,"providers":[{"billed_charge":1730.49,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82525","description":"COPPER","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.91,"providers":[{"billed_charge":1062.55,"npi":[1234567893]}]}]}]},{"name":"CORTISOL, FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82530","description":"CORTISOL; FREE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.80,"providers":[{"billed_charge":1150.00,"npi":[1234567893]}]}]}]},{"name":"TOTAL CORTISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82533","description":"CORTISOL; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.10,"providers":[{"billed_charge":570.50,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":220.05,"providers":[{"billed_charge":880.20,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1339.86,"providers":[{"billed_charge":20402.27,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":97.80,"providers":[{"billed_charge":391.20,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":163.00,"providers":[{"billed_charge":1366.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4763.90,"providers":[{"billed_charge":57791.66,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":513.45,"providers":[{"billed_charge":2552.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":11.10,"providers":[{"billed_charge":40.75,"npi":[1730617523]}]},{"allowed_amount":777.00,"providers":[{"billed_charge":2852.50,"npi":[1730617523]}]}]}]},{"name":"COL CHROMOTOGRAPHY QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82542","description":"COLUMN CHROMATOGRAPHY, INCLUDES MASS SPECTROMETRY, IF PERFORMED (EG, HPLC, LC, LC/MS, LC/MS-MS, GC,","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":145.11,"providers":[{"billed_charge":3321.20,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF CK (CPK)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82550","description":"CREATINE KINASE (CK), (CPK); TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.52,"providers":[{"billed_charge":32.56,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.41,"providers":[{"billed_charge":70.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2381.19,"providers":[{"billed_charge":39958.39,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.28,"providers":[{"billed_charge":1650.82,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3508.48,"providers":[{"billed_charge":50259.08,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":295.24,"providers":[{"billed_charge":1125.00,"npi":[1174172845]}]}]}]},{"name":"CREATINE, MB FRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82553","description":"CREATINE KINASE (CK), (CPK); MB FRACTION ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.02,"providers":[{"billed_charge":173.25,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF CREATININE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82565","description":"CREATININE; BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":117.51,"providers":[{"billed_charge":2418.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":248.67,"providers":[{"billed_charge":1965.99,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["49","81"],"billing_class":"professional","payments":[{"allowed_amount":6588.02,"providers":[{"billed_charge":13988.10,"npi":[1234567893]}]},{"allowed_amount":2.56,"providers":[{"billed_charge":80.00,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF URINE CREATININE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82570","description":"CREATININE; OTHER SOURCE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":280.02,"providers":[{"billed_charge":5827.03,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10955.02,"providers":[{"billed_charge":231828.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":100.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":121.73,"providers":[{"billed_charge":486.92,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1028.23,"providers":[{"billed_charge":8610.93,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":637.14,"providers":[{"billed_charge":18695.74,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31167.10,"providers":[{"billed_charge":650923.08,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.16,"providers":[{"billed_charge":103.60,"npi":[1730617523]}]}]}]},{"name":"VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82607","description":"CYANOCOBALAMIN (VITAMIN B-12);","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.32,"providers":[{"billed_charge":448.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.86,"providers":[{"billed_charge":4450.47,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":399.62,"providers":[{"billed_charge":1477.84,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":859.56,"providers":[{"billed_charge":8364.18,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1236.56,"providers":[{"billed_charge":4946.24,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":482.56,"providers":[{"billed_charge":1216.00,"npi":[1841798667]}]},{"allowed_amount":196.04,"providers":[{"billed_charge":494.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22778.85,"providers":[{"billed_charge":346232.30,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":218.66,"providers":[{"billed_charge":874.64,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1990.56,"providers":[{"billed_charge":29244.84,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":720.14,"providers":[{"billed_charge":2754.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1236.56,"providers":[{"billed_charge":6182.80,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.57,"providers":[{"billed_charge":861.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4124.38,"providers":[{"billed_charge":34559.46,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63760.53,"providers":[{"billed_charge":784858.75,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1190.16,"providers":[{"billed_charge":4373.20,"npi":[1730617523]}]},{"allowed_amount":10.26,"providers":[{"billed_charge":37.70,"npi":[1730617523]}]}]}]},{"name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82610","description":"CYSTATIN C","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.66,"providers":[{"billed_charge":1057.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":760.35,"providers":[{"billed_charge":12708.00,"npi":[1234567893]}]}]}]},{"name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82626","description":"DEHYDROEPIANDROSTERONE (DHEA)","allowed_amounts":[{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":113.76,"providers":[{"billed_charge":953.37,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":404.47,"providers":[{"billed_charge":5846.98,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":732.48,"providers":[{"billed_charge":2350.00,"npi":[1174172845]}]}]}]},{"name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.32,"providers":[{"billed_charge":611.38,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2401.20,"providers":[{"billed_charge":44008.20,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":166.80,"providers":[{"billed_charge":666.90,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":133.44,"providers":[{"billed_charge":533.52,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.12,"providers":[{"billed_charge":74.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":244.64,"providers":[{"billed_charge":2050.62,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.60,"providers":[{"billed_charge":1136.25,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8286.06,"providers":[{"billed_charge":104084.27,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":15.13,"providers":[{"billed_charge":55.58,"npi":[1730617523]}]},{"allowed_amount":1059.10,"providers":[{"billed_charge":3890.60,"npi":[1730617523]}]}]}]},{"name":"VIT D 1 25-DIHYDROXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82652","description":"VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":657.72,"providers":[{"billed_charge":10066.00,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82668","description":"ERYTHROPOIETIN","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":157.78,"providers":[{"billed_charge":3062.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":486.90,"providers":[{"billed_charge":7738.09,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82670","description":"ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":213.40,"providers":[{"billed_charge":2154.51,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":279.40,"providers":[{"billed_charge":1397.00,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":922.02,"providers":[{"billed_charge":3688.08,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11145.40,"providers":[{"billed_charge":169427.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.97,"providers":[{"billed_charge":35.00,"npi":[1841798667]}]},{"allowed_amount":55.88,"providers":[{"billed_charge":140.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.98,"providers":[{"billed_charge":78.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":223.52,"providers":[{"billed_charge":1488.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2332.99,"providers":[{"billed_charge":19559.04,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":642.62,"providers":[{"billed_charge":8794.37,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28343.56,"providers":[{"billed_charge":331694.35,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":978.02,"providers":[{"billed_charge":3248.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1406.74,"providers":[{"billed_charge":5168.90,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF ESTROGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82672","description":"ESTROGENS; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1054.62,"providers":[{"billed_charge":18091.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3714.34,"providers":[{"billed_charge":49923.24,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82679","description":"ESTRONE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.33,"providers":[{"billed_charge":205.80,"npi":[1234567893]}]}]}]},{"name":"ASSAY DIR MEAS FR ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82681","description":"ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.56,"providers":[{"billed_charge":872.28,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82728","description":"FERRITIN","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":179.93,"providers":[{"billed_charge":1568.99,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":334.18,"providers":[{"billed_charge":1253.96,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2236.96,"providers":[{"billed_charge":26240.00,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":163.68,"providers":[{"billed_charge":654.24,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15288.42,"providers":[{"billed_charge":241158.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.20,"providers":[{"billed_charge":180.00,"npi":[1487429874,1841798667]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":95.48,"providers":[{"billed_charge":381.64,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":702.46,"providers":[{"billed_charge":10674.24,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":429.32,"providers":[{"billed_charge":1458.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.10,"providers":[{"billed_charge":305.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":279.62,"providers":[{"billed_charge":1397.28,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":764.64,"providers":[{"billed_charge":15088.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.41,"providers":[{"billed_charge":19.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1002.54,"providers":[{"billed_charge":8392.23,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51287.16,"providers":[{"billed_charge":541186.18,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":491.31,"providers":[{"billed_charge":1806.24,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82746","description":"FOLIC ACID; SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":163.36,"providers":[{"billed_charge":1797.87,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2256.45,"providers":[{"billed_charge":25068.31,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":698.25,"providers":[{"billed_charge":2793.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.05,"providers":[{"billed_charge":57.00,"npi":[1487429874]}]},{"allowed_amount":95.55,"providers":[{"billed_charge":247.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12515.58,"providers":[{"billed_charge":191494.24,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.30,"providers":[{"billed_charge":529.20,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1315.65,"providers":[{"billed_charge":17158.19,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":673.45,"providers":[{"billed_charge":2652.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":411.60,"providers":[{"billed_charge":2058.00,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.36,"providers":[{"billed_charge":540.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3270.75,"providers":[{"billed_charge":27420.90,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36703.12,"providers":[{"billed_charge":447477.41,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":860.86,"providers":[{"billed_charge":3160.50,"npi":[1730617523]}]},{"allowed_amount":10.01,"providers":[{"billed_charge":36.75,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF FOLIC ACID, RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82747","description":"FOLIC ACID; RBC","allowed_amounts":[{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.41,"providers":[{"billed_charge":953.10,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":201.21,"providers":[{"billed_charge":3716.40,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":436.56,"providers":[{"billed_charge":7435.83,"npi":[1234567893]}]}]}]},{"name":"ASSAY IGA/IGD/IGG/IGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82784","description":"GAMMAGLOBULIN (IMMUNOGLOBULIN); IGA, IGD, IGG, IGM, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1902.78,"providers":[{"billed_charge":23995.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3915.38,"providers":[{"billed_charge":48548.86,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF IGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82785","description":"GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1323.92,"providers":[{"billed_charge":14879.01,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":98.76,"providers":[{"billed_charge":828.36,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2701.71,"providers":[{"billed_charge":29339.80,"npi":[1234567893]}]}]}]},{"name":"IGG 1 2 3 OR 4 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82787","description":"GAMMAGLOBULIN (IMMUNOGLOBULIN); IMMUNOGLOBULIN SUBCLASSES (EG, IGG1, 2, 3, OR 4), EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.31,"providers":[{"billed_charge":982.42,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.93,"providers":[{"billed_charge":1291.46,"npi":[1234567893]}]}]}]},{"name":"ASSAY, GLUCOSE, BLOOD QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82947","description":"GLUCOSE; QUANTITATIVE, BLOOD (EXCEPT REAGENT STRIP)","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":116.23,"providers":[{"billed_charge":1315.48,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.44,"providers":[{"billed_charge":1524.52,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4954.35,"providers":[{"billed_charge":12281.49,"npi":[1234567893]}]}]}]},{"name":"REAGENT STRIP/BLOOD GLUCOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82948","description":"GLUCOSE; BLOOD, REAGENT STRIP","allowed_amounts":[{"tin":{"type":"ein","value":"742882192"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":75.60,"providers":[{"billed_charge":600.00,"npi":[1033370176]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":47.08,"providers":[{"billed_charge":110.00,"npi":[1669082723]}]},{"allowed_amount":128.40,"providers":[{"billed_charge":300.00,"npi":[1003273731]}]},{"allowed_amount":64.20,"providers":[{"billed_charge":150.00,"npi":[1538526702]}]},{"allowed_amount":12.60,"providers":[{"billed_charge":25.00,"npi":[1255596342]}]}]}]},{"name":"GLUCOSE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82950","description":"GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":427.50,"providers":[{"billed_charge":6143.10,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.32,"providers":[{"billed_charge":224.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1576.80,"providers":[{"billed_charge":18755.44,"npi":[1234567893]}]}]}]},{"name":"GLUCOSE TOLERANCE TEST (GTT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82951","description":"GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.40,"providers":[{"billed_charge":2584.73,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":906.56,"providers":[{"billed_charge":11756.93,"npi":[1234567893]}]}]}]},{"name":"GTT-ADDED SAMPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82952","description":"GLUCOSE; TOLERANCE TEST, EACH ADDITIONAL BEYOND 3 SPECIMENS (LIST SEPARATELY IN ADDITION TO CODE FOR","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.30,"providers":[{"billed_charge":520.08,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":239.07,"providers":[{"billed_charge":2751.21,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF G6PD ENZYME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82955","description":"GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD); QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":406.56,"providers":[{"billed_charge":5670.24,"npi":[1234567893]}]}]}]},{"name":"GLUCOSE BLOOD TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82962","description":"GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA SPECIFICALLY FOR HOME USE","allowed_amounts":[{"tin":{"type":"ein","value":"752354465"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":2.10,"providers":[{"billed_charge":7.00,"npi":[1144282989]}]},{"allowed_amount":7.00,"providers":[{"billed_charge":21.00,"npi":[1144282989]}]},{"allowed_amount":173.38,"providers":[{"billed_charge":581.00,"npi":[1144282989]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.88,"providers":[{"billed_charge":255.00,"npi":[1942400601]}]},{"allowed_amount":11.48,"providers":[{"billed_charge":105.00,"npi":[1982050241]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":23.52,"providers":[{"billed_charge":56.00,"npi":[1326017872]}]},{"allowed_amount":3.36,"providers":[{"billed_charge":8.00,"npi":[1326017872]}]},{"allowed_amount":70.56,"providers":[{"billed_charge":168.00,"npi":[1326017872]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.73,"providers":[{"billed_charge":105.07,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.52,"providers":[{"billed_charge":270.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.76,"providers":[{"billed_charge":204.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF GGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82977","description":"GLUTAMYLTRANSFERASE, GAMMA (GGT)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":180.18,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":570.24,"providers":[{"billed_charge":7644.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.40,"providers":[{"billed_charge":1026.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.80,"providers":[{"billed_charge":168.75,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8368.26,"providers":[{"billed_charge":55300.45,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":498.40,"providers":[{"billed_charge":2000.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82985","description":"GLYCATED PROTEIN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.06,"providers":[{"billed_charge":90.07,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF GONADOTROPIN (FSH)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83001","description":"GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.28,"providers":[{"billed_charge":1016.70,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":195.09,"providers":[{"billed_charge":975.45,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.48,"providers":[{"billed_charge":445.92,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":520.24,"providers":[{"billed_charge":2080.96,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.58,"providers":[{"billed_charge":48.00,"npi":[1487429874]}]},{"allowed_amount":37.16,"providers":[{"billed_charge":96.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8797.35,"providers":[{"billed_charge":121938.64,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":287.99,"providers":[{"billed_charge":1922.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2591.91,"providers":[{"billed_charge":21736.89,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":380.89,"providers":[{"billed_charge":4907.11,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21907.84,"providers":[{"billed_charge":251843.64,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1083.48,"providers":[{"billed_charge":4214.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":594.55,"providers":[{"billed_charge":2183.15,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF GONADOTROPIN (LH)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83002","description":"GONADOTROPIN; LUTEINIZING HORMONE (LH)","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.64,"providers":[{"billed_charge":648.20,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":194.46,"providers":[{"billed_charge":777.84,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.26,"providers":[{"billed_charge":24.00,"npi":[1487429874]}]},{"allowed_amount":37.04,"providers":[{"billed_charge":96.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6965.97,"providers":[{"billed_charge":96701.34,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2463.16,"providers":[{"billed_charge":20652.24,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.60,"providers":[{"billed_charge":620.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":175.94,"providers":[{"billed_charge":2051.80,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18633.88,"providers":[{"billed_charge":214367.52,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":949.48,"providers":[{"billed_charge":3696.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":945.00,"providers":[{"billed_charge":3472.50,"npi":[1730617523]}]},{"allowed_amount":12.60,"providers":[{"billed_charge":46.30,"npi":[1730617523]}]}]}]},{"name":"ASSAY, GROWTH HORMONE (HGH)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83003","description":"GROWTH HORMONE, HUMAN (HGH) (SOMATOTROPIN)","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.08,"providers":[{"billed_charge":500.16,"npi":[1740715333]}]}]}]},{"name":"ASSAY OF HAPTOGLOBIN, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83010","description":"HAPTOGLOBIN; QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":98.15,"providers":[{"billed_charge":1718.47,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":469.76,"providers":[{"billed_charge":7605.53,"npi":[1234567893]}]}]}]},{"name":"H PYLORI (C-13), BREATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83013","description":"HELICOBACTER PYLORI; BREATH TEST ANALYSIS FOR UREASE ACTIVITY, NON-RADIOACTIVE ISOTOPE (EG, C-13)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25424.18,"providers":[{"billed_charge":163339.32,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8116.88,"providers":[{"billed_charge":68041.53,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":707.28,"providers":[{"billed_charge":6825.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45803.86,"providers":[{"billed_charge":299018.22,"npi":[1234567893]}]}]}]},{"name":"H PYLORI DRUG ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83014","description":"HELICOBACTER PYLORI; DRUG ADMINISTRATION","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1066.72,"providers":[{"billed_charge":13376.94,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":754.56,"providers":[{"billed_charge":6324.48,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1412.38,"providers":[{"billed_charge":17110.32,"npi":[1234567893]}]}]}]},{"name":"HEMOGLOBIN ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83020","description":"HEMOGLOBIN FRACTIONATION AND QUANTITATION; ELECTROPHORESIS (EG, A2, S, C, AND/OR F)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":602.16,"providers":[{"billed_charge":18986.35,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2369.69,"providers":[{"billed_charge":45232.50,"npi":[1234567893]}]}]}]},{"name":"GLYCOSYLATED HEMOGLOBIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83036","description":"HEMOGLOBIN; GLYCOSYLATED (A1C)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1462.58,"providers":[{"billed_charge":16751.57,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.50,"providers":[{"billed_charge":159.84,"npi":[1053568014]}]},{"allowed_amount":67.97,"providers":[{"billed_charge":186.48,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.91,"providers":[{"billed_charge":1009.84,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.74,"providers":[{"billed_charge":3975.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":592.92,"providers":[{"billed_charge":1586.00,"npi":[1487429874]}]},{"allowed_amount":869.94,"providers":[{"billed_charge":2327.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86633.80,"providers":[{"billed_charge":1261797.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.78,"providers":[{"billed_charge":240.00,"npi":[1184250524]}]},{"allowed_amount":45.43,"providers":[{"billed_charge":440.00,"npi":[1487087144]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":413.10,"providers":[{"billed_charge":1650.70,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.72,"providers":[{"billed_charge":120.00,"npi":[1972819589]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5005.80,"providers":[{"billed_charge":84224.05,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.44,"providers":[{"billed_charge":252.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2039.84,"providers":[{"billed_charge":18855.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":607.94,"providers":[{"billed_charge":2200.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.16,"providers":[{"billed_charge":264.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.46,"providers":[{"billed_charge":814.00,"npi":[1982050241]}]},{"allowed_amount":38.88,"providers":[{"billed_charge":592.00,"npi":[1417335571]}]},{"allowed_amount":92.34,"providers":[{"billed_charge":1406.00,"npi":[1942400601]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.99,"providers":[{"billed_charge":1053.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":874.80,"providers":[{"billed_charge":4370.40,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1168.83,"providers":[{"billed_charge":5772.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":174.96,"providers":[{"billed_charge":1152.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11226.60,"providers":[{"billed_charge":93970.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":140.94,"providers":[{"billed_charge":551.00,"npi":[1578897765]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":197279.90,"providers":[{"billed_charge":2479892.41,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":4.86,"providers":[{"billed_charge":25.00,"npi":[1255596342]}]},{"allowed_amount":103.25,"providers":[{"billed_charge":625.00,"npi":[1003273731]}]},{"allowed_amount":70.21,"providers":[{"billed_charge":425.00,"npi":[1538526702]}]},{"allowed_amount":16.52,"providers":[{"billed_charge":100.00,"npi":[1669082723]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1454.20,"providers":[{"billed_charge":5341.60,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF HOMOCYSTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83090","description":"HOMOCYSTEINE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":215.00,"providers":[{"billed_charge":5198.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":559.00,"providers":[{"billed_charge":13516.88,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":215.04,"providers":[{"billed_charge":800.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF PROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83498","description":"HYDROXYPROGESTERONE, 17-D","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":717.20,"providers":[{"billed_charge":8380.24,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3667.82,"providers":[{"billed_charge":35860.33,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY NONANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83516","description":"IMMUNOASSAY FOR ANALYTE OTH THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN; QUALITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.52,"providers":[{"billed_charge":5673.67,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":259.56,"providers":[{"billed_charge":8820.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":207.65,"providers":[{"billed_charge":7052.90,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1293.64,"providers":[{"billed_charge":20581.34,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY QUANT NOS NONAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83520","description":"IMMUNOASSAY FOR ANALYTE OTHER THAN INFECTIOUS AGENT ANTIBODY OR INFECTIOUS AGENT ANTIGEN; QUANTITATI","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.48,"providers":[{"billed_charge":302.26,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4185.44,"providers":[{"billed_charge":53612.82,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5062.17,"providers":[{"billed_charge":68839.71,"npi":[1234567893]}]}]}]},{"name":"IG LIGHT CHAINS FREE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83521","description":"IMMUNOGLOBULIN LIGHT CHAINS FREE EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":248.64,"providers":[{"billed_charge":4617.23,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2642.84,"providers":[{"billed_charge":39871.86,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83525","description":"INSULIN; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":79.40,"providers":[{"billed_charge":1117.31,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":211.64,"providers":[{"billed_charge":845.82,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2051.14,"providers":[{"billed_charge":12235.54,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1899.04,"providers":[{"billed_charge":15916.08,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":97.24,"providers":[{"billed_charge":1987.66,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13805.91,"providers":[{"billed_charge":163588.81,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":720.37,"providers":[{"billed_charge":2484.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":7.78,"providers":[{"billed_charge":28.58,"npi":[1730617523]}]},{"allowed_amount":544.60,"providers":[{"billed_charge":2000.60,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83540","description":"IRON","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.41,"providers":[{"billed_charge":475.79,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":155.52,"providers":[{"billed_charge":569.36,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1062.72,"providers":[{"billed_charge":14425.44,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.04,"providers":[{"billed_charge":271.74,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.96,"providers":[{"billed_charge":36.00,"npi":[1841798667]}]},{"allowed_amount":35.64,"providers":[{"billed_charge":99.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7498.17,"providers":[{"billed_charge":85623.93,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":84.24,"providers":[{"billed_charge":336.44,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":440.64,"providers":[{"billed_charge":6711.45,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":228.77,"providers":[{"billed_charge":900.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":58.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":479.16,"providers":[{"billed_charge":9282.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":379.08,"providers":[{"billed_charge":1893.06,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.60,"providers":[{"billed_charge":300.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":388.80,"providers":[{"billed_charge":3258.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20927.15,"providers":[{"billed_charge":168317.02,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":119.07,"providers":[{"billed_charge":436.86,"npi":[1730617523]}]},{"allowed_amount":145.53,"providers":[{"billed_charge":533.94,"npi":[1730617523]}]}]}]},{"name":"IRON BINDING TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83550","description":"IRON BINDING CAPACITY","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":54.63,"providers":[{"billed_charge":418.39,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1433.36,"providers":[{"billed_charge":19489.76,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9115.09,"providers":[{"billed_charge":102037.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.88,"providers":[{"billed_charge":419.52,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.81,"providers":[{"billed_charge":143.00,"npi":[1487429874]}]},{"allowed_amount":13.11,"providers":[{"billed_charge":33.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.85,"providers":[{"billed_charge":6903.69,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22551.61,"providers":[{"billed_charge":213496.82,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.80,"providers":[{"billed_charge":524.40,"npi":[1730617523]}]}]}]},{"name":"LACTATE (LD) (LDH) ENZYME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83615","description":"LACTATE DEHYDROGENASE (LD), (LDH);","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.48,"providers":[{"billed_charge":1104.00,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.61,"providers":[{"billed_charge":110.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":416.30,"providers":[{"billed_charge":6806.85,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4507.45,"providers":[{"billed_charge":18703.59,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":411.64,"providers":[{"billed_charge":1625.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF LDH ENZYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83625","description":"LACTATE DEHYDROGENASE (LD), (LDH); ISOENZYMES, SEPARATION AND QUANTITATION","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.68,"providers":[{"billed_charge":504.44,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"LEAD","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1308.60,"providers":[{"billed_charge":19983.25,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2120.80,"providers":[{"billed_charge":27121.24,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83690","description":"LIPASE","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.70,"providers":[{"billed_charge":103.38,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1383.55,"providers":[{"billed_charge":24949.42,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165.60,"providers":[{"billed_charge":3524.47,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3101.76,"providers":[{"billed_charge":46236.93,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.52,"providers":[{"billed_charge":1515.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF LIPOPROTEIN(A)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83695","description":"LIPOPROTEIN (A)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":128.85,"providers":[{"billed_charge":429.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":823.40,"providers":[{"billed_charge":6900.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1225.17,"providers":[{"billed_charge":12216.54,"npi":[1234567893]}]}]}]},{"name":"LIPOPROTEIN BLD QUAN PART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83704","description":"LIPOPROTEIN, BLOOD; QUANTITATION OF LIPOPROTEIN PARTICLE NUMBER(S) (EG, BY NUCLEAR MAGNETIC RESONANC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":166.88,"providers":[{"billed_charge":534.84,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF LIPOPROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83718","description":"LIPOPROTEIN, DIRECT MEASUREMENT; HIGH DENSITY CHOLESTEROL (HDL CHOLESTEROL)","allowed_amounts":[{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":110.67,"providers":[{"billed_charge":456.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF BLOOD LIPOPROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83721","description":"LIPOPROTEIN, DIRECT MEASUREMENT; LDL CHOLESTEROL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":75.60,"providers":[{"billed_charge":713.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.63,"providers":[{"billed_charge":692.55,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":220.50,"providers":[{"billed_charge":819.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83735","description":"MAGNESIUM","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.01,"providers":[{"billed_charge":520.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"752354465"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":18.00,"providers":[{"billed_charge":60.00,"npi":[1144282989]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.35,"providers":[{"billed_charge":502.50,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.10,"providers":[{"billed_charge":44.64,"npi":[1053568014]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":10.92,"providers":[{"billed_charge":26.00,"npi":[1326017872]}]},{"allowed_amount":16.38,"providers":[{"billed_charge":39.00,"npi":[1326017872]}]},{"allowed_amount":10.05,"providers":[{"billed_charge":117.00,"npi":[1265493688]}]},{"allowed_amount":11.70,"providers":[{"billed_charge":39.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40.20,"providers":[{"billed_charge":160.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":93.80,"providers":[{"billed_charge":560.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3071.28,"providers":[{"billed_charge":48612.15,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.10,"providers":[{"billed_charge":3595.48,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":113.90,"providers":[{"billed_charge":306.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":351.75,"providers":[{"billed_charge":1758.75,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.18,"providers":[{"billed_charge":1944.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.40,"providers":[{"billed_charge":673.92,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9427.71,"providers":[{"billed_charge":103933.24,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83880","description":"NATRIURETIC PEPTIDE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2332.44,"providers":[{"billed_charge":21641.19,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.26,"providers":[{"billed_charge":157.04,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.41,"providers":[{"billed_charge":1225.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11494.77,"providers":[{"billed_charge":108019.58,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1079.65,"providers":[{"billed_charge":2058.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY, NEPHELOMETRY NOT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83883","description":"NEPHELOMETRY, EACH ANALYTE NOT ELSEWHERE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":171.36,"providers":[{"billed_charge":1360.26,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":269.20,"providers":[{"billed_charge":2247.09,"npi":[1234567893]}]}]}]},{"name":"ORGANIC ACID SINGLE QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83921","description":"ORGANIC ACID, SINGLE, QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":484.13,"providers":[{"billed_charge":10012.69,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1249.35,"providers":[{"billed_charge":28812.28,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF BLOOD OSMOLALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83930","description":"OSMOLALITY; BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.12,"providers":[{"billed_charge":303.32,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF URINE OSMOLALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83935","description":"OSMOLALITY; URINE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.28,"providers":[{"billed_charge":314.71,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83970","description":"PARATHORMONE (PARATHYROID HORMONE)","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1234.86,"providers":[{"billed_charge":24304.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.76,"providers":[{"billed_charge":928.80,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8917.20,"providers":[{"billed_charge":96709.63,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":454.08,"providers":[{"billed_charge":3806.22,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21618.09,"providers":[{"billed_charge":203701.84,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1768.12,"providers":[{"billed_charge":4125.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1994.39,"providers":[{"billed_charge":7327.20,"npi":[1730617523]}]},{"allowed_amount":28.09,"providers":[{"billed_charge":103.20,"npi":[1730617523]}]}]}]},{"name":"ASSAY FOR PHENCYCLIDINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83992","description":"PHENCYCLIDINE (PCP)","allowed_amounts":[{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1609.99,"providers":[{"billed_charge":4347.17,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22.01,"providers":[{"billed_charge":88.01,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.39,"providers":[{"billed_charge":437.49,"npi":[1234567893]}]}]}]},{"name":"ASSAY FOR CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83993","description":"CALPROTECTIN, FECAL","allowed_amounts":[{"tin":{"type":"ein","value":"43740411"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.82,"providers":[{"billed_charge":49.08,"npi":[1376699199]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.34,"providers":[{"billed_charge":857.04,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":305.60,"providers":[{"billed_charge":6939.92,"npi":[1234567893]}]}]}]},{"name":"ANESTH, SURG LOWER ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"840","description":"ANESTHESIA FOR INTRAPERITONEAL PROCEDURES IN LOWER ABDOMEN INCLUDING LAPAROSCOPY; NOT OTHERWISE SPEC","allowed_amounts":[{"tin":{"type":"ein","value":"742569713"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1864.65,"providers":[{"billed_charge":5920.00,"npi":[1063041523]}]},{"allowed_amount":13774.35,"providers":[{"billed_charge":44620.00,"npi":[1063041523]}]}]},{"tin":{"type":"ein","value":"760482007"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2910.42,"providers":[{"billed_charge":14455.00,"npi":[1689872228]}]},{"allowed_amount":12527.46,"providers":[{"billed_charge":59295.00,"npi":[1689872228]}]}]}]},{"name":"ASSAY ALKALINE PHOSPHATASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84075","description":"PHOSPHATASE, ALKALINE;","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.12,"providers":[{"billed_charge":2268.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.62,"providers":[{"billed_charge":587.38,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6302.88,"providers":[{"billed_charge":8439.04,"npi":[1234567893]}]}]}]},{"name":"ASSAY ALKALINE PHOSPHATASES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84080","description":"PHOSPHATASE, ALKALINE; ISOENZYMES","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.38,"providers":[{"billed_charge":1181.28,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PHOSPHORUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84100","description":"PHOSPHORUS INORGANIC (PHOSPHATE);","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":410.92,"providers":[{"billed_charge":7980.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":7.56,"providers":[{"billed_charge":18.00,"npi":[1326017872]}]},{"allowed_amount":3.78,"providers":[{"billed_charge":9.00,"npi":[1326017872]}]},{"allowed_amount":5.40,"providers":[{"billed_charge":18.00,"npi":[1265493688]}]},{"allowed_amount":7.11,"providers":[{"billed_charge":93.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":457.24,"providers":[{"billed_charge":5302.24,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4783.02,"providers":[{"billed_charge":18366.93,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.58,"providers":[{"billed_charge":374.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":226.10,"providers":[{"billed_charge":829.50,"npi":[1730617523]}]},{"allowed_amount":3.23,"providers":[{"billed_charge":11.85,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF SERUM POTASSIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84132","description":"POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.15,"providers":[{"billed_charge":290.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.46,"providers":[{"billed_charge":493.34,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5321.65,"providers":[{"billed_charge":9641.40,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84134","description":"PREALBUMIN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":264.32,"providers":[{"billed_charge":3462.98,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84144","description":"PROGESTERONE","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":219.03,"providers":[{"billed_charge":1095.15,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":31.29,"providers":[{"billed_charge":125.16,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4807.68,"providers":[{"billed_charge":56326.97,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":312.90,"providers":[{"billed_charge":1251.60,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":803.11,"providers":[{"billed_charge":6733.65,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":62.58,"providers":[{"billed_charge":420.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":146.02,"providers":[{"billed_charge":2044.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11685.80,"providers":[{"billed_charge":123677.77,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":788.53,"providers":[{"billed_charge":3024.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":14.20,"providers":[{"billed_charge":52.15,"npi":[1730617523]}]},{"allowed_amount":639.00,"providers":[{"billed_charge":2346.75,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84146","description":"PROLACTIN","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":145.35,"providers":[{"billed_charge":726.75,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5233.50,"providers":[{"billed_charge":83952.68,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":67.83,"providers":[{"billed_charge":455.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1017.45,"providers":[{"billed_charge":8530.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":125.97,"providers":[{"billed_charge":1992.07,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16261.20,"providers":[{"billed_charge":204200.84,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":600.78,"providers":[{"billed_charge":2376.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":553.98,"providers":[{"billed_charge":2034.90,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF PSA, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84153","description":"PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.00,"providers":[{"billed_charge":229.90,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.40,"providers":[{"billed_charge":391.00,"npi":[1841798667]}]},{"allowed_amount":9.20,"providers":[{"billed_charge":23.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26472.00,"providers":[{"billed_charge":386225.74,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.40,"providers":[{"billed_charge":795.26,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.20,"providers":[{"billed_charge":36.78,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165.60,"providers":[{"billed_charge":936.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3054.40,"providers":[{"billed_charge":25597.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1370.80,"providers":[{"billed_charge":17710.15,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38662.95,"providers":[{"billed_charge":493608.89,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.16,"providers":[{"billed_charge":367.84,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF PSA, FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84154","description":"PROSTATE SPECIFIC ANTIGEN (PSA); FREE","allowed_amounts":[{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":151.80,"providers":[{"billed_charge":858.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3695.05,"providers":[{"billed_charge":35166.22,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":110.40,"providers":[{"billed_charge":1578.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6180.25,"providers":[{"billed_charge":55601.54,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84155","description":"PROTEIN, TOTAL, EXCEPT BY REFRACTOMETRY; SERUM, PLASMA OR WHOLE BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":79.96,"providers":[{"billed_charge":1665.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":246.40,"providers":[{"billed_charge":2246.31,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5624.02,"providers":[{"billed_charge":11917.50,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF PROTEIN, URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84156","description":"PROTEIN, TOTAL, EXCEPT BY REFRACTOMETRY; URINE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1056.00,"providers":[{"billed_charge":23885.30,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.68,"providers":[{"billed_charge":61.58,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1882.70,"providers":[{"billed_charge":37220.58,"npi":[1234567893]}]}]}]},{"name":"PROTEIN E-PHORESIS, SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84165","description":"PROTEIN; ELECTROPHORETIC FRACTIONATION AND QUANTITATION, SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"741720245"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":17.46,"providers":[{"billed_charge":150.00,"npi":[1003132663]}]},{"allowed_amount":8.73,"providers":[{"billed_charge":75.00,"npi":[1003132663]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":471.40,"providers":[{"billed_charge":1349.00,"npi":[1346207214]}]},{"allowed_amount":23.57,"providers":[{"billed_charge":67.45,"npi":[1346207214]}]},{"allowed_amount":377.12,"providers":[{"billed_charge":1079.20,"npi":[1346207214]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":882.28,"providers":[{"billed_charge":12276.91,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2311.35,"providers":[{"billed_charge":29334.23,"npi":[1234567893]}]}]}]},{"name":"PROTEIN E-PHORESIS/URINE/CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84166","description":"PROTEIN; ELECTROPHORETIC FRACTIONATION AND QUANTITATION, OTHER FLUIDS WITH CONCENTRATION (EG, URINE,","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":128.40,"providers":[{"billed_charge":1381.84,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":695.32,"providers":[{"billed_charge":7483.87,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF VITAMIN B-6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84207","description":"PYRIDOXAL PHOSPHATE (VITAMIN B-6)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":792.42,"providers":[{"billed_charge":13302.51,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3874.50,"providers":[{"billed_charge":49413.40,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84244","description":"RENIN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":525.64,"providers":[{"billed_charge":4194.58,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF SEX HORMONE GLOBUL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84270","description":"SEX HORMONE BINDING GLOBULIN (SHBG)","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":239.14,"providers":[{"billed_charge":1195.26,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3090.48,"providers":[{"billed_charge":37514.73,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":260.88,"providers":[{"billed_charge":1043.04,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":989.17,"providers":[{"billed_charge":3954.86,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.27,"providers":[{"billed_charge":1512.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":978.30,"providers":[{"billed_charge":8197.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":728.29,"providers":[{"billed_charge":6430.85,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7051.41,"providers":[{"billed_charge":75922.26,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":744.59,"providers":[{"billed_charge":2744.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1079.67,"providers":[{"billed_charge":3966.09,"npi":[1730617523]}]},{"allowed_amount":14.79,"providers":[{"billed_charge":54.33,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF SERUM SODIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84295","description":"SODIUM; SERUM, PLASMA OR WHOLE BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.90,"providers":[{"billed_charge":127.89,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5588.98,"providers":[{"billed_charge":6477.12,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84300","description":"SODIUM; URINE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.74,"providers":[{"billed_charge":953.25,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84305","description":"SOMATOMEDIN","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.41,"providers":[{"billed_charge":372.05,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.52,"providers":[{"billed_charge":458.10,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":266.56,"providers":[{"billed_charge":5127.15,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF FREE TESTOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84402","description":"TESTOSTERONE; FREE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.69,"providers":[{"billed_charge":224.23,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5363.28,"providers":[{"billed_charge":75667.10,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":216.58,"providers":[{"billed_charge":1445.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17397.88,"providers":[{"billed_charge":213598.52,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1043.62,"providers":[{"billed_charge":3450.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF TOTAL TESTOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84403","description":"TESTOSTERONE; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":268.95,"providers":[{"billed_charge":2975.61,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.92,"providers":[{"billed_charge":619.44,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.28,"providers":[{"billed_charge":264.00,"npi":[1487429874]}]},{"allowed_amount":180.74,"providers":[{"billed_charge":462.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1226.45,"providers":[{"billed_charge":4903.90,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":348.57,"providers":[{"billed_charge":1393.74,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18200.75,"providers":[{"billed_charge":259452.38,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1433.01,"providers":[{"billed_charge":15946.72,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1019.79,"providers":[{"billed_charge":3519.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":284.02,"providers":[{"billed_charge":1419.66,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.05,"providers":[{"billed_charge":333.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4557.23,"providers":[{"billed_charge":38208.72,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":361.48,"providers":[{"billed_charge":2408.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46177.16,"providers":[{"billed_charge":551047.88,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1317.75,"providers":[{"billed_charge":4838.90,"npi":[1730617523]}]},{"allowed_amount":17.57,"providers":[{"billed_charge":64.53,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84425","description":"THIAMINE (VITAMIN B-1)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1070.16,"providers":[{"billed_charge":16560.57,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1702.20,"providers":[{"billed_charge":23648.29,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84432","description":"THYROGLOBULIN","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":308.48,"providers":[{"billed_charge":3980.10,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":303.72,"providers":[{"billed_charge":3665.44,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":611.16,"providers":[{"billed_charge":2145.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF TOTAL THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84436","description":"THYROXINE; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.47,"providers":[{"billed_charge":555.38,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6526.08,"providers":[{"billed_charge":89709.30,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.84,"providers":[{"billed_charge":317.13,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":206.40,"providers":[{"billed_charge":2340.02,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16269.99,"providers":[{"billed_charge":190161.61,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84439","description":"THYROXINE; FREE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":388.12,"providers":[{"billed_charge":6291.56,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":360.80,"providers":[{"billed_charge":801.60,"npi":[1689687360]}]},{"allowed_amount":53.69,"providers":[{"billed_charge":140.28,"npi":[1053568014]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.08,"providers":[{"billed_charge":135.30,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.16,"providers":[{"billed_charge":192.00,"npi":[1487429874]}]},{"allowed_amount":162.36,"providers":[{"billed_charge":432.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.44,"providers":[{"billed_charge":793.76,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13430.42,"providers":[{"billed_charge":414227.91,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.49,"providers":[{"billed_charge":111.00,"npi":[1487087144]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":514.14,"providers":[{"billed_charge":2056.56,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1312.41,"providers":[{"billed_charge":31116.42,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.98,"providers":[{"billed_charge":1827.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":681.01,"providers":[{"billed_charge":3405.05,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40.68,"providers":[{"billed_charge":306.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.93,"providers":[{"billed_charge":1290.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":708.07,"providers":[{"billed_charge":5934.60,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37311.05,"providers":[{"billed_charge":764995.12,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":908.72,"providers":[{"billed_charge":3337.40,"npi":[1730617523]}]}]}]},{"name":"ASSAY THYROID STIM HORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84443","description":"THYROID STIMULATING HORMONE (TSH)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2065.59,"providers":[{"billed_charge":20956.97,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":84.00,"providers":[{"billed_charge":218.40,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":285.60,"providers":[{"billed_charge":564.40,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36348.48,"providers":[{"billed_charge":538303.68,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":714.00,"providers":[{"billed_charge":1785.00,"npi":[1487429874]}]},{"allowed_amount":1134.00,"providers":[{"billed_charge":2835.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":117.60,"providers":[{"billed_charge":498.40,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":730.80,"providers":[{"billed_charge":2923.20,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1201.20,"providers":[{"billed_charge":14660.03,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1134.40,"providers":[{"billed_charge":4012.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1789.20,"providers":[{"billed_charge":10224.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2612.40,"providers":[{"billed_charge":21897.51,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":630.00,"providers":[{"billed_charge":4200.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192341.98,"providers":[{"billed_charge":2027965.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":286.00,"providers":[{"billed_charge":1050.00,"npi":[1730617523]}]}]}]},{"name":"ASSAY OF TSI GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS (TSI)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1007.16,"providers":[{"billed_charge":16859.37,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4505.92,"providers":[{"billed_charge":57711.75,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF VITAMIN E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84446","description":"TOCOPHEROL ALPHA (VITAMIN E)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":59.57,"providers":[{"billed_charge":944.37,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":169.67,"providers":[{"billed_charge":2440.05,"npi":[1234567893]}]}]}]},{"name":"TRANSFERASE (AST) (SGOT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84450","description":"TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.50,"providers":[{"billed_charge":1638.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":342.10,"providers":[{"billed_charge":2535.14,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6607.54,"providers":[{"billed_charge":10771.86,"npi":[1234567893]}]}]}]},{"name":"ALANINE AMINO (ALT) (SGPT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84460","description":"TRANSFERASE; ALANINE AMINO (ALT) (SGPT)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":407.04,"providers":[{"billed_charge":3592.62,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4985.49,"providers":[{"billed_charge":11052.64,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84466","description":"TRANSFERRIN","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":944.02,"providers":[{"billed_charge":18326.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.46,"providers":[{"billed_charge":433.84,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":535.92,"providers":[{"billed_charge":4425.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":471.16,"providers":[{"billed_charge":6082.36,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":431.94,"providers":[{"billed_charge":1710.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84478","description":"TRIGLYCERIDES","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.44,"providers":[{"billed_charge":48.89,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":122.18,"providers":[{"billed_charge":934.71,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.74,"providers":[{"billed_charge":26.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF THYROID (T3 OR T4)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84479","description":"THYROID HORMONE (T3 OR T4) UPTAKE OR THYROID HORMONE BINDING RATIO (THBR)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.90,"providers":[{"billed_charge":463.06,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4151.60,"providers":[{"billed_charge":61963.70,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":178.20,"providers":[{"billed_charge":1955.88,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12311.56,"providers":[{"billed_charge":148351.97,"npi":[1234567893]}]}]}]},{"name":"ASSAY, TRIIODOTHYRONINE (T3)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84480","description":"TRIIODOTHYRONINE T3; TOTAL (TT-3)","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.72,"providers":[{"billed_charge":924.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3599.73,"providers":[{"billed_charge":62599.77,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.54,"providers":[{"billed_charge":170.16,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":148.89,"providers":[{"billed_charge":2654.34,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17715.52,"providers":[{"billed_charge":228635.81,"npi":[1234567893]}]}]}]},{"name":"FREE ASSAY (FT-3)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84481","description":"TRIIODOTHYRONINE T3; FREE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.04,"providers":[{"billed_charge":701.53,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":677.60,"providers":[{"billed_charge":1355.20,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":296.45,"providers":[{"billed_charge":1185.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8280.40,"providers":[{"billed_charge":210807.90,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":847.00,"providers":[{"billed_charge":3388.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":592.90,"providers":[{"billed_charge":14481.95,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":881.00,"providers":[{"billed_charge":3094.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1202.74,"providers":[{"billed_charge":6013.70,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.44,"providers":[{"billed_charge":144.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":652.19,"providers":[{"billed_charge":5467.77,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":59.29,"providers":[{"billed_charge":392.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39854.71,"providers":[{"billed_charge":883745.05,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1153.00,"providers":[{"billed_charge":4235.00,"npi":[1730617523]}]}]}]},{"name":"T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84482","description":"TRIIODOTHYRONINE T3; REVERSE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.84,"providers":[{"billed_charge":1256.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.06,"providers":[{"billed_charge":2338.78,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF TROPONIN, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84484","description":"TROPONIN, QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":337.80,"providers":[{"billed_charge":7401.00,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF UREA NITROGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84520","description":"UREA NITROGEN; QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":185.83,"providers":[{"billed_charge":3696.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.87,"providers":[{"billed_charge":550.58,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5512.63,"providers":[{"billed_charge":7414.44,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84550","description":"URIC ACID; BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.43,"providers":[{"billed_charge":567.15,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":88.14,"providers":[{"billed_charge":440.70,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3367.23,"providers":[{"billed_charge":60574.71,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.56,"providers":[{"billed_charge":96.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.34,"providers":[{"billed_charge":90.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":377.42,"providers":[{"billed_charge":3161.31,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":214.70,"providers":[{"billed_charge":4061.25,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11648.45,"providers":[{"billed_charge":117633.54,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.08,"providers":[{"billed_charge":572.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84590","description":"VITAMIN A","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.76,"providers":[{"billed_charge":1434.35,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":266.18,"providers":[{"billed_charge":5505.31,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84597","description":"VITAMIN K","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1203.81,"providers":[{"billed_charge":30009.84,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84630","description":"ZINC","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.96,"providers":[{"billed_charge":1040.01,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":383.24,"providers":[{"billed_charge":5030.09,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84681","description":"C-PEPTIDE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2185.75,"providers":[{"billed_charge":14269.41,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3258.33,"providers":[{"billed_charge":27296.73,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4488.99,"providers":[{"billed_charge":33207.83,"npi":[1234567893]}]}]}]},{"name":"CHORIONIC GONADOTROPIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84702","description":"GONADOTROPIN, CHORIONIC (HCG); QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4478.88,"providers":[{"billed_charge":83004.49,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.71,"providers":[{"billed_charge":351.33,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":60.24,"providers":[{"billed_charge":401.52,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.18,"providers":[{"billed_charge":873.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9397.57,"providers":[{"billed_charge":137653.15,"npi":[1234567893]}]}]}]},{"name":"CHORIONIC GONADOTROPIN ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84703","description":"GONADOTROPIN, CHORIONIC (HCG); QUALITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":514.14,"providers":[{"billed_charge":9243.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":972.89,"providers":[{"billed_charge":19088.65,"npi":[1234567893]}]}]}]},{"name":"AUTOMATED DIFF WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85004","description":"BLOOD COUNT; AUTOMATED DIFFERENTIAL WBC COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.76,"providers":[{"billed_charge":31.73,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.92,"providers":[{"billed_charge":163.88,"npi":[1234567893]}]}]}]},{"name":"HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85014","description":"BLOOD COUNT; HEMATOCRIT (HCT)","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":146.19,"providers":[{"billed_charge":2871.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.06,"providers":[{"billed_charge":860.59,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":284.10,"providers":[{"billed_charge":2321.05,"npi":[1234567893]}]}]}]},{"name":"HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85018","description":"BLOOD COUNT; HEMOGLOBIN (HGB)","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":164.67,"providers":[{"billed_charge":3248.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":143.42,"providers":[{"billed_charge":920.32,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":313.75,"providers":[{"billed_charge":2813.91,"npi":[1234567893]}]}]}]},{"name":"COMPLETE CBC W/AUTO DIFF WBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85025","description":"BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1180.41,"providers":[{"billed_charge":7376.97,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"751664109"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":28.56,"providers":[{"billed_charge":71.40,"npi":[1821077728]}]},{"allowed_amount":12.24,"providers":[{"billed_charge":30.60,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":563.38,"providers":[{"billed_charge":1965.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":50.57,"providers":[{"billed_charge":303.03,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.90,"providers":[{"billed_charge":233.10,"npi":[1639791007]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2898.05,"providers":[{"billed_charge":11541.70,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"260834681"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.35,"providers":[{"billed_charge":540.00,"npi":[1033290077]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":121312.00,"providers":[{"billed_charge":914490.53,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.45,"providers":[{"billed_charge":275.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":201.02,"providers":[{"billed_charge":738.34,"npi":[1730617523]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.86,"providers":[{"billed_charge":345.24,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":62.24,"providers":[{"billed_charge":209.79,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.78,"providers":[{"billed_charge":31.08,"npi":[1770586703]}]},{"allowed_amount":31.12,"providers":[{"billed_charge":124.32,"npi":[1295513000]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1295.37,"providers":[{"billed_charge":10011.61,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.90,"providers":[{"billed_charge":470.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25513.68,"providers":[{"billed_charge":284506.23,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":781.89,"providers":[{"billed_charge":2010.00,"npi":[1841798667]}]},{"allowed_amount":497.92,"providers":[{"billed_charge":1280.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":744.39,"providers":[{"billed_charge":2968.14,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":303.42,"providers":[{"billed_charge":2730.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760430777"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81.69,"providers":[{"billed_charge":271.95,"npi":[1780730606]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":93.36,"providers":[{"billed_charge":186.48,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1552.11,"providers":[{"billed_charge":16479.80,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"810740765"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.47,"providers":[{"billed_charge":99.00,"npi":[1528514221]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":171.16,"providers":[{"billed_charge":1514.32,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.46,"providers":[{"billed_charge":198.00,"npi":[1154379907]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.67,"providers":[{"billed_charge":58.29,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":604.16,"providers":[{"billed_charge":11656.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":989.40,"providers":[{"billed_charge":5100.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":272.30,"providers":[{"billed_charge":2170.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742934350"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":4.00,"providers":[{"billed_charge":10.00,"npi":[1104034164]}]},{"allowed_amount":8.00,"providers":[{"billed_charge":20.00,"npi":[1104034164]}]}]}]},{"name":"COMPLETE CBC, AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85027","description":"BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT)","allowed_amounts":[{"tin":{"type":"ein","value":"751664109"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":81.60,"providers":[{"billed_charge":204.00,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":38.22,"providers":[{"billed_charge":91.00,"npi":[1326017872]}]},{"allowed_amount":27.30,"providers":[{"billed_charge":65.00,"npi":[1326017872]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3.24,"providers":[{"billed_charge":20.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7728.96,"providers":[{"billed_charge":76794.51,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.32,"providers":[{"billed_charge":396.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.44,"providers":[{"billed_charge":840.72,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":116.64,"providers":[{"billed_charge":1368.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13514.75,"providers":[{"billed_charge":119387.88,"npi":[1234567893]}]}]}]},{"name":"AUTOMATED RBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85041","description":"BLOOD COUNT; RED BLOOD CELL (RBC), AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.03,"providers":[{"billed_charge":797.89,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":131.44,"providers":[{"billed_charge":1006.17,"npi":[1234567893]}]}]}]},{"name":"AUTOMATED RETICULOCYTE COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85045","description":"BLOOD COUNT; RETICULOCYTE, AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.12,"providers":[{"billed_charge":2592.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":186.42,"providers":[{"billed_charge":5210.40,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"260834681"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.00,"providers":[{"billed_charge":384.00,"npi":[1033290077]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1753.33,"providers":[{"billed_charge":24505.88,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":289.88,"providers":[{"billed_charge":1040.00,"npi":[1174172845]}]}]}]},{"name":"RETICYTE/HGB CONCENTRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85046","description":"BLOOD COUNT; RETICULOCYTES, AUTOMATED, INCLUDING 1 OR MORE CELLULAR PARAMETERS (EG, RETICULOCYTE HEM","allowed_amounts":[{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.51,"providers":[{"billed_charge":180.00,"npi":[1134585946]}]}]}]},{"name":"AUTOMATED LEUKOCYTE COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85048","description":"BLOOD COUNT; LEUKOCYTE (WBC), AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.16,"providers":[{"billed_charge":58.52,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.76,"providers":[{"billed_charge":81.33,"npi":[1234567893]}]}]}]},{"name":"AUTOMATED PLATELET COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85049","description":"BLOOD COUNT; PLATELET, AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.97,"providers":[{"billed_charge":148.85,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":268.06,"providers":[{"billed_charge":1877.15,"npi":[1234567893]}]}]}]},{"name":"BLOOD SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85060","description":"BLOOD SMEAR, PERIPHERAL, INTERPRETATION BY PHYSICIAN WITH WRITTEN REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":39.00,"providers":[{"billed_charge":375.00,"npi":[1285664755]}]},{"allowed_amount":13.00,"providers":[{"billed_charge":125.00,"npi":[1285664755]}]}]}]},{"name":"CCPD/COMPOSITE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"851","description":"CCPD - OUTPT OR HOME - CCPD/COMPOSITE RATE","allowed_amounts":[{"tin":{"type":"ein","value":"853224374"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":5486.21,"providers":[{"billed_charge":257142.06,"npi":[1609473941]}]}]}]},{"name":"CLOT FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85240","description":"CLOTTING; FACTOR VIII (AHG), 1-STAGE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.62,"providers":[{"billed_charge":3801.65,"npi":[1234567893]}]}]}]},{"name":"CLOT FACTOR VIII VW RISTOCTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85245","description":"CLOTTING; FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.42,"providers":[{"billed_charge":1876.90,"npi":[1234567893]}]}]}]},{"name":"CLOT FACTOR VIII VW ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85246","description":"CLOTTING; FACTOR VIII, VW FACTOR ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":164.38,"providers":[{"billed_charge":2964.35,"npi":[1234567893]}]}]}]},{"name":"ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85300","description":"CLOTTING INHIBITORS OR ANTICOAGULANTS; ANTITHROMBIN III, ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.67,"providers":[{"billed_charge":1473.41,"npi":[1234567893]}]}]}]},{"name":"CLOT INHIBIT PROT C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85303","description":"CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN C, ACTIVITY","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":85.62,"providers":[{"billed_charge":2416.32,"npi":[1234567893]}]}]}]},{"name":"CLOT INHIBIT PROT S FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85306","description":"CLOTTING INHIBITORS OR ANTICOAGULANTS; PROTEIN S, FREE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":201.72,"providers":[{"billed_charge":5868.34,"npi":[1234567893]}]}]}]},{"name":"FIBRIN DEGRADATION, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85379","description":"FIBRIN DEGRADATION PRODUCTS, D-DIMER; QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":213.85,"providers":[{"billed_charge":5584.95,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":536.19,"providers":[{"billed_charge":16455.46,"npi":[1234567893]}]}]}]},{"name":"FIBRINOLYSINS SCREEN I&R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85390","description":"FIBRINOLYSINS OR COAGULOPATHY SCREEN, INTERPRETATION AND REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"741720245"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":3282.48,"providers":[{"billed_charge":20254.00,"npi":[1518254309]}]},{"allowed_amount":1292.04,"providers":[{"billed_charge":7960.00,"npi":[1518254309]}]}]}]},{"name":"CLOTTING ASSAY WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85396","description":"COAGULATION/FIBRINOLYSIS ASSAY, WHOLE BLOOD (EG, VISCOELASTIC CLOT ASSESSMENT), INCLUDING USE OF ANY","allowed_amounts":[{"tin":{"type":"ein","value":"751664109"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":100.85,"providers":[{"billed_charge":340.00,"npi":[1821077728]}]},{"allowed_amount":121.02,"providers":[{"billed_charge":408.00,"npi":[1821077728]}]},{"allowed_amount":463.91,"providers":[{"billed_charge":1564.00,"npi":[1821077728]}]}]},{"tin":{"type":"ein","value":"741720245"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":60.00,"npi":[1457609190]}]},{"allowed_amount":9.44,"providers":[{"billed_charge":78.00,"npi":[1457609190]}]}]}]},{"name":"BLOOD PLATELET AGGREGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85576","description":"PLATELET, AGGREGATION (IN VITRO), EACH AGENT","allowed_amounts":[{"tin":{"type":"ein","value":"741720245"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2112.65,"providers":[{"billed_charge":20150.00,"npi":[1518254309]}]},{"allowed_amount":715.86,"providers":[{"billed_charge":6820.00,"npi":[1518254309]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":884.54,"providers":[{"billed_charge":884.54,"npi":[1346207214]}]},{"allowed_amount":75.28,"providers":[{"billed_charge":75.28,"npi":[1346207214]}]}]},{"tin":{"type":"ein","value":"203304074"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":98.63,"providers":[{"billed_charge":750.00,"npi":[1679580849]}]},{"allowed_amount":118.00,"providers":[{"billed_charge":2100.00,"npi":[1679580849]}]},{"allowed_amount":8.43,"providers":[{"billed_charge":150.00,"npi":[1679580849]}]}]}]},{"name":"PHOSPHOLIPID PLTLT NEUTRALIZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION; PLATELET","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.44,"providers":[{"billed_charge":423.02,"npi":[1234567893]}]}]}]},{"name":"HEXAGNAL PHOSPH PLTLT NEUTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85598","description":"PHOSPHOLIPID NEUTRALIZATION; HEXAGONAL PHOSPHOLIPID","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":107.25,"providers":[{"billed_charge":1324.98,"npi":[1234567893]}]}]}]},{"name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"PROTHROMBIN TIME;","allowed_amounts":[{"tin":{"type":"ein","value":"810740765"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.26,"providers":[{"billed_charge":160.00,"npi":[1528514221]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1166.78,"providers":[{"billed_charge":20231.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.35,"providers":[{"billed_charge":279.86,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2475.98,"providers":[{"billed_charge":40898.11,"npi":[1234567893]}]}]}]},{"name":"RUSSELL VIPER VENOM, DILUTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85613","description":"RUSSELL VIPER VENOM TIME (INCLUDES VENOM); DILUTED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.25,"providers":[{"billed_charge":1908.54,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":272.25,"providers":[{"billed_charge":4148.79,"npi":[1234567893]}]}]}]},{"name":"RBC SED RATE, NONAUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85651","description":"SEDIMENTATION RATE, ERYTHROCYTE; NON-AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.56,"providers":[{"billed_charge":42.46,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.14,"providers":[{"billed_charge":8.54,"npi":[1558717827]}]}]}]},{"name":"RBC SED RATE, AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85652","description":"SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.45,"providers":[{"billed_charge":75.60,"npi":[1770586703]}]},{"allowed_amount":13.50,"providers":[{"billed_charge":108.00,"npi":[1295513000]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1995.84,"providers":[{"billed_charge":52310.72,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.20,"providers":[{"billed_charge":75.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.05,"providers":[{"billed_charge":33.93,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":128.25,"providers":[{"billed_charge":2992.50,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4388.59,"providers":[{"billed_charge":100474.18,"npi":[1234567893]}]}]}]},{"name":"RBC SICKLE CELL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85660","description":"SICKLING OF RBC, REDUCTION","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":550.28,"providers":[{"billed_charge":11155.35,"npi":[1234567893]}]}]}]},{"name":"THROMBIN TIME, PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85670","description":"THROMBIN TIME; PLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.01,"providers":[{"billed_charge":40.16,"npi":[1234567893]}]}]}]},{"name":"THROMBOPLASTIN TIME, PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85730","description":"THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1064.95,"providers":[{"billed_charge":17727.18,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2710.10,"providers":[{"billed_charge":43331.94,"npi":[1234567893]}]}]}]},{"name":"ALLERGEN SPECIFIC IGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86003","description":"ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE, CRUDE ALLERGEN EXTRACT, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6833.96,"providers":[{"billed_charge":80717.23,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":652.50,"providers":[{"billed_charge":5475.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14031.26,"providers":[{"billed_charge":159723.54,"npi":[1234567893]}]}]}]},{"name":"ACTIN ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86015","description":"ACTIN SMOOTH MUSCLE ANTIBODY EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":954.36,"providers":[{"billed_charge":16245.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1359.90,"providers":[{"billed_charge":21781.87,"npi":[1234567893]}]}]}]},{"name":"WBC ANTIBODY IDENTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86021","description":"ANTIBODY IDENTIFICATION; LEUKOCYTE ANTIBODIES","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":261.87,"providers":[{"billed_charge":7761.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":343.14,"providers":[{"billed_charge":10089.55,"npi":[1234567893]}]}]}]},{"name":"ANCA SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86036","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":267.51,"providers":[{"billed_charge":6046.91,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.95,"providers":[{"billed_charge":8776.65,"npi":[1234567893]}]}]}]},{"name":"ANCA TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86037","description":"ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":203.01,"providers":[{"billed_charge":2905.07,"npi":[1234567893]}]}]}]},{"name":"ANTINUCLEAR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES (ANA);","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7917.00,"providers":[{"billed_charge":105388.92,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":145.20,"providers":[{"billed_charge":1216.08,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":441.65,"providers":[{"billed_charge":8395.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17204.04,"providers":[{"billed_charge":213655.05,"npi":[1234567893]}]}]}]},{"name":"ANTINUCLEAR ANTIBODIES (ANA)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES (ANA); TITER","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2485.70,"providers":[{"billed_charge":20531.14,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2185.33,"providers":[{"billed_charge":18163.40,"npi":[1234567893]}]}]}]},{"name":"ANTISTREPTOLYSIN O, TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86060","description":"ANTISTREPTOLYSIN 0; TITER","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":144.54,"providers":[{"billed_charge":2208.03,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":624.81,"providers":[{"billed_charge":8121.99,"npi":[1234567893]}]}]}]},{"name":"PHYS BLOOD BANK SERV XMATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86077","description":"BLOOD BANK PHYSICIAN SERVICES; DIFFICULT CROSS MATCH AND/OR EVALUATION OF IRREGULAR ANTIBODY(S), INT","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":63.79,"providers":[{"billed_charge":108.75,"npi":[1346207214]}]}]}]},{"name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86140","description":"C-REACTIVE PROTEIN;","allowed_amounts":[{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.13,"providers":[{"billed_charge":145.04,"npi":[1770586703]}]},{"allowed_amount":25.90,"providers":[{"billed_charge":207.20,"npi":[1295513000]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.36,"providers":[{"billed_charge":41.44,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3567.17,"providers":[{"billed_charge":98905.81,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38.85,"providers":[{"billed_charge":325.35,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165.76,"providers":[{"billed_charge":3600.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7514.97,"providers":[{"billed_charge":176050.71,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":256.96,"providers":[{"billed_charge":945.35,"npi":[1730617523]}]},{"allowed_amount":3.52,"providers":[{"billed_charge":12.95,"npi":[1730617523]}]}]}]},{"name":"C-REACTIVE PROTEIN, HS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86141","description":"C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1538.46,"providers":[{"billed_charge":20770.20,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2741.04,"providers":[{"billed_charge":22956.21,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2505.22,"providers":[{"billed_charge":29328.77,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":531.28,"providers":[{"billed_charge":2220.00,"npi":[1174172845]}]}]}]},{"name":"BETA-2 GLYCOPROTEIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4275.60,"providers":[{"billed_charge":42866.40,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6036.67,"providers":[{"billed_charge":59067.46,"npi":[1234567893]}]}]}]},{"name":"CARDIOLIPIN ANTIBODY EA IG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86147","description":"CARDIOLIPIN (PHOSPHOLIPID) ANTIBODY, EACH IG CLASS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4382.49,"providers":[{"billed_charge":31817.26,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8008.13,"providers":[{"billed_charge":63766.56,"npi":[1234567893]}]}]}]},{"name":"COMPLEMENT, ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86160","description":"COMPLEMENT; ANTIGEN, EACH COMPONENT","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3369.60,"providers":[{"billed_charge":56710.20,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.00,"providers":[{"billed_charge":3302.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192.00,"providers":[{"billed_charge":3355.68,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5055.55,"providers":[{"billed_charge":77011.91,"npi":[1234567893]}]}]}]},{"name":"COMPLEMENT, TOTAL (CH50)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86162","description":"COMPLEMENT; TOTAL HEMOLYTIC (CH50)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":125.74,"providers":[{"billed_charge":1397.44,"npi":[1234567893]}]}]}]},{"name":"CCP ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE (CCP), ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3566.43,"providers":[{"billed_charge":72061.66,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":77.76,"providers":[{"billed_charge":1080.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":103.68,"providers":[{"billed_charge":1657.33,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6123.77,"providers":[{"billed_charge":104380.49,"npi":[1234567893]}]}]}]},{"name":"DNA ANTIBODY NATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86225","description":"DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY; NATIVE OR DOUBLE STRANDED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1203.04,"providers":[{"billed_charge":18489.44,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.70,"providers":[{"billed_charge":576.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.92,"providers":[{"billed_charge":3048.01,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2977.46,"providers":[{"billed_charge":38402.50,"npi":[1234567893]}]}]}]},{"name":"NUCLEAR ANTIGEN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN, ANTIBODY TO, ANY METHOD (EG, NRNP, SS-A, SS-B, SM, RNP, SC170, J01), EA","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18600.48,"providers":[{"billed_charge":215807.87,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":475.19,"providers":[{"billed_charge":3984.54,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1147.55,"providers":[{"billed_charge":5804.91,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33758.71,"providers":[{"billed_charge":375972.80,"npi":[1234567893]}]}]}]},{"name":"FLUORESCENT ANTIBODY, SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86255","description":"FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; SCREEN, EACH ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":487.60,"providers":[{"billed_charge":487.60,"npi":[1346207214]}]},{"allowed_amount":445.20,"providers":[{"billed_charge":445.20,"npi":[1346207214]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1077.27,"providers":[{"billed_charge":25265.08,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1376.01,"providers":[{"billed_charge":28353.48,"npi":[1234567893]}]}]}]},{"name":"FLUORESCENT ANTIBODY, TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86256","description":"FLUORESCENT NONINFECTIOUS AGENT ANTIBODY; TITER, EACH ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"203304074"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":8.25,"providers":[{"billed_charge":8.25,"npi":[1679580849]}]},{"allowed_amount":90.75,"providers":[{"billed_charge":90.75,"npi":[1679580849]}]}]}]},{"name":"DGP ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.74,"providers":[{"billed_charge":1714.20,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY, TUMOR, CA 15-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86300","description":"IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 15-3 (27.29)","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":978.07,"providers":[{"billed_charge":10358.80,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":412.09,"providers":[{"billed_charge":6332.84,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2654.56,"providers":[{"billed_charge":32008.72,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY, TUMOR, CA 19-9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86301","description":"IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 19-9","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":199.84,"providers":[{"billed_charge":2676.48,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":769.28,"providers":[{"billed_charge":9617.61,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY, TUMOR, CA 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86304","description":"IMMUNOASSAY FOR TUMOR ANTIGEN, QUANTITATIVE; CA 125","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1099.12,"providers":[{"billed_charge":19250.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3309.84,"providers":[{"billed_charge":45316.68,"npi":[1234567893]}]}]}]},{"name":"HETEROPHILE ANTIBODY SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86308","description":"HETEROPHILE ANTIBODIES; SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.13,"providers":[{"billed_charge":674.17,"npi":[1234567893]}]}]}]},{"name":"IMMUNOASSAY INFECTIOUS AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86317","description":"IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY, QUANTITATIVE, NOT OTHERWISE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2777.91,"providers":[{"billed_charge":34458.61,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7613.84,"providers":[{"billed_charge":75238.36,"npi":[1234567893]}]}]}]},{"name":"IA INFECTIOUS AGENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.15,"providers":[{"billed_charge":120.00,"npi":[1336758952]}]}]}]},{"name":"IMMUNOFIX E-PHORESIS, SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86334","description":"IMMUNOFIXATION ELECTROPHORESIS; SERUM","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":114.12,"providers":[{"billed_charge":114.12,"npi":[1346207214]}]},{"allowed_amount":285.30,"providers":[{"billed_charge":285.30,"npi":[1346207214]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":911.20,"providers":[{"billed_charge":15876.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2213.38,"providers":[{"billed_charge":34980.24,"npi":[1234567893]}]}]}]},{"name":"IMMUNFIX E-PHORSIS/URINE/CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86335","description":"IMMUNOFIXATION ELECTROPHORESIS; OTHER FLUIDS WITH CONCENTRATION (EG, URINE, CSF)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":416.11,"providers":[{"billed_charge":4749.32,"npi":[1234567893]}]}]}]},{"name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86337","description":"INSULIN ANTIBODIES","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":438.75,"providers":[{"billed_charge":6731.20,"npi":[1234567893]}]}]}]},{"name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86341","description":"ISLET CELL ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.26,"providers":[{"billed_charge":1951.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1403.56,"providers":[{"billed_charge":22652.02,"npi":[1234567893]}]}]}]},{"name":"T CELLS, TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86359","description":"T CELLS; TOTAL COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":67.92,"providers":[{"billed_charge":680.91,"npi":[1234567893]}]}]}]},{"name":"T CELL, ABSOLUTE COUNT/RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86360","description":"T CELLS; ABSOLUTE CD4 AND CD8 COUNT, INCLUDING RATIO","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2649.86,"providers":[{"billed_charge":39921.08,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13427.27,"providers":[{"billed_charge":150841.51,"npi":[1234567893]}]}]}]},{"name":"T CELL, ABSOLUTE COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86361","description":"T CELLS; ABSOLUTE CD4 COUNT","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":626.73,"providers":[{"billed_charge":8130.33,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4040.06,"providers":[{"billed_charge":41507.46,"npi":[1234567893]}]}]}]},{"name":"TISS TRNSGLTMNASE EA IG CLAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":927.28,"providers":[{"billed_charge":26037.63,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1160.25,"providers":[{"billed_charge":30366.87,"npi":[1234567893]}]}]}]},{"name":"MICROSOMAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86376","description":"MICROSOMAL ANTIBODIES (EG, THYROID OR LIVER-KIDNEY), EACH","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40.44,"providers":[{"billed_charge":423.09,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5368.95,"providers":[{"billed_charge":86824.82,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.24,"providers":[{"billed_charge":232.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":422.24,"providers":[{"billed_charge":1687.80,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":283.92,"providers":[{"billed_charge":2378.61,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":385.84,"providers":[{"billed_charge":5448.06,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14691.77,"providers":[{"billed_charge":184009.56,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":407.62,"providers":[{"billed_charge":1700.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":9.90,"providers":[{"billed_charge":36.38,"npi":[1730617523]}]},{"allowed_amount":940.50,"providers":[{"billed_charge":3456.10,"npi":[1730617523]}]}]}]},{"name":"MITOCHONDRIAL ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86381","description":"MITOCHONDRIAL ANTIBODY EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1404.84,"providers":[{"billed_charge":13533.99,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2281.97,"providers":[{"billed_charge":22219.54,"npi":[1234567893]}]}]}]},{"name":"RHEUMATOID FACTOR, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86431","description":"RHEUMATOID FACTOR; QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.36,"providers":[{"billed_charge":411.22,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.36,"providers":[{"billed_charge":80.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2706.40,"providers":[{"billed_charge":53261.70,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":59.64,"providers":[{"billed_charge":499.59,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.64,"providers":[{"billed_charge":2673.81,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6289.11,"providers":[{"billed_charge":100927.33,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":246.62,"providers":[{"billed_charge":814.00,"npi":[1174172845]}]}]}]},{"name":"TB TEST CELL IMMUN MEASURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86480","description":"TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASUREMENT; GAMMA INTERFERON","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29677.62,"providers":[{"billed_charge":307046.46,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":557.82,"providers":[{"billed_charge":4680.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":247.92,"providers":[{"billed_charge":1200.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51704.36,"providers":[{"billed_charge":412869.60,"npi":[1234567893]}]}]}]},{"name":"TB AG RESPONSE T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86481","description":"TUBERCULOSIS TEST, CELL MEDIATED IMMUNITY ANTIGEN RESPONSE MEASUREMENT; ENUMERATION OF GAMMA INTERFE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3420.00,"providers":[{"billed_charge":19236.36,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3600.00,"providers":[{"billed_charge":20248.80,"npi":[1234567893]}]}]}]},{"name":"SYPHILIS TEST NON-TREP QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86592","description":"SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUALITATIVE (EG, VDRL, RPR, ART)","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.52,"providers":[{"billed_charge":711.48,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8161.38,"providers":[{"billed_charge":139046.40,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.14,"providers":[{"billed_charge":14.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.82,"providers":[{"billed_charge":223.47,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":269.64,"providers":[{"billed_charge":4360.08,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20891.72,"providers":[{"billed_charge":329248.52,"npi":[1234567893]}]}]}]},{"name":"SYPHILIS TEST NON-TREP QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86593","description":"SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUANTITATIVE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":535.92,"providers":[{"billed_charge":8870.82,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1320.83,"providers":[{"billed_charge":19255.14,"npi":[1234567893]}]}]}]},{"name":"CHLAMYDIA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86631","description":"ANTIBODY; CHLAMYDIA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.40,"providers":[{"billed_charge":2592.28,"npi":[1234567893]}]}]}]},{"name":"CHLAMYDIA IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86632","description":"ANTIBODY; CHLAMYDIA, IGM","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.47,"providers":[{"billed_charge":1110.39,"npi":[1234567893]}]}]}]},{"name":"EPSTEIN-BARR NUCLEAR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86664","description":"ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":188.16,"providers":[{"billed_charge":2102.39,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":358.77,"providers":[{"billed_charge":4311.12,"npi":[1234567893]}]}]}]},{"name":"EPSTEIN-BARR CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86665","description":"ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":446.28,"providers":[{"billed_charge":6020.16,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1366.42,"providers":[{"billed_charge":15428.49,"npi":[1234567893]}]}]}]},{"name":"EHRLICHIA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86666","description":"ANTIBODY; EHRLICHIA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.55,"providers":[{"billed_charge":2552.63,"npi":[1234567893]}]}]}]},{"name":"FUNGUS NES ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86671","description":"ANTIBODY; FUNGUS, NOT ELSEWHERE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.78,"providers":[{"billed_charge":2477.05,"npi":[1234567893]}]}]}]},{"name":"HERPES SIMPLEX NES ANTBDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86694","description":"ANTIBODY; HERPES SIMPLEX, NON-SPECIFIC TYPE TEST","allowed_amounts":[{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.20,"providers":[{"billed_charge":965.28,"npi":[1235186800]}]}]}]},{"name":"HERPES SIMPLEX TYPE 1 TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86695","description":"ANTIBODY; HERPES SIMPLEX, TYPE 1","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.80,"providers":[{"billed_charge":79.14,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":257.40,"providers":[{"billed_charge":663.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5228.51,"providers":[{"billed_charge":74983.19,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":277.20,"providers":[{"billed_charge":2322.18,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":191.40,"providers":[{"billed_charge":2714.29,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12645.99,"providers":[{"billed_charge":146910.48,"npi":[1234567893]}]}]}]},{"name":"HERPES SIMPLEX TYPE 2 TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86696","description":"ANTIBODY; HERPES SIMPLEX, TYPE 2","allowed_amounts":[{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":367.84,"providers":[{"billed_charge":950.00,"npi":[1841798667]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11157.21,"providers":[{"billed_charge":169739.45,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.36,"providers":[{"billed_charge":77.40,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":484.00,"providers":[{"billed_charge":4057.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":300.08,"providers":[{"billed_charge":4134.92,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22736.98,"providers":[{"billed_charge":280241.83,"npi":[1234567893]}]}]}]},{"name":"HIV-1ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86701","description":"ANTIBODY; HIV-1","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40.05,"providers":[{"billed_charge":160.02,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.19,"providers":[{"billed_charge":2669.46,"npi":[1234567893]}]}]}]},{"name":"HIV-2 ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86702","description":"ANTIBODY; HIV-2","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.84,"providers":[{"billed_charge":243.36,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":201.46,"providers":[{"billed_charge":3958.01,"npi":[1234567893]}]}]}]},{"name":"HIV-1/HIV-2 1 RESULT ANTBDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86703","description":"ANTIBODY; HIV-1 AND HIV-2, SINGLE RESULT","allowed_amounts":[{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":548.80,"providers":[{"billed_charge":1440.00,"npi":[1841798667]}]},{"allowed_amount":75.46,"providers":[{"billed_charge":198.00,"npi":[1487429874]}]}]}]},{"name":"HEP B CORE ANTIBODY, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY (HBCAB); TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.86,"providers":[{"billed_charge":870.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5914.14,"providers":[{"billed_charge":89732.85,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.39,"providers":[{"billed_charge":656.76,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":150.75,"providers":[{"billed_charge":2517.94,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16199.10,"providers":[{"billed_charge":212563.00,"npi":[1234567893]}]}]}]},{"name":"HEP B CORE ANTIBODY, IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":367.12,"providers":[{"billed_charge":8492.07,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2258.73,"providers":[{"billed_charge":33581.09,"npi":[1234567893]}]}]}]},{"name":"HEP B SURFACE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86706","description":"HEPATITIS B SURFACE ANTIBODY (HBSAB)","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42.96,"providers":[{"billed_charge":752.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":96.07,"providers":[{"billed_charge":1935.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5145.56,"providers":[{"billed_charge":80187.64,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":204.06,"providers":[{"billed_charge":1711.14,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":177.21,"providers":[{"billed_charge":3345.77,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14313.32,"providers":[{"billed_charge":185091.61,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS BE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86707","description":"HEPATITIS BE ANTIBODY (HBEAB)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":152.68,"providers":[{"billed_charge":2293.06,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":313.68,"providers":[{"billed_charge":4267.73,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS A ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86708","description":"HEPATITIS A ANTIBODY (HAAB)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5119.27,"providers":[{"billed_charge":86889.79,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.80,"providers":[{"billed_charge":439.02,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":93.00,"providers":[{"billed_charge":1252.85,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8676.32,"providers":[{"billed_charge":125932.30,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS A IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86709","description":"HEPATITIS A ANTIBODY (HAAB), IGM ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":703.04,"providers":[{"billed_charge":15390.96,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.15,"providers":[{"billed_charge":701.25,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2482.94,"providers":[{"billed_charge":39223.68,"npi":[1234567893]}]}]}]},{"name":"MUMPS ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86735","description":"ANTIBODY; MUMPS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1276.29,"providers":[{"billed_charge":24725.81,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3799.37,"providers":[{"billed_charge":52801.72,"npi":[1234567893]}]}]}]},{"name":"PROTOZOA ANTIBODY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86753","description":"ANTIBODY; PROTOZOA, NOT ELSEWHERE SPECIFIED","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.00,"providers":[{"billed_charge":1538.50,"npi":[1234567893]}]}]}]},{"name":"RUBELLA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86762","description":"ANTIBODY; RUBELLA","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2468.18,"providers":[{"billed_charge":25200.28,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":72.00,"providers":[{"billed_charge":480.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.40,"providers":[{"billed_charge":445.24,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5362.24,"providers":[{"billed_charge":55081.30,"npi":[1234567893]}]}]}]},{"name":"RUBEOLA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86765","description":"ANTIBODY; RUBEOLA","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1290.91,"providers":[{"billed_charge":26001.90,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4012.96,"providers":[{"billed_charge":56717.03,"npi":[1234567893]}]}]}]},{"name":"TOXOPLASMA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86777","description":"ANTIBODY; TOXOPLASMA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":207.54,"providers":[{"billed_charge":2821.77,"npi":[1234567893]}]}]}]},{"name":"TOXOPLASMA ANTIBODY, IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86778","description":"ANTIBODY; TOXOPLASMA, IGM","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.64,"providers":[{"billed_charge":1164.00,"npi":[1234567893]}]}]}]},{"name":"TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86780","description":"ANTIBODY; TREPONEMA PALLIDUM","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.80,"providers":[{"billed_charge":1000.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4509.99,"providers":[{"billed_charge":62590.11,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":357.48,"providers":[{"billed_charge":2376.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":496.50,"providers":[{"billed_charge":3766.35,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9286.46,"providers":[{"billed_charge":115869.94,"npi":[1234567893]}]}]}]},{"name":"VARICELLA-ZOSTER ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86787","description":"ANTIBODY; VARICELLA-ZOSTER","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1267.72,"providers":[{"billed_charge":27980.58,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.88,"providers":[{"billed_charge":108.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4660.98,"providers":[{"billed_charge":68087.96,"npi":[1234567893]}]}]}]},{"name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1976.85,"providers":[{"billed_charge":27170.61,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":119.40,"providers":[{"billed_charge":1303.10,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8571.59,"providers":[{"billed_charge":95231.29,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":563.30,"providers":[{"billed_charge":2318.00,"npi":[1174172845]}]}]}]},{"name":"HEPATITIS C AB TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86803","description":"HEPATITIS C ANTIBODY;","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49.55,"providers":[{"billed_charge":594.13,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.82,"providers":[{"billed_charge":1720.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28920.11,"providers":[{"billed_charge":558660.68,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.28,"providers":[{"billed_charge":96.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":828.24,"providers":[{"billed_charge":6939.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":692.58,"providers":[{"billed_charge":13996.25,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56965.40,"providers":[{"billed_charge":855300.70,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.26,"providers":[{"billed_charge":214.08,"npi":[1730617523]}]}]}]},{"name":"HLA TYPING, A, B, OR C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86812","description":"HLA TYPING; A, B, OR C (EG, A10, B7, B27), SINGLE ANTIGEN","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":278.82,"providers":[{"billed_charge":3868.56,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":333.04,"providers":[{"billed_charge":4454.28,"npi":[1234567893]}]}]}]},{"name":"RBC ANTIBODY SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86850","description":"ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":644.60,"providers":[{"billed_charge":6653.90,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.35,"providers":[{"billed_charge":435.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.12,"providers":[{"billed_charge":203.32,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1048.86,"providers":[{"billed_charge":9841.75,"npi":[1234567893]}]}]}]},{"name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86900","description":"BLOOD TYPING, SEROLOGIC; ABO","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":310.61,"providers":[{"billed_charge":8751.60,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16.50,"providers":[{"billed_charge":116.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.50,"providers":[{"billed_charge":110.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1.50,"providers":[{"billed_charge":21.88,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":575.55,"providers":[{"billed_charge":12956.82,"npi":[1234567893]}]}]}]},{"name":"BLOOD TYPING SEROLOGIC RH(D)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86901","description":"BLOOD TYPING, SEROLOGIC; RH (D)","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":308.82,"providers":[{"billed_charge":8698.44,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.00,"providers":[{"billed_charge":61.74,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.50,"providers":[{"billed_charge":110.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":574.05,"providers":[{"billed_charge":12856.83,"npi":[1234567893]}]}]}]},{"name":"COMPATIBILITY TEST, ELECTRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86923","description":"COMPATIBILITY TEST EACH UNIT; ELECTRONIC","allowed_amounts":[{"tin":{"type":"ein","value":"741720245"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":4037.59,"providers":[{"billed_charge":9228.00,"npi":[1518254309]}]},{"allowed_amount":217.73,"providers":[{"billed_charge":495.00,"npi":[1518254309]}]}]}]},{"name":"SPECIMEN INFECT AGNT CONCNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87015","description":"CONCENTRATION (ANY TYPE), FOR INFECTIOUS AGENTS","allowed_amounts":[{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30.06,"providers":[{"billed_charge":126.00,"npi":[1174172845]}]}]}]},{"name":"BLOOD CULTURE FOR BACTERIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87040","description":"CULTURE, BACTERIAL; BLOOD, AEROBIC, WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF ISOLATES (INCLU","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":158.05,"providers":[{"billed_charge":2365.44,"npi":[1234567893]}]}]}]},{"name":"FECES CULTURE AEROBIC BACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87045","description":"CULTURE, BACTERIAL; STOOL, AEROBIC, WITH ISOLATION AND PRELIMINARY EXAMINATION (EG, KIA, LIA), SALMO","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":141.50,"providers":[{"billed_charge":1512.25,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":897.58,"providers":[{"billed_charge":9823.45,"npi":[1234567893]}]}]}]},{"name":"STOOL CULTR AEROBIC BACT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87046","description":"CULTURE, BACTERIAL; STOOL, AEROBIC, ADDITIONAL PATHOGENS, ISOLATION AND PRESUMPTIVE IDENTIFICATION O","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":609.18,"providers":[{"billed_charge":6711.78,"npi":[1234567893]}]}]}]},{"name":"CULTURE OTHR SPECIMN AEROBIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87070","description":"CULTURE, BACTERIAL; ANY OTHER SOURCE EXCEPT URINE, BLOOD OR STOOL, AEROBIC, WITH ISOLATION AND PRESU","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1514.81,"providers":[{"billed_charge":28286.97,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3031.16,"providers":[{"billed_charge":52746.23,"npi":[1234567893]}]}]}]},{"name":"CULTR BACTERIA, EXCEPT BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87075","description":"CULTURE, BACTERIAL; ANY SOURCE, EXCEPT BLOOD, ANAEROBIC WITH ISOLATION AND PRESUMPTIVE IDENTIFICATIO","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":249.92,"providers":[{"billed_charge":5888.34,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":868.94,"providers":[{"billed_charge":18559.72,"npi":[1234567893]}]}]}]},{"name":"CULTURE ANAEROBE IDENT, EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87076","description":"CULTURE, BACTERIAL; ANAEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, EA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.18,"providers":[{"billed_charge":815.94,"npi":[1234567893]}]}]}]},{"name":"CULTURE AEROBIC IDENTIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87077","description":"CULTURE, BACTERIAL; AEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE IDENTIFICATION, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4636.59,"providers":[{"billed_charge":35790.21,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":258.56,"providers":[{"billed_charge":2167.68,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.92,"providers":[{"billed_charge":460.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9797.01,"providers":[{"billed_charge":62259.40,"npi":[1234567893]}]}]}]},{"name":"CULTURE SCREEN ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87081","description":"CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY;","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":680.58,"providers":[{"billed_charge":17499.13,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.96,"providers":[{"billed_charge":84.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2148.30,"providers":[{"billed_charge":38061.76,"npi":[1234567893]}]}]}]},{"name":"URINE CULTURE/COLONY COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87086","description":"CULTURE, BACTERIAL; QUANTITATIVE COLONY COUNT, URINE","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":140.25,"providers":[{"billed_charge":1393.31,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40.40,"providers":[{"billed_charge":161.40,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60.60,"providers":[{"billed_charge":242.10,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13581.04,"providers":[{"billed_charge":194103.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1139.28,"providers":[{"billed_charge":9542.88,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":177.76,"providers":[{"billed_charge":1320.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":735.28,"providers":[{"billed_charge":14286.20,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37737.92,"providers":[{"billed_charge":468265.90,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.24,"providers":[{"billed_charge":90.00,"npi":[1134559685]}]}]}]},{"name":"URINE BACTERIA CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87088","description":"CULTURE, BACTERIAL; WITH ISOLATION AND PRESUMPTIVE IDENTIFICATION OF EACH ISOLATE, URINE","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.70,"providers":[{"billed_charge":850.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10855.80,"providers":[{"billed_charge":83349.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18710.64,"providers":[{"billed_charge":131052.98,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.25,"providers":[{"billed_charge":75.00,"npi":[1134559685]}]}]}]},{"name":"FUNGI IDENTIFICATION, YEAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87106","description":"CULTURE, FUNGI, DEFINITIVE IDENTIFICATION, EACH ORGANISM; YEAST","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.19,"providers":[{"billed_charge":37.32,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.78,"providers":[{"billed_charge":326.45,"npi":[1234567893]}]}]}]},{"name":"MYCOPLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87109","description":"CULTURE, MYCOPLASMA, ANY SOURCE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":951.41,"providers":[{"billed_charge":13830.60,"npi":[1234567893]}]}]}]},{"name":"CULTURE TYPE IMMUNOLOGIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87147","description":"CULTURE, TYPING; IMMUNOLOGIC METHOD, OTHER THAN IMMUNOFLUORESCENCE (EG, AGGLUTINATION GROUPING), PER","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":796.12,"providers":[{"billed_charge":9402.84,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":727.72,"providers":[{"billed_charge":8584.11,"npi":[1234567893]}]}]}]},{"name":"DNA/RNA AMPLIFIED PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87150","description":"CULTURE, TYPING; IDENTIFICATION BY NUCLEIC ACID (DNA OR RNA) PROBE, AMPLIFIED PROBE TECHNIQUE, PER C","allowed_amounts":[{"tin":{"type":"ein","value":"383665708"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1579.05,"providers":[{"billed_charge":6300.00,"npi":[1215055256]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15139.38,"providers":[{"billed_charge":60354.80,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2401.47,"providers":[{"billed_charge":14905.55,"npi":[1234567893]}]}]}]},{"name":"OVA AND PARASITES SMEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87177","description":"OVA AND PARASITES, DIRECT SMEARS, CONCENTRATION AND IDENTIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":320.40,"providers":[{"billed_charge":4098.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1285.68,"providers":[{"billed_charge":11782.40,"npi":[1234567893]}]}]}]},{"name":"MICROBE SUSCEPTIBLE, DISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87184","description":"SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; DISK METHOD, PER PLATE (12 OR FEWER AGENTS)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.00,"providers":[{"billed_charge":59.84,"npi":[1234567893]}]}]}]},{"name":"MICROBE SUSCEPTIBLE MIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87186","description":"SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; MICRODILUTION OR AGAR DILUTION (MINIMUM INHIBITORY CONC","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4089.72,"providers":[{"billed_charge":64044.16,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":194.84,"providers":[{"billed_charge":1630.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":125.56,"providers":[{"billed_charge":1203.50,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12668.43,"providers":[{"billed_charge":186868.76,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":490.58,"providers":[{"billed_charge":2650.00,"npi":[1861913576]}]}]}]},{"name":"SMEAR, GRAM STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87205","description":"SMEAR, PRIMARY SOURCE WITH INTERPRETATION; GRAM OR GIEMSA STAIN FOR BACTERIA, FUNGI, OR CELL TYPES","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135.68,"providers":[{"billed_charge":3170.33,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.21,"providers":[{"billed_charge":6045.38,"npi":[1234567893]}]}]}]},{"name":"SMEAR, COMPLEX STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87209","description":"SMEAR, PRIMARY SOURCE WITH INTERPRETATION; COMPLEX SPECIAL STAIN (EG, TRICHROME, IRON HEMOTOXYLIN) F","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":647.40,"providers":[{"billed_charge":8160.00,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2649.13,"providers":[{"billed_charge":24370.36,"npi":[1234567893]}]}]}]},{"name":"SMEAR, WET MOUNT, SALINE/INK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87210","description":"SMEAR, PRIMARY SOURCE WITH INTERPRETATION; WET MOUNT FOR INFECTIOUS AGENTS (EG, SALINE, INDIA INK, K","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.12,"providers":[{"billed_charge":411.60,"npi":[1234567893]}]}]}]},{"name":"CLOSTRIDIUM AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87324","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, CLOSTRIDIUM DIFFICILE TOXIN(S); (EG, EN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":198.34,"providers":[{"billed_charge":3788.58,"npi":[1234567893]}]}]}]},{"name":"GIARDIA AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87329","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, GIARDIA; (EG, ENZYME IMMUNOASSAY [EIA],","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165.37,"providers":[{"billed_charge":2456.63,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":892.27,"providers":[{"billed_charge":10025.52,"npi":[1234567893]}]}]}]},{"name":"HPYLORI STOOL IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87338","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HELICOBACTER PYLORI, STOOL; (EG, ENZYME","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":189.86,"providers":[{"billed_charge":5039.10,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":784.29,"providers":[{"billed_charge":19161.15,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS B SURFACE AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87340","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HEPATITIS B SURFACE ANTIGEN (HBSAG); (E","allowed_amounts":[{"tin":{"type":"ein","value":"943357013"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":709.65,"providers":[{"billed_charge":13764.00,"npi":[1982606992]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16033.20,"providers":[{"billed_charge":248815.29,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":217.14,"providers":[{"billed_charge":1301.04,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.08,"providers":[{"billed_charge":816.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":346.39,"providers":[{"billed_charge":5426.84,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32760.10,"providers":[{"billed_charge":438058.96,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS B SURFACE AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87341","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HEPATITIS B SURFACE ANTIGEN (HBSAG) NEU","allowed_amounts":[{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.89,"providers":[{"billed_charge":623.22,"npi":[1235186800]}]}]}]},{"name":"HEPATITIS BE AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87350","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HEPATITIS BE ANTIGEN (HBEAG); (EG, ENZY","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":276.80,"providers":[{"billed_charge":4169.20,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":572.08,"providers":[{"billed_charge":7498.35,"npi":[1234567893]}]}]}]},{"name":"HIV-1 AG W/HIV-1 & HIV-2 AB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87389","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HIV-1 ANTIGEN(S), W HIV-1 AND HIV-2 ANT","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":216.80,"providers":[{"billed_charge":1780.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":217.36,"providers":[{"billed_charge":2319.38,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":59368.06,"providers":[{"billed_charge":507784.80,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7910.28,"providers":[{"billed_charge":42601.98,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":854.84,"providers":[{"billed_charge":5680.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1649.48,"providers":[{"billed_charge":15475.79,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":134160.65,"providers":[{"billed_charge":1284188.04,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1130.91,"providers":[{"billed_charge":4153.80,"npi":[1730617523]}]}]}]},{"name":"HIV-1 AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87390","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, HIV-1, (EG, ENZYME IMMUNOASSAY [EIA], E","allowed_amounts":[{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.27,"providers":[{"billed_charge":433.08,"npi":[1336758952]}]}]}]},{"name":"INFLUENZA A/B AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87400","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, INFLUENZA, A OR B, EACH; (EG, ENZYME IM","allowed_amounts":[{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":84.14,"providers":[{"billed_charge":392.00,"npi":[1831544808]}]}]}]},{"name":"CORONAVIRUS AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","allowed_amounts":[{"tin":{"type":"ein","value":"364785232"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":165.15,"providers":[{"billed_charge":355.00,"npi":[1659089142]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":525.70,"providers":[{"billed_charge":2485.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":211.98,"providers":[{"billed_charge":480.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4081.77,"providers":[{"billed_charge":69300.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.12,"providers":[{"billed_charge":750.00,"npi":[1659025328]}]}]}]},{"name":"SHIGA-LIKE TOXIN AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87427","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, SHIGA-LIKE TOXIN; (EG, ENZYME IMMUNOASS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":71.90,"providers":[{"billed_charge":1312.50,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1053.61,"providers":[{"billed_charge":13323.36,"npi":[1234567893]}]}]}]},{"name":"SARSCOV & INF VIR A&B AG IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87428","description":"IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B","allowed_amounts":[{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":246.05,"providers":[{"billed_charge":700.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"822971554"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":632.70,"providers":[{"billed_charge":1800.00,"npi":[1043951007]}]}]},{"tin":{"type":"ein","value":"813564692"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":421.74,"providers":[{"billed_charge":1200.00,"npi":[1972823169]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":843.50,"providers":[{"billed_charge":2000.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"933714672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2284.75,"providers":[{"billed_charge":10400.00,"npi":[1982476867]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1089.65,"providers":[{"billed_charge":4278.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":632.70,"providers":[{"billed_charge":5500.00,"npi":[1093920399]}]}]}]},{"name":"AG DETECT NOS IA MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87449","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE; MULTIPLE-STEP METHOD, EACH ORGANISM; (E","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":179.75,"providers":[{"billed_charge":3874.46,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":287.60,"providers":[{"billed_charge":6914.77,"npi":[1234567893]}]}]}]},{"name":"BARTONELLA DNA AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87471","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); BARTONELLA HENSELAE AND BARTONELLA QUINTANA","allowed_amounts":[{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":263.15,"npi":[1164508883]}]}]}]},{"name":"CANDIDA, DNA, DIR PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87480","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CANDIDA SPECIES, DIRECT PROBE TECHNIQUE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1714.48,"providers":[{"billed_charge":17832.31,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11877.80,"providers":[{"billed_charge":98463.83,"npi":[1234567893]}]}]}]},{"name":"CANDIDA, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87481","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CANDIDA SPECIES, AMPLIFIED PROBE TECHNIQUE","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":543.92,"providers":[{"billed_charge":1643.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2597.40,"providers":[{"billed_charge":14619.44,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7839.57,"providers":[{"billed_charge":31230.10,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"332220569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":175.50,"providers":[{"billed_charge":526.40,"npi":[1043015266]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1473.88,"providers":[{"billed_charge":3696.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6799.15,"providers":[{"billed_charge":50807.90,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1579.14,"providers":[{"billed_charge":4770.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":210.60,"providers":[{"billed_charge":631.68,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3819.12,"providers":[{"billed_charge":5400.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1035.45,"providers":[{"billed_charge":2484.49,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1754.50,"providers":[{"billed_charge":4019.00,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2948.40,"providers":[{"billed_charge":8904.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.85,"providers":[{"billed_charge":200.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1140.75,"providers":[{"billed_charge":9750.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"832089228"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.73,"providers":[{"billed_charge":131.61,"npi":[1033680681]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6335.55,"providers":[{"billed_charge":41517.67,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":549.24,"providers":[{"billed_charge":2017.79,"npi":[1730617523]}]}]}]},{"name":"CHYLMD PNEUM, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87486","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA PNEUMONIAE, AMPLIFIED PROBE TECHN","allowed_amounts":[{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":386.10,"providers":[{"billed_charge":1165.28,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":466.41,"providers":[{"billed_charge":1512.35,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":298.32,"providers":[{"billed_charge":562.66,"npi":[1134559685]}]}]}]},{"name":"CHYLMD TRACH, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87491","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CHLAMYDIA TRACHOMATIS, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":245.82,"providers":[{"billed_charge":1920.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":828.58,"providers":[{"billed_charge":4501.61,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4826.25,"providers":[{"billed_charge":27164.50,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5232.78,"providers":[{"billed_charge":20773.28,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1684.80,"providers":[{"billed_charge":4224.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":473.85,"providers":[{"billed_charge":1894.86,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91862.42,"providers":[{"billed_charge":516525.31,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.20,"providers":[{"billed_charge":2332.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1088.10,"providers":[{"billed_charge":2491.78,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4018.95,"providers":[{"billed_charge":34350.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.58,"providers":[{"billed_charge":648.00,"npi":[1154379907]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1368.90,"providers":[{"billed_charge":11700.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.20,"providers":[{"billed_charge":260.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":248665.26,"providers":[{"billed_charge":1381783.45,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":979.08,"providers":[{"billed_charge":3596.93,"npi":[1730617523]}]}]}]},{"name":"C DIFF AMPLIFIED PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87493","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CLOSTRIDIUM DIFFICILE, TOXIN GENE(S), AMPLI","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":620.88,"providers":[{"billed_charge":1094.86,"npi":[1558150078]}]}]}]},{"name":"CYTOMEG, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87496","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); CYTOMEGALOVIRUS, AMPLIFIED PROBE TECHNIQUE","allowed_amounts":[{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":228.15,"providers":[{"billed_charge":912.34,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":334.32,"providers":[{"billed_charge":1228.22,"npi":[1730617523]}]}]}]},{"name":"ENTEROVIRUS PROBE&REVRS TRNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87498","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); ENTEROVIRUS, AMPLIFIED PROBE TECHNIQUE, INC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.88,"providers":[{"billed_charge":140.36,"npi":[1234567893]}]}]}]},{"name":"VANOMYCIN DNA AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87500","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); VANCOMYCIN RESISTANCE (EG, ENTEROCOCCUS SPE","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":175.50,"providers":[{"billed_charge":530.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"383665708"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":368.55,"providers":[{"billed_charge":1470.00,"npi":[1215055256]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3623.07,"providers":[{"billed_charge":14492.17,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":106.00,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"332220569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":298.35,"providers":[{"billed_charge":894.88,"npi":[1043015266]}]}]},{"tin":{"type":"ein","value":"474514445"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.84,"providers":[{"billed_charge":315.00,"npi":[1063040335]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1456.65,"providers":[{"billed_charge":3652.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2790.45,"providers":[{"billed_charge":8409.09,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":424.93,"providers":[{"billed_charge":600.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":508.95,"providers":[{"billed_charge":1214.17,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":544.02,"providers":[{"billed_charge":1125.32,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":5594.95,"providers":[{"billed_charge":26075.00,"npi":[1861913576]}]},{"allowed_amount":262.85,"providers":[{"billed_charge":1225.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":597.00,"providers":[{"billed_charge":1052.75,"npi":[1558150078]}]}]}]},{"name":"GARDNER VAG, DNA, DIR PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87510","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); GARDNERELLA VAGINALIS, DIRECT PROBE TECHNIQ","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1654.33,"providers":[{"billed_charge":17184.16,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6657.85,"providers":[{"billed_charge":55330.04,"npi":[1234567893]}]}]}]},{"name":"GARDNER VAG, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87511","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); GARDNERELLA VAGINALIS, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":438.75,"providers":[{"billed_charge":2469.50,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":315.90,"providers":[{"billed_charge":2700.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":707.05,"providers":[{"billed_charge":1000.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":644.60,"providers":[{"billed_charge":3638.33,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS B, DNA, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87517","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HEPATITIS B VIRUS, QUANTIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1092.42,"providers":[{"billed_charge":9157.05,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2981.20,"providers":[{"billed_charge":59263.24,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5523.65,"providers":[{"billed_charge":112388.74,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS C REVRS TRNSCRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87522","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HEPATITIS C, QUANTIFICATION, INCLUDES REVER","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2570.00,"providers":[{"billed_charge":65345.86,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6885.79,"providers":[{"billed_charge":152797.84,"npi":[1234567893]}]}]}]},{"name":"HSV, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87529","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HERPES SIMPLEX VIRUS, AMPLIFIED PROBE TECHN","allowed_amounts":[{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":579.15,"providers":[{"billed_charge":3259.74,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5898.04,"providers":[{"billed_charge":23440.12,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":614.17,"providers":[{"billed_charge":1540.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2168.15,"providers":[{"billed_charge":22961.67,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6453.13,"providers":[{"billed_charge":66670.82,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1105.65,"providers":[{"billed_charge":2531.97,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":835.80,"providers":[{"billed_charge":3070.55,"npi":[1730617523]}]}]}]},{"name":"HHV-6, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87532","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HERPES VIRUS-6, AMPLIFIED PROBE TECHNIQUE","allowed_amounts":[{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":334.32,"providers":[{"billed_charge":1228.22,"npi":[1730617523]}]}]}]},{"name":"HIV-1 PROBE&REVERSE TRNSCRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87535","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-1, AMPLIFIED PROBE TECHNIQUE, INCLUDES","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":589.40,"providers":[{"billed_charge":15191.15,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6634.57,"providers":[{"billed_charge":133036.89,"npi":[1234567893]}]}]}]},{"name":"HIV-1 QUANT&REVRSE TRNSCRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87536","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-1, QUANTIFICATION, INCLUDES REVERSE TRA","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12611.82,"providers":[{"billed_charge":115062.48,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41787.23,"providers":[{"billed_charge":368095.52,"npi":[1234567893]}]}]}]},{"name":"HIV-2 PROBE&REVRSE TRNSCRIPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87538","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HIV-2, AMPLIFIED PROBE TECHNIQUE, INCLUDES","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2831.72,"providers":[{"billed_charge":66570.15,"npi":[1234567893]}]}]}]},{"name":"LEGION PNEUMO, DNA, AMP PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87541","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); LEGIONELLA PNEUMOPHILA, AMPLIFIED PROBE TEC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.04,"providers":[{"billed_charge":245.63,"npi":[1234567893]}]}]}]},{"name":"M.TUBERCULO, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87556","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOBACTERIA TUBERCULOSIS, AMPLIFIED PROBE","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":597.00,"providers":[{"billed_charge":1052.75,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.88,"providers":[{"billed_charge":104.20,"npi":[1730617523]}]}]}]},{"name":"M. GENITALIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":491.40,"providers":[{"billed_charge":1484.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4597.65,"providers":[{"billed_charge":18036.26,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"332220569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":561.60,"providers":[{"billed_charge":1684.48,"npi":[1043015266]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2176.20,"providers":[{"billed_charge":5456.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2841.75,"providers":[{"billed_charge":26752.95,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.20,"providers":[{"billed_charge":2332.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":438.75,"providers":[{"billed_charge":1052.75,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":337.95,"providers":[{"billed_charge":789.48,"npi":[1861913576]}]},{"allowed_amount":4468.45,"providers":[{"billed_charge":10438.68,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1105.65,"providers":[{"billed_charge":2531.97,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":280.80,"providers":[{"billed_charge":2400.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1017.28,"providers":[{"billed_charge":1347.52,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22801.15,"providers":[{"billed_charge":144836.70,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":32.07,"providers":[{"billed_charge":87.73,"npi":[1730617523]}]},{"allowed_amount":352.77,"providers":[{"billed_charge":965.03,"npi":[1730617523]}]}]}]},{"name":"M.PNEUMON, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87581","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); MYCOPLASMA PNEUMONIAE, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":386.10,"providers":[{"billed_charge":1165.64,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":590.55,"providers":[{"billed_charge":1926.35,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":263.24,"providers":[{"billed_charge":562.66,"npi":[1134559685]}]}]}]},{"name":"N.GONORRHOEAE, DNA, AMP PROB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87591","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); NEISSERIA GONORRHOEAE, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":245.82,"providers":[{"billed_charge":1920.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":706.73,"providers":[{"billed_charge":3905.66,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4422.60,"providers":[{"billed_charge":24892.56,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5232.78,"providers":[{"billed_charge":20773.28,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":473.85,"providers":[{"billed_charge":1894.86,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1667.25,"providers":[{"billed_charge":4180.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91651.91,"providers":[{"billed_charge":515341.15,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.20,"providers":[{"billed_charge":2332.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1105.65,"providers":[{"billed_charge":2531.97,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3843.45,"providers":[{"billed_charge":32850.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.58,"providers":[{"billed_charge":648.00,"npi":[1154379907]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":907.44,"providers":[{"billed_charge":1600.18,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.85,"providers":[{"billed_charge":200.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1368.90,"providers":[{"billed_charge":11700.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.20,"providers":[{"billed_charge":260.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":247731.30,"providers":[{"billed_charge":1376842.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":238.80,"providers":[{"billed_charge":877.30,"npi":[1730617523]}]}]}]},{"name":"HPV HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87624","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), HIGH-RISK TYPES","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":194.96,"providers":[{"billed_charge":1156.71,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4282.20,"providers":[{"billed_charge":26840.00,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4756.05,"providers":[{"billed_charge":51771.84,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37974.20,"providers":[{"billed_charge":270094.88,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3667.95,"providers":[{"billed_charge":30305.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":193.05,"providers":[{"billed_charge":715.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":135438.14,"providers":[{"billed_charge":934771.54,"npi":[1234567893]}]}]}]},{"name":"HPV TYPES 16 & 18 ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87625","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HUMAN PAPILLOMAVIRUS (HPV), TYPES 16 AND 18","allowed_amounts":[{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":429.84,"providers":[{"billed_charge":875.88,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":379.09,"providers":[{"billed_charge":2080.92,"npi":[1234567893]}]}]}]},{"name":"Infectious Agent Antigen Detection","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87626","description":"the detection of human papillomavirus (HPV) by nucleic acid (DNA or RNA) tests, specifically reporting separately the high-risk types (16, 18, 31, 45, 51, and 52) and any high-risk pooled results.","allowed_amounts":[{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":737.10,"providers":[{"billed_charge":6300.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1439.10,"providers":[{"billed_charge":6478.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5640.09,"providers":[{"billed_charge":39230.29,"npi":[1234567893]}]}]}]},{"name":"RESP VIRUS 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87631","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); RESPIRATORY VIRUS (EG, ADENOVIRUS, INFLUENZ","allowed_amounts":[{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4794.41,"providers":[{"billed_charge":18969.79,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.64,"providers":[{"billed_charge":354.00,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"933714672"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8772.36,"providers":[{"billed_charge":30750.00,"npi":[1982476867]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1857.96,"providers":[{"billed_charge":5562.57,"npi":[1234567893]}]}]}]},{"name":"RESP VIRUS 6-11 TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87632","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); RESPIRATORY VIRUS (EG, ADENOVIRUS, INFLUENZ","allowed_amounts":[{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1308.36,"providers":[{"billed_charge":2700.00,"npi":[1134559685]}]}]}]},{"name":"RESP VIRUS 12-25 TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87633","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); RESPIRATORY VIRUS (EG, ADENOVIRUS, INFLUENZ","allowed_amounts":[{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1458.73,"providers":[{"billed_charge":2450.00,"npi":[1710433057]}]}]}]},{"name":"SARS-COV-2 COVID-19 AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87635","description":"Infectious agent detection by nucleic acid (DNA or RNA); (SARS-CoV-2) [COVID-19], amplified probe te","allowed_amounts":[{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2839.60,"providers":[{"billed_charge":13933.62,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1969.71,"providers":[{"billed_charge":7323.20,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"872053485"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49489.92,"providers":[{"billed_charge":289980.00,"npi":[1659035459]}]}]},{"tin":{"type":"ein","value":"331762306"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5106.34,"providers":[{"billed_charge":29850.00,"npi":[1639993660]}]}]}]},{"name":"SARSCOV2&INF A&B&RSV AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87637","description":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2112.12,"providers":[{"billed_charge":20772.66,"npi":[1234567893]}]}]}]},{"name":"STAPH A, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87640","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); STAPHYLOCOCCUS AUREUS, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":228.15,"providers":[{"billed_charge":689.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2885.97,"providers":[{"billed_charge":11474.43,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":777.93,"providers":[{"billed_charge":1100.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2109.60,"providers":[{"billed_charge":7999.85,"npi":[1234567893]}]}]}]},{"name":"MR-STAPH DNA AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87641","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); STAPHYLOCOCCUS AUREUS, METHICILLIN RESISTAN","allowed_amounts":[{"tin":{"type":"ein","value":"332220569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":315.90,"providers":[{"billed_charge":947.52,"npi":[1043015266]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":597.00,"providers":[{"billed_charge":1052.75,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":930.15,"providers":[{"billed_charge":2332.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2772.90,"providers":[{"billed_charge":8374.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":526.50,"providers":[{"billed_charge":1256.28,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":315.87,"providers":[{"billed_charge":602.85,"npi":[1134559685]}]}]}]},{"name":"STREP A, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87651","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); STREPTOCOCCUS, GROUP A, AMPLIFIED PROBE TEC","allowed_amounts":[{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":438.75,"providers":[{"billed_charge":1324.64,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":620.88,"providers":[{"billed_charge":1094.86,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":965.25,"providers":[{"billed_charge":2420.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2772.90,"providers":[{"billed_charge":8374.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.30,"providers":[{"billed_charge":315.90,"npi":[1164508883]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2039.28,"providers":[{"billed_charge":6295.48,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":649.35,"providers":[{"billed_charge":1551.05,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":579.11,"providers":[{"billed_charge":1165.51,"npi":[1134559685]}]}]}]},{"name":"STREP A, DNA, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87652","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); STREPTOCOCCUS, GROUP A, QUANTIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"471358089"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":357.44,"providers":[{"billed_charge":1160.00,"npi":[1861913576]}]},{"allowed_amount":5629.68,"providers":[{"billed_charge":18270.00,"npi":[1861913576]}]}]}]},{"name":"STREP B, DNA, AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87653","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); STREPTOCOCCUS, GROUP B, AMPLIFIED PROBE TEC","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.30,"providers":[{"billed_charge":318.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2892.30,"providers":[{"billed_charge":11474.43,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"332220569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.20,"providers":[{"billed_charge":2316.16,"npi":[1043015266]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1456.65,"providers":[{"billed_charge":3652.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2878.20,"providers":[{"billed_charge":8692.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"365093619"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":212.00,"npi":[1962266890]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":919.69,"providers":[{"billed_charge":1300.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1053.00,"providers":[{"billed_charge":2526.60,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":525.70,"providers":[{"billed_charge":2240.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":596.66,"providers":[{"billed_charge":1205.70,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":740.28,"providers":[{"billed_charge":1305.41,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":300.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.30,"providers":[{"billed_charge":315.90,"npi":[1164508883]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2801.08,"providers":[{"billed_charge":14910.57,"npi":[1234567893]}]}]}]},{"name":"TRICHOMONAS VAGIN, DIR PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87660","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); TRICHOMONAS VAGINALIS, DIRECT PROBE TECHNIQ","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2340.04,"providers":[{"billed_charge":24493.84,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10879.28,"providers":[{"billed_charge":89513.40,"npi":[1234567893]}]}]}]},{"name":"TRICHOMONAS VAGINALIS AMPLIF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87661","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECH","allowed_amounts":[{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3966.30,"providers":[{"billed_charge":32770.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4703.40,"providers":[{"billed_charge":32074.24,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4355.28,"providers":[{"billed_charge":17264.28,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":65.79,"providers":[{"billed_charge":237.00,"npi":[1154379907]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1684.80,"providers":[{"billed_charge":4224.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.08,"providers":[{"billed_charge":160.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24144.35,"providers":[{"billed_charge":227276.05,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":245.70,"providers":[{"billed_charge":982.52,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":982.80,"providers":[{"billed_charge":8400.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.20,"providers":[{"billed_charge":2332.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82653.11,"providers":[{"billed_charge":563622.45,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1105.65,"providers":[{"billed_charge":2531.97,"npi":[1134559685]}]}]}]},{"name":"DETECT AGENT NOS, DNA, AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87798","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), NOT OTHERWISE SPECIFIED; AMPLIFIED PROBE TE","allowed_amounts":[{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2719.53,"providers":[{"billed_charge":8215.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1597.05,"providers":[{"billed_charge":8988.98,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26956.50,"providers":[{"billed_charge":107164.86,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812210108"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6509.33,"providers":[{"billed_charge":19660.12,"npi":[1710433057]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":336.80,"providers":[{"billed_charge":4288.92,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4474.07,"providers":[{"billed_charge":11220.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4667.07,"providers":[{"billed_charge":14098.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":52.65,"providers":[{"billed_charge":157.92,"npi":[1811688104]}]},{"allowed_amount":280.80,"providers":[{"billed_charge":842.24,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10122.38,"providers":[{"billed_charge":26400.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"474795263"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":702.00,"providers":[{"billed_charge":1684.40,"npi":[1518325562]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":453.72,"providers":[{"billed_charge":800.09,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":214.92,"providers":[{"billed_charge":882.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":684.45,"providers":[{"billed_charge":5850.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"832089228"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":631.66,"providers":[{"billed_charge":965.13,"npi":[1033680681]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25753.17,"providers":[{"billed_charge":159631.90,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1599.96,"providers":[{"billed_charge":5877.91,"npi":[1730617523]}]},{"allowed_amount":47.76,"providers":[{"billed_charge":175.46,"npi":[1730617523]}]}]}]},{"name":"DETECT AGENT NOS, DNA, QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87799","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), NOT OTHERWISE SPECIFIED; QUANTIFICATION, EA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":85.20,"providers":[{"billed_charge":1744.30,"npi":[1234567893]}]}]}]},{"name":"DETECT AGNT MULT, DNA, DIREC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87800","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; DIRECT PROBE(S) TECHNIQ","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4689.80,"providers":[{"billed_charge":68873.83,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.72,"providers":[{"billed_charge":2214.00,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9327.20,"providers":[{"billed_charge":136978.12,"npi":[1234567893]}]}]}]},{"name":"DETECT AGNT MULT, DNA, AMPLI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87801","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA), MULTIPLE ORGANISMS; AMPLIFIED PROBE(S) TECH","allowed_amounts":[{"tin":{"type":"ein","value":"474514445"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.57,"providers":[{"billed_charge":211.00,"npi":[1063040335]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12383.28,"providers":[{"billed_charge":94722.48,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2180.04,"providers":[{"billed_charge":8147.45,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3299.40,"providers":[{"billed_charge":19796.40,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4176.90,"providers":[{"billed_charge":40375.77,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27575.04,"providers":[{"billed_charge":175853.65,"npi":[1234567893]}]}]}]},{"name":"INFLUENZA ASSAY W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87804","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; INFLUENZA","allowed_amounts":[{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":175.75,"providers":[{"billed_charge":625.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"861516777"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":14.07,"providers":[{"billed_charge":69.00,"npi":[1225378847]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":165.50,"providers":[{"billed_charge":300.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.51,"providers":[{"billed_charge":900.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7823.88,"providers":[{"billed_charge":23625.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":3659.76,"providers":[{"billed_charge":24310.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":161.69,"providers":[{"billed_charge":1288.00,"npi":[1659025328]}]}]}]},{"name":"SARS-COV-2 COVID19 W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","allowed_amounts":[{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":175.90,"providers":[{"billed_charge":750.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":650.83,"providers":[{"billed_charge":2405.00,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"872053485"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33127.38,"providers":[{"billed_charge":128700.00,"npi":[1659035459]}]}]},{"tin":{"type":"ein","value":"331762306"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4034.55,"providers":[{"billed_charge":13650.00,"npi":[1639993660]}]}]}]},{"name":"STREP A ASSAY W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87880","description":"INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION; STREPTOCOCCUS, GR","allowed_amounts":[{"tin":{"type":"ein","value":"364785232"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":293.74,"providers":[{"billed_charge":627.00,"npi":[1659089142]}]},{"allowed_amount":30.92,"providers":[{"billed_charge":66.00,"npi":[1134857402]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.51,"providers":[{"billed_charge":561.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"822971554"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":248.10,"providers":[{"billed_charge":1500.00,"npi":[1043951007]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":337.44,"providers":[{"billed_charge":1200.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.45,"providers":[{"billed_charge":450.15,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.06,"providers":[{"billed_charge":100.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":39.68,"providers":[{"billed_charge":50.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":231.56,"providers":[{"billed_charge":1232.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5168.20,"providers":[{"billed_charge":18750.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1728.43,"providers":[{"billed_charge":11495.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.12,"providers":[{"billed_charge":340.00,"npi":[1659025328]}]}]}]},{"name":"PHENOTYPE, INFECT AGENT DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87900","description":"INFECTIOUS AGENT DRUG SUSCEPTIBILITY PHENOTYPE PREDICTION USING REGULARLY UPDATED GENOTYPIC BIOINFOR","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2444.78,"providers":[{"billed_charge":10366.60,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":1115.76,"providers":[{"billed_charge":1600.00,"npi":[1861913576]}]},{"allowed_amount":20502.09,"providers":[{"billed_charge":29400.00,"npi":[1861913576]}]}]}]},{"name":"GENOTYPE DNA HIV REVERSE T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87901","description":"INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA); HIV-1, REVERSE TRANSCRIPTASE AND PR","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4722.73,"providers":[{"billed_charge":19360.91,"npi":[1234567893]}]}]}]},{"name":"GENOTYPE DNA/RNA HEP C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87902","description":"INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA); HEPATITIS C VIRUS","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":463.41,"providers":[{"billed_charge":2640.57,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4186.39,"providers":[{"billed_charge":21677.51,"npi":[1234567893]}]}]}]},{"name":"GENOTYPE DNA/RNA HIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87906","description":"INFECTIOUS AGENT GENOTYPE ANALYSIS BY NUCLEIC ACID (DNA OR RNA); HIV-1, OTHER REGION (EG, INTEGRASE,","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1784.33,"providers":[{"billed_charge":13288.58,"npi":[1234567893]}]}]}]},{"name":"CYTOPATH, CONCENTRATE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88108","description":"CYTOPATHOLOGY, CONCENTRATION TECHNIQUE, SMEARS AND INTERPRETATION (EG, SACCOMANNO TECHNIQUE)","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":57.72,"providers":[{"billed_charge":442.00,"npi":[1851884647]}]}]}]},{"name":"CYTOPATH CELL ENHANCE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88112","description":"CYTOPATHOLOGY, SELECTIVE CELLULAR ENHANCEMENT TECHNIQUE WITH INTERPRETATION (EG, LIQUID BASED SLIDE","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":579.29,"providers":[{"billed_charge":3188.37,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1118.09,"providers":[{"billed_charge":4476.00,"npi":[1215921549]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1527.08,"providers":[{"billed_charge":7662.03,"npi":[1234567893]}]}]}]},{"name":"CYTP URINE 3-5 PROBES CMPTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88121","description":"CYTOPATHOLOGY, IN SITU HYBRIDIZATION (EG, FISH), URINARY TRACT SPECIMEN W MORPHOMETRIC ANALYSIS, 3-5","allowed_amounts":[{"tin":{"type":"ein","value":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5639.22,"providers":[{"billed_charge":22545.00,"npi":[1215921549]}]}]}]},{"name":"CYTOPATH, C/V, INTERPRET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88141","description":"CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM), REQUIRING INTERPRETATION BY PHYSICIAN","allowed_amounts":[{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.75,"providers":[{"billed_charge":1079.85,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4500.94,"providers":[{"billed_charge":25378.04,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":341.88,"providers":[{"billed_charge":2660.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.47,"providers":[{"billed_charge":406.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6827.95,"providers":[{"billed_charge":36592.17,"npi":[1234567893]}]}]}]},{"name":"CYTOPATH C/V THIN LAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88142","description":"CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY RPTNG SYSTEM), COLLECTED IN PRESERVATIVE FLUID, AUTOMATED TH","allowed_amounts":[{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":151.95,"providers":[{"billed_charge":1590.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10.13,"providers":[{"billed_charge":73.00,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1957.76,"providers":[{"billed_charge":16157.96,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2192.07,"providers":[{"billed_charge":16794.74,"npi":[1234567893]}]}]}]},{"name":"CYTOPATH EVAL, FNA, REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88173","description":"CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE; INTERPRETATION AND REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4328.73,"providers":[{"billed_charge":24640.00,"npi":[1134438427]}]}]}]},{"name":"CYTOPATH C/V AUTO FLUID REDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88175","description":"CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY RPTNG SYSTEM), COLLECTED IN PRESERVATIVE FLUID, AUTOMATED TH","allowed_amounts":[{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3953.07,"providers":[{"billed_charge":23760.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4032.93,"providers":[{"billed_charge":28482.00,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":212.96,"providers":[{"billed_charge":1288.00,"npi":[1023066412]}]},{"allowed_amount":252.89,"providers":[{"billed_charge":1529.50,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":39.93,"providers":[{"billed_charge":225.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37577.41,"providers":[{"billed_charge":295207.38,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":396.51,"providers":[{"billed_charge":1955.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4725.05,"providers":[{"billed_charge":42600.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"742554159"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":998.25,"providers":[{"billed_charge":6918.75,"npi":[1194769497]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":212.96,"providers":[{"billed_charge":960.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":49734.59,"providers":[{"billed_charge":380407.68,"npi":[1234567893]}]}]}]},{"name":"FLOWCYTOMETRY/ TC, 1 MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88184","description":"FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC, OR NUCLEAR MARKER, TECHNICAL COMPONENT ONLY; FIRST MARKER","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":841.51,"providers":[{"billed_charge":7120.25,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8937.81,"providers":[{"billed_charge":37333.89,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1786.06,"providers":[{"billed_charge":6803.85,"npi":[1234567893]}]}]}]},{"name":"FLOWCYTOMETRY/TC ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88185","description":"FLOW CYTOMETRY, CELL SURFACE, CYTOPLASMIC, OR NUCLEAR MARKER, TECHNICAL COMPONENT ONLY; EACH ADDITIO","allowed_amounts":[{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68400.37,"providers":[{"billed_charge":284844.00,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8326.56,"providers":[{"billed_charge":70466.06,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12248.12,"providers":[{"billed_charge":83224.27,"npi":[1234567893]}]}]}]},{"name":"FLOWCYTOMETRY/READ, 9-15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88188","description":"FLOW CYTOMETRY, INTERPRETATION; 9 TO 15 MARKERS","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":29.74,"providers":[{"billed_charge":385.00,"npi":[1003131038]}]}]}]},{"name":"FLOWCYTOMETRY/READ, 16 & >","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88189","description":"FLOW CYTOMETRY, INTERPRETATION; 16 OR MORE MARKERS","allowed_amounts":[{"tin":{"type":"ein","value":"222405059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":822.89,"providers":[{"billed_charge":6963.69,"npi":[1316322035]}]}]},{"tin":{"type":"ein","value":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9654.34,"providers":[{"billed_charge":37442.25,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1929.09,"providers":[{"billed_charge":9580.97,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"752530066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.93,"providers":[{"billed_charge":227.00,"npi":[1891177911]}]},{"allowed_amount":440.37,"providers":[{"billed_charge":2043.00,"npi":[1124450879]}]}]}]},{"name":"TISSUE EXAM BY PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88302","description":"LEVEL II - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION APPENDIX, INCIDENTAL FALLOPIAN TUBE","allowed_amounts":[{"tin":{"type":"ein","value":"752526006"},"service_code":["24","81"],"billing_class":"professional","payments":[{"allowed_amount":97.81,"providers":[{"billed_charge":453.50,"npi":[1023066412]}]},{"allowed_amount":12.23,"providers":[{"billed_charge":60.34,"npi":[1023066412]}]}]}]},{"name":"TISSUE EXAM BY PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88304","description":"LEVEL III - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ABORTION, INDUCED ABSCESS ANEURYSM","allowed_amounts":[{"tin":{"type":"ein","value":"741209207"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":5.24,"providers":[{"billed_charge":198.00,"npi":[1245238708]}]},{"allowed_amount":10.48,"providers":[{"billed_charge":396.00,"npi":[1972698918,1245238708]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["24","81"],"billing_class":"professional","payments":[{"allowed_amount":14.52,"providers":[{"billed_charge":117.71,"npi":[1023066412]}]},{"allowed_amount":726.00,"providers":[{"billed_charge":5885.50,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":14.15,"providers":[{"billed_charge":234.00,"npi":[1700997764]}]},{"allowed_amount":70.75,"providers":[{"billed_charge":1170.00,"npi":[1700997764]}]}]},{"tin":{"type":"ein","value":"760182525"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5.46,"providers":[{"billed_charge":190.00,"npi":[1861478711]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":78.60,"providers":[{"billed_charge":3150.00,"npi":[1598181943]}]},{"allowed_amount":62.88,"providers":[{"billed_charge":2520.00,"npi":[1497735971]}]},{"allowed_amount":5.24,"providers":[{"billed_charge":210.00,"npi":[1497735971]}]},{"allowed_amount":89.08,"providers":[{"billed_charge":3570.00,"npi":[1598181943]}]}]},{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":54.57,"providers":[{"billed_charge":193.23,"npi":[1770621658]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":10.92,"providers":[{"billed_charge":384.00,"npi":[1811283591,1841488202]}]},{"allowed_amount":191.10,"providers":[{"billed_charge":6720.00,"npi":[1245234616]}]},{"allowed_amount":26.00,"providers":[{"billed_charge":384.00,"npi":[1699161356]}]},{"allowed_amount":5.24,"providers":[{"billed_charge":192.00,"npi":[1396778320]}]},{"allowed_amount":18.46,"providers":[{"billed_charge":384.00,"npi":[1811283591]}]},{"allowed_amount":60.06,"providers":[{"billed_charge":2112.00,"npi":[1841488202]}]},{"allowed_amount":43.68,"providers":[{"billed_charge":1536.00,"npi":[1245234616]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.76,"providers":[{"billed_charge":195.61,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":13.00,"providers":[{"billed_charge":192.00,"npi":[1578718094]}]}]},{"tin":{"type":"ein","value":"752530066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.72,"providers":[{"billed_charge":378.96,"npi":[1891998365]}]}]}]},{"name":"TISSUE EXAM BY PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ABORTION - SPONTANEOUS/MISSED ARTER","allowed_amounts":[{"tin":{"type":"ein","value":"741209207"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":120.20,"providers":[{"billed_charge":2030.00,"npi":[1245238708]}]},{"allowed_amount":68.69,"providers":[{"billed_charge":1160.00,"npi":[1467665620]}]}]},{"tin":{"type":"ein","value":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27332.00,"providers":[{"billed_charge":140500.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1647.41,"providers":[{"billed_charge":13413.00,"npi":[1124075635]}]}]},{"tin":{"type":"ein","value":"751664109"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":343.35,"providers":[{"billed_charge":1890.00,"npi":[1780998757]}]},{"allowed_amount":152.60,"providers":[{"billed_charge":840.00,"npi":[1780998757]}]}]},{"tin":{"type":"ein","value":"61128081"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":641.78,"providers":[{"billed_charge":1682.10,"npi":[1912997354]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1765.97,"providers":[{"billed_charge":3290.00,"npi":[1003073628]}]}]},{"tin":{"type":"ein","value":"331168930"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2362.66,"providers":[{"billed_charge":3978.00,"npi":[1184814014]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24765.38,"providers":[{"billed_charge":96364.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":186.71,"providers":[{"billed_charge":1333.10,"npi":[1234567893]}]},{"allowed_amount":49003.33,"providers":[{"billed_charge":222879.65,"npi":[1234567893]}]},{"allowed_amount":184.21,"providers":[{"billed_charge":1438.80,"npi":[1234567893]}]},{"allowed_amount":1806.57,"providers":[{"billed_charge":15761.17,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":421.68,"providers":[{"billed_charge":4200.00,"npi":[1245454149]}]}]},{"tin":{"type":"ein","value":"742079362"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1307.41,"providers":[{"billed_charge":5655.00,"npi":[1619957560]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","24","81"],"billing_class":"professional","payments":[{"allowed_amount":212.55,"providers":[{"billed_charge":2964.00,"npi":[1023066412]}]},{"allowed_amount":2419.93,"providers":[{"billed_charge":33581.50,"npi":[1023066412]}]},{"allowed_amount":32.70,"providers":[{"billed_charge":456.00,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","11","21"],"billing_class":"professional","payments":[{"allowed_amount":287.05,"providers":[{"billed_charge":1932.00,"npi":[1811283922]}]},{"allowed_amount":1339.62,"providers":[{"billed_charge":9016.00,"npi":[1417420720]}]},{"allowed_amount":1301.05,"providers":[{"billed_charge":9016.00,"npi":[1366447690]}]},{"allowed_amount":1950.08,"providers":[{"billed_charge":13524.00,"npi":[1609810696]}]},{"allowed_amount":514.39,"providers":[{"billed_charge":3542.00,"npi":[1609810696]}]},{"allowed_amount":94.88,"providers":[{"billed_charge":488.00,"npi":[1609810696]}]},{"allowed_amount":95.68,"providers":[{"billed_charge":644.00,"npi":[1033613922]}]},{"allowed_amount":143.52,"providers":[{"billed_charge":966.00,"npi":[1851884647,1386894400]}]},{"allowed_amount":717.62,"providers":[{"billed_charge":4830.00,"npi":[1124293873]}]},{"allowed_amount":382.74,"providers":[{"billed_charge":2576.00,"npi":[1225423502]}]},{"allowed_amount":2487.87,"providers":[{"billed_charge":16744.00,"npi":[1225423502]}]},{"allowed_amount":47.84,"providers":[{"billed_charge":322.00,"npi":[1811283922,1154427201,1487652293]}]},{"allowed_amount":2296.47,"providers":[{"billed_charge":15456.00,"npi":[1033613922]}]},{"allowed_amount":1112.64,"providers":[{"billed_charge":7728.00,"npi":[1700997764]}]},{"allowed_amount":334.88,"providers":[{"billed_charge":2254.00,"npi":[1124293873]}]},{"allowed_amount":1715.31,"providers":[{"billed_charge":11914.00,"npi":[1740620384]}]},{"allowed_amount":2057.27,"providers":[{"billed_charge":13846.00,"npi":[1356788517]}]},{"allowed_amount":139.08,"providers":[{"billed_charge":966.00,"npi":[1740620384]}]},{"allowed_amount":46.36,"providers":[{"billed_charge":322.00,"npi":[1700997764,1366447690]}]},{"allowed_amount":1043.68,"providers":[{"billed_charge":5368.00,"npi":[1154427201]}]},{"allowed_amount":765.50,"providers":[{"billed_charge":5152.00,"npi":[1487652293]}]},{"allowed_amount":191.37,"providers":[{"billed_charge":1288.00,"npi":[1356788517,1417420720]}]},{"allowed_amount":191.36,"providers":[{"billed_charge":1288.00,"npi":[1851884647]}]}]},{"tin":{"type":"ein","value":"741720245"},"service_code":["22","24","21","32"],"billing_class":"professional","payments":[{"allowed_amount":211.87,"providers":[{"billed_charge":3936.00,"npi":[1538121371]}]},{"allowed_amount":177.02,"providers":[{"billed_charge":3280.00,"npi":[1497766117]}]},{"allowed_amount":105.77,"providers":[{"billed_charge":1968.00,"npi":[1871904532]}]},{"allowed_amount":17.17,"providers":[{"billed_charge":328.00,"npi":[1699734053]}]},{"allowed_amount":194.83,"providers":[{"billed_charge":3608.00,"npi":[1497766117]}]},{"allowed_amount":176.83,"providers":[{"billed_charge":3280.00,"npi":[1164862306]}]},{"allowed_amount":35.44,"providers":[{"billed_charge":656.00,"npi":[1225280472,1871904532]}]},{"allowed_amount":17.72,"providers":[{"billed_charge":328.00,"npi":[1225280472,1093262776,1184629586]}]},{"allowed_amount":223.23,"providers":[{"billed_charge":4264.00,"npi":[1699734053]}]},{"allowed_amount":53.16,"providers":[{"billed_charge":984.00,"npi":[1568425916,1093262776,1780882381,1306112834]}]},{"allowed_amount":194.56,"providers":[{"billed_charge":3608.00,"npi":[1164862306]}]},{"allowed_amount":88.05,"providers":[{"billed_charge":1640.00,"npi":[1780882381]}]},{"allowed_amount":283.33,"providers":[{"billed_charge":5248.00,"npi":[1538121371]}]}]},{"tin":{"type":"ein","value":"752656007"},"service_code":["22","11","21"],"billing_class":"professional","payments":[{"allowed_amount":17.17,"providers":[{"billed_charge":228.00,"npi":[1811947179]}]},{"allowed_amount":120.19,"providers":[{"billed_charge":1596.00,"npi":[1699918995]}]},{"allowed_amount":103.03,"providers":[{"billed_charge":1368.00,"npi":[1992755250,1821588104]}]},{"allowed_amount":137.37,"providers":[{"billed_charge":1824.00,"npi":[1821588104]}]},{"allowed_amount":137.36,"providers":[{"billed_charge":1824.00,"npi":[1992755250]}]},{"allowed_amount":309.08,"providers":[{"billed_charge":4104.00,"npi":[1699918995]}]},{"allowed_amount":68.68,"providers":[{"billed_charge":912.00,"npi":[1992755250]}]},{"allowed_amount":274.74,"providers":[{"billed_charge":3648.00,"npi":[1699918995]}]},{"allowed_amount":51.51,"providers":[{"billed_charge":684.00,"npi":[1811947179]}]}]},{"tin":{"type":"ein","value":"871005967"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3865.42,"providers":[{"billed_charge":21450.00,"npi":[1043539687]}]}]},{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11293.62,"providers":[{"billed_charge":56523.12,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":17.17,"providers":[{"billed_charge":280.00,"npi":[1710217971]}]},{"allowed_amount":1390.82,"providers":[{"billed_charge":22680.00,"npi":[1598181943]}]},{"allowed_amount":257.56,"providers":[{"billed_charge":4200.00,"npi":[1710217971]}]},{"allowed_amount":154.54,"providers":[{"billed_charge":2520.00,"npi":[1598181943]}]},{"allowed_amount":68.68,"providers":[{"billed_charge":1120.00,"npi":[1497735971]}]},{"allowed_amount":721.15,"providers":[{"billed_charge":11760.00,"npi":[1497735971]}]}]},{"tin":{"type":"ein","value":"751435000"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":426.81,"providers":[{"billed_charge":6001.00,"npi":[1174109979]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":427.67,"providers":[{"billed_charge":6760.00,"npi":[1811283591]}]},{"allowed_amount":66.16,"providers":[{"billed_charge":1040.00,"npi":[1346650371]}]},{"allowed_amount":992.32,"providers":[{"billed_charge":14560.00,"npi":[1245234616]}]},{"allowed_amount":885.97,"providers":[{"billed_charge":13000.00,"npi":[1427469352]}]},{"allowed_amount":150.37,"providers":[{"billed_charge":2340.00,"npi":[1396778320]}]},{"allowed_amount":65.00,"providers":[{"billed_charge":1300.00,"npi":[1699161356]}]},{"allowed_amount":177.19,"providers":[{"billed_charge":2600.00,"npi":[1740496207]}]},{"allowed_amount":159.47,"providers":[{"billed_charge":2340.00,"npi":[1114903077]}]},{"allowed_amount":156.00,"providers":[{"billed_charge":3120.00,"npi":[1225423502]}]},{"allowed_amount":159.48,"providers":[{"billed_charge":2340.00,"npi":[1083034227]}]},{"allowed_amount":194.92,"providers":[{"billed_charge":2860.00,"npi":[1679981658]}]},{"allowed_amount":318.95,"providers":[{"billed_charge":4680.00,"npi":[1427469352]}]},{"allowed_amount":372.11,"providers":[{"billed_charge":5460.00,"npi":[1841488202]}]},{"allowed_amount":383.95,"providers":[{"billed_charge":5980.00,"npi":[1699270702]}]},{"allowed_amount":2061.47,"providers":[{"billed_charge":31980.00,"npi":[1346650371]}]},{"allowed_amount":124.04,"providers":[{"billed_charge":1820.00,"npi":[1083034227]}]},{"allowed_amount":208.00,"providers":[{"billed_charge":4160.00,"npi":[1225423502]}]},{"allowed_amount":35.44,"providers":[{"billed_charge":520.00,"npi":[1598109985,1699270702]}]},{"allowed_amount":17.72,"providers":[{"billed_charge":260.00,"npi":[1114903077]}]},{"allowed_amount":276.48,"providers":[{"billed_charge":4680.00,"npi":[1811283591]}]},{"allowed_amount":1066.09,"providers":[{"billed_charge":16900.00,"npi":[1396778320]}]},{"allowed_amount":336.68,"providers":[{"billed_charge":4940.00,"npi":[1245234616]}]},{"allowed_amount":248.07,"providers":[{"billed_charge":3640.00,"npi":[1689636276]}]},{"allowed_amount":143.00,"providers":[{"billed_charge":2860.00,"npi":[1699161356]}]},{"allowed_amount":939.13,"providers":[{"billed_charge":13780.00,"npi":[1841488202]}]},{"allowed_amount":939.15,"providers":[{"billed_charge":13780.00,"npi":[1740496207]}]},{"allowed_amount":354.40,"providers":[{"billed_charge":5200.00,"npi":[1689636276]}]}]},{"tin":{"type":"ein","value":"462288983"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1390.60,"providers":[{"billed_charge":6000.00,"npi":[1528300837]}]}]},{"tin":{"type":"ein","value":"752530066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2073.58,"providers":[{"billed_charge":11699.31,"npi":[1891998365]}]},{"allowed_amount":858.82,"providers":[{"billed_charge":4140.00,"npi":[1245494657]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36185.14,"providers":[{"billed_charge":210806.00,"npi":[1831294883]}]},{"allowed_amount":14783.19,"providers":[{"billed_charge":107474.00,"npi":[1225142920]}]},{"allowed_amount":19570.66,"providers":[{"billed_charge":114014.00,"npi":[1588840706]}]},{"allowed_amount":5276.22,"providers":[{"billed_charge":30738.00,"npi":[1679556989]}]}]},{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1576.22,"providers":[{"billed_charge":12448.00,"npi":[1134438427]}]}]},{"tin":{"type":"ein","value":"760182525"},"service_code":["22","24","21"],"billing_class":"professional","payments":[{"allowed_amount":460.71,"providers":[{"billed_charge":7280.00,"npi":[1275021255]}]},{"allowed_amount":2321.17,"providers":[{"billed_charge":36680.00,"npi":[1861478711]}]},{"allowed_amount":318.95,"providers":[{"billed_charge":5040.00,"npi":[1659464857,1861478711]}]},{"allowed_amount":212.64,"providers":[{"billed_charge":3360.00,"npi":[1275021255]}]},{"allowed_amount":1346.64,"providers":[{"billed_charge":21280.00,"npi":[1275021255]}]},{"allowed_amount":2055.37,"providers":[{"billed_charge":32480.00,"npi":[1659464857]}]},{"allowed_amount":974.57,"providers":[{"billed_charge":15400.00,"npi":[1861478711]}]},{"allowed_amount":354.38,"providers":[{"billed_charge":5600.00,"npi":[1205812674]}]},{"allowed_amount":513.87,"providers":[{"billed_charge":8120.00,"npi":[1659464857]}]},{"allowed_amount":17.72,"providers":[{"billed_charge":280.00,"npi":[1205812674]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":805.90,"providers":[{"billed_charge":10623.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["22","23","24","21"],"billing_class":"professional","payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":260.00,"npi":[1952324956]}]},{"allowed_amount":511.34,"providers":[{"billed_charge":8580.00,"npi":[1578718094]}]},{"allowed_amount":26.00,"providers":[{"billed_charge":520.00,"npi":[1891836094]}]},{"allowed_amount":650.00,"providers":[{"billed_charge":13000.00,"npi":[1144367426]}]},{"allowed_amount":85.85,"providers":[{"billed_charge":1300.00,"npi":[1891836094]}]},{"allowed_amount":17.57,"providers":[{"billed_charge":260.00,"npi":[1578718094]}]},{"allowed_amount":120.20,"providers":[{"billed_charge":1820.00,"npi":[1164453486]}]},{"allowed_amount":1326.00,"providers":[{"billed_charge":26520.00,"npi":[1144367426]}]},{"allowed_amount":154.53,"providers":[{"billed_charge":2340.00,"npi":[1164453486]}]},{"allowed_amount":1978.17,"providers":[{"billed_charge":29900.00,"npi":[1952324956]}]},{"allowed_amount":69.13,"providers":[{"billed_charge":1040.00,"npi":[1952324956]}]}]},{"tin":{"type":"ein","value":"751784456"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":246.66,"providers":[{"billed_charge":3710.00,"npi":[1750313904]}]},{"allowed_amount":70.48,"providers":[{"billed_charge":1060.00,"npi":[1750313904]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4214.43,"providers":[{"billed_charge":33638.00,"npi":[1427376557]}]}]}]},{"name":"TISSUE EXAM BY PATHOLOGIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88307","description":"LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ADRENAL, RESECTION BONE - BIOPSY/CUR","allowed_amounts":[{"tin":{"type":"ein","value":"752526006"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":4094.03,"providers":[{"billed_charge":14303.09,"npi":[1023066412]}]},{"allowed_amount":95.21,"providers":[{"billed_charge":332.63,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":105.10,"providers":[{"billed_charge":540.00,"npi":[1124293873]}]},{"allowed_amount":735.69,"providers":[{"billed_charge":3780.00,"npi":[1124293873]}]}]},{"tin":{"type":"ein","value":"752656007"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":112.89,"providers":[{"billed_charge":845.25,"npi":[1699918995]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":75.26,"providers":[{"billed_charge":816.00,"npi":[1598181943]}]},{"allowed_amount":37.63,"providers":[{"billed_charge":408.00,"npi":[1598181943]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":683.84,"providers":[{"billed_charge":2018.65,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":116.79,"providers":[{"billed_charge":1404.00,"npi":[1245234616]}]},{"allowed_amount":38.93,"providers":[{"billed_charge":468.00,"npi":[1841488202]}]},{"allowed_amount":77.86,"providers":[{"billed_charge":936.00,"npi":[1245234616,1841488202]}]}]},{"tin":{"type":"ein","value":"752530066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3303.28,"providers":[{"billed_charge":5183.00,"npi":[1891998365]}]}]}]},{"name":"DECALCIFY TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88311","description":"DECALCIFICATION PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR SURGICAL PATHOLOGY EXAMINATION)","allowed_amounts":[{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":26.76,"providers":[{"billed_charge":91.41,"npi":[1770621658]}]}]}]},{"name":"SPECIAL STAINS GROUP 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88312","description":"SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP I FOR MICROORGANISMS (EG, ACID FAST, METHEN","allowed_amounts":[{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":521.75,"providers":[{"billed_charge":3328.00,"npi":[1225142920]}]},{"allowed_amount":2034.52,"providers":[{"billed_charge":9728.00,"npi":[1831294883]}]},{"allowed_amount":1954.21,"providers":[{"billed_charge":9344.00,"npi":[1588840706]}]}]},{"tin":{"type":"ein","value":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5464.49,"providers":[{"billed_charge":12000.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"331168930"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5302.78,"providers":[{"billed_charge":5635.00,"npi":[1184814014]}]}]},{"tin":{"type":"ein","value":"871005967"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":655.66,"providers":[{"billed_charge":3840.00,"npi":[1043539687]}]}]},{"tin":{"type":"ein","value":"872266063"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":333.55,"providers":[{"billed_charge":1181.39,"npi":[1770621658]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34.52,"providers":[{"billed_charge":329.00,"npi":[1234567893]}]}]}]},{"name":"SPECIAL STAINS GROUP 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88313","description":"SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP II, ALL OTHER (EG, IRON, TRICHROME), EXCEPT","allowed_amounts":[{"tin":{"type":"ein","value":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15260.11,"providers":[{"billed_charge":38610.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":203.15,"providers":[{"billed_charge":1479.00,"npi":[1679556989]}]},{"allowed_amount":1661.05,"providers":[{"billed_charge":12093.00,"npi":[1588840706]}]},{"allowed_amount":3788.15,"providers":[{"billed_charge":27579.00,"npi":[1831294883]}]},{"allowed_amount":1407.69,"providers":[{"billed_charge":12528.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"331168930"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1032.72,"providers":[{"billed_charge":1105.00,"npi":[1184814014]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.27,"providers":[{"billed_charge":344.00,"npi":[1003073628]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":133.90,"providers":[{"billed_charge":487.00,"npi":[1234567893]}]},{"allowed_amount":349.30,"providers":[{"billed_charge":3130.20,"npi":[1234567893]}]},{"allowed_amount":277.84,"providers":[{"billed_charge":2695.00,"npi":[1234567893]}]},{"allowed_amount":128.99,"providers":[{"billed_charge":585.04,"npi":[1234567893]}]}]}]},{"name":"IMMUNOHISTO ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88341","description":"IMMUNOHISTOCHEMISTRY OR IMMUNOCYTOCHEMISTRY, PER SPECIMEN; EACH ADDITIONAL SINGLE ANTIBODY STAIN PRO","allowed_amounts":[{"tin":{"type":"ein","value":"752526006"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":253.09,"providers":[{"billed_charge":742.88,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":72.71,"providers":[{"billed_charge":610.00,"npi":[1124293873]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3224.09,"providers":[{"billed_charge":10203.75,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3167.50,"providers":[{"billed_charge":10000.00,"npi":[1740733708]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81","21"],"billing_class":"professional","payments":[{"allowed_amount":7428.21,"providers":[{"billed_charge":36233.88,"npi":[1234567893]}]},{"allowed_amount":79.96,"providers":[{"billed_charge":1100.57,"npi":[1234567893]}]}]}]},{"name":"IMMUNOHISTO ANTB 1ST STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88342","description":"IMMUNOHISTOCHEMISTRY OR IMMUNOCYTOCHEMISTRY, PER SPECIMEN; INITIAL SINGLE ANTIBODY STAIN PROCEDURE","allowed_amounts":[{"tin":{"type":"ein","value":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8097.22,"providers":[{"billed_charge":15045.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","24","81"],"billing_class":"professional","payments":[{"allowed_amount":72.14,"providers":[{"billed_charge":208.94,"npi":[1023066412]}]},{"allowed_amount":108.21,"providers":[{"billed_charge":313.41,"npi":[1023066412]}]},{"allowed_amount":757.46,"providers":[{"billed_charge":2193.87,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":427.90,"providers":[{"billed_charge":1095.00,"npi":[1003073628]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":134.26,"providers":[{"billed_charge":915.00,"npi":[1356788517]}]},{"allowed_amount":44.75,"providers":[{"billed_charge":305.00,"npi":[1033613922]}]}]},{"tin":{"type":"ein","value":"741720245"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":66.29,"providers":[{"billed_charge":766.00,"npi":[1164862306]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":16.06,"providers":[{"billed_charge":181.00,"npi":[1598181943,1497735971]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4760.00,"providers":[{"billed_charge":22168.00,"npi":[1831294883]}]},{"allowed_amount":1947.17,"providers":[{"billed_charge":10921.00,"npi":[1225142920]}]},{"allowed_amount":2135.00,"providers":[{"billed_charge":9943.00,"npi":[1588840706]}]}]},{"tin":{"type":"ein","value":"760182525"},"service_code":["22","24","21"],"billing_class":"professional","payments":[{"allowed_amount":116.01,"providers":[{"billed_charge":1400.00,"npi":[1861478711]}]},{"allowed_amount":66.28,"providers":[{"billed_charge":800.00,"npi":[1275021255]}]},{"allowed_amount":165.72,"providers":[{"billed_charge":2000.00,"npi":[1861478711]}]},{"allowed_amount":33.14,"providers":[{"billed_charge":400.00,"npi":[1275021255]}]},{"allowed_amount":66.29,"providers":[{"billed_charge":800.00,"npi":[1861478711]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7499.97,"providers":[{"billed_charge":21143.75,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1362.72,"providers":[{"billed_charge":3200.00,"npi":[1740733708]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","11","81","21"],"billing_class":"professional","payments":[{"allowed_amount":15.58,"providers":[{"billed_charge":50.57,"npi":[1234567893]}]},{"allowed_amount":8156.67,"providers":[{"billed_charge":39176.76,"npi":[1234567893]}]},{"allowed_amount":348.20,"providers":[{"billed_charge":3070.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":91.00,"providers":[{"billed_charge":1820.00,"npi":[1144367426]}]},{"allowed_amount":13.00,"providers":[{"billed_charge":260.00,"npi":[1144367426]}]},{"allowed_amount":16.06,"providers":[{"billed_charge":260.00,"npi":[1952324956]}]},{"allowed_amount":160.60,"providers":[{"billed_charge":2600.00,"npi":[1952324956]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1253.73,"providers":[{"billed_charge":9982.00,"npi":[1427376557]}]}]}]},{"name":"TUMOR IMMUNOHISTOCHEM/MANUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88360","description":"MORPHOMETRIC ANALYSIS, TUMOR IMMUNOHISTOCHEMISTRY (EG, HER-2/NEU, ESTROGEN RECEPTOR/PROGESTERONE REC","allowed_amounts":[{"tin":{"type":"ein","value":"760421006"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":318.90,"providers":[{"billed_charge":2022.00,"npi":[1487652293]}]}]},{"tin":{"type":"ein","value":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2133.58,"providers":[{"billed_charge":8521.00,"npi":[1215921549]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18555.65,"providers":[{"billed_charge":29000.00,"npi":[1740733708]}]}]}]},{"name":"M/PHMTRC ALYS ISHQUANT/SEMIQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88374","description":"MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION (QUANTITATIVE OR SEMI-QUANTITATIVE), USING COMPUTER-ASS","allowed_amounts":[{"tin":{"type":"ein","value":"593725585"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":816.08,"providers":[{"billed_charge":4760.00,"npi":[1396408829]}]},{"allowed_amount":2480.19,"providers":[{"billed_charge":8776.00,"npi":[1396408829]}]},{"allowed_amount":3558.06,"providers":[{"billed_charge":12376.00,"npi":[1396408829]}]}]}]},{"name":"MICRODISSECTION, MANUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88381","description":"MICRODISSECTION (IE, SAMPLE PREPARATION OF MICROSCOPICALLY IDENTIFIED TARGET); MANUAL","allowed_amounts":[{"tin":{"type":"ein","value":"743126687"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1773.42,"providers":[{"billed_charge":10107.35,"npi":[1013973866]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2431.17,"providers":[{"billed_charge":5250.00,"npi":[1740733708]}]}]}]},{"name":"PSTAY TREATMENT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"900","description":"PSYCHIATRIC/PSYCHOLOGICAL TREATMENTS - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9321.04,"providers":[{"billed_charge":107640.00,"npi":[1912670068]}]}]}]},{"name":"IM ADMIN 1ST/ONLY COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90460","description":"IMMUNIZATION ADMINISTRATION THROUGH 18 YEARS OF AGE VIA ANY ROUTE OF ADMINISTRATION, W COUNSELING BY","allowed_amounts":[{"tin":{"type":"ein","value":"473975088"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":274.20,"providers":[{"billed_charge":825.00,"npi":[1497225478]}]}]},{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":280.14,"providers":[{"billed_charge":840.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":21.51,"providers":[{"billed_charge":30.00,"npi":[1053453225]}]}]}]},{"name":"IM ADMIN EACH ADDL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90461","description":"IMMUNIZATION ADMINISTRATION THROUGH 18 YEARS OF AGE VIA ANY ROUTE OF ADMINISTRATION, W COUNSELING BY","allowed_amounts":[{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.11,"providers":[{"billed_charge":360.00,"npi":[1265546287]}]}]}]},{"name":"IMMUNIZATION ADMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90471","description":"IMMUNIZATION ADMINISTRATION (INCLUDES PERCUTANEOUS, INTRADERMAL, SUBCUTANEOUS, OR INTRAMUSCULAR INJE","allowed_amounts":[{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":192.60,"providers":[{"billed_charge":245.00,"npi":[1053772129]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.25,"providers":[{"billed_charge":35.00,"npi":[1982050241]}]},{"allowed_amount":173.25,"providers":[{"billed_charge":315.00,"npi":[1942400601]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1155.00,"providers":[{"billed_charge":2700.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2511.86,"providers":[{"billed_charge":5200.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":48.15,"providers":[{"billed_charge":90.00,"npi":[1003273731]}]}]}]},{"name":"BH/INTENS OP/PSYCH","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"905","description":"INTENSIVE OUTPATIENT SERVICES - PSYCHIATRIC","allowed_amounts":[{"tin":{"type":"ein","value":"933112640"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1589.40,"providers":[{"billed_charge":54000.00,"npi":[1477303170]}]}]},{"tin":{"type":"ein","value":"204976326"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1100.00,"providers":[{"billed_charge":3500.00,"npi":[1205999232]}]}]},{"tin":{"type":"ein","value":"621864265"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":440.00,"providers":[{"billed_charge":1500.00,"npi":[1598764359]}]}]},{"tin":{"type":"ein","value":"874676097"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":18250.00,"providers":[{"billed_charge":34150.00,"npi":[1225781560]}]}]},{"tin":{"type":"ein","value":"621864266"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9000.00,"providers":[{"billed_charge":31500.00,"npi":[1730187568]}]}]}]},{"name":"BH/INTENS OP/CHEM DEP","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"906","description":"INTENSIVE OUTPATIENT SERVICES - CHEMICAL DEPENDENCY","allowed_amounts":[{"tin":{"type":"ein","value":"742664821"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2839.00,"providers":[{"billed_charge":6800.00,"npi":[1073654737]}]}]},{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":419250.00,"providers":[{"billed_charge":7747740.00,"npi":[1912670068]}]}]},{"tin":{"type":"ein","value":"814695412"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9990.00,"providers":[{"billed_charge":9990.00,"npi":[1609696905]}]}]},{"tin":{"type":"ein","value":"831356845"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":176.00,"providers":[{"billed_charge":3500.00,"npi":[1134606692]}]}]},{"tin":{"type":"ein","value":"874676097"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":30560.00,"providers":[{"billed_charge":53750.00,"npi":[1225781560]}]}]},{"tin":{"type":"ein","value":"208203513"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":397.35,"providers":[{"billed_charge":3500.00,"npi":[1568630044]}]}]},{"tin":{"type":"ein","value":"993796813"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":883.00,"providers":[{"billed_charge":12000.00,"npi":[1154167518]}]}]}]},{"name":"IIV3 VACC NO PRSV 0.5 ML IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90656","description":"INFLUENZA VIRUS VACCINE, TRIVALENT (IIV3), SPLIT VIRUS, PRESERVATIVE FREE, 0.5 ML DOSAGE, FOR INTRAM","allowed_amounts":[{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1214.73,"providers":[{"billed_charge":2700.00,"npi":[1639511397]}]}]}]},{"name":"IIV4 VACCINE SPLT 0.5 ML IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90688","description":"INFLUENZA VIRUS VACCINE, QUADRIVALENT (IIV4), SPLIT VIRUS, 0.5 ML DOSAGE, FOR INTRAMUSCULAR USE","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2076.51,"providers":[{"billed_charge":8850.00,"npi":[1144275355]}]}]}]},{"name":"TDAP VACCINE 7 YRS/> IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90715","description":"TETANUS, DIPHTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE (TDAP), WHEN ADMINISTERED TO INDIVIDUALS","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.00,"providers":[{"billed_charge":30.00,"npi":[1144275355]}]}]}]},{"name":"HEPB VACCINE 3 DOSE ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90746","description":"HEPATITIS B VACCINE (HEPB), ADULT DOSAGE, 3 DOSE SCHEDULE, FOR INTRAMUSCULAR USE","allowed_amounts":[{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":179.46,"providers":[{"billed_charge":567.00,"npi":[1053772129]}]}]}]},{"name":"PSYCH DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","allowed_amounts":[{"tin":{"type":"ein","value":"825239834"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":291.60,"providers":[{"billed_charge":600.00,"npi":[1699435305]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":125.96,"providers":[{"billed_charge":255.00,"npi":[1063896124]}]},{"allowed_amount":259.20,"providers":[{"billed_charge":510.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"760239508"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":793.52,"providers":[{"billed_charge":2100.00,"npi":[1700883626]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":765.42,"providers":[{"billed_charge":2064.00,"npi":[1578812020]}]}]}]},{"name":"PSYCH DIAG EVAL W/MED SRVCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES","allowed_amounts":[{"tin":{"type":"ein","value":"462598097"},"service_code":["11","51"],"billing_class":"professional","payments":[{"allowed_amount":648.08,"providers":[{"billed_charge":1809.64,"npi":[1578974614]}]},{"allowed_amount":184.94,"providers":[{"billed_charge":554.82,"npi":[1578974614]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":380.91,"providers":[{"billed_charge":1395.36,"npi":[1669887865]}]}]},{"tin":{"type":"ein","value":"832104126"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":563.79,"providers":[{"billed_charge":1320.00,"npi":[1962161919]}]}]},{"tin":{"type":"ein","value":"474591265"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":187.93,"providers":[{"billed_charge":394.00,"npi":[1679958557]}]},{"allowed_amount":375.86,"providers":[{"billed_charge":788.00,"npi":[1275601106]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55","11","57","51"],"billing_class":"professional","payments":[{"allowed_amount":164.33,"providers":[{"billed_charge":355.00,"npi":[1255388203]}]},{"allowed_amount":374.65,"providers":[{"billed_charge":806.00,"npi":[1255388203]}]},{"allowed_amount":652.70,"providers":[{"billed_charge":1612.00,"npi":[1255388203]}]},{"allowed_amount":749.30,"providers":[{"billed_charge":1420.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1414.44,"providers":[{"billed_charge":1647.00,"npi":[1750676532]}]}]},{"tin":{"type":"ein","value":"842103878"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":478.98,"providers":[{"billed_charge":1329.00,"npi":[1043849433]}]}]}]},{"name":"PSYTX W PT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY, 30 MINUTES WITH PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"742907553"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":68.40,"providers":[{"billed_charge":152.00,"npi":[1558982298]}]},{"allowed_amount":136.80,"providers":[{"billed_charge":304.00,"npi":[1558982298]}]},{"allowed_amount":934.56,"providers":[{"billed_charge":1824.00,"npi":[1558982298]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1329.51,"providers":[{"billed_charge":2520.00,"npi":[1063896124]}]},{"allowed_amount":1566.25,"providers":[{"billed_charge":3000.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":723.12,"providers":[{"billed_charge":2083.00,"npi":[1578812020]}]}]}]},{"name":"PSYTX W PT W E/M 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY, 30 MINUTES WITH PATIENT WHEN PERFORMED WITH AN EVALUATION AND MANAGEMENT SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":162.51,"providers":[{"billed_charge":405.00,"npi":[1285198911]}]},{"allowed_amount":254.92,"providers":[{"billed_charge":540.00,"npi":[1003463506]}]},{"allowed_amount":1137.57,"providers":[{"billed_charge":2835.00,"npi":[1215516992]}]},{"allowed_amount":71.67,"providers":[{"billed_charge":170.00,"npi":[1023508587]}]},{"allowed_amount":2383.48,"providers":[{"billed_charge":5940.00,"npi":[1154574879]}]},{"allowed_amount":63.73,"providers":[{"billed_charge":170.00,"npi":[1023508587]}]}]},{"tin":{"type":"ein","value":"760079729"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1342.95,"providers":[{"billed_charge":1860.00,"npi":[1467456897]}]}]},{"tin":{"type":"ein","value":"853159859"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":60.92,"providers":[{"billed_charge":77.32,"npi":[1699312926]}]},{"allowed_amount":216.68,"providers":[{"billed_charge":309.28,"npi":[1699312926]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["11","22","02","10"],"billing_class":"professional","payments":[{"allowed_amount":2745.52,"providers":[{"billed_charge":15574.60,"npi":[1932320389]}]},{"allowed_amount":6777.84,"providers":[{"billed_charge":44912.80,"npi":[1780492330]}]},{"allowed_amount":3589.30,"providers":[{"billed_charge":23543.00,"npi":[1780492330]}]},{"allowed_amount":1106.46,"providers":[{"billed_charge":5795.20,"npi":[1932320389]}]},{"allowed_amount":109.39,"providers":[{"billed_charge":724.40,"npi":[1164299368]}]},{"allowed_amount":273.30,"providers":[{"billed_charge":1811.00,"npi":[1538426614]}]},{"allowed_amount":108.34,"providers":[{"billed_charge":724.40,"npi":[1548298003]}]},{"allowed_amount":54.66,"providers":[{"billed_charge":362.20,"npi":[1982334116,1841035318]}]},{"allowed_amount":107.21,"providers":[{"billed_charge":724.40,"npi":[1982334116]}]},{"allowed_amount":109.32,"providers":[{"billed_charge":724.40,"npi":[1780492330,1548973852]}]},{"allowed_amount":525.48,"providers":[{"billed_charge":3259.80,"npi":[1548298003]}]},{"allowed_amount":597.34,"providers":[{"billed_charge":3984.20,"npi":[1841035318]}]},{"allowed_amount":788.37,"providers":[{"billed_charge":3984.20,"npi":[1952012189]}]},{"allowed_amount":815.00,"providers":[{"billed_charge":5433.00,"npi":[1629889068]}]},{"allowed_amount":437.28,"providers":[{"billed_charge":2685.40,"npi":[1538426614]}]},{"allowed_amount":243.68,"providers":[{"billed_charge":1448.80,"npi":[1629889068]}]},{"allowed_amount":2714.87,"providers":[{"billed_charge":17897.80,"npi":[1164299368]}]},{"allowed_amount":191.19,"providers":[{"billed_charge":1086.60,"npi":[1952012189]}]},{"allowed_amount":163.00,"providers":[{"billed_charge":1086.60,"npi":[1548298003]}]},{"allowed_amount":1848.17,"providers":[{"billed_charge":10503.80,"npi":[1952012189]}]}]}]},{"name":"PSYTX W PT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY, 45 MINUTES WITH PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"832104126"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":1249.92,"providers":[{"billed_charge":3120.00,"npi":[1679358733]}]},{"allowed_amount":312.48,"providers":[{"billed_charge":780.00,"npi":[1649993668]}]},{"allowed_amount":520.80,"providers":[{"billed_charge":1300.00,"npi":[1427418102]}]}]},{"tin":{"type":"ein","value":"474591265"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":416.64,"providers":[{"billed_charge":800.00,"npi":[1144297086]}]},{"allowed_amount":390.60,"providers":[{"billed_charge":1000.00,"npi":[1801491659]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":613.60,"providers":[{"billed_charge":1368.00,"npi":[1619288024]}]},{"allowed_amount":76.70,"providers":[{"billed_charge":171.00,"npi":[1184153389,1609490069]}]},{"allowed_amount":690.30,"providers":[{"billed_charge":1539.00,"npi":[1326357211]}]},{"allowed_amount":383.50,"providers":[{"billed_charge":855.00,"npi":[1538406202]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":338.40,"providers":[{"billed_charge":645.00,"npi":[1396411104]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1376.65,"providers":[{"billed_charge":3857.00,"npi":[1447026372]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2330.44,"providers":[{"billed_charge":4060.00,"npi":[1063896124]}]},{"allowed_amount":2684.48,"providers":[{"billed_charge":4640.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":1926.96,"providers":[{"billed_charge":4920.00,"npi":[1234567893]}]},{"allowed_amount":338.52,"providers":[{"billed_charge":850.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"760239508"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":74.91,"providers":[{"billed_charge":200.00,"npi":[1700883626]}]}]},{"tin":{"type":"ein","value":"815054547"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":251.67,"providers":[{"billed_charge":375.00,"npi":[1952703704]}]},{"allowed_amount":1090.57,"providers":[{"billed_charge":1625.00,"npi":[1952703704]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":3657.00,"providers":[{"billed_charge":9750.00,"npi":[1578812020]}]}]}]},{"name":"PSYTX W PT W E/M 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY, 45 MINUTES WITH PATIENT WHEN PERFORMED WITH AN EVALUATION AND MANAGEMENT SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"264621796"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":206.58,"providers":[{"billed_charge":510.00,"npi":[1154574879]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":139.80,"providers":[{"billed_charge":914.40,"npi":[1780492330]}]},{"allowed_amount":139.24,"providers":[{"billed_charge":914.40,"npi":[1780492330]}]}]}]},{"name":"PSYTX W PT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90837","description":"PSYCHOTHERAPY, 60 MINUTES WITH PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"457559735"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5305.40,"providers":[{"billed_charge":8200.00,"npi":[1730388356]}]}]},{"tin":{"type":"ein","value":"831668503"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":377.88,"providers":[{"billed_charge":1260.00,"npi":[1003350414]}]}]},{"tin":{"type":"ein","value":"824848623"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":94.47,"providers":[{"billed_charge":140.00,"npi":[1578947438]}]}]},{"tin":{"type":"ein","value":"650634641"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":456.72,"providers":[{"billed_charge":525.00,"npi":[1376181404]}]}]},{"tin":{"type":"ein","value":"852938829"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":462.87,"providers":[{"billed_charge":1050.00,"npi":[1801409446]}]}]},{"tin":{"type":"ein","value":"872854672"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":227.10,"providers":[{"billed_charge":450.00,"npi":[1538120811]},{"billed_charge":500.00,"npi":[1538120811]}]},{"allowed_amount":1634.65,"providers":[{"billed_charge":3150.00,"npi":[1538120811]}]}]},{"tin":{"type":"ein","value":"832104126"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":1388.61,"providers":[{"billed_charge":3159.00,"npi":[1679358733]}]},{"allowed_amount":308.58,"providers":[{"billed_charge":702.00,"npi":[1750699104]}]},{"allowed_amount":617.16,"providers":[{"billed_charge":1404.00,"npi":[1427418102]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":765.18,"providers":[{"billed_charge":2232.12,"npi":[1184353708]}]},{"allowed_amount":255.06,"providers":[{"billed_charge":748.14,"npi":[1740517218]}]},{"allowed_amount":169.60,"providers":[{"billed_charge":490.56,"npi":[1902338536]}]},{"allowed_amount":1014.96,"providers":[{"billed_charge":2992.56,"npi":[1902338536]}]},{"allowed_amount":1184.12,"providers":[{"billed_charge":3470.82,"npi":[1184353708]}]}]},{"tin":{"type":"ein","value":"862493019"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":231.44,"providers":[{"billed_charge":231.44,"npi":[1316684186]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":2439.39,"providers":[{"billed_charge":16779.40,"npi":[1144090689]}]},{"allowed_amount":939.80,"providers":[{"billed_charge":7627.00,"npi":[1245351261]}]},{"allowed_amount":129.40,"providers":[{"billed_charge":762.70,"npi":[1437278983]}]},{"allowed_amount":1867.77,"providers":[{"billed_charge":13728.60,"npi":[1790982551]}]},{"allowed_amount":528.61,"providers":[{"billed_charge":3813.50,"npi":[1811540859]}]},{"allowed_amount":567.75,"providers":[{"billed_charge":3813.50,"npi":[1437278983]}]},{"allowed_amount":187.96,"providers":[{"billed_charge":1525.40,"npi":[1245351261]}]},{"allowed_amount":1259.07,"providers":[{"billed_charge":7627.00,"npi":[1144090689]}]},{"allowed_amount":1245.18,"providers":[{"billed_charge":9152.40,"npi":[1790982551]}]},{"allowed_amount":94.47,"providers":[{"billed_charge":762.70,"npi":[1811540859,1245351261,1790982551]}]},{"allowed_amount":3206.93,"providers":[{"billed_charge":23643.70,"npi":[1811540859]}]}]},{"tin":{"type":"ein","value":"462912663"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4251.00,"providers":[{"billed_charge":8750.00,"npi":[1376770834]}]}]},{"tin":{"type":"ein","value":"825239834"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":4251.15,"providers":[{"billed_charge":7875.00,"npi":[1699435305]}]},{"allowed_amount":472.35,"providers":[{"billed_charge":875.00,"npi":[1699435305]}]}]},{"tin":{"type":"ein","value":"263447487"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":794.85,"providers":[{"billed_charge":1750.00,"npi":[1295031672]}]}]},{"tin":{"type":"ein","value":"714381961"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2750.00,"providers":[{"billed_charge":2750.00,"npi":[1568359727]}]},{"allowed_amount":113.55,"providers":[{"billed_charge":125.00,"npi":[1568359727]}]}]},{"tin":{"type":"ein","value":"854159267"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":517.60,"providers":[{"billed_charge":520.00,"npi":[1689353872]}]},{"allowed_amount":2588.00,"providers":[{"billed_charge":2840.00,"npi":[1376362723]}]},{"allowed_amount":227.10,"providers":[{"billed_charge":284.00,"npi":[1376362723]}]},{"allowed_amount":258.80,"providers":[{"billed_charge":260.00,"npi":[1306562012]}]}]},{"tin":{"type":"ein","value":"863990534"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":3568.55,"providers":[{"billed_charge":3570.00,"npi":[1215427331]}]},{"allowed_amount":1816.80,"providers":[{"billed_charge":1895.00,"npi":[1215427331]}]}]},{"tin":{"type":"ein","value":"113762050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":228.36,"providers":[{"billed_charge":880.00,"npi":[1447775895]}]}]},{"tin":{"type":"ein","value":"453600435"},"service_code":["57"],"billing_class":"professional","payments":[{"allowed_amount":125.96,"providers":[{"billed_charge":450.00,"npi":[1255839296]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":11488.74,"providers":[{"billed_charge":31390.00,"npi":[1447325618]}]},{"allowed_amount":227.10,"providers":[{"billed_charge":730.00,"npi":[1144826850]}]},{"allowed_amount":340.65,"providers":[{"billed_charge":1095.00,"npi":[1093990509]}]},{"allowed_amount":258.80,"providers":[{"billed_charge":730.00,"npi":[1144826850]}]}]},{"tin":{"type":"ein","value":"861745580"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":1976.15,"providers":[{"billed_charge":1987.60,"npi":[1720677909]}]}]},{"tin":{"type":"ein","value":"205118702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":388.20,"providers":[{"billed_charge":450.00,"npi":[1366545907]}]}]},{"tin":{"type":"ein","value":"814367367"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":1816.80,"providers":[{"billed_charge":3200.00,"npi":[1831631050]}]}]},{"tin":{"type":"ein","value":"611676787"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":661.29,"providers":[{"billed_charge":1225.00,"npi":[1285979286]}]},{"allowed_amount":2172.81,"providers":[{"billed_charge":4025.00,"npi":[1285979286]}]}]},{"tin":{"type":"ein","value":"922142691"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1423.40,"providers":[{"billed_charge":1490.00,"npi":[1174261853]}]},{"allowed_amount":4314.90,"providers":[{"billed_charge":5260.00,"npi":[1174261853]}]}]},{"tin":{"type":"ein","value":"854243755"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5210.30,"providers":[{"billed_charge":5740.00,"npi":[1659816064]}]}]},{"tin":{"type":"ein","value":"760464214"},"service_code":["12","02"],"billing_class":"professional","payments":[{"allowed_amount":1035.20,"providers":[{"billed_charge":1160.00,"npi":[1992253744]}]},{"allowed_amount":767.30,"providers":[{"billed_charge":956.00,"npi":[1992253744]}]}]}]},{"name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"PSYCHOANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"611922162"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":1449.70,"providers":[{"billed_charge":16055.00,"npi":[1144831579]}]},{"allowed_amount":153.16,"providers":[{"billed_charge":1690.00,"npi":[1144831579]}]},{"allowed_amount":76.30,"providers":[{"billed_charge":845.00,"npi":[1144831579]}]}]}]},{"name":"TCRANIAL MAGN STIM TX DELI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90868","description":"THERAPEUTIC REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (TMS) TREATMENT; SUBSEQUENT DELIVERY AND MA","allowed_amounts":[{"tin":{"type":"ein","value":"832419554"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2050.44,"providers":[{"billed_charge":8400.00,"npi":[1134516032]}]}]},{"tin":{"type":"ein","value":"814211994"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4485.60,"providers":[{"billed_charge":14952.00,"npi":[1902073216]}]}]},{"tin":{"type":"ein","value":"823841127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3480.00,"providers":[{"billed_charge":11600.00,"npi":[1689995649]}]}]}]},{"name":"PSTAY/PARTIAL HOSP","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"912","description":"PSYCHIATRIC/PSYCHOLOGICAL SERVICES - PARTIAL HOSPITALIZATION","allowed_amounts":[{"tin":{"type":"ein","value":"922191786"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1540.00,"providers":[{"billed_charge":18900.00,"npi":[1780428441]}]}]},{"tin":{"type":"ein","value":"731726290"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":8136.00,"providers":[{"billed_charge":26000.00,"npi":[1861598633]}]}]},{"tin":{"type":"ein","value":"832064561"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":16519.36,"providers":[{"billed_charge":285304.00,"npi":[1942966502]}]}]},{"tin":{"type":"ein","value":"621864265"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2552.00,"providers":[{"billed_charge":8000.00,"npi":[1598764359]}]}]},{"tin":{"type":"ein","value":"823470979"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2450.00,"providers":[{"billed_charge":16500.00,"npi":[1265447015]}]}]},{"tin":{"type":"ein","value":"621864266"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2148.00,"providers":[{"billed_charge":7000.00,"npi":[1730187568]}]}]}]},{"name":"PSYCHIATRIC CARE INTENSIVE 4","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"913","description":"PSYCHIATRIC CARE INTENSIVE 4-6 HOURS","allowed_amounts":[{"tin":{"type":"ein","value":"841618661"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3680.00,"providers":[{"billed_charge":6560.00,"npi":[1578809505]}]}]},{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":273900.00,"providers":[{"billed_charge":3670260.00,"npi":[1912670068]}]}]},{"tin":{"type":"ein","value":"832064561"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":4564.56,"providers":[{"billed_charge":78834.00,"npi":[1942966502]}]}]},{"tin":{"type":"ein","value":"993796813"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":15563.84,"providers":[{"billed_charge":108000.00,"npi":[1154167518]}]}]}]},{"name":"PSTAY/INDIV RX","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"914","description":"PSYCHIATRIC/PSYCHOLOGICAL SERVICES - INDIVIDUAL THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":31354.19,"providers":[{"billed_charge":388410.00,"npi":[1912670068]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":341.23,"providers":[{"billed_charge":826.00,"npi":[1740347087]}]}]}]},{"name":"OTHER DX SVS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"920","description":"OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":188.89,"providers":[{"billed_charge":342.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4276.27,"providers":[{"billed_charge":23204.56,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1451.06,"providers":[{"billed_charge":6960.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":976.21,"providers":[{"billed_charge":11313.50,"npi":[1295843787]}]},{"allowed_amount":5864.60,"providers":[{"billed_charge":52947.75,"npi":[1730132234]}]}]}]},{"name":"EYE EXAM&TX ESTAB PT 1/>VST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92014","description":"OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, W INITIATION OR CONTINUATION OF DIAGN","allowed_amounts":[{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2219.77,"providers":[{"billed_charge":5430.20,"npi":[1326043506]}]}]}]},{"name":"PERI VASCUL LAB","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"921","description":"OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB","allowed_amounts":[{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":7442.85,"providers":[{"billed_charge":162960.00,"npi":[1083937593]}]},{"allowed_amount":5059.44,"providers":[{"billed_charge":137959.00,"npi":[1184179194]}]},{"allowed_amount":106.51,"providers":[{"billed_charge":4106.00,"npi":[1083937593]}]},{"allowed_amount":8086.17,"providers":[{"billed_charge":199306.00,"npi":[1497871628]}]},{"allowed_amount":10733.16,"providers":[{"billed_charge":232780.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","20"],"billing_class":"institutional","payments":[{"allowed_amount":228.75,"providers":[{"billed_charge":694.00,"npi":[1992753222]}]},{"allowed_amount":153.41,"providers":[{"billed_charge":334.00,"npi":[1992753222]}]},{"allowed_amount":10861.53,"providers":[{"billed_charge":44271.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":542.20,"providers":[{"billed_charge":3379.68,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2493.66,"providers":[{"billed_charge":29237.85,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2087.30,"providers":[{"billed_charge":11091.75,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21028.09,"providers":[{"billed_charge":272940.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2400.71,"providers":[{"billed_charge":25420.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":832.86,"providers":[{"billed_charge":3641.92,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5378.62,"providers":[{"billed_charge":37230.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":104.22,"providers":[{"billed_charge":1338.82,"npi":[1477516466]}]},{"allowed_amount":3781.00,"providers":[{"billed_charge":25673.68,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10008.75,"providers":[{"billed_charge":168844.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14841.03,"providers":[{"billed_charge":80275.25,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":93083.60,"providers":[{"billed_charge":1095806.00,"npi":[1730132234]}]},{"allowed_amount":557.80,"providers":[{"billed_charge":7039.00,"npi":[1932152337]}]},{"allowed_amount":387.38,"providers":[{"billed_charge":7124.00,"npi":[1295843787]}]},{"allowed_amount":43864.38,"providers":[{"billed_charge":529894.00,"npi":[1295843787]}]},{"allowed_amount":12210.00,"providers":[{"billed_charge":143584.00,"npi":[1740233782]}]},{"allowed_amount":22730.86,"providers":[{"billed_charge":288291.50,"npi":[1932152337]}]},{"allowed_amount":18599.86,"providers":[{"billed_charge":235838.00,"npi":[1982666111]}]},{"allowed_amount":12240.80,"providers":[{"billed_charge":150645.50,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3934.44,"providers":[{"billed_charge":85448.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":158.20,"providers":[{"billed_charge":1980.15,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6539.40,"providers":[{"billed_charge":30283.00,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1013.02,"providers":[{"billed_charge":9038.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3275.42,"providers":[{"billed_charge":9150.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40554.94,"providers":[{"billed_charge":205610.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1457.16,"providers":[{"billed_charge":9294.12,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3320.28,"providers":[{"billed_charge":26196.64,"npi":[1629089966]}]},{"allowed_amount":3259.33,"providers":[{"billed_charge":34499.76,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7250.38,"providers":[{"billed_charge":48424.41,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6742.58,"providers":[{"billed_charge":37726.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":422.44,"providers":[{"billed_charge":6758.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210.29,"providers":[{"billed_charge":1239.65,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8407.83,"providers":[{"billed_charge":227071.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1384.55,"providers":[{"billed_charge":20786.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10679.30,"providers":[{"billed_charge":125445.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17633.89,"providers":[{"billed_charge":96265.75,"npi":[1336172105]}]}]}]},{"name":"CPTR OPHTH DX IMG POST SEGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92134","description":"SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING, POSTERIOR SEGMENT, W INTERPRETATION AND RPT, UN","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":629.32,"providers":[{"billed_charge":2197.65,"npi":[1598129702]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.10,"providers":[{"billed_charge":200.00,"npi":[1234567893]}]}]}]},{"name":"SPEECH/HEARING THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/OR AUDITORY PROCESSING DISORDER; INDIVIDUAL","allowed_amounts":[{"tin":{"type":"ein","value":"752883890"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":300.00,"providers":[{"billed_charge":585.00,"npi":[1265431977]}]}]},{"tin":{"type":"ein","value":"862833892"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":512.50,"providers":[{"billed_charge":2450.00,"npi":[1326774084]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":154.64,"providers":[{"billed_charge":240.00,"npi":[1629519749]}]}]},{"tin":{"type":"ein","value":"832421583"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1698.60,"providers":[{"billed_charge":3000.00,"npi":[1619501186]}]},{"allowed_amount":162.54,"providers":[{"billed_charge":300.00,"npi":[1619501186]}]}]},{"tin":{"type":"ein","value":"760645849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2010.32,"providers":[{"billed_charge":4680.00,"npi":[1841204898]}]}]}]},{"name":"PURE TONE HEARING TEST, AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92551","description":"SCREENING TEST, PURE TONE, AIR ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"473975088"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":375.06,"providers":[{"billed_charge":1140.00,"npi":[1497225478]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":127.63,"providers":[{"billed_charge":385.00,"npi":[1245432038]}]},{"allowed_amount":81.13,"providers":[{"billed_charge":245.00,"npi":[1831576925]}]},{"allowed_amount":313.47,"providers":[{"billed_charge":945.00,"npi":[1053453225]}]}]}]},{"name":"AEP SCR AUDITORY POTENTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"650578395"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5183.40,"providers":[{"billed_charge":17278.00,"npi":[1780642041]}]},{"allowed_amount":2836.20,"providers":[{"billed_charge":9454.00,"npi":[1043211394]}]},{"allowed_amount":1760.40,"providers":[{"billed_charge":5868.00,"npi":[1770548190]}]}]},{"tin":{"type":"ein","value":"752740653"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3227.40,"providers":[{"billed_charge":10758.00,"npi":[1174547608]}]}]},{"tin":{"type":"ein","value":"650603121"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":954.00,"providers":[{"billed_charge":19440.00,"npi":[1346212990]}]},{"allowed_amount":346.92,"providers":[{"billed_charge":6804.00,"npi":[1982908430]}]}]}]},{"name":"ELECTROCARDIOGRAM, COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93000","description":"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH INTERPRETATION AND REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.81,"providers":[{"billed_charge":175.75,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.42,"providers":[{"billed_charge":29.14,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.84,"providers":[{"billed_charge":54.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":120.96,"providers":[{"billed_charge":315.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":145.97,"providers":[{"billed_charge":470.91,"npi":[1093212821]}]},{"allowed_amount":168.43,"providers":[{"billed_charge":556.53,"npi":[1609021161]}]}]},{"tin":{"type":"ein","value":"742620408"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":125.00,"providers":[{"billed_charge":420.00,"npi":[1730373861]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.36,"providers":[{"billed_charge":360.08,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":264.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":225.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1024.29,"providers":[{"billed_charge":5700.00,"npi":[1144275355]}]}]}]},{"name":"ELECTROCARDIOGRAM REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93010","description":"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; INTERPRETATION AND REPORT ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"920192097"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":925.74,"providers":[{"billed_charge":2662.00,"npi":[1336660984]}]},{"allowed_amount":44.46,"providers":[{"billed_charge":132.00,"npi":[1023007085]}]},{"allowed_amount":923.49,"providers":[{"billed_charge":2442.00,"npi":[1023007085]}]},{"allowed_amount":68.76,"providers":[{"billed_charge":198.00,"npi":[1336660984]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":550.00,"npi":[1023007085]}]},{"allowed_amount":160.44,"providers":[{"billed_charge":462.00,"npi":[1336660984]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":209.53,"providers":[{"billed_charge":368.46,"npi":[1841246113]}]},{"allowed_amount":475.65,"providers":[{"billed_charge":1009.26,"npi":[1477754190]}]},{"allowed_amount":181.07,"providers":[{"billed_charge":336.42,"npi":[1386083343]}]},{"allowed_amount":235.44,"providers":[{"billed_charge":432.54,"npi":[1679507875]}]},{"allowed_amount":453.01,"providers":[{"billed_charge":961.20,"npi":[1417974155]}]},{"allowed_amount":17.44,"providers":[{"billed_charge":32.04,"npi":[1437682176]}]},{"allowed_amount":536.06,"providers":[{"billed_charge":1137.42,"npi":[1104092741]}]},{"allowed_amount":792.75,"providers":[{"billed_charge":1682.10,"npi":[1841246113]}]},{"allowed_amount":905.91,"providers":[{"billed_charge":1666.08,"npi":[1407086705]}]},{"allowed_amount":388.34,"providers":[{"billed_charge":736.92,"npi":[1417974155]}]},{"allowed_amount":427.28,"providers":[{"billed_charge":784.98,"npi":[1679507875]}]},{"allowed_amount":436.00,"providers":[{"billed_charge":801.00,"npi":[1407086705]}]},{"allowed_amount":294.46,"providers":[{"billed_charge":624.78,"npi":[1104092741]}]},{"allowed_amount":332.20,"providers":[{"billed_charge":704.88,"npi":[1841246113]}]},{"allowed_amount":278.07,"providers":[{"billed_charge":512.64,"npi":[1407086705]}]},{"allowed_amount":898.45,"providers":[{"billed_charge":1906.38,"npi":[1417974155]}]},{"allowed_amount":246.57,"providers":[{"billed_charge":496.62,"npi":[1477754190]}]},{"allowed_amount":249.27,"providers":[{"billed_charge":528.66,"npi":[1477754190]}]},{"allowed_amount":228.05,"providers":[{"billed_charge":432.54,"npi":[1104092741]}]},{"allowed_amount":26.16,"providers":[{"billed_charge":48.06,"npi":[1437682176]}]},{"allowed_amount":305.20,"providers":[{"billed_charge":560.70,"npi":[1679507875]}]},{"allowed_amount":226.52,"providers":[{"billed_charge":480.60,"npi":[1386083343]}]},{"allowed_amount":347.30,"providers":[{"billed_charge":736.92,"npi":[1386083343]}]}]},{"tin":{"type":"ein","value":"814094395"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":9.93,"providers":[{"billed_charge":36.00,"npi":[1649272923]}]},{"allowed_amount":446.85,"providers":[{"billed_charge":1620.00,"npi":[1649272923]}]},{"allowed_amount":19.86,"providers":[{"billed_charge":72.00,"npi":[1649272923]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1835.26,"providers":[{"billed_charge":9090.00,"npi":[1215321476]}]},{"allowed_amount":18.68,"providers":[{"billed_charge":90.00,"npi":[1770875338]}]},{"allowed_amount":15.48,"providers":[{"billed_charge":90.00,"npi":[1295811099]}]},{"allowed_amount":219.35,"providers":[{"billed_charge":1080.00,"npi":[1235591389]}]},{"allowed_amount":18.32,"providers":[{"billed_charge":90.00,"npi":[1215321476]}]},{"allowed_amount":252.22,"providers":[{"billed_charge":1260.00,"npi":[1215321476]}]},{"allowed_amount":7.74,"providers":[{"billed_charge":45.00,"npi":[1194089334]}]},{"allowed_amount":493.90,"providers":[{"billed_charge":2340.00,"npi":[1235591389]}]},{"allowed_amount":170.28,"providers":[{"billed_charge":990.00,"npi":[1295811099]}]},{"allowed_amount":739.67,"providers":[{"billed_charge":3780.00,"npi":[1295811099]}]},{"allowed_amount":32.08,"providers":[{"billed_charge":180.00,"npi":[1194089334]}]},{"allowed_amount":763.64,"providers":[{"billed_charge":3870.00,"npi":[1780905810]}]},{"allowed_amount":85.14,"providers":[{"billed_charge":495.00,"npi":[1780905810]}]},{"allowed_amount":49.44,"providers":[{"billed_charge":270.00,"npi":[1821403775]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":25.55,"providers":[{"billed_charge":189.00,"npi":[1568951259]}]},{"allowed_amount":47.29,"providers":[{"billed_charge":378.00,"npi":[1083269534]}]},{"allowed_amount":116.27,"providers":[{"billed_charge":882.00,"npi":[1801384615]}]},{"allowed_amount":307.92,"providers":[{"billed_charge":2331.00,"npi":[1316567480]}]},{"allowed_amount":48.88,"providers":[{"billed_charge":441.00,"npi":[1609277292]}]},{"allowed_amount":415.15,"providers":[{"billed_charge":3024.00,"npi":[1952374373]}]},{"allowed_amount":398.64,"providers":[{"billed_charge":3024.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"263933920"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":25.55,"providers":[{"billed_charge":228.00,"npi":[1396807491]}]},{"allowed_amount":33.22,"providers":[{"billed_charge":304.00,"npi":[1346533833]}]}]},{"tin":{"type":"ein","value":"752616977"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":10.31,"providers":[{"billed_charge":19.00,"npi":[1639344310,1548250392,1619114659,1043253693,1811987654,1225128259,1811048697,1043200785,1568751196]}]},{"allowed_amount":17.24,"providers":[{"billed_charge":38.00,"npi":[1033110234]}]},{"allowed_amount":693.30,"providers":[{"billed_charge":1577.00,"npi":[1730186610]}]},{"allowed_amount":72.17,"providers":[{"billed_charge":133.00,"npi":[1811987654]}]},{"allowed_amount":111.15,"providers":[{"billed_charge":285.00,"npi":[1194992818]}]},{"allowed_amount":443.33,"providers":[{"billed_charge":817.00,"npi":[1033537873]}]},{"allowed_amount":8.94,"providers":[{"billed_charge":19.00,"npi":[1003131533]}]},{"allowed_amount":35.32,"providers":[{"billed_charge":57.00,"npi":[1144318270]}]},{"allowed_amount":216.51,"providers":[{"billed_charge":399.00,"npi":[1568751196]}]},{"allowed_amount":7.41,"providers":[{"billed_charge":19.00,"npi":[1730186610,1902817992,1740281302]}]},{"allowed_amount":51.87,"providers":[{"billed_charge":133.00,"npi":[1740281302]}]},{"allowed_amount":308.02,"providers":[{"billed_charge":798.00,"npi":[1376955492]}]},{"allowed_amount":247.44,"providers":[{"billed_charge":456.00,"npi":[1831261809,1043200785]}]},{"allowed_amount":298.99,"providers":[{"billed_charge":551.00,"npi":[1811987654]}]},{"allowed_amount":164.96,"providers":[{"billed_charge":304.00,"npi":[1578935268]}]},{"allowed_amount":26.38,"providers":[{"billed_charge":38.00,"npi":[1659509990]}]},{"allowed_amount":68.98,"providers":[{"billed_charge":152.00,"npi":[1902817992]}]},{"allowed_amount":43.98,"providers":[{"billed_charge":114.00,"npi":[1730186610]}]},{"allowed_amount":195.89,"providers":[{"billed_charge":361.00,"npi":[1326038159]}]},{"allowed_amount":327.07,"providers":[{"billed_charge":741.00,"npi":[1679990527]}]},{"allowed_amount":61.86,"providers":[{"billed_charge":114.00,"npi":[1619114659]}]},{"allowed_amount":226.82,"providers":[{"billed_charge":418.00,"npi":[1043253693]}]},{"allowed_amount":113.41,"providers":[{"billed_charge":209.00,"npi":[1639344310,1255321980]}]},{"allowed_amount":41.24,"providers":[{"billed_charge":76.00,"npi":[1548250392,1831261809,1578935268]}]},{"allowed_amount":123.72,"providers":[{"billed_charge":228.00,"npi":[1033537873]}]},{"allowed_amount":829.21,"providers":[{"billed_charge":1919.00,"npi":[1376955492]}]},{"allowed_amount":185.58,"providers":[{"billed_charge":342.00,"npi":[1619114659]}]},{"allowed_amount":75.38,"providers":[{"billed_charge":171.00,"npi":[1649260373]}]},{"allowed_amount":92.79,"providers":[{"billed_charge":171.00,"npi":[1548250392,1568751196]}]},{"allowed_amount":30.93,"providers":[{"billed_charge":57.00,"npi":[1043253693,1811048697,1770019549]}]},{"allowed_amount":125.97,"providers":[{"billed_charge":323.00,"npi":[1003131533]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":38.00,"npi":[1306847504,1649260373,1679990527]}]},{"allowed_amount":219.90,"providers":[{"billed_charge":570.00,"npi":[1730186610]}]},{"allowed_amount":30.60,"providers":[{"billed_charge":57.00,"npi":[1770019549]}]},{"allowed_amount":51.55,"providers":[{"billed_charge":95.00,"npi":[1043200785]}]},{"allowed_amount":10.20,"providers":[{"billed_charge":19.00,"npi":[1770019549]}]},{"allowed_amount":104.80,"providers":[{"billed_charge":247.00,"npi":[1144318270]}]},{"allowed_amount":22.23,"providers":[{"billed_charge":57.00,"npi":[1679990527]}]},{"allowed_amount":183.60,"providers":[{"billed_charge":342.00,"npi":[1770019549]}]},{"allowed_amount":80.71,"providers":[{"billed_charge":209.00,"npi":[1376955492]}]},{"allowed_amount":20.62,"providers":[{"billed_charge":38.00,"npi":[1639344310,1326038159,1831261809,1033537873,1255321980]}]},{"allowed_amount":204.61,"providers":[{"billed_charge":475.00,"npi":[1659509990]}]}]},{"tin":{"type":"ein","value":"741498067"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":22.65,"providers":[{"billed_charge":27.00,"npi":[1679671127]}]},{"allowed_amount":40.28,"providers":[{"billed_charge":45.00,"npi":[1679671127]}]},{"allowed_amount":7.55,"providers":[{"billed_charge":9.00,"npi":[1679671127]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":140.98,"providers":[{"billed_charge":606.48,"npi":[1750709895]}]},{"allowed_amount":148.40,"providers":[{"billed_charge":638.40,"npi":[1750709895]}]},{"allowed_amount":103.88,"providers":[{"billed_charge":446.88,"npi":[1497242382,1740569227]}]},{"allowed_amount":7.42,"providers":[{"billed_charge":31.92,"npi":[1497242382,1487948436,1740569227]}]},{"allowed_amount":81.62,"providers":[{"billed_charge":351.12,"npi":[1497242382]}]},{"allowed_amount":244.86,"providers":[{"billed_charge":1053.36,"npi":[1487948436]}]},{"allowed_amount":44.52,"providers":[{"billed_charge":191.52,"npi":[1740569227]}]},{"allowed_amount":274.54,"providers":[{"billed_charge":1181.04,"npi":[1487948436]}]}]},{"tin":{"type":"ein","value":"201909363"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":137.52,"providers":[{"billed_charge":1314.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":96.33,"providers":[{"billed_charge":520.00,"npi":[1144315417]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":160.00,"npi":[1144315417]}]}]},{"tin":{"type":"ein","value":"822018496"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":56.04,"providers":[{"billed_charge":210.00,"npi":[1609131929]}]},{"allowed_amount":123.84,"providers":[{"billed_charge":560.00,"npi":[1609131929]}]},{"allowed_amount":7.74,"providers":[{"billed_charge":35.00,"npi":[1609131929]}]}]},{"tin":{"type":"ein","value":"851164952"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":416.31,"providers":[{"billed_charge":1575.00,"npi":[1982047676]}]}]},{"tin":{"type":"ein","value":"852464463"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":251.51,"npi":[1992764419]}]},{"allowed_amount":27.62,"providers":[{"billed_charge":754.53,"npi":[1144473570]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":285.78,"providers":[{"billed_charge":528.00,"npi":[1497733018]}]},{"allowed_amount":174.92,"providers":[{"billed_charge":320.00,"npi":[1326579277]}]},{"allowed_amount":185.25,"providers":[{"billed_charge":352.00,"npi":[1073539755]}]},{"allowed_amount":1510.62,"providers":[{"billed_charge":2832.00,"npi":[1417278714]}]},{"allowed_amount":102.84,"providers":[{"billed_charge":192.00,"npi":[1508253402]}]},{"allowed_amount":313.38,"providers":[{"billed_charge":656.00,"npi":[1811158983]}]},{"allowed_amount":51.87,"providers":[{"billed_charge":112.00,"npi":[1982895850]}]},{"allowed_amount":161.62,"providers":[{"billed_charge":304.00,"npi":[1902024987]}]},{"allowed_amount":140.79,"providers":[{"billed_charge":304.00,"npi":[1609851377]}]},{"allowed_amount":85.14,"providers":[{"billed_charge":176.00,"npi":[1770878670]}]},{"allowed_amount":46.44,"providers":[{"billed_charge":96.00,"npi":[1770878670,1902024987]}]},{"allowed_amount":327.20,"providers":[{"billed_charge":608.00,"npi":[1770878670]}]},{"allowed_amount":348.30,"providers":[{"billed_charge":720.00,"npi":[1164685277]}]},{"allowed_amount":118.78,"providers":[{"billed_charge":208.00,"npi":[1467895078]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":64.00,"npi":[1124254784,1073539755,1174753917,1376569061]}]},{"allowed_amount":61.42,"providers":[{"billed_charge":112.00,"npi":[1982683801]}]},{"allowed_amount":66.69,"providers":[{"billed_charge":144.00,"npi":[1073539755]}]},{"allowed_amount":61.92,"providers":[{"billed_charge":128.00,"npi":[1467895078,1568886489,1477907434]}]},{"allowed_amount":37.05,"providers":[{"billed_charge":80.00,"npi":[1548524812,1174753917,1053706804,1457324592]}]},{"allowed_amount":1253.88,"providers":[{"billed_charge":2304.00,"npi":[1164685277]}]},{"allowed_amount":30.96,"providers":[{"billed_charge":64.00,"npi":[1902024987,1427201375]}]},{"allowed_amount":162.54,"providers":[{"billed_charge":336.00,"npi":[1982893129]}]},{"allowed_amount":577.49,"providers":[{"billed_charge":1104.00,"npi":[1609851377]}]},{"allowed_amount":309.27,"providers":[{"billed_charge":640.00,"npi":[1417278714]}]},{"allowed_amount":148.20,"providers":[{"billed_charge":320.00,"npi":[1548524812]}]},{"allowed_amount":409.84,"providers":[{"billed_charge":736.00,"npi":[1982893129]}]},{"allowed_amount":67.35,"providers":[{"billed_charge":144.00,"npi":[1376569061]}]},{"allowed_amount":81.84,"providers":[{"billed_charge":176.00,"npi":[1457324592]}]},{"allowed_amount":15.48,"providers":[{"billed_charge":32.00,"npi":[1982893129,1124281118]}]},{"allowed_amount":37.38,"providers":[{"billed_charge":80.00,"npi":[1710364377]}]},{"allowed_amount":707.78,"providers":[{"billed_charge":1344.00,"npi":[1548524812]}]},{"allowed_amount":438.82,"providers":[{"billed_charge":784.00,"npi":[1427201375]}]},{"allowed_amount":230.63,"providers":[{"billed_charge":448.00,"npi":[1073847042]}]},{"allowed_amount":92.88,"providers":[{"billed_charge":192.00,"npi":[1417278714,1124281118]}]},{"allowed_amount":115.40,"providers":[{"billed_charge":224.00,"npi":[1710364377]}]},{"allowed_amount":54.18,"providers":[{"billed_charge":112.00,"npi":[1164685277,1477907434,1497733018]}]},{"allowed_amount":59.28,"providers":[{"billed_charge":128.00,"npi":[1124254784]}]},{"allowed_amount":23.22,"providers":[{"billed_charge":48.00,"npi":[1982683801,1568886489]}]},{"allowed_amount":244.36,"providers":[{"billed_charge":448.00,"npi":[1568886489]}]},{"allowed_amount":271.06,"providers":[{"billed_charge":496.00,"npi":[1477907434]}]},{"allowed_amount":241.88,"providers":[{"billed_charge":480.00,"npi":[1174753917]}]},{"allowed_amount":370.38,"providers":[{"billed_charge":704.00,"npi":[1457324592]}]},{"allowed_amount":323.21,"providers":[{"billed_charge":608.00,"npi":[1053706804]}]},{"allowed_amount":7.74,"providers":[{"billed_charge":16.00,"npi":[1467895078,1326579277,1508253402,1497733018]}]},{"allowed_amount":96.33,"providers":[{"billed_charge":208.00,"npi":[1073847042]}]},{"allowed_amount":331.28,"providers":[{"billed_charge":624.00,"npi":[1124254784]}]},{"allowed_amount":222.30,"providers":[{"billed_charge":480.00,"npi":[1609851377]}]},{"allowed_amount":296.79,"providers":[{"billed_charge":560.00,"npi":[1376569061]}]},{"allowed_amount":53.80,"providers":[{"billed_charge":112.00,"npi":[1427201375]}]},{"allowed_amount":83.49,"providers":[{"billed_charge":176.00,"npi":[1811158983]}]},{"allowed_amount":38.70,"providers":[{"billed_charge":80.00,"npi":[1326579277]}]},{"allowed_amount":187.84,"providers":[{"billed_charge":368.00,"npi":[1982895850]}]},{"allowed_amount":22.23,"providers":[{"billed_charge":48.00,"npi":[1073847042]}]},{"allowed_amount":1840.89,"providers":[{"billed_charge":3408.00,"npi":[1811158983]}]},{"allowed_amount":196.24,"providers":[{"billed_charge":352.00,"npi":[1124281118]}]}]},{"tin":{"type":"ein","value":"900848645"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":14.82,"providers":[{"billed_charge":24.00,"npi":[1104932342]}]}]},{"tin":{"type":"ein","value":"742798500"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":259.76,"providers":[{"billed_charge":573.92,"npi":[1316394935]}]},{"allowed_amount":53.48,"providers":[{"billed_charge":118.16,"npi":[1316394935]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":74.20,"providers":[{"billed_charge":260.46,"npi":[1093212821]}]},{"allowed_amount":185.50,"providers":[{"billed_charge":682.74,"npi":[1093212821]}]},{"allowed_amount":14.84,"providers":[{"billed_charge":47.88,"npi":[1093212821]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":245.29,"providers":[{"billed_charge":1189.00,"npi":[1386808723]}]},{"allowed_amount":340.86,"providers":[{"billed_charge":1886.00,"npi":[1578586715]}]},{"allowed_amount":7.82,"providers":[{"billed_charge":41.00,"npi":[1972595635]}]},{"allowed_amount":624.73,"providers":[{"billed_charge":3034.00,"npi":[1821058512]}]},{"allowed_amount":35.76,"providers":[{"billed_charge":164.00,"npi":[1578640884]}]},{"allowed_amount":7.41,"providers":[{"billed_charge":41.00,"npi":[1902867146,1275593931,1881940369,1417116104]}]},{"allowed_amount":96.33,"providers":[{"billed_charge":533.00,"npi":[1578586715]}]},{"allowed_amount":98.34,"providers":[{"billed_charge":451.00,"npi":[1417116104]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":82.00,"npi":[1386808723,1881940369]}]},{"allowed_amount":100.93,"providers":[{"billed_charge":492.00,"npi":[1619405784]}]},{"allowed_amount":222.30,"providers":[{"billed_charge":1230.00,"npi":[1821058512]}]},{"allowed_amount":247.88,"providers":[{"billed_charge":1230.00,"npi":[1295001196]}]},{"allowed_amount":80.46,"providers":[{"billed_charge":369.00,"npi":[1275593931]}]},{"allowed_amount":251.69,"providers":[{"billed_charge":1230.00,"npi":[1902867146]}]},{"allowed_amount":1865.35,"providers":[{"billed_charge":9143.00,"npi":[1578586715]}]},{"allowed_amount":81.78,"providers":[{"billed_charge":410.00,"npi":[1881940369]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":164.00,"npi":[1902867146,1295001196,1619405784]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":111.14,"providers":[{"billed_charge":360.00,"npi":[1821260670]}]},{"allowed_amount":410.07,"providers":[{"billed_charge":1152.00,"npi":[1821260670]}]},{"allowed_amount":103.73,"providers":[{"billed_charge":336.00,"npi":[1821260670]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":76.56,"providers":[{"billed_charge":384.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":155.59,"providers":[{"billed_charge":2058.00,"npi":[1245234293]}]},{"allowed_amount":92.04,"providers":[{"billed_charge":1176.00,"npi":[1487628293]}]},{"allowed_amount":111.15,"providers":[{"billed_charge":1470.00,"npi":[1598730269]}]},{"allowed_amount":207.47,"providers":[{"billed_charge":2744.00,"npi":[1760649289]}]},{"allowed_amount":182.76,"providers":[{"billed_charge":2254.00,"npi":[1659312775]}]},{"allowed_amount":59.27,"providers":[{"billed_charge":784.00,"npi":[1487628293]}]},{"allowed_amount":277.14,"providers":[{"billed_charge":3038.00,"npi":[1013949601]}]},{"allowed_amount":103.73,"providers":[{"billed_charge":1372.00,"npi":[1891762787,1447424007]}]},{"allowed_amount":51.86,"providers":[{"billed_charge":686.00,"npi":[1710996194]}]},{"allowed_amount":490.58,"providers":[{"billed_charge":5684.00,"npi":[1760649289]}]},{"allowed_amount":274.16,"providers":[{"billed_charge":3626.00,"npi":[1932175981]}]},{"allowed_amount":417.80,"providers":[{"billed_charge":4900.00,"npi":[1932175981]}]},{"allowed_amount":205.67,"providers":[{"billed_charge":2352.00,"npi":[1598730269]}]},{"allowed_amount":170.43,"providers":[{"billed_charge":2254.00,"npi":[1568465094]}]},{"allowed_amount":241.43,"providers":[{"billed_charge":2744.00,"npi":[1417113945]}]},{"allowed_amount":237.08,"providers":[{"billed_charge":3136.00,"npi":[1760649289]}]},{"allowed_amount":81.50,"providers":[{"billed_charge":1078.00,"npi":[1710985916,1417113945]}]},{"allowed_amount":44.45,"providers":[{"billed_charge":588.00,"npi":[1215903265]}]},{"allowed_amount":81.78,"providers":[{"billed_charge":980.00,"npi":[1215903265]}]},{"allowed_amount":205.62,"providers":[{"billed_charge":2254.00,"npi":[1245234293]}]},{"allowed_amount":125.95,"providers":[{"billed_charge":1666.00,"npi":[1710985916,1013949601]}]},{"allowed_amount":389.73,"providers":[{"billed_charge":4606.00,"npi":[1447424007]}]},{"allowed_amount":342.42,"providers":[{"billed_charge":4018.00,"npi":[1710985916]}]},{"allowed_amount":123.94,"providers":[{"billed_charge":1470.00,"npi":[1710996194]}]},{"allowed_amount":66.69,"providers":[{"billed_charge":882.00,"npi":[1659312775,1891762787]}]},{"allowed_amount":237.07,"providers":[{"billed_charge":3136.00,"npi":[1932175981]}]},{"allowed_amount":37.04,"providers":[{"billed_charge":490.00,"npi":[1710996194]}]},{"allowed_amount":133.38,"providers":[{"billed_charge":1764.00,"npi":[1013949601]}]},{"allowed_amount":37.05,"providers":[{"billed_charge":490.00,"npi":[1215903265]}]},{"allowed_amount":88.92,"providers":[{"billed_charge":1176.00,"npi":[1659312775,1245234293]}]},{"allowed_amount":331.09,"providers":[{"billed_charge":4214.00,"npi":[1346231750]}]},{"allowed_amount":148.16,"providers":[{"billed_charge":1960.00,"npi":[1568465094]}]},{"allowed_amount":96.33,"providers":[{"billed_charge":1274.00,"npi":[1447424007]}]},{"allowed_amount":170.38,"providers":[{"billed_charge":2254.00,"npi":[1598730269]}]},{"allowed_amount":185.21,"providers":[{"billed_charge":2450.00,"npi":[1417113945]}]},{"allowed_amount":414.84,"providers":[{"billed_charge":5488.00,"npi":[1346231750]}]},{"allowed_amount":74.10,"providers":[{"billed_charge":980.00,"npi":[1487628293]}]},{"allowed_amount":61.36,"providers":[{"billed_charge":784.00,"npi":[1891762787]}]},{"allowed_amount":370.40,"providers":[{"billed_charge":4116.00,"npi":[1568465094]}]},{"allowed_amount":192.64,"providers":[{"billed_charge":2548.00,"npi":[1346231750]}]}]},{"tin":{"type":"ein","value":"260047185"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":116.90,"providers":[{"billed_charge":560.00,"npi":[1982701652]}]}]},{"tin":{"type":"ein","value":"273472500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":89.45,"providers":[{"billed_charge":1331.00,"npi":[1104867415]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":555.85,"providers":[{"billed_charge":3150.00,"npi":[1871538165]}]},{"allowed_amount":208.78,"providers":[{"billed_charge":1200.00,"npi":[1215375019]}]},{"allowed_amount":1775.36,"providers":[{"billed_charge":10000.00,"npi":[1356590970]}]},{"allowed_amount":7.41,"providers":[{"billed_charge":50.00,"npi":[1073899506]},{"billed_charge":21.00,"npi":[1780847681,1821046780,1184979981,1659510196]}]},{"allowed_amount":185.76,"providers":[{"billed_charge":1200.00,"npi":[1134475239]}]},{"allowed_amount":467.67,"providers":[{"billed_charge":1197.00,"npi":[1902843949]}]},{"allowed_amount":30.68,"providers":[{"billed_charge":84.00,"npi":[1619080843]}]},{"allowed_amount":46.44,"providers":[{"billed_charge":300.00,"npi":[1871757963,1295041663]}]},{"allowed_amount":205.85,"providers":[{"billed_charge":1200.00,"npi":[1457555021]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":84.00,"npi":[1902843949]}]},{"allowed_amount":138.01,"providers":[{"billed_charge":357.00,"npi":[1215349436]}]},{"allowed_amount":15.34,"providers":[{"billed_charge":42.00,"npi":[1659510196]}]},{"allowed_amount":131.58,"providers":[{"billed_charge":850.00,"npi":[1164499240,1356590970]}]},{"allowed_amount":80.10,"providers":[{"billed_charge":450.00,"npi":[1205350428]}]},{"allowed_amount":127.97,"providers":[{"billed_charge":800.00,"npi":[1851528582]}]},{"allowed_amount":61.92,"providers":[{"billed_charge":400.00,"npi":[1568666485]}]},{"allowed_amount":37.05,"providers":[{"billed_charge":105.00,"npi":[1215349436]}]},{"allowed_amount":280.70,"providers":[{"billed_charge":1750.00,"npi":[1225267081]}]},{"allowed_amount":145.63,"providers":[{"billed_charge":357.00,"npi":[1184979981]}]},{"allowed_amount":30.96,"providers":[{"billed_charge":200.00,"npi":[1639161011,1871538165,1912158387,1841546157]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":50.00,"npi":[1073855680]}]},{"allowed_amount":290.73,"providers":[{"billed_charge":1600.00,"npi":[1881945236]}]},{"allowed_amount":162.54,"providers":[{"billed_charge":1050.00,"npi":[1861629818]}]},{"allowed_amount":189.44,"providers":[{"billed_charge":1100.00,"npi":[1861629818]}]},{"allowed_amount":61.19,"providers":[{"billed_charge":350.00,"npi":[1871757963]}]},{"allowed_amount":433.44,"providers":[{"billed_charge":2800.00,"npi":[1164499240]}]},{"allowed_amount":281.58,"providers":[{"billed_charge":798.00,"npi":[1902843949]}]},{"allowed_amount":42.74,"providers":[{"billed_charge":250.00,"npi":[1295041663]}]},{"allowed_amount":84.32,"providers":[{"billed_charge":210.00,"npi":[1821046780]}]},{"allowed_amount":26.82,"providers":[{"billed_charge":63.00,"npi":[1437414778]}]},{"allowed_amount":77.40,"providers":[{"billed_charge":500.00,"npi":[1881945236,1841546157]}]},{"allowed_amount":2021.37,"providers":[{"billed_charge":11600.00,"npi":[1164499240]}]},{"allowed_amount":650.16,"providers":[{"billed_charge":4200.00,"npi":[1356590970]}]},{"allowed_amount":15.48,"providers":[{"billed_charge":100.00,"npi":[1609067560,1073855680,1326394925,1861629818,1063902948,1922478841]}]},{"allowed_amount":123.84,"providers":[{"billed_charge":800.00,"npi":[1225267081,1457555021]}]},{"allowed_amount":201.24,"providers":[{"billed_charge":1300.00,"npi":[1609067560]}]},{"allowed_amount":147.06,"providers":[{"billed_charge":950.00,"npi":[1215375019,1912158387,1063902948]}]},{"allowed_amount":113.50,"providers":[{"billed_charge":650.00,"npi":[1902144736]}]},{"allowed_amount":34.49,"providers":[{"billed_charge":200.00,"npi":[1073899506]}]},{"allowed_amount":23.22,"providers":[{"billed_charge":150.00,"npi":[1225267081,1205350428,1881945236]}]},{"allowed_amount":59.28,"providers":[{"billed_charge":168.00,"npi":[1184979981]}]},{"allowed_amount":54.18,"providers":[{"billed_charge":350.00,"npi":[1851528582]}]},{"allowed_amount":69.66,"providers":[{"billed_charge":450.00,"npi":[1538427521,1861541922]}]},{"allowed_amount":2755.58,"providers":[{"billed_charge":15550.00,"npi":[1134475239]}]},{"allowed_amount":27.62,"providers":[{"billed_charge":150.00,"npi":[1326394925]}]},{"allowed_amount":193.50,"providers":[{"billed_charge":1250.00,"npi":[1871538165]}]},{"allowed_amount":194.92,"providers":[{"billed_charge":1100.00,"npi":[1538427521]}]},{"allowed_amount":233.47,"providers":[{"billed_charge":1350.00,"npi":[1841546157]}]},{"allowed_amount":148.32,"providers":[{"billed_charge":900.00,"npi":[1922478841]}]},{"allowed_amount":7.74,"providers":[{"billed_charge":50.00,"npi":[1902144736,1639161011,1326394925,1538427521,1871757963]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":42.00,"npi":[1780847681,1821046780,1437414778,1215349436]}]},{"allowed_amount":272.03,"providers":[{"billed_charge":1550.00,"npi":[1912158387]}]},{"allowed_amount":219.60,"providers":[{"billed_charge":1300.00,"npi":[1063902948]}]},{"allowed_amount":411.92,"providers":[{"billed_charge":2350.00,"npi":[1609067560]}]},{"allowed_amount":38.70,"providers":[{"billed_charge":250.00,"npi":[1861541922]}]},{"allowed_amount":93.40,"providers":[{"billed_charge":500.00,"npi":[1639161011]}]},{"allowed_amount":170.96,"providers":[{"billed_charge":1000.00,"npi":[1861541922,1568666485]}]},{"allowed_amount":88.18,"providers":[{"billed_charge":231.00,"npi":[1780847681]}]},{"allowed_amount":828.18,"providers":[{"billed_charge":5350.00,"npi":[1134475239]}]}]},{"tin":{"type":"ein","value":"760613299"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":24.06,"providers":[{"billed_charge":120.00,"npi":[1497071203]}]},{"allowed_amount":7.74,"providers":[{"billed_charge":40.00,"npi":[1497071203]}]}]},{"tin":{"type":"ein","value":"742501542"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":113.40,"providers":[{"billed_charge":631.35,"npi":[1144617960]}]},{"allowed_amount":63.00,"providers":[{"billed_charge":350.75,"npi":[1154694529]}]},{"allowed_amount":126.00,"providers":[{"billed_charge":701.50,"npi":[1922654557,1851582464]}]},{"allowed_amount":12.60,"providers":[{"billed_charge":70.15,"npi":[1306157334,1790899953]}]}]},{"tin":{"type":"ein","value":"923677515"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":145.16,"providers":[{"billed_charge":684.00,"npi":[1871930594]}]},{"allowed_amount":7.64,"providers":[{"billed_charge":36.00,"npi":[1871930594]}]},{"allowed_amount":22.92,"providers":[{"billed_charge":108.00,"npi":[1871930594]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":15.28,"providers":[{"billed_charge":76.00,"npi":[1609091271]}]},{"allowed_amount":7.64,"providers":[{"billed_charge":38.00,"npi":[1609091271]}]},{"allowed_amount":22.92,"providers":[{"billed_charge":114.00,"npi":[1609091271]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":389.84,"providers":[{"billed_charge":2464.00,"npi":[1730574625]}]},{"allowed_amount":103.56,"providers":[{"billed_charge":672.00,"npi":[1619363413]}]},{"allowed_amount":129.07,"providers":[{"billed_charge":896.00,"npi":[1912268582]}]},{"allowed_amount":132.18,"providers":[{"billed_charge":840.00,"npi":[1245460443]}]},{"allowed_amount":45.38,"providers":[{"billed_charge":280.00,"npi":[1497074991,1881974202]}]},{"allowed_amount":36.04,"providers":[{"billed_charge":224.00,"npi":[1962797795]}]},{"allowed_amount":70.76,"providers":[{"billed_charge":448.00,"npi":[1396189536]}]},{"allowed_amount":54.72,"providers":[{"billed_charge":336.00,"npi":[1467682617]}]},{"allowed_amount":8.94,"providers":[{"billed_charge":56.00,"npi":[1891182168]}]},{"allowed_amount":35.76,"providers":[{"billed_charge":224.00,"npi":[1619089158]}]},{"allowed_amount":34.29,"providers":[{"billed_charge":224.00,"npi":[1336568203]}]},{"allowed_amount":23.87,"providers":[{"billed_charge":168.00,"npi":[1033567201]}]},{"allowed_amount":50.34,"providers":[{"billed_charge":336.00,"npi":[1104264316]}]},{"allowed_amount":121.35,"providers":[{"billed_charge":784.00,"npi":[1568849412]}]},{"allowed_amount":196.34,"providers":[{"billed_charge":1288.00,"npi":[1538489851]}]},{"allowed_amount":176.24,"providers":[{"billed_charge":1120.00,"npi":[1821330044]}]},{"allowed_amount":61.42,"providers":[{"billed_charge":392.00,"npi":[1245812486]}]},{"allowed_amount":41.68,"providers":[{"billed_charge":280.00,"npi":[1508253881]}]},{"allowed_amount":80.10,"providers":[{"billed_charge":504.00,"npi":[1669828935,1205062262]}]},{"allowed_amount":227.00,"providers":[{"billed_charge":1456.00,"npi":[1164876298]}]},{"allowed_amount":89.45,"providers":[{"billed_charge":616.00,"npi":[1770813610]}]},{"allowed_amount":71.19,"providers":[{"billed_charge":448.00,"npi":[1750768438]}]},{"allowed_amount":18.68,"providers":[{"billed_charge":112.00,"npi":[1568882355]}]},{"allowed_amount":197.66,"providers":[{"billed_charge":1288.00,"npi":[1912004797]}]},{"allowed_amount":105.48,"providers":[{"billed_charge":672.00,"npi":[1174058366]}]},{"allowed_amount":16.04,"providers":[{"billed_charge":112.00,"npi":[1770872921]}]},{"allowed_amount":76.93,"providers":[{"billed_charge":504.00,"npi":[1942645932]}]},{"allowed_amount":91.85,"providers":[{"billed_charge":560.00,"npi":[1346419488]}]},{"allowed_amount":25.38,"providers":[{"billed_charge":168.00,"npi":[1700266376]}]},{"allowed_amount":145.63,"providers":[{"billed_charge":952.00,"npi":[1588197131]}]},{"allowed_amount":122.84,"providers":[{"billed_charge":784.00,"npi":[1881883080]}]},{"allowed_amount":240.40,"providers":[{"billed_charge":1568.00,"npi":[1992125728]}]},{"allowed_amount":90.76,"providers":[{"billed_charge":560.00,"npi":[1508420282]}]},{"allowed_amount":129.50,"providers":[{"billed_charge":840.00,"npi":[1316352628]}]},{"allowed_amount":24.68,"providers":[{"billed_charge":168.00,"npi":[1700203270]}]},{"allowed_amount":139.28,"providers":[{"billed_charge":952.00,"npi":[1598119869]}]},{"allowed_amount":73.40,"providers":[{"billed_charge":448.00,"npi":[1780028324]}]},{"allowed_amount":49.24,"providers":[{"billed_charge":336.00,"npi":[1033345855]}]},{"allowed_amount":102.20,"providers":[{"billed_charge":672.00,"npi":[1447278288]}]},{"allowed_amount":121.40,"providers":[{"billed_charge":840.00,"npi":[1619224383]}]},{"allowed_amount":86.86,"providers":[{"billed_charge":560.00,"npi":[1518903640]}]},{"allowed_amount":40.89,"providers":[{"billed_charge":280.00,"npi":[1750658704]}]},{"allowed_amount":233.53,"providers":[{"billed_charge":1624.00,"npi":[1154680973]}]},{"allowed_amount":37.36,"providers":[{"billed_charge":224.00,"npi":[1063856235]}]},{"allowed_amount":217.20,"providers":[{"billed_charge":1456.00,"npi":[1932393428]}]},{"allowed_amount":74.11,"providers":[{"billed_charge":504.00,"npi":[1740623024]}]},{"allowed_amount":117.46,"providers":[{"billed_charge":728.00,"npi":[1710328232]}]},{"allowed_amount":86.80,"providers":[{"billed_charge":560.00,"npi":[1467822213]}]},{"allowed_amount":137.96,"providers":[{"billed_charge":896.00,"npi":[1548687080]}]},{"allowed_amount":34.49,"providers":[{"billed_charge":224.00,"npi":[1700232055]}]},{"allowed_amount":25.90,"providers":[{"billed_charge":168.00,"npi":[1659729333]}]},{"allowed_amount":81.78,"providers":[{"billed_charge":560.00,"npi":[1780027565]}]},{"allowed_amount":130.63,"providers":[{"billed_charge":840.00,"npi":[1932545183]}]},{"allowed_amount":22.92,"providers":[{"billed_charge":168.00,"npi":[1679917470]}]},{"allowed_amount":154.57,"providers":[{"billed_charge":1008.00,"npi":[1942280102]}]},{"allowed_amount":8.02,"providers":[{"billed_charge":56.00,"npi":[1568876928,1417216052,1720321508]}]},{"allowed_amount":72.08,"providers":[{"billed_charge":448.00,"npi":[1538486451]}]},{"allowed_amount":374.36,"providers":[{"billed_charge":2520.00,"npi":[1437310562]}]},{"allowed_amount":33.22,"providers":[{"billed_charge":224.00,"npi":[1285954677]}]},{"allowed_amount":208.26,"providers":[{"billed_charge":1400.00,"npi":[1831418292]}]},{"allowed_amount":108.12,"providers":[{"billed_charge":672.00,"npi":[1750669925]}]},{"allowed_amount":94.96,"providers":[{"billed_charge":616.00,"npi":[1548495286]}]},{"allowed_amount":141.82,"providers":[{"billed_charge":952.00,"npi":[1922360916,1720279748]}]},{"allowed_amount":368.52,"providers":[{"billed_charge":2352.00,"npi":[1881155679]}]},{"allowed_amount":160.97,"providers":[{"billed_charge":1064.00,"npi":[1275973927]}]},{"allowed_amount":97.46,"providers":[{"billed_charge":616.00,"npi":[1154578052,1942415724]}]},{"allowed_amount":247.00,"providers":[{"billed_charge":1568.00,"npi":[1760879829]}]},{"allowed_amount":258.88,"providers":[{"billed_charge":1680.00,"npi":[1316443229]}]},{"allowed_amount":79.24,"providers":[{"billed_charge":560.00,"npi":[1558704098]}]},{"allowed_amount":225.68,"providers":[{"billed_charge":1456.00,"npi":[1083000111]}]},{"allowed_amount":28.02,"providers":[{"billed_charge":168.00,"npi":[1902052038]}]},{"allowed_amount":221.62,"providers":[{"billed_charge":1400.00,"npi":[1659717734]}]},{"allowed_amount":72.84,"providers":[{"billed_charge":504.00,"npi":[1750798351,1013365295,1376886317]}]},{"allowed_amount":141.77,"providers":[{"billed_charge":896.00,"npi":[1568710770]}]},{"allowed_amount":77.03,"providers":[{"billed_charge":504.00,"npi":[1467914796]}]},{"allowed_amount":26.24,"providers":[{"billed_charge":168.00,"npi":[1245678556]}]},{"allowed_amount":26.27,"providers":[{"billed_charge":168.00,"npi":[1740501634]}]},{"allowed_amount":170.96,"providers":[{"billed_charge":1120.00,"npi":[1881919793]}]},{"allowed_amount":52.08,"providers":[{"billed_charge":336.00,"npi":[1669797619,1922637842]}]},{"allowed_amount":66.83,"providers":[{"billed_charge":448.00,"npi":[1528327012]}]},{"allowed_amount":53.40,"providers":[{"billed_charge":336.00,"npi":[1164650958]}]}]},{"tin":{"type":"ein","value":"510598546"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":367.86,"providers":[{"billed_charge":660.24,"npi":[1316172067]}]},{"allowed_amount":7.41,"providers":[{"billed_charge":15.72,"npi":[1316172067]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":22.82,"providers":[{"billed_charge":52.98,"npi":[1003257999]}]},{"allowed_amount":7.42,"providers":[{"billed_charge":17.66,"npi":[1003257999,1568818508]}]},{"allowed_amount":37.10,"providers":[{"billed_charge":88.30,"npi":[1568818508]}]},{"allowed_amount":7.98,"providers":[{"billed_charge":17.66,"npi":[1003257999]}]},{"allowed_amount":385.84,"providers":[{"billed_charge":918.32,"npi":[1568818508]}]}]},{"tin":{"type":"ein","value":"208747581"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":209.75,"providers":[{"billed_charge":2350.00,"npi":[1265060537]}]},{"allowed_amount":268.48,"providers":[{"billed_charge":3008.00,"npi":[1639675655]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":7.79,"providers":[{"billed_charge":30.00,"npi":[1356515787,1972763159,1053765016,1124434360]}]},{"allowed_amount":54.91,"providers":[{"billed_charge":210.00,"npi":[1063728673]}]},{"allowed_amount":15.58,"providers":[{"billed_charge":60.00,"npi":[1063728673,1598929317,1437533205,1124434360]}]},{"allowed_amount":38.16,"providers":[{"billed_charge":150.00,"npi":[1770013468]}]},{"allowed_amount":70.49,"providers":[{"billed_charge":270.00,"npi":[1740415447]}]},{"allowed_amount":163.59,"providers":[{"billed_charge":630.00,"npi":[1972763159]}]},{"allowed_amount":277.78,"providers":[{"billed_charge":1050.00,"npi":[1063728673]}]},{"allowed_amount":148.01,"providers":[{"billed_charge":570.00,"npi":[1356515787]}]},{"allowed_amount":71.63,"providers":[{"billed_charge":270.00,"npi":[1053765016]}]},{"allowed_amount":31.16,"providers":[{"billed_charge":120.00,"npi":[1598929317]}]},{"allowed_amount":23.56,"providers":[{"billed_charge":90.00,"npi":[1740415447]}]},{"allowed_amount":85.48,"providers":[{"billed_charge":300.00,"npi":[1770013468]}]},{"allowed_amount":47.31,"providers":[{"billed_charge":180.00,"npi":[1437533205]}]},{"allowed_amount":46.74,"providers":[{"billed_charge":180.00,"npi":[1265955454]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":238.68,"providers":[{"billed_charge":1144.00,"npi":[1912391954]}]},{"allowed_amount":156.06,"providers":[{"billed_charge":748.00,"npi":[1699825299,1942644703,1326010208]}]},{"allowed_amount":3277.26,"providers":[{"billed_charge":15708.00,"npi":[1316033962]}]},{"allowed_amount":18.36,"providers":[{"billed_charge":88.00,"npi":[1851733950,1386616613,1427581875,1124090469,1942644703,1326088592,1255562138,1265840334]}]},{"allowed_amount":807.84,"providers":[{"billed_charge":3872.00,"npi":[1255524179]}]},{"allowed_amount":146.88,"providers":[{"billed_charge":704.00,"npi":[1407048549,1912391954]}]},{"allowed_amount":257.03,"providers":[{"billed_charge":1232.00,"npi":[1386616613]}]},{"allowed_amount":73.44,"providers":[{"billed_charge":352.00,"npi":[1588817340]}]},{"allowed_amount":293.76,"providers":[{"billed_charge":1408.00,"npi":[1316033962]}]},{"allowed_amount":128.52,"providers":[{"billed_charge":616.00,"npi":[1699825299,1720387269]}]},{"allowed_amount":944.34,"providers":[{"billed_charge":4532.00,"npi":[1710187646]}]},{"allowed_amount":440.64,"providers":[{"billed_charge":2112.00,"npi":[1942644703]}]},{"allowed_amount":45.90,"providers":[{"billed_charge":220.00,"npi":[1518213107]}]},{"allowed_amount":137.70,"providers":[{"billed_charge":660.00,"npi":[1245263284]}]},{"allowed_amount":55.08,"providers":[{"billed_charge":264.00,"npi":[1386807337,1194925040]}]},{"allowed_amount":266.22,"providers":[{"billed_charge":1276.00,"npi":[1235162215,1326088592,1124462650]}]},{"allowed_amount":229.50,"providers":[{"billed_charge":1100.00,"npi":[1255562138]}]},{"allowed_amount":1028.16,"providers":[{"billed_charge":4928.00,"npi":[1194925040]}]},{"allowed_amount":82.62,"providers":[{"billed_charge":396.00,"npi":[1023458080,1407048549,1609042001,1255562138,1720387269]}]},{"allowed_amount":284.58,"providers":[{"billed_charge":1364.00,"npi":[1851733950,1235162215]}]},{"allowed_amount":192.78,"providers":[{"billed_charge":924.00,"npi":[1326243981,1609220656]}]},{"allowed_amount":596.70,"providers":[{"billed_charge":2860.00,"npi":[1386616613]}]},{"allowed_amount":247.86,"providers":[{"billed_charge":1188.00,"npi":[1366457921]}]},{"allowed_amount":569.16,"providers":[{"billed_charge":2728.00,"npi":[1023458080,1124090469]}]},{"allowed_amount":36.72,"providers":[{"billed_charge":176.00,"npi":[1710187646,1306375795]}]},{"allowed_amount":559.98,"providers":[{"billed_charge":2684.00,"npi":[1851325856]}]},{"allowed_amount":174.42,"providers":[{"billed_charge":836.00,"npi":[1588004733,1780613257,1245263284]}]},{"allowed_amount":100.98,"providers":[{"billed_charge":484.00,"npi":[1255524179,1598288201]}]},{"allowed_amount":211.14,"providers":[{"billed_charge":1012.00,"npi":[1326243981,1366457921,1124090469,1609220656]}]},{"allowed_amount":110.16,"providers":[{"billed_charge":528.00,"npi":[1386807337,1437578713,1952629685,1780613257]}]},{"allowed_amount":64.26,"providers":[{"billed_charge":308.00,"npi":[1841484326,1588004733]}]},{"allowed_amount":9.18,"providers":[{"billed_charge":44.00,"npi":[1386616613,1477086031,1326010208,1497756654,1306375795,1720387269,1912391954,1437578713,1952629685,1851325856,1609042001,1609220656,1326088592,1316033962,1124462650]}]},{"allowed_amount":376.38,"providers":[{"billed_charge":1804.00,"npi":[1497756654]}]},{"allowed_amount":413.10,"providers":[{"billed_charge":1980.00,"npi":[1265840334]}]},{"allowed_amount":642.60,"providers":[{"billed_charge":3080.00,"npi":[1851325856]}]},{"allowed_amount":925.89,"providers":[{"billed_charge":4444.00,"npi":[1588817340]}]},{"allowed_amount":165.24,"providers":[{"billed_charge":792.00,"npi":[1306375795]}]},{"allowed_amount":459.00,"providers":[{"billed_charge":2200.00,"npi":[1952629685]}]},{"allowed_amount":486.54,"providers":[{"billed_charge":2332.00,"npi":[1326010208]}]},{"allowed_amount":27.54,"providers":[{"billed_charge":132.00,"npi":[1518213107]}]},{"allowed_amount":3542.19,"providers":[{"billed_charge":16984.00,"npi":[1497756654]}]},{"allowed_amount":302.94,"providers":[{"billed_charge":1452.00,"npi":[1124462650]}]},{"allowed_amount":91.80,"providers":[{"billed_charge":440.00,"npi":[1477086031,1265840334]}]},{"allowed_amount":1064.88,"providers":[{"billed_charge":5104.00,"npi":[1326088592]}]},{"allowed_amount":119.34,"providers":[{"billed_charge":572.00,"npi":[1851733950,1437578713,1609042001]}]},{"allowed_amount":394.74,"providers":[{"billed_charge":1892.00,"npi":[1598288201]}]}]},{"tin":{"type":"ein","value":"271557699"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":163.16,"providers":[{"billed_charge":880.00,"npi":[1659401974]}]},{"allowed_amount":385.84,"providers":[{"billed_charge":2080.00,"npi":[1659401974]}]}]},{"tin":{"type":"ein","value":"741841413"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":285.68,"providers":[{"billed_charge":946.38,"npi":[1487838256]}]},{"allowed_amount":58.73,"providers":[{"billed_charge":203.64,"npi":[1689929150]}]},{"allowed_amount":61.92,"providers":[{"billed_charge":263.64,"npi":[1487838256]}]},{"allowed_amount":23.22,"providers":[{"billed_charge":71.82,"npi":[1487838256]}]},{"allowed_amount":8.39,"providers":[{"billed_charge":23.94,"npi":[1689929150]}]},{"allowed_amount":43.43,"providers":[{"billed_charge":119.70,"npi":[1932147303]}]}]},{"tin":{"type":"ein","value":"364705614"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":74.53,"providers":[{"billed_charge":250.00,"npi":[1821123969]}]},{"allowed_amount":75.90,"providers":[{"billed_charge":250.00,"npi":[1578681961]}]},{"allowed_amount":67.14,"providers":[{"billed_charge":225.00,"npi":[1629074208]}]},{"allowed_amount":153.16,"providers":[{"billed_charge":500.00,"npi":[1629074208]}]},{"allowed_amount":30.54,"providers":[{"billed_charge":100.00,"npi":[1821123969]}]},{"allowed_amount":50.03,"providers":[{"billed_charge":150.00,"npi":[1578681961]}]},{"allowed_amount":75.07,"providers":[{"billed_charge":225.00,"npi":[1629074208]}]},{"allowed_amount":22.68,"providers":[{"billed_charge":75.00,"npi":[1578681961]}]},{"allowed_amount":103.85,"providers":[{"billed_charge":300.00,"npi":[1821123969]}]}]},{"tin":{"type":"ein","value":"752613493"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":99.32,"providers":[{"billed_charge":364.00,"npi":[1760508592]}]},{"allowed_amount":38.20,"providers":[{"billed_charge":140.00,"npi":[1073515508]}]},{"allowed_amount":53.48,"providers":[{"billed_charge":196.00,"npi":[1760508592]}]},{"allowed_amount":30.56,"providers":[{"billed_charge":112.00,"npi":[1649258757]}]},{"allowed_amount":15.28,"providers":[{"billed_charge":56.00,"npi":[1073515508]}]},{"allowed_amount":7.64,"providers":[{"billed_charge":28.00,"npi":[1649258757,1073515508]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":15.34,"providers":[{"billed_charge":64.00,"npi":[1932175981,1487628293]}]},{"allowed_amount":42.16,"providers":[{"billed_charge":160.00,"npi":[1710996194]}]},{"allowed_amount":508.51,"providers":[{"billed_charge":1952.00,"npi":[1548257900]}]},{"allowed_amount":66.69,"providers":[{"billed_charge":288.00,"npi":[1013949601]}]},{"allowed_amount":33.22,"providers":[{"billed_charge":128.00,"npi":[1568465094]}]},{"allowed_amount":88.92,"providers":[{"billed_charge":384.00,"npi":[1891762787]}]},{"allowed_amount":7.41,"providers":[{"billed_charge":32.00,"npi":[1932175981,1710996194,1013949601]}]},{"allowed_amount":296.40,"providers":[{"billed_charge":1280.00,"npi":[1548257900]}]},{"allowed_amount":14.82,"providers":[{"billed_charge":64.00,"npi":[1891762787,1548257900,1760649289,1568465094,1487628293]}]},{"allowed_amount":57.50,"providers":[{"billed_charge":224.00,"npi":[1760649289]}]},{"allowed_amount":25.55,"providers":[{"billed_charge":96.00,"npi":[1598730269]}]},{"allowed_amount":22.23,"providers":[{"billed_charge":96.00,"npi":[1598730269]}]},{"allowed_amount":68.98,"providers":[{"billed_charge":256.00,"npi":[1013949601]}]},{"allowed_amount":74.10,"providers":[{"billed_charge":320.00,"npi":[1568465094]}]},{"allowed_amount":26.82,"providers":[{"billed_charge":96.00,"npi":[1891762787]}]},{"allowed_amount":29.64,"providers":[{"billed_charge":128.00,"npi":[1760649289]}]}]},{"tin":{"type":"ein","value":"474649080"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":86.86,"providers":[{"billed_charge":702.00,"npi":[1588849475]}]},{"allowed_amount":60.04,"providers":[{"billed_charge":491.40,"npi":[1235118951]}]},{"allowed_amount":68.98,"providers":[{"billed_charge":561.60,"npi":[1720067432]}]},{"allowed_amount":56.24,"providers":[{"billed_charge":491.40,"npi":[1588825301]}]},{"allowed_amount":8.94,"providers":[{"billed_charge":70.20,"npi":[1417167982]}]},{"allowed_amount":66.44,"providers":[{"billed_charge":561.60,"npi":[1326400714]}]},{"allowed_amount":35.76,"providers":[{"billed_charge":280.80,"npi":[1326280058]}]},{"allowed_amount":114.95,"providers":[{"billed_charge":912.60,"npi":[1669460192]}]},{"allowed_amount":139.23,"providers":[{"billed_charge":1123.20,"npi":[1790866242]}]},{"allowed_amount":16.61,"providers":[{"billed_charge":140.40,"npi":[1255658027]}]},{"allowed_amount":177.59,"providers":[{"billed_charge":1474.20,"npi":[1578852877]}]}]},{"tin":{"type":"ein","value":"760446083"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":1090.74,"providers":[{"billed_charge":5145.00,"npi":[1649456336]}]},{"allowed_amount":7.42,"providers":[{"billed_charge":35.00,"npi":[1881672103]}]},{"allowed_amount":14.84,"providers":[{"billed_charge":70.00,"npi":[1649456336]}]},{"allowed_amount":385.84,"providers":[{"billed_charge":1820.00,"npi":[1881672103]}]}]},{"tin":{"type":"ein","value":"273435296"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":61.05,"providers":[{"billed_charge":140.00,"npi":[1518165521]}]}]},{"tin":{"type":"ein","value":"752536818"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":50.34,"providers":[{"billed_charge":180.00,"npi":[1194783274]}]},{"allowed_amount":495.01,"providers":[{"billed_charge":1770.00,"npi":[1194783274]}]},{"allowed_amount":100.68,"providers":[{"billed_charge":360.00,"npi":[1932514817]}]},{"allowed_amount":192.97,"providers":[{"billed_charge":690.00,"npi":[1932514817]}]},{"allowed_amount":536.96,"providers":[{"billed_charge":1920.00,"npi":[1932514817]}]},{"allowed_amount":313.14,"providers":[{"billed_charge":875.00,"npi":[1194783274]}]},{"allowed_amount":18.72,"providers":[{"billed_charge":60.00,"npi":[1003816745]}]}]},{"tin":{"type":"ein","value":"760564528"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":67.71,"providers":[{"billed_charge":160.00,"npi":[1841293909]}]}]},{"tin":{"type":"ein","value":"882126248"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":168.08,"providers":[{"billed_charge":440.00,"npi":[1255369567]}]}]},{"tin":{"type":"ein","value":"273185309"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":742.00,"providers":[{"billed_charge":1998.95,"npi":[1205298189]}]},{"allowed_amount":14.84,"providers":[{"billed_charge":39.95,"npi":[1205298189]}]},{"allowed_amount":111.30,"providers":[{"billed_charge":299.75,"npi":[1205298189]}]}]},{"tin":{"type":"ein","value":"823426999"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":38.20,"providers":[{"billed_charge":169.00,"npi":[1134345275]}]},{"allowed_amount":22.69,"providers":[{"billed_charge":123.00,"npi":[1134345275]}]}]}]},{"name":"REMOTE 30 DAY ECG TECH SUPP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"EXTERNAL MOBILE CARDIOVASCULAR TELEMETRY W ELECTROCARDIOGRAPHIC RECORDING, CONCURRENT COMPUTERIZED R","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2583.83,"providers":[{"billed_charge":7980.00,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"462834548"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2366.85,"providers":[{"billed_charge":20884.20,"npi":[1366877508]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2991.60,"providers":[{"billed_charge":9980.00,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33203.80,"providers":[{"billed_charge":315000.00,"npi":[1234567893]}]}]}]},{"name":"EXT ECG>48HR<7D SCAN A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC>48HR<7D SCANNING ALYS W/REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1058.10,"providers":[{"billed_charge":16065.00,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"770644336"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1590.68,"providers":[{"billed_charge":2450.00,"npi":[1063414258]}]}]},{"tin":{"type":"ein","value":"371891036"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":661.26,"providers":[{"billed_charge":2685.00,"npi":[1477214906]}]}]}]},{"name":"EXT ECG>7D<15D SCAN A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC>7D<15D SCANNING ALYS W/REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"208149544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3955.65,"providers":[{"billed_charge":60095.00,"npi":[1710130539]}]}]}]},{"name":"PM/ICD REMOTE TECH SERV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93296","description":"INTERROGATION DEVICE EVALUATION(S) (REMOTE), UP TO 90 DAYS; SINGLE, DUAL, OR MULTIPLE LEAD PACEMAKER","allowed_amounts":[{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":792.68,"providers":[{"billed_charge":1330.00,"npi":[1124678263]}]}]}]},{"name":"ICM DEVICE INTERROGAT REMOTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"INTERROGATION DEVICE EVALUATION(S), (REMOTE) UP TO 30 DAYS; IMPLANTABLE CARDIOVASCULAR MONITOR SYSTE","allowed_amounts":[{"tin":{"type":"ein","value":"271065453"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.94,"providers":[{"billed_charge":145.00,"npi":[1558323915]}]}]}]},{"name":"TTE W/DOPPLER COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93306","description":"ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME W IMG DOCUMENTATION (2D), INCLUDES M-MODE RECORDING, WHEN","allowed_amounts":[{"tin":{"type":"ein","value":"920192097"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":62.40,"providers":[{"billed_charge":187.00,"npi":[1023007085]}]},{"allowed_amount":109.36,"providers":[{"billed_charge":374.00,"npi":[1336660984]}]},{"allowed_amount":164.04,"providers":[{"billed_charge":561.00,"npi":[1336660984]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":625.50,"providers":[{"billed_charge":1351.60,"npi":[1407086705]}]},{"allowed_amount":875.70,"providers":[{"billed_charge":1892.24,"npi":[1407086705]}]},{"allowed_amount":509.84,"providers":[{"billed_charge":1081.28,"npi":[1386083343,1841246113]}]},{"allowed_amount":750.60,"providers":[{"billed_charge":1621.92,"npi":[1437682176]}]},{"allowed_amount":562.95,"providers":[{"billed_charge":1216.44,"npi":[1437682176]}]},{"allowed_amount":701.03,"providers":[{"billed_charge":1486.76,"npi":[1841246113]}]},{"allowed_amount":828.49,"providers":[{"billed_charge":1757.08,"npi":[1386083343]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":387.48,"providers":[{"billed_charge":2310.00,"npi":[1821403775]}]},{"allowed_amount":322.90,"providers":[{"billed_charge":1925.00,"npi":[1770875338,1821403775]}]},{"allowed_amount":581.22,"providers":[{"billed_charge":3465.00,"npi":[1770875338]}]},{"allowed_amount":774.96,"providers":[{"billed_charge":4620.00,"npi":[1780905810]}]},{"allowed_amount":516.64,"providers":[{"billed_charge":3080.00,"npi":[1780905810]}]}]},{"tin":{"type":"ein","value":"202396203"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":113.18,"providers":[{"billed_charge":1400.00,"npi":[1861474595]}]},{"allowed_amount":565.90,"providers":[{"billed_charge":7000.00,"npi":[1861474595]}]}]},{"tin":{"type":"ein","value":"752616977"},"service_code":["22","21","32"],"billing_class":"professional","payments":[{"allowed_amount":864.22,"providers":[{"billed_charge":8704.00,"npi":[1376955492]}]},{"allowed_amount":62.40,"providers":[{"billed_charge":230.00,"npi":[1376955492]}]},{"allowed_amount":246.92,"providers":[{"billed_charge":1834.00,"npi":[1376955492]}]}]},{"tin":{"type":"ein","value":"510598546"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":124.80,"providers":[{"billed_charge":749.96,"npi":[1316172067]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":64.58,"providers":[{"billed_charge":266.32,"npi":[1194024414]}]},{"allowed_amount":159.78,"providers":[{"billed_charge":798.96,"npi":[1750709895]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":272.96,"providers":[{"billed_charge":2157.80,"npi":[1003257999]}]}]},{"tin":{"type":"ein","value":"843475904"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":45.03,"providers":[{"billed_charge":268.72,"npi":[1376566273]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":76.57,"providers":[{"billed_charge":350.00,"npi":[1710187646,1699825299,1255524179,1194925040]}]},{"allowed_amount":153.14,"providers":[{"billed_charge":700.00,"npi":[1710187646,1255524179]}]},{"allowed_amount":229.71,"providers":[{"billed_charge":1050.00,"npi":[1710187646]}]},{"allowed_amount":459.42,"providers":[{"billed_charge":2100.00,"npi":[1699825299,1780613257]}]},{"allowed_amount":918.84,"providers":[{"billed_charge":4200.00,"npi":[1083644652]}]},{"allowed_amount":306.28,"providers":[{"billed_charge":1400.00,"npi":[1366457921]}]}]},{"tin":{"type":"ein","value":"742542858"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":187.20,"providers":[{"billed_charge":555.00,"npi":[1902878044]}]}]},{"tin":{"type":"ein","value":"752613493"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":192.99,"providers":[{"billed_charge":492.00,"npi":[1609072065]}]}]},{"tin":{"type":"ein","value":"742798500"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":135.09,"providers":[{"billed_charge":1202.46,"npi":[1316394935]}]},{"allowed_amount":90.06,"providers":[{"billed_charge":801.64,"npi":[1316394935]}]}]},{"tin":{"type":"ein","value":"202706713"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":266.30,"providers":[{"billed_charge":750.00,"npi":[1417972688]}]}]},{"tin":{"type":"ein","value":"760446083"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":213.04,"providers":[{"billed_charge":1400.00,"npi":[1649456336]}]},{"allowed_amount":106.52,"providers":[{"billed_charge":700.00,"npi":[1649456336]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["22","11","21"],"billing_class":"professional","payments":[{"allowed_amount":263.35,"providers":[{"billed_charge":1368.78,"npi":[1609021161]}]},{"allowed_amount":53.26,"providers":[{"billed_charge":199.74,"npi":[1093212821]}]},{"allowed_amount":158.01,"providers":[{"billed_charge":969.30,"npi":[1609021161]}]},{"allowed_amount":1815.60,"providers":[{"billed_charge":6837.84,"npi":[1609021161]}]},{"allowed_amount":426.08,"providers":[{"billed_charge":1597.92,"npi":[1093212821]}]}]},{"tin":{"type":"ein","value":"272996872"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":446.11,"providers":[{"billed_charge":1638.00,"npi":[1487867172]}]},{"allowed_amount":127.46,"providers":[{"billed_charge":468.00,"npi":[1487867172]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":249.60,"providers":[{"billed_charge":2536.00,"npi":[1346231750]}]},{"allowed_amount":124.80,"providers":[{"billed_charge":1268.00,"npi":[1346231750]}]},{"allowed_amount":62.40,"providers":[{"billed_charge":634.00,"npi":[1487628293]}]}]}]},{"name":"CARDIAC REHAB/MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93798","description":"PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL SERVICES FOR OUTPATIENT CARDIAC REHABILITATION","allowed_amounts":[{"tin":{"type":"ein","value":"823426999"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":111.87,"providers":[{"billed_charge":484.00,"npi":[1134345275]}]}]}]},{"name":"EXTRACRANIAL BILAT STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93880","description":"DUPLEX SCAN OF EXTRACRANIAL ARTERIES; COMPLETE BILATERAL STUDY","allowed_amounts":[{"tin":{"type":"ein","value":"272008627"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":34.57,"providers":[{"billed_charge":169.00,"npi":[1962512269]}]}]}]},{"name":"UPR/L XTREMITY ART 2 LEVELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93922","description":"LIMITED BILATERAL NONINVASIVE PHYSIOLOGIC STUDIES OF UPPER OR LOWER EXTREMITY ARTERIES, (EG, FOR LOW","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2487.13,"providers":[{"billed_charge":3100.00,"npi":[1447447545]}]}]}]},{"name":"EXTREMITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93970","description":"DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; COMPLETE BILA","allowed_amounts":[{"tin":{"type":"ein","value":"300520570"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":497.44,"providers":[{"billed_charge":2304.00,"npi":[1023387339]}]},{"allowed_amount":62.18,"providers":[{"billed_charge":288.00,"npi":[1023387339]}]}]},{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4047.96,"providers":[{"billed_charge":10469.20,"npi":[1548202799]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":266.94,"providers":[{"billed_charge":1305.00,"npi":[1093717001]}]},{"allowed_amount":177.96,"providers":[{"billed_charge":870.00,"npi":[1962512269]}]},{"allowed_amount":61.89,"providers":[{"billed_charge":290.00,"npi":[1235422619,1093717001]}]},{"allowed_amount":29.66,"providers":[{"billed_charge":145.00,"npi":[1962512269,1093717001]}]}]}]},{"name":"EXTREMITY STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93971","description":"DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS; UNILATERAL OR","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":57.45,"providers":[{"billed_charge":234.00,"npi":[1295799088]}]},{"allowed_amount":90.54,"providers":[{"billed_charge":390.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":829.85,"providers":[{"billed_charge":10425.00,"npi":[1386690592]}]},{"allowed_amount":97.71,"providers":[{"billed_charge":1251.00,"npi":[1386690592]}]},{"allowed_amount":34.11,"providers":[{"billed_charge":417.00,"npi":[1326493990]}]},{"allowed_amount":298.91,"providers":[{"billed_charge":3753.00,"npi":[1386690592]}]},{"allowed_amount":65.72,"providers":[{"billed_charge":834.00,"npi":[1467440594]}]},{"allowed_amount":68.22,"providers":[{"billed_charge":834.00,"npi":[1326493990]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["11","22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":23.10,"providers":[{"billed_charge":90.00,"npi":[1962512269]}]},{"allowed_amount":15.79,"providers":[{"billed_charge":90.00,"npi":[1477045284]}]},{"allowed_amount":57.45,"providers":[{"billed_charge":270.00,"npi":[1093717001]}]},{"allowed_amount":76.60,"providers":[{"billed_charge":360.00,"npi":[1093717001]}]},{"allowed_amount":142.98,"providers":[{"billed_charge":630.00,"npi":[1093717001]}]}]}]},{"name":"VASCULAR STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93976","description":"DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABDOMINAL, PELVIC, SCROTAL CONTENTS AND/OR RETR","allowed_amounts":[{"tin":{"type":"ein","value":"814972048"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":68.44,"providers":[{"billed_charge":288.00,"npi":[1922291863]}]}]}]},{"name":"OTHER RX SVS","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"940","description":"OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"752387418"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2114.31,"providers":[{"billed_charge":26622.64,"npi":[1508810573]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":223510.47,"providers":[{"billed_charge":1607496.00,"npi":[1992753222]}]},{"allowed_amount":205.36,"providers":[{"billed_charge":410.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5857.32,"providers":[{"billed_charge":21536.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3700.77,"providers":[{"billed_charge":10949.00,"npi":[1114435260]}]}]}]},{"name":"BREATHING CAPACITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94010","description":"SPIROMETRY, INCLUDING GRAPHIC RECORD, TOTAL AND TIMED VITAL CAPACITY, EXPIRATORY FLOW RATE MEASUREME","allowed_amounts":[{"tin":{"type":"ein","value":"263070101"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":383.75,"providers":[{"billed_charge":945.00,"npi":[1396991162]}]}]}]},{"name":"EDUC/TRAINING","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"942","description":"OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":802.37,"providers":[{"billed_charge":867.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":146.82,"providers":[{"billed_charge":131.25,"npi":[1932152337]}]},{"allowed_amount":356.02,"providers":[{"billed_charge":306.25,"npi":[1295843787]}]},{"allowed_amount":263.38,"providers":[{"billed_charge":701.50,"npi":[1295788735]}]},{"allowed_amount":332.97,"providers":[{"billed_charge":485.75,"npi":[1740233782]}]},{"allowed_amount":2838.25,"providers":[{"billed_charge":5458.00,"npi":[1730132234]}]},{"allowed_amount":709.37,"providers":[{"billed_charge":1234.75,"npi":[1982666111]}]},{"allowed_amount":152.58,"providers":[{"billed_charge":131.25,"npi":[1730132234]}]},{"allowed_amount":101.72,"providers":[{"billed_charge":87.50,"npi":[1982666111]}]}]}]},{"name":"AIRWAY INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94640","description":"PRESSURIZED OR NONPRESSURIZED INHALATION TREATMENT FOR ACUTE AIRWAY OBSTRUCTION FOR THERAPEUTIC PURP","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.30,"providers":[{"billed_charge":250.00,"npi":[1144275355]}]}]}]},{"name":"IMMUNOTHERAPY INJECTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95117","description":"PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRACTS; 2 O","allowed_amounts":[{"tin":{"type":"ein","value":"820953306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.41,"providers":[{"billed_charge":550.00,"npi":[1174020150]}]}]}]},{"name":"ANTIGEN THERAPY SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95165","description":"PROF SERVICES FOR THE SPRVSN OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHAPY; SING","allowed_amounts":[{"tin":{"type":"ein","value":"922433967"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2318.26,"providers":[{"billed_charge":4627.00,"npi":[1801095880]}]}]}]},{"name":"SLP STDY UNATTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95800","description":"SLEEP STUDY, UNATTENDED, SIMULTANEOUS RECORDING; HEART RATE, OXYGEN SATURATION, RESPIRATORY ANALYSIS","allowed_amounts":[{"tin":{"type":"ein","value":"262531558"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":12571.94,"providers":[{"billed_charge":86900.00,"npi":[1861655961]}]}]}]},{"name":"EEG, AWAKE AND ASLEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95819","description":"ELECTROENCEPHALOGRAM (EEG); INCLUDING RECORDING AWAKE AND ASLEEP","allowed_amounts":[{"tin":{"type":"ein","value":"760031822"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":53.12,"providers":[{"billed_charge":110.00,"npi":[1467498642]}]}]}]},{"name":"MUSC TEST DONE W/N TEST COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95886","description":"NEEDLE ELECTROMYOGRAPHY, EACH EXTREM, W RELATED PARASPINAL AREAS, WHEN PERFORMED, DONE W NERVE CONDU","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5675.48,"providers":[{"billed_charge":9300.00,"npi":[1447447545]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7128.88,"providers":[{"billed_charge":13200.00,"npi":[1164442778]}]}]}]},{"name":"NRV CNDJ TEST 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95911","description":"NERVE CONDUCTION STUDIES; 9-10 STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2174.40,"providers":[{"billed_charge":5044.80,"npi":[1164442778]}]}]}]},{"name":"NRV CNDJ TEST 11-12 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95912","description":"NERVE CONDUCTION STUDIES; 11-12 STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2746.90,"providers":[{"billed_charge":6404.84,"npi":[1164442778]}]}]}]},{"name":"NRV CNDJ TEST 13/> STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95913","description":"NERVE CONDUCTION STUDIES; 13 OR MORE STUDIES","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8657.37,"providers":[{"billed_charge":46500.00,"npi":[1447447545]}]}]}]},{"name":"AUTONOMIC NRV PARASYM INERVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95921","description":"TESTING OF AUTONOMIC NERVOUS SYSTEM FUNCTION; CARDIOVAGAL INNERVATION (PARASYMPATHETIC FUNCTION), IN","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2546.10,"providers":[{"billed_charge":3000.00,"npi":[1447447545]}]}]}]},{"name":"AUTONOMIC NRV SYST FUNJ TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95923","description":"TESTING OF AUTONOMIC NERVOUS SYSTEM FUNCTION; SUDOMOTOR, INCLUDING 1 OR MORE OF THE FOLLOWING: QUANT","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3580.50,"providers":[{"billed_charge":6200.00,"npi":[1447447545]}]}]}]},{"name":"NEUROMUSCULAR JUNCTION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95937","description":"NEUROMUSCULAR JUNCTION TESTING (REPETITIVE STIMULATION, PAIRED STIMULI), EACH NERVE, ANY 1 METHOD","allowed_amounts":[{"tin":{"type":"ein","value":"300106470"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6161.56,"providers":[{"billed_charge":9300.00,"npi":[1447447545]}]}]}]},{"name":"BRIEF EMOTIONAL/BEHAV ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96127","description":"BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT (EG, DEPRESSION INVENTORY, ATTENTION-DEFICIT/HYPERACTIVITY DIS","allowed_amounts":[{"tin":{"type":"ein","value":"831683025"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":39.93,"providers":[{"billed_charge":146.52,"npi":[1720295652]}]}]},{"tin":{"type":"ein","value":"760540476"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":220.00,"npi":[1609288208]}]}]},{"tin":{"type":"ein","value":"742357970"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":12.84,"providers":[{"billed_charge":57.00,"npi":[1134223175]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":80.00,"npi":[1164865762]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":21.40,"providers":[{"billed_charge":30.00,"npi":[1972819589]}]},{"allowed_amount":25.68,"providers":[{"billed_charge":36.00,"npi":[1760010458]}]},{"allowed_amount":4.28,"providers":[{"billed_charge":6.00,"npi":[1972819589]}]},{"allowed_amount":42.21,"providers":[{"billed_charge":54.00,"npi":[1063705036]}]}]},{"tin":{"type":"ein","value":"833527998"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.75,"providers":[{"billed_charge":225.00,"npi":[1790499689]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":4.67,"providers":[{"billed_charge":17.00,"npi":[1245432038]}]},{"allowed_amount":29.96,"providers":[{"billed_charge":119.00,"npi":[1053453225]}]}]}]},{"name":"HLTH BHV ASSMT/REASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","allowed_amounts":[{"tin":{"type":"ein","value":"741721807"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":451.43,"providers":[{"billed_charge":770.00,"npi":[1265079396]}]},{"allowed_amount":1805.72,"providers":[{"billed_charge":3080.00,"npi":[1558903542]}]},{"allowed_amount":2781.98,"providers":[{"billed_charge":4180.00,"npi":[1265079396]}]},{"allowed_amount":322.45,"providers":[{"billed_charge":550.00,"npi":[1396411104]}]},{"allowed_amount":1903.46,"providers":[{"billed_charge":2860.00,"npi":[1093556680]}]},{"allowed_amount":64.49,"providers":[{"billed_charge":110.00,"npi":[1548866213]}]},{"allowed_amount":4978.28,"providers":[{"billed_charge":7480.00,"npi":[1932679677]}]},{"allowed_amount":5051.49,"providers":[{"billed_charge":7590.00,"npi":[1548866213]}]},{"allowed_amount":1171.36,"providers":[{"billed_charge":1760.00,"npi":[1396411104]}]},{"allowed_amount":386.94,"providers":[{"billed_charge":660.00,"npi":[1972124824,1093556680,1932679677]}]},{"allowed_amount":3440.87,"providers":[{"billed_charge":5170.00,"npi":[1558903542]}]},{"allowed_amount":7394.21,"providers":[{"billed_charge":11110.00,"npi":[1972124824]}]}]}]},{"name":"HLTH BHV IVNTJ INDIV 1ST 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"741721807"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":2214.50,"providers":[{"billed_charge":5500.00,"npi":[1396411104]}]},{"allowed_amount":2834.56,"providers":[{"billed_charge":7040.00,"npi":[1558903542]}]},{"allowed_amount":8140.50,"providers":[{"billed_charge":17820.00,"npi":[1093556680]}]},{"allowed_amount":487.19,"providers":[{"billed_charge":1210.00,"npi":[1548866213]}]},{"allowed_amount":664.35,"providers":[{"billed_charge":1650.00,"npi":[1265079396]}]},{"allowed_amount":4221.00,"providers":[{"billed_charge":9240.00,"npi":[1932679677]}]},{"allowed_amount":3768.75,"providers":[{"billed_charge":8250.00,"npi":[1548866213]}]},{"allowed_amount":354.32,"providers":[{"billed_charge":880.00,"npi":[1972124824]}]},{"allowed_amount":4422.00,"providers":[{"billed_charge":9680.00,"npi":[1558903542]}]},{"allowed_amount":3969.75,"providers":[{"billed_charge":8690.00,"npi":[1396411104]}]},{"allowed_amount":4673.25,"providers":[{"billed_charge":10230.00,"npi":[1972124824]}]},{"allowed_amount":620.06,"providers":[{"billed_charge":1540.00,"npi":[1932679677]}]},{"allowed_amount":3819.00,"providers":[{"billed_charge":8360.00,"npi":[1265079396]}]},{"allowed_amount":88.58,"providers":[{"billed_charge":220.00,"npi":[1093556680]}]}]}]},{"name":"PT-FOCUSED HLTH RISK ASSMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"ADMINISTRATION OF PATIENT-FOCUSED HEALTH RISK ASSESSMENT INSTRUMENT (EG, HEALTH HAZARD APPRAISAL) WI","allowed_amounts":[{"tin":{"type":"ein","value":"473975088"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.74,"providers":[{"billed_charge":220.00,"npi":[1497225478]}]}]},{"tin":{"type":"ein","value":"760537608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.00,"providers":[{"billed_charge":1080.00,"npi":[1770583411]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":92.40,"providers":[{"billed_charge":720.00,"npi":[1053772129]}]},{"allowed_amount":94.71,"providers":[{"billed_charge":738.00,"npi":[1861861262]}]},{"allowed_amount":161.70,"providers":[{"billed_charge":1260.00,"npi":[1770998999]}]}]}]},{"name":"THER/PROPH/DIAG IV INF INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96365","description":"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, U","allowed_amounts":[{"tin":{"type":"ein","value":"815097602"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1542.24,"providers":[{"billed_charge":3276.00,"npi":[1649235490]}]}]}]},{"name":"THER/DIAG CONCURRENT INF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96368","description":"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); CONCURRENT","allowed_amounts":[{"tin":{"type":"ein","value":"815097602"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":496.16,"providers":[{"billed_charge":1232.00,"npi":[1649235490]}]}]}]},{"name":"THER/PROPH/DIAG INJ SC/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTR","allowed_amounts":[{"tin":{"type":"ein","value":"364785232"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":12.57,"providers":[{"billed_charge":42.00,"npi":[1659089142]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34.28,"providers":[{"billed_charge":81.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":11.18,"providers":[{"billed_charge":20.00,"npi":[1861861262,1770998999]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.44,"providers":[{"billed_charge":35.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1948.80,"providers":[{"billed_charge":7540.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"813564692"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":299.80,"providers":[{"billed_charge":1100.00,"npi":[1972823169]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":116.93,"providers":[{"billed_charge":143.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5041.64,"providers":[{"billed_charge":13020.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":215.40,"providers":[{"billed_charge":241.20,"npi":[1669887865]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":39.45,"providers":[{"billed_charge":105.81,"npi":[1841497393]}]},{"allowed_amount":1991.83,"providers":[{"billed_charge":5465.15,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":777.02,"providers":[{"billed_charge":1929.84,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"822971554"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":309.14,"providers":[{"billed_charge":644.00,"npi":[1043951007]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1902.13,"providers":[{"billed_charge":6265.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":360.00,"providers":[{"billed_charge":1920.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"812128169"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.88,"providers":[{"billed_charge":146.00,"npi":[1912015975]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":662.93,"providers":[{"billed_charge":2320.58,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":117.18,"providers":[{"billed_charge":245.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"820953306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":94.08,"providers":[{"billed_charge":175.00,"npi":[1174020150]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4853.00,"providers":[{"billed_charge":16245.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11","12"],"billing_class":"professional","payments":[{"allowed_amount":10.63,"providers":[{"billed_charge":75.00,"npi":[1205344561]}]},{"allowed_amount":170.08,"providers":[{"billed_charge":1200.00,"npi":[1205344561]}]}]}]},{"name":"TX/PRO/DX INJ NEW DRUG ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDNL SEQUENTIA","allowed_amounts":[{"tin":{"type":"ein","value":"815097602"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1526.00,"providers":[{"billed_charge":3248.00,"npi":[1649235490]}]}]}]},{"name":"MECHANICAL TRACTION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPLICATION OF A MODALITY TO 1 OR MORE AREAS; TRACTION, MECHANICAL","allowed_amounts":[{"tin":{"type":"ein","value":"812070461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":335.24,"providers":[{"billed_charge":575.00,"npi":[1003828492]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":415.80,"providers":[{"billed_charge":3300.00,"npi":[1205344561]}]}]}]},{"name":"ELECTRIC STIMULATION THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97014","description":"APPLICATION OF A MODALITY TO 1 OR MORE AREAS; ELECTRICAL STIMULATION (UNATTENDED)","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3292.40,"providers":[{"billed_charge":6325.00,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4392.96,"providers":[{"billed_charge":8580.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"752626958"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":325.65,"providers":[{"billed_charge":1170.00,"npi":[1871707877]}]}]}]},{"name":"ELECTRICAL STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97032","description":"APPLICATION OF A MODALITY TO 1 OR MORE AREAS; ELECTRICAL STIMULATION (MANUAL), EACH 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":463.05,"providers":[{"billed_charge":4165.00,"npi":[1205344561]}]}]}]},{"name":"ULTRASOUND THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPLICATION OF A MODALITY TO 1 OR MORE AREAS; ULTRASOUND, EACH 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3206.39,"providers":[{"billed_charge":12021.84,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1733.33,"providers":[{"billed_charge":3475.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":321.65,"providers":[{"billed_charge":2975.00,"npi":[1205344561]}]}]}]},{"name":"THERAPEUTIC EXERCISES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97110","description":"THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH A","allowed_amounts":[{"tin":{"type":"ein","value":"461585669"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2436.00,"providers":[{"billed_charge":4785.00,"npi":[1154564151]}]}]},{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5244.40,"providers":[{"billed_charge":8800.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"811123403"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":984.72,"providers":[{"billed_charge":5050.50,"npi":[1982624029]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":945.00,"providers":[{"billed_charge":1596.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"562626461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2783.20,"providers":[{"billed_charge":8520.00,"npi":[1831216803]}]}]},{"tin":{"type":"ein","value":"931764429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":728.00,"providers":[{"billed_charge":2150.46,"npi":[1184662926]}]}]},{"tin":{"type":"ein","value":"760389608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":924.00,"npi":[1043080757]}]}]},{"tin":{"type":"ein","value":"760645849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":187.86,"providers":[{"billed_charge":540.00,"npi":[1841204898]}]}]},{"tin":{"type":"ein","value":"812070461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":557.20,"providers":[{"billed_charge":1140.00,"npi":[1003828492]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7512.26,"providers":[{"billed_charge":28178.22,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"134334288"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":532.27,"providers":[{"billed_charge":1632.00,"npi":[1740282029]}]}]},{"tin":{"type":"ein","value":"812128169"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":39.20,"providers":[{"billed_charge":212.00,"npi":[1376235036]}]}]},{"tin":{"type":"ein","value":"742734346"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":686.00,"providers":[{"billed_charge":1575.00,"npi":[1689738080]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20257.57,"providers":[{"billed_charge":32350.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"933890725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22764.00,"providers":[{"billed_charge":67243.23,"npi":[1184662926]}]}]},{"tin":{"type":"ein","value":"752626958"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1509.20,"providers":[{"billed_charge":4312.00,"npi":[1871707877]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1408.96,"providers":[{"billed_charge":7770.00,"npi":[1205344561]}]}]}]},{"name":"NEUROMUSCULAR REEDUCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97112","description":"THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; NEUROMUSCULAR REEDUCATION OF MOVEMENT, BALA","allowed_amounts":[{"tin":{"type":"ein","value":"461585669"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2523.15,"providers":[{"billed_charge":3240.00,"npi":[1154564151]}]}]},{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8937.50,"providers":[{"billed_charge":15333.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"760513962"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1680.00,"providers":[{"billed_charge":3007.00,"npi":[1841779998]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4620.00,"providers":[{"billed_charge":8820.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"263501523"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":490.33,"providers":[{"billed_charge":935.00,"npi":[1265074371]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1648.83,"providers":[{"billed_charge":2550.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"933890725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":186.90,"providers":[{"billed_charge":493.92,"npi":[1184662926]}]}]},{"tin":{"type":"ein","value":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1567.00,"providers":[{"billed_charge":3007.00,"npi":[1114776036]}]},{"allowed_amount":4515.00,"providers":[{"billed_charge":9700.00,"npi":[1750128773]}]}]},{"tin":{"type":"ein","value":"752626958"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2769.38,"providers":[{"billed_charge":8255.00,"npi":[1871707877]}]}]}]},{"name":"GAIT TRAINING THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; GAIT TRAINING (INCLUDES STAIR CLIMBING)","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":139.98,"providers":[{"billed_charge":525.06,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":771.68,"providers":[{"billed_charge":1680.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"752626958"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.20,"providers":[{"billed_charge":1232.00,"npi":[1871707877]}]}]}]},{"name":"MASSAGE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; MASSAGE, INCLUDING EFFLEURAGE, PETRISSAGE A","allowed_amounts":[{"tin":{"type":"ein","value":"461585669"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2098.02,"providers":[{"billed_charge":2153.50,"npi":[1154564151]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2188.74,"providers":[{"billed_charge":10080.00,"npi":[1205344561]}]}]}]},{"name":"MANUAL THERAPY 1/> REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TECHNIQUES (EG, MOBILIZATION/ MANIPULATION, MANUAL LYMPHATIC DRAINAGE, MANUAL TRACTIO","allowed_amounts":[{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4072.92,"providers":[{"billed_charge":6624.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7886.74,"providers":[{"billed_charge":29577.96,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6228.55,"providers":[{"billed_charge":11825.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"933890725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":766.76,"providers":[{"billed_charge":2208.06,"npi":[1184662926]}]}]},{"tin":{"type":"ein","value":"752626958"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":407.22,"providers":[{"billed_charge":1122.00,"npi":[1871707877]}]}]}]},{"name":"ADAPTIVE BEHAVIOR TX BY TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"883291014"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4947.09,"providers":[{"billed_charge":34900.00,"npi":[1831694462]}]}]},{"tin":{"type":"ein","value":"881848894"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":7768.46,"providers":[{"billed_charge":8098.76,"npi":[1568957751]}]}]},{"tin":{"type":"ein","value":"812214687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33170.50,"providers":[{"billed_charge":135295.68,"npi":[1700550183]}]},{"allowed_amount":13424.68,"providers":[{"billed_charge":50177.92,"npi":[1386302933]}]},{"allowed_amount":1317.76,"providers":[{"billed_charge":4925.44,"npi":[1740886712]}]},{"allowed_amount":12992.29,"providers":[{"billed_charge":48561.76,"npi":[1336758366]}]},{"allowed_amount":12724.62,"providers":[{"billed_charge":47561.28,"npi":[1023822400]}]},{"allowed_amount":14104.15,"providers":[{"billed_charge":52717.60,"npi":[1194342014]}]},{"allowed_amount":9306.68,"providers":[{"billed_charge":34785.92,"npi":[1730775701]}]},{"allowed_amount":7330.04,"providers":[{"billed_charge":27397.76,"npi":[1992455026]}]},{"allowed_amount":14927.75,"providers":[{"billed_charge":55796.00,"npi":[1619537818]}]},{"allowed_amount":4550.39,"providers":[{"billed_charge":17008.16,"npi":[1184180473]}]}]},{"tin":{"type":"ein","value":"465720011"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":9531.42,"providers":[{"billed_charge":12630.00,"npi":[1710496609]}]}]}]},{"name":"ADAPT BEHAVIOR TX PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"883291014"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":777.60,"providers":[{"billed_charge":6000.00,"npi":[1831694462]}]}]},{"tin":{"type":"ein","value":"812214687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":907.82,"providers":[{"billed_charge":3912.48,"npi":[1730775701]}]}]}]},{"name":"PT EVAL MOD COMPLEX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION: MODERATE COMPLEXITY, REQUIRING THESE COMPONENTS: A HISTORY OF PRESENT P","allowed_amounts":[{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":797.10,"providers":[{"billed_charge":1104.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1967.64,"providers":[{"billed_charge":6559.08,"npi":[1487749909]}]}]}]},{"name":"PT RE-EVAL EST PLAN CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"RE-EVALUATION OF PHYSICAL THERAPY ESTABLISHED PLAN OF CARE, REQUIRING THESE COMPONENTS: AN EXAMINATI","allowed_amounts":[{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.30,"providers":[{"billed_charge":250.00,"npi":[1659383214]}]}]}]},{"name":"PRO FEE/RAD/DX","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"972","description":"PROFESSIONAL FEES - RADIOLOGY - DIAGNOSTIC","allowed_amounts":[{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.34,"providers":[{"billed_charge":16.00,"npi":[1407121189]}]}]}]},{"name":"THERAPEUTIC ACTIVITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97530","description":"THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPROVE FU","allowed_amounts":[{"tin":{"type":"ein","value":"461585669"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1406.58,"providers":[{"billed_charge":2100.00,"npi":[1154564151]}]}]},{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2875.22,"providers":[{"billed_charge":5346.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8596.00,"providers":[{"billed_charge":32235.00,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"760513962"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":1050.00,"npi":[1841779998]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7560.00,"providers":[{"billed_charge":10058.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"263501523"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":241.11,"providers":[{"billed_charge":495.00,"npi":[1265074371]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":369.93,"providers":[{"billed_charge":715.00,"npi":[1659383214]}]}]},{"tin":{"type":"ein","value":"760384227"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1785.00,"providers":[{"billed_charge":4066.00,"npi":[1639109812]}]}]},{"tin":{"type":"ein","value":"933890725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4554.64,"providers":[{"billed_charge":7390.24,"npi":[1184662926]}]}]},{"tin":{"type":"ein","value":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1050.00,"providers":[{"billed_charge":1890.00,"npi":[1114776036]}]},{"allowed_amount":2205.00,"providers":[{"billed_charge":4410.00,"npi":[1750128773]}]}]},{"tin":{"type":"ein","value":"760645849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":605.34,"providers":[{"billed_charge":1620.00,"npi":[1841204898]}]}]}]},{"name":"RMVL DEVITAL TIS 20 CM/<","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT (EG, HIGH PRESSURE WATERJET W/WOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT W SCISSORS, SCAL","allowed_amounts":[{"tin":{"type":"ein","value":"760453250"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":667.92,"providers":[{"billed_charge":9273.00,"npi":[1053805986]}]},{"allowed_amount":303.60,"providers":[{"billed_charge":4215.00,"npi":[1164860011]}]}]}]},{"name":"PHYSICAL PERFORMANCE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST OR MEASUREMENT (EG, MUSCULOSKELETAL, FUNCTIONAL CAPACITY), WITH WRITTEN RE","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":180.81,"providers":[{"billed_charge":385.00,"npi":[1144275355]}]}]}]},{"name":"MEDICAL NUTRITION, INDIV, IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97802","description":"MEDICAL NUTRITION THERAPY; INITIAL ASSESSMENT AND INTERVENTION, INDIVIDUAL, FACE-TO-FACE WITH THE PA","allowed_amounts":[{"tin":{"type":"ein","value":"760549240"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":56.92,"providers":[{"billed_charge":110.00,"npi":[1003275496]}]},{"allowed_amount":100.52,"providers":[{"billed_charge":220.00,"npi":[1003275496]}]}]}]},{"name":"Synchronous Audio Only Evaluation and Management Services","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98012","description":"synchronous audio-only evaluation and management (E/M) service for an established patient","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":686.28,"providers":[{"billed_charge":1900.00,"npi":[1841497393]}]}]}]},{"name":"Brief Synchronous Communication Technology Evaluation and Management Service","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98016","description":"a brief synchronous communication technology evaluation and management service","allowed_amounts":[{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1265.28,"providers":[{"billed_charge":2400.96,"npi":[1942535828]}]}]}]},{"name":"CHIROPRACT MANJ 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, 3-4 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"812070461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":239.34,"providers":[{"billed_charge":360.00,"npi":[1003828492]}]}]},{"tin":{"type":"ein","value":"844109654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1555.71,"providers":[{"billed_charge":2145.00,"npi":[1851937510]}]}]}]},{"name":"CHIROPRACT MANJ XTRSPINL 1/>","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98943","description":"CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); EXTRASPINAL, 1 OR MORE REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"844109654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1006.59,"providers":[{"billed_charge":1755.00,"npi":[1851937510]}]}]}]},{"name":"SPECIMEN HANDLING OFFICE-LAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99000","description":"HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE OFFICE TO A LABORATORY","allowed_amounts":[{"tin":{"type":"ein","value":"742699762"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.11,"providers":[{"billed_charge":75.00,"npi":[1689186413]}]}]}]},{"name":"MEDICAL SERVICES AFTER HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99050","description":"SERVICES PROVIDED IN THE OFFICE AT TIMES OTHER THAN REGULARLY SCHEDULED OFFICE HOURS, OR DAYS WHEN T","allowed_amounts":[{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":650.25,"providers":[{"billed_charge":2550.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1920.00,"providers":[{"billed_charge":4800.00,"npi":[1093920399]}]}]}]},{"name":"MED SERV EVE/WKEND/HOLIDAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99051","description":"SERVICE(S) PROVIDED IN THE OFFICE DURING REGULARLY SCHEDULED EVENING, WEEKEND, OR HOLIDAY OFFICE HOU","allowed_amounts":[{"tin":{"type":"ein","value":"862978826"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":141.75,"providers":[{"billed_charge":315.00,"npi":[1821482886]}]}]},{"tin":{"type":"ein","value":"742515841"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2257.55,"providers":[{"billed_charge":5868.00,"npi":[1144951880]}]},{"allowed_amount":83.10,"providers":[{"billed_charge":216.00,"npi":[1942931902]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":3768.00,"providers":[{"billed_charge":12560.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1280.84,"providers":[{"billed_charge":4182.00,"npi":[1831383355]}]}]}]},{"name":"VISUAL ACUITY SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99173","description":"SCREENING TEST OF VISUAL ACUITY, QUANTITATIVE, BILATERAL","allowed_amounts":[{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":6.28,"providers":[{"billed_charge":64.00,"npi":[1831576925]}]},{"allowed_amount":82.35,"providers":[{"billed_charge":864.00,"npi":[1053453225]}]},{"allowed_amount":9.34,"providers":[{"billed_charge":96.00,"npi":[1245432038]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH","allowed_amounts":[{"tin":{"type":"ein","value":"201020949"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":100.00,"providers":[{"billed_charge":292.00,"npi":[1053645812]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":7240.00,"providers":[{"billed_charge":21024.00,"npi":[1234567893]}]},{"allowed_amount":36100.00,"providers":[{"billed_charge":105412.00,"npi":[1234567893]}]},{"allowed_amount":67.66,"providers":[{"billed_charge":135.32,"npi":[1234567893]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH","allowed_amounts":[{"tin":{"type":"ein","value":"364785232"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":2670.84,"providers":[{"billed_charge":5400.00,"npi":[1659089142]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":359.72,"providers":[{"billed_charge":1079.20,"npi":[1093165870]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7464.19,"providers":[{"billed_charge":14525.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"822971554"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4443.60,"providers":[{"billed_charge":6300.00,"npi":[1043951007]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":952.20,"providers":[{"billed_charge":1989.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":448.04,"providers":[{"billed_charge":905.60,"npi":[1548202799]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":443.60,"providers":[{"billed_charge":1250.00,"npi":[1689950891]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","02","17","10"],"billing_class":"professional","payments":[{"allowed_amount":150.00,"providers":[{"billed_charge":678.00,"npi":[1234567893]}]},{"allowed_amount":51.00,"providers":[{"billed_charge":226.00,"npi":[1234567893]}]},{"allowed_amount":317.40,"providers":[{"billed_charge":634.80,"npi":[1234567893]}]},{"allowed_amount":84.64,"providers":[{"billed_charge":339.32,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2221.80,"providers":[{"billed_charge":4788.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11424.98,"providers":[{"billed_charge":13500.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7723.40,"providers":[{"billed_charge":36208.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":449.65,"providers":[{"billed_charge":1415.00,"npi":[1578964177]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH","allowed_amounts":[{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1430.19,"providers":[{"billed_charge":3915.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":33847.83,"providers":[{"billed_charge":71532.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19706.22,"providers":[{"billed_charge":24180.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10965.48,"providers":[{"billed_charge":22425.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"760458535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1525.52,"providers":[{"billed_charge":3392.00,"npi":[1841828548]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":335.84,"providers":[{"billed_charge":822.14,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":270.14,"providers":[{"billed_charge":450.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7506.00,"providers":[{"billed_charge":22669.20,"npi":[1598129702]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7060.68,"providers":[{"billed_charge":9000.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["11","22","10"],"billing_class":"professional","payments":[{"allowed_amount":1486.95,"providers":[{"billed_charge":9295.00,"npi":[1245053545]}]},{"allowed_amount":968.65,"providers":[{"billed_charge":7605.00,"npi":[1245053545]}]},{"allowed_amount":216.82,"providers":[{"billed_charge":1690.00,"npi":[1780492330]}]},{"allowed_amount":135.66,"providers":[{"billed_charge":845.00,"npi":[1780492330]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","20","10"],"billing_class":"professional","payments":[{"allowed_amount":537.65,"providers":[{"billed_charge":2506.35,"npi":[1234567893]}]},{"allowed_amount":3029.46,"providers":[{"billed_charge":5127.10,"npi":[1234567893]}]},{"allowed_amount":567.30,"providers":[{"billed_charge":1506.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":14619.72,"providers":[{"billed_charge":59248.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":5161.44,"providers":[{"billed_charge":23040.00,"npi":[1184991564]}]},{"allowed_amount":270.14,"providers":[{"billed_charge":960.00,"npi":[1942947593]}]},{"allowed_amount":6559.33,"providers":[{"billed_charge":29280.00,"npi":[1942947593]}]},{"allowed_amount":810.42,"providers":[{"billed_charge":2880.00,"npi":[1184991564]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":135.07,"providers":[{"billed_charge":375.00,"npi":[1205344561]}]}]},{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5085.12,"providers":[{"billed_charge":16288.00,"npi":[1427402551]}]}]},{"tin":{"type":"ein","value":"384007312"},"service_code":["02","20"],"billing_class":"professional","payments":[{"allowed_amount":154.83,"providers":[{"billed_charge":502.00,"npi":[1457602732]}]},{"allowed_amount":1580.00,"providers":[{"billed_charge":4016.00,"npi":[1457602732]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":428.19,"providers":[{"billed_charge":1138.26,"npi":[1770998999]}]},{"allowed_amount":1175.44,"providers":[{"billed_charge":2655.94,"npi":[1982790143]}]}]},{"tin":{"type":"ein","value":"813564692"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":962.83,"providers":[{"billed_charge":1950.00,"npi":[1972823169]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2161.12,"providers":[{"billed_charge":6221.73,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1906.92,"providers":[{"billed_charge":4008.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"853601968"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":476.73,"providers":[{"billed_charge":4125.00,"npi":[1326327149]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":107.53,"providers":[{"billed_charge":325.00,"npi":[1154574879]}]}]},{"tin":{"type":"ein","value":"861516777"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":810.42,"providers":[{"billed_charge":1470.00,"npi":[1225378847]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12013.92,"providers":[{"billed_charge":29880.00,"npi":[1477916708]}]},{"allowed_amount":3120.26,"providers":[{"billed_charge":9130.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2566.33,"providers":[{"billed_charge":4370.19,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"823426999"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":135.07,"providers":[{"billed_charge":365.00,"npi":[1336900083]}]},{"allowed_amount":4711.94,"providers":[{"billed_charge":16060.00,"npi":[1336900083]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT NEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":431.26,"providers":[{"billed_charge":1332.66,"npi":[1609021161]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT EST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, THAT M","allowed_amounts":[{"tin":{"type":"ein","value":"201020949"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":250.00,"providers":[{"billed_charge":250.00,"npi":[1982817771]}]},{"allowed_amount":750.00,"providers":[{"billed_charge":750.00,"npi":[1982817771]}]}]},{"tin":{"type":"ein","value":"852856491"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1348.10,"providers":[{"billed_charge":1586.00,"npi":[1205582822]}]}]},{"tin":{"type":"ein","value":"833527998"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":74.07,"providers":[{"billed_charge":1000.00,"npi":[1790499689]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["02","17","10"],"billing_class":"professional","payments":[{"allowed_amount":7650.00,"providers":[{"billed_charge":7650.00,"npi":[1234567893]}]},{"allowed_amount":29566.52,"providers":[{"billed_charge":29690.76,"npi":[1234567893]}]},{"allowed_amount":34.74,"providers":[{"billed_charge":141.12,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"742512591"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":477.62,"providers":[{"billed_charge":1430.00,"npi":[1669470043]}]}]}]},{"name":"OFFICE OR OTH OUTPATIENT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH RE","allowed_amounts":[{"tin":{"type":"ein","value":"208271258"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":4281.12,"providers":[{"billed_charge":14400.00,"npi":[1457729287]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":38.32,"providers":[{"billed_charge":159.24,"npi":[1871115261]}]},{"allowed_amount":856.52,"providers":[{"billed_charge":2575.26,"npi":[1770763666]}]},{"allowed_amount":32.05,"providers":[{"billed_charge":79.62,"npi":[1871115261]}]},{"allowed_amount":22.54,"providers":[{"billed_charge":67.77,"npi":[1770763666]}]},{"allowed_amount":76.64,"providers":[{"billed_charge":271.08,"npi":[1154956811]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":5333.22,"providers":[{"billed_charge":31200.00,"npi":[1841497393]}]},{"allowed_amount":109.25,"providers":[{"billed_charge":400.00,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1491.93,"providers":[{"billed_charge":3753.42,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"680573514"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2739.80,"providers":[{"billed_charge":8040.00,"npi":[1588799795]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":5876.00,"providers":[{"billed_charge":13338.00,"npi":[1234567893]}]},{"allowed_amount":22550.00,"providers":[{"billed_charge":51414.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":265.95,"providers":[{"billed_charge":480.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"475489256"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":10691.19,"providers":[{"billed_charge":19899.00,"npi":[1902223217]}]},{"allowed_amount":499.80,"providers":[{"billed_charge":1485.00,"npi":[1902223217]}]}]},{"tin":{"type":"ein","value":"742934552"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5639.20,"providers":[{"billed_charge":15220.00,"npi":[1255423612]}]}]},{"tin":{"type":"ein","value":"742699762"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":497.31,"providers":[{"billed_charge":1001.00,"npi":[1689186413]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT EST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH RE","allowed_amounts":[{"tin":{"type":"ein","value":"831683025"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":220.17,"providers":[{"billed_charge":546.00,"npi":[1346607264]}]}]},{"tin":{"type":"ein","value":"473975088"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":531.20,"providers":[{"billed_charge":1200.00,"npi":[1497225478]}]},{"allowed_amount":513.73,"providers":[{"billed_charge":840.00,"npi":[1497225478]}]}]},{"tin":{"type":"ein","value":"844951408"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":880.68,"providers":[{"billed_charge":921.71,"npi":[1326684101]}]}]},{"tin":{"type":"ein","value":"752113670"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":293.56,"providers":[{"billed_charge":712.00,"npi":[1578990800]}]}]},{"tin":{"type":"ein","value":"811123403"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":119.04,"providers":[{"billed_charge":654.00,"npi":[1437181237]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1813.14,"providers":[{"billed_charge":4935.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":20635.26,"providers":[{"billed_charge":35850.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"270565499"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":2560.24,"providers":[{"billed_charge":1260.00,"npi":[1528037579]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":949.74,"providers":[{"billed_charge":1397.00,"npi":[1891855656]}]},{"allowed_amount":1295.10,"providers":[{"billed_charge":1905.00,"npi":[1801874763]}]}]},{"tin":{"type":"ein","value":"760458535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.61,"providers":[{"billed_charge":188.00,"npi":[1841828548]}]}]},{"tin":{"type":"ein","value":"208439006"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3208.90,"providers":[{"billed_charge":11754.60,"npi":[1649648759]}]}]},{"tin":{"type":"ein","value":"850603102"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":297.60,"providers":[{"billed_charge":800.00,"npi":[1750041950]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":5792.38,"providers":[{"billed_charge":14549.97,"npi":[1841497393]}]},{"allowed_amount":2254.49,"providers":[{"billed_charge":7656.87,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"273993262"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":345.36,"providers":[{"billed_charge":392.00,"npi":[1407863939,1316957574]}]},{"allowed_amount":777.06,"providers":[{"billed_charge":882.00,"npi":[1295825750]}]},{"allowed_amount":431.70,"providers":[{"billed_charge":490.00,"npi":[1659386001]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7118.83,"providers":[{"billed_charge":17611.32,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":17026.48,"providers":[{"billed_charge":33640.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"742620408"},"service_code":["11","20"],"billing_class":"professional","payments":[{"allowed_amount":863.40,"providers":[{"billed_charge":2634.90,"npi":[1902804123]}]},{"allowed_amount":1435.14,"providers":[{"billed_charge":3280.83,"npi":[1902804123]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1372.41,"providers":[{"billed_charge":3026.00,"npi":[1609507334]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","02","20","10"],"billing_class":"professional","payments":[{"allowed_amount":102.74,"providers":[{"billed_charge":230.00,"npi":[1234567893]}]},{"allowed_amount":22911.25,"providers":[{"billed_charge":50050.00,"npi":[1234567893]}]},{"allowed_amount":891.02,"providers":[{"billed_charge":1631.44,"npi":[1234567893]}]},{"allowed_amount":34880.68,"providers":[{"billed_charge":88771.33,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["71"],"billing_class":"professional","payments":[{"allowed_amount":370.78,"providers":[{"billed_charge":391.64,"npi":[1982722401]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["22","11","02"],"billing_class":"professional","payments":[{"allowed_amount":7079.88,"providers":[{"billed_charge":37498.60,"npi":[1619381316]}]},{"allowed_amount":3314.31,"providers":[{"billed_charge":28809.90,"npi":[1245053545]}]},{"allowed_amount":1831.16,"providers":[{"billed_charge":14633.60,"npi":[1952012189]}]},{"allowed_amount":62.50,"providers":[{"billed_charge":457.30,"npi":[1619381316]}]},{"allowed_amount":4911.34,"providers":[{"billed_charge":31346.40,"npi":[1245053545]}]},{"allowed_amount":115.62,"providers":[{"billed_charge":914.60,"npi":[1952012189]}]},{"allowed_amount":997.90,"providers":[{"billed_charge":9146.00,"npi":[1376379529]}]}]},{"tin":{"type":"ein","value":"820953306"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":5180.40,"providers":[{"billed_charge":12000.00,"npi":[1174020150]}]},{"allowed_amount":62.50,"providers":[{"billed_charge":200.00,"npi":[1174020150]}]},{"allowed_amount":172.68,"providers":[{"billed_charge":400.00,"npi":[1649775172]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":13037.34,"providers":[{"billed_charge":45300.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"742699762"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2275.09,"providers":[{"billed_charge":4712.00,"npi":[1689186413]}]}]},{"tin":{"type":"ein","value":"741700061"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":53.12,"providers":[{"billed_charge":105.00,"npi":[1609207422]}]},{"allowed_amount":954.07,"providers":[{"billed_charge":1365.00,"npi":[1609207422]}]}]},{"tin":{"type":"ein","value":"760579754"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":345.36,"providers":[{"billed_charge":400.00,"npi":[1043506777]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":7885.58,"providers":[{"billed_charge":11960.00,"npi":[1831544808]}]},{"allowed_amount":2177.92,"providers":[{"billed_charge":4900.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":728.00,"providers":[{"billed_charge":1357.44,"npi":[1205845393]}]},{"allowed_amount":3326.05,"providers":[{"billed_charge":7296.24,"npi":[1861861262]}]},{"allowed_amount":335.04,"providers":[{"billed_charge":1018.08,"npi":[1053772129]}]},{"allowed_amount":11375.00,"providers":[{"billed_charge":21210.00,"npi":[1982790143]}]},{"allowed_amount":2629.90,"providers":[{"billed_charge":5769.12,"npi":[1770998999]}]},{"allowed_amount":1779.05,"providers":[{"billed_charge":3902.64,"npi":[1053772129]}]},{"allowed_amount":131.38,"providers":[{"billed_charge":339.36,"npi":[1205845393]}]},{"allowed_amount":328.45,"providers":[{"billed_charge":848.40,"npi":[1982790143]}]},{"allowed_amount":111.68,"providers":[{"billed_charge":339.36,"npi":[1770998999]}]},{"allowed_amount":558.40,"providers":[{"billed_charge":1696.80,"npi":[1861861262]}]}]},{"tin":{"type":"ein","value":"742553409"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":11307.95,"providers":[{"billed_charge":23449.00,"npi":[1225471303]}]},{"allowed_amount":1813.14,"providers":[{"billed_charge":3759.00,"npi":[1568542090]}]},{"allowed_amount":62.50,"providers":[{"billed_charge":179.00,"npi":[1568542090]}]}]},{"tin":{"type":"ein","value":"841935912"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2201.70,"providers":[{"billed_charge":5250.00,"npi":[1528955317]}]}]},{"tin":{"type":"ein","value":"751256948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1908.14,"providers":[{"billed_charge":4680.00,"npi":[1245923622]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1574.04,"providers":[{"billed_charge":5875.00,"npi":[1750747226]}]},{"allowed_amount":159.36,"providers":[{"billed_charge":850.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"760622208"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3384.64,"providers":[{"billed_charge":10528.00,"npi":[1609603836]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31255.08,"providers":[{"billed_charge":53576.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"760453250"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":381.33,"providers":[{"billed_charge":2340.00,"npi":[1053805986]}]}]},{"tin":{"type":"ein","value":"311756818"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":2935.56,"providers":[{"billed_charge":5780.00,"npi":[1306465018]}]},{"allowed_amount":86.34,"providers":[{"billed_charge":170.00,"npi":[1073140737]}]}]},{"tin":{"type":"ein","value":"760622487"},"service_code":["50","10"],"billing_class":"professional","payments":[{"allowed_amount":2874.09,"providers":[{"billed_charge":10037.00,"npi":[1174104582]}]},{"allowed_amount":279.20,"providers":[{"billed_charge":1180.00,"npi":[1174104582]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":3021.90,"providers":[{"billed_charge":6111.00,"npi":[1942400601]}]},{"allowed_amount":1640.46,"providers":[{"billed_charge":3317.40,"npi":[1932158458]}]},{"allowed_amount":777.06,"providers":[{"billed_charge":1571.40,"npi":[1447293287]}]},{"allowed_amount":220.17,"providers":[{"billed_charge":523.80,"npi":[1922636612]}]},{"allowed_amount":146.78,"providers":[{"billed_charge":349.20,"npi":[1003316258]}]},{"allowed_amount":2762.88,"providers":[{"billed_charge":5587.20,"npi":[1265495998]}]},{"allowed_amount":431.70,"providers":[{"billed_charge":873.00,"npi":[1174771679]}]},{"allowed_amount":440.34,"providers":[{"billed_charge":1047.60,"npi":[1760857379]}]},{"allowed_amount":949.74,"providers":[{"billed_charge":1920.60,"npi":[1053607390]}]},{"allowed_amount":2676.54,"providers":[{"billed_charge":5412.60,"npi":[1861494130]}]},{"allowed_amount":62.50,"providers":[{"billed_charge":174.60,"npi":[1932158458,1942400601,1730371980]}]},{"allowed_amount":125.00,"providers":[{"billed_charge":349.20,"npi":[1447293287]}]},{"allowed_amount":312.50,"providers":[{"billed_charge":873.00,"npi":[1174771679]}]},{"allowed_amount":86.34,"providers":[{"billed_charge":174.60,"npi":[1295057289]}]},{"allowed_amount":172.68,"providers":[{"billed_charge":349.20,"npi":[1497994149,1730371980]}]}]},{"tin":{"type":"ein","value":"760095595"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":232.05,"providers":[{"billed_charge":285.00,"npi":[1609491059]}]}]},{"tin":{"type":"ein","value":"872200070"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":5612.10,"providers":[{"billed_charge":11417.90,"npi":[1265404065]}]},{"allowed_amount":437.50,"providers":[{"billed_charge":1229.62,"npi":[1265404065]}]}]},{"tin":{"type":"ein","value":"812128169"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1012.24,"providers":[{"billed_charge":5688.00,"npi":[1912015975]}]},{"allowed_amount":687.50,"providers":[{"billed_charge":5214.00,"npi":[1912015975]}]}]},{"tin":{"type":"ein","value":"742977686"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1462.50,"providers":[{"billed_charge":3389.88,"npi":[1356875041]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":1806.08,"providers":[{"billed_charge":15548.20,"npi":[1194379503]}]},{"allowed_amount":1247.63,"providers":[{"billed_charge":7774.10,"npi":[1194379503]}]}]},{"tin":{"type":"ein","value":"320326595"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":1208.76,"providers":[{"billed_charge":3824.52,"npi":[1164409355]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1321.02,"providers":[{"billed_charge":3690.00,"npi":[1659984441]}]}]},{"tin":{"type":"ein","value":"813843305"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1208.76,"providers":[{"billed_charge":3640.00,"npi":[1679514905]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1036.08,"providers":[{"billed_charge":1884.00,"npi":[1972819589]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":1250.00,"providers":[{"billed_charge":2300.00,"npi":[1144275355]}]},{"allowed_amount":125.00,"providers":[{"billed_charge":230.00,"npi":[1144275355]}]},{"allowed_amount":74681.32,"providers":[{"billed_charge":99590.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"475489256"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":6302.82,"providers":[{"billed_charge":12126.00,"npi":[1902223217]}]},{"allowed_amount":312.50,"providers":[{"billed_charge":840.00,"npi":[1902223217]}]}]},{"tin":{"type":"ein","value":"200462905"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":1392.30,"providers":[{"billed_charge":2034.00,"npi":[1508524828]}]},{"allowed_amount":2784.60,"providers":[{"billed_charge":4068.00,"npi":[1508524828]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3885.30,"providers":[{"billed_charge":9000.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"841777691"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1687.97,"providers":[{"billed_charge":3030.25,"npi":[1659859759]}]}]},{"tin":{"type":"ein","value":"742876515"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1702.96,"providers":[{"billed_charge":1835.00,"npi":[1588638530]}]},{"allowed_amount":1625.00,"providers":[{"billed_charge":2385.00,"npi":[1588638530]}]}]},{"tin":{"type":"ein","value":"742512591"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2590.20,"providers":[{"billed_charge":3900.00,"npi":[1669470043]}]},{"allowed_amount":687.50,"providers":[{"billed_charge":1430.00,"npi":[1669470043]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":114.42,"providers":[{"billed_charge":341.25,"npi":[1073906038]}]},{"allowed_amount":53.57,"providers":[{"billed_charge":101.85,"npi":[1952079634]}]},{"allowed_amount":38.14,"providers":[{"billed_charge":101.85,"npi":[1821721697]}]},{"allowed_amount":1794.80,"providers":[{"billed_charge":4109.70,"npi":[1770763666]}]},{"allowed_amount":3365.25,"providers":[{"billed_charge":7728.00,"npi":[1669887865]}]},{"allowed_amount":76.28,"providers":[{"billed_charge":203.70,"npi":[1952079634]}]},{"allowed_amount":44.87,"providers":[{"billed_charge":101.85,"npi":[1770763666]}]},{"allowed_amount":482.13,"providers":[{"billed_charge":952.35,"npi":[1821721697]}]},{"allowed_amount":800.94,"providers":[{"billed_charge":2100.68,"npi":[1649800095]}]},{"allowed_amount":1767.81,"providers":[{"billed_charge":3432.45,"npi":[1649800095]}]}]},{"tin":{"type":"ein","value":"412273820"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":63.76,"providers":[{"billed_charge":242.00,"npi":[1124057591]}]},{"allowed_amount":530.94,"providers":[{"billed_charge":2178.00,"npi":[1194359117]}]},{"allowed_amount":1288.09,"providers":[{"billed_charge":4114.00,"npi":[1689301889]}]},{"allowed_amount":931.91,"providers":[{"billed_charge":3872.00,"npi":[1063994390]}]},{"allowed_amount":129.97,"providers":[{"billed_charge":484.00,"npi":[1275626913]}]},{"allowed_amount":813.00,"providers":[{"billed_charge":3630.00,"npi":[1063994390]}]},{"allowed_amount":5259.26,"providers":[{"billed_charge":14278.00,"npi":[1124057591]}]},{"allowed_amount":379.40,"providers":[{"billed_charge":1694.00,"npi":[1336855121]}]},{"allowed_amount":3085.00,"providers":[{"billed_charge":9922.00,"npi":[1134856941]}]},{"allowed_amount":2490.45,"providers":[{"billed_charge":8712.00,"npi":[1568853257]}]},{"allowed_amount":54.20,"providers":[{"billed_charge":242.00,"npi":[1134856941]}]},{"allowed_amount":325.20,"providers":[{"billed_charge":1452.00,"npi":[1568853257,1336855121]}]},{"allowed_amount":335.71,"providers":[{"billed_charge":1210.00,"npi":[1003532672]}]},{"allowed_amount":162.60,"providers":[{"billed_charge":726.00,"npi":[1003532672,1194359117]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":595.20,"providers":[{"billed_charge":1846.50,"npi":[1689950891]}]}]},{"tin":{"type":"ein","value":"270653014"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":1856.40,"providers":[{"billed_charge":5352.00,"npi":[1518567353]}]},{"allowed_amount":55.84,"providers":[{"billed_charge":223.00,"npi":[1063000909,1518567353]}]},{"allowed_amount":2939.30,"providers":[{"billed_charge":8474.00,"npi":[1063000909]}]}]},{"tin":{"type":"ein","value":"746003411"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":80.00,"providers":[{"billed_charge":80.00,"npi":[1609870161]}]}]},{"tin":{"type":"ein","value":"746067306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.04,"providers":[{"billed_charge":202.00,"npi":[1548269566]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":531.30,"providers":[{"billed_charge":2610.00,"npi":[1184991564]}]}]},{"tin":{"type":"ein","value":"760226835"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":1006.04,"providers":[{"billed_charge":1960.00,"npi":[1134993991]}]}]},{"tin":{"type":"ein","value":"208271258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7193.55,"providers":[{"billed_charge":14000.00,"npi":[1457729287]}]},{"allowed_amount":15779.40,"providers":[{"billed_charge":30600.00,"npi":[1699156612]}]},{"allowed_amount":273.00,"providers":[{"billed_charge":450.00,"npi":[1992291827]}]}]},{"tin":{"type":"ein","value":"364785232"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":888.03,"providers":[{"billed_charge":2200.00,"npi":[1134857402]}]},{"allowed_amount":2098.98,"providers":[{"billed_charge":5200.00,"npi":[1659089142]}]}]},{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1899.48,"providers":[{"billed_charge":3300.00,"npi":[1629480017]}]}]},{"tin":{"type":"ein","value":"200187041"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2590.20,"providers":[{"billed_charge":3900.00,"npi":[1790784288]}]}]},{"tin":{"type":"ein","value":"756003939"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":1554.12,"providers":[{"billed_charge":1800.00,"npi":[1700880051]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4317.00,"providers":[{"billed_charge":9306.00,"npi":[1689687360]}]},{"allowed_amount":1027.46,"providers":[{"billed_charge":2605.68,"npi":[1053568014]}]}]},{"tin":{"type":"ein","value":"262345602"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":862.68,"providers":[{"billed_charge":2436.00,"npi":[1588331771]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":371.84,"providers":[{"billed_charge":1554.00,"npi":[1164994570,1184250524]}]},{"allowed_amount":187.50,"providers":[{"billed_charge":666.00,"npi":[1164865762]}]},{"allowed_amount":220.17,"providers":[{"billed_charge":666.00,"npi":[1164994570]}]},{"allowed_amount":86.34,"providers":[{"billed_charge":222.00,"npi":[1164865762]}]}]},{"tin":{"type":"ein","value":"994843175"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":146.78,"providers":[{"billed_charge":200.00,"npi":[1992003552]}]}]},{"tin":{"type":"ein","value":"460796181"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1274.00,"providers":[{"billed_charge":3822.00,"npi":[1497061303]}]},{"allowed_amount":262.76,"providers":[{"billed_charge":1092.00,"npi":[1497061303]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":2054.92,"providers":[{"billed_charge":3780.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":10706.16,"providers":[{"billed_charge":18724.00,"npi":[1730445628]}]},{"allowed_amount":375.00,"providers":[{"billed_charge":906.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"752403687"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":513.73,"providers":[{"billed_charge":1225.00,"npi":[1033892245]}]}]},{"tin":{"type":"ein","value":"813193170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":719.81,"providers":[{"billed_charge":1442.00,"npi":[1598394561]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":106.26,"providers":[{"billed_charge":310.00,"npi":[1215516992]}]},{"allowed_amount":259.02,"providers":[{"billed_charge":555.00,"npi":[1124221965]}]},{"allowed_amount":312.50,"providers":[{"billed_charge":895.00,"npi":[1124221965]}]}]},{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":510.00,"providers":[{"billed_charge":510.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"934354270"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":53.12,"providers":[{"billed_charge":230.00,"npi":[1083845218]}]},{"allowed_amount":5757.27,"providers":[{"billed_charge":18170.00,"npi":[1083845218]}]},{"allowed_amount":478.08,"providers":[{"billed_charge":2070.00,"npi":[1083845218]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1036.08,"providers":[{"billed_charge":2400.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"863745753"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":318.72,"providers":[{"billed_charge":750.00,"npi":[1831561158]}]},{"allowed_amount":1174.24,"providers":[{"billed_charge":2000.00,"npi":[1831561158]}]}]},{"tin":{"type":"ein","value":"412049581"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1638.00,"providers":[{"billed_charge":3272.40,"npi":[1548202799]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":6279.00,"providers":[{"billed_charge":15663.00,"npi":[1255596342]}]},{"allowed_amount":4873.05,"providers":[{"billed_charge":14286.00,"npi":[1003273731]}]},{"allowed_amount":6452.58,"providers":[{"billed_charge":19522.00,"npi":[1669082723]}]},{"allowed_amount":1726.80,"providers":[{"billed_charge":4540.00,"npi":[1053453225]}]},{"allowed_amount":14155.05,"providers":[{"billed_charge":41541.00,"npi":[1538526702]}]},{"allowed_amount":518.04,"providers":[{"billed_charge":1362.00,"npi":[1245432038]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT EST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99214","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH RE","allowed_amounts":[{"tin":{"type":"ein","value":"752113670"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1964.79,"providers":[{"billed_charge":6498.00,"npi":[1578990800]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["19"],"billing_class":"professional","payments":[{"allowed_amount":447.25,"providers":[{"billed_charge":963.90,"npi":[1477981702]}]}]},{"tin":{"type":"ein","value":"271858033"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1472.13,"providers":[{"billed_charge":2805.00,"npi":[1255492765]}]}]},{"tin":{"type":"ein","value":"475121236"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":3284.82,"providers":[{"billed_charge":9450.00,"npi":[1932138575]}]},{"allowed_amount":181.62,"providers":[{"billed_charge":450.00,"npi":[1932138575]}]}]},{"tin":{"type":"ein","value":"822971554"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7786.24,"providers":[{"billed_charge":16000.00,"npi":[1043951007]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":2068.20,"providers":[{"billed_charge":3500.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"811543405"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1344.33,"providers":[{"billed_charge":1625.00,"npi":[1265495683]}]},{"allowed_amount":547.47,"providers":[{"billed_charge":945.00,"npi":[1265495683]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1003.28,"providers":[{"billed_charge":3077.04,"npi":[1609021161]}]},{"allowed_amount":3411.62,"providers":[{"billed_charge":10385.01,"npi":[1598129702]}]},{"allowed_amount":512.84,"providers":[{"billed_charge":1538.52,"npi":[1073601928]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4062.48,"providers":[{"billed_charge":4725.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"822518776"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":851.62,"providers":[{"billed_charge":1794.94,"npi":[1235595166]}]}]},{"tin":{"type":"ein","value":"742699762"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2275.02,"providers":[{"billed_charge":4994.00,"npi":[1689186413]}]}]},{"tin":{"type":"ein","value":"200719874"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1065.29,"providers":[{"billed_charge":1620.00,"npi":[1932785854]}]}]},{"tin":{"type":"ein","value":"471796696"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":121.66,"providers":[{"billed_charge":302.00,"npi":[1063677672]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":7519.62,"providers":[{"billed_charge":17859.27,"npi":[1770998999]}]},{"allowed_amount":822.30,"providers":[{"billed_charge":2588.30,"npi":[1053772129]}]},{"allowed_amount":96.74,"providers":[{"billed_charge":258.83,"npi":[1982790143]}]},{"allowed_amount":12641.68,"providers":[{"billed_charge":30024.28,"npi":[1053772129]}]},{"allowed_amount":82.23,"providers":[{"billed_charge":258.83,"npi":[1770998999]}]},{"allowed_amount":290.22,"providers":[{"billed_charge":776.49,"npi":[1366860447]}]},{"allowed_amount":3269.40,"providers":[{"billed_charge":7764.90,"npi":[1861861262]}]},{"allowed_amount":967.40,"providers":[{"billed_charge":2588.30,"npi":[1124348370]}]},{"allowed_amount":128.21,"providers":[{"billed_charge":258.83,"npi":[1366860447]}]},{"allowed_amount":6666.92,"providers":[{"billed_charge":13459.16,"npi":[1982790143]}]},{"allowed_amount":256.42,"providers":[{"billed_charge":517.66,"npi":[1124348370]}]}]},{"tin":{"type":"ein","value":"742553409"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":1216.60,"providers":[{"billed_charge":2570.00,"npi":[1225471303]}]},{"allowed_amount":608.30,"providers":[{"billed_charge":1285.00,"npi":[1568542090]}]}]},{"tin":{"type":"ein","value":"311756818"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":277.28,"providers":[{"billed_charge":1036.00,"npi":[1457457665]}]},{"allowed_amount":5623.20,"providers":[{"billed_charge":15540.00,"npi":[1457457665]}]},{"allowed_amount":243.32,"providers":[{"billed_charge":518.00,"npi":[1720494560]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":259.00,"npi":[1720494560]}]}]},{"tin":{"type":"ein","value":"843856752"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3515.94,"providers":[{"billed_charge":9046.72,"npi":[1366840068]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20310.66,"providers":[{"billed_charge":42930.00,"npi":[1477916708]}]},{"allowed_amount":69056.88,"providers":[{"billed_charge":171720.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"474508856"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":7450.55,"providers":[{"billed_charge":9450.00,"npi":[1801528567]}]},{"allowed_amount":5179.57,"providers":[{"billed_charge":8775.00,"npi":[1801528567]}]}]},{"tin":{"type":"ein","value":"812128169"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":828.09,"providers":[{"billed_charge":6057.00,"npi":[1912015975]}]},{"allowed_amount":22082.82,"providers":[{"billed_charge":122486.00,"npi":[1912015975]}]}]},{"tin":{"type":"ein","value":"473112502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1884.36,"providers":[{"billed_charge":4998.24,"npi":[1922211697]}]}]},{"tin":{"type":"ein","value":"201084404"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.66,"providers":[{"billed_charge":224.00,"npi":[1407851249]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":312.84,"providers":[{"billed_charge":2580.00,"npi":[1194379503]}]},{"allowed_amount":103.41,"providers":[{"billed_charge":645.00,"npi":[1194379503]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1034.10,"providers":[{"billed_charge":2900.00,"npi":[1952657025]}]},{"allowed_amount":10134.18,"providers":[{"billed_charge":28420.00,"npi":[1659984441]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":290.00,"npi":[1659984441]}]}]},{"tin":{"type":"ein","value":"751532100"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1593.20,"providers":[{"billed_charge":3500.00,"npi":[1285399147]}]},{"allowed_amount":942.72,"providers":[{"billed_charge":2800.00,"npi":[1144703216]}]},{"allowed_amount":716.94,"providers":[{"billed_charge":1575.00,"npi":[1144703216]}]}]},{"tin":{"type":"ein","value":"753260266"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2410.48,"providers":[{"billed_charge":4180.00,"npi":[1871588236]}]}]},{"tin":{"type":"ein","value":"832104126"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":5382.74,"providers":[{"billed_charge":12866.00,"npi":[1134555790]}]},{"allowed_amount":751.08,"providers":[{"billed_charge":1732.00,"npi":[1962161919]}]}]},{"tin":{"type":"ein","value":"742798500"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":243.32,"providers":[{"billed_charge":425.12,"npi":[1316394935]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1327.65,"providers":[{"billed_charge":3692.32,"npi":[1689950891]}]}]},{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6447.98,"providers":[{"billed_charge":18921.00,"npi":[1427402551]}]}]},{"tin":{"type":"ein","value":"821661889"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":486.64,"providers":[{"billed_charge":1124.00,"npi":[1619087111]}]},{"allowed_amount":7912.86,"providers":[{"billed_charge":24166.00,"npi":[1619087111]}]}]},{"tin":{"type":"ein","value":"813564692"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":748.01,"providers":[{"billed_charge":1920.00,"npi":[1255499943]}]},{"allowed_amount":2087.47,"providers":[{"billed_charge":5440.00,"npi":[1972823169]}]}]},{"tin":{"type":"ein","value":"853159859"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":469.26,"providers":[{"billed_charge":826.14,"npi":[1699312926]}]},{"allowed_amount":206.82,"providers":[{"billed_charge":275.38,"npi":[1699312926]}]}]},{"tin":{"type":"ein","value":"453780709"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":423.36,"providers":[{"billed_charge":525.00,"npi":[1508483082]}]}]},{"tin":{"type":"ein","value":"812513596"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":177.02,"providers":[{"billed_charge":420.00,"npi":[1437666591]}]},{"allowed_amount":2618.80,"providers":[{"billed_charge":8400.00,"npi":[1437666591]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1513.59,"providers":[{"billed_charge":4750.00,"npi":[1003463506]}]},{"allowed_amount":1564.17,"providers":[{"billed_charge":4250.00,"npi":[1720281561]}]},{"allowed_amount":9661.05,"providers":[{"billed_charge":26250.00,"npi":[1295814366]}]},{"allowed_amount":4145.13,"providers":[{"billed_charge":13250.00,"npi":[1154574879]}]},{"allowed_amount":9016.98,"providers":[{"billed_charge":24500.00,"npi":[1124221965]}]},{"allowed_amount":1877.04,"providers":[{"billed_charge":6000.00,"npi":[1740360213]}]},{"allowed_amount":121.66,"providers":[{"billed_charge":250.00,"npi":[1023508587]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":250.00,"npi":[1750891214]}]},{"allowed_amount":310.23,"providers":[{"billed_charge":750.00,"npi":[1740360213]}]},{"allowed_amount":103.41,"providers":[{"billed_charge":250.00,"npi":[1780290106]}]},{"allowed_amount":3675.87,"providers":[{"billed_charge":11750.00,"npi":[1285198911]}]},{"allowed_amount":930.69,"providers":[{"billed_charge":2250.00,"npi":[1043828544]}]},{"allowed_amount":828.09,"providers":[{"billed_charge":2250.00,"npi":[1023508587]}]},{"allowed_amount":2676.52,"providers":[{"billed_charge":5500.00,"npi":[1124221965]}]},{"allowed_amount":30345.48,"providers":[{"billed_charge":97000.00,"npi":[1043828544]}]},{"allowed_amount":1173.15,"providers":[{"billed_charge":3750.00,"npi":[1780290106]}]},{"allowed_amount":1216.60,"providers":[{"billed_charge":2500.00,"npi":[1295814366]}]},{"allowed_amount":206.82,"providers":[{"billed_charge":500.00,"npi":[1285198911]}]}]},{"tin":{"type":"ein","value":"475144147"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":827.28,"providers":[{"billed_charge":1449.52,"npi":[1265023881]}]}]},{"tin":{"type":"ein","value":"813193170"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2318.08,"providers":[{"billed_charge":4672.00,"npi":[1598394561]}]}]},{"tin":{"type":"ein","value":"751368151"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":930.69,"providers":[{"billed_charge":3375.00,"npi":[1760064828]}]},{"allowed_amount":829.89,"providers":[{"billed_charge":3375.00,"npi":[1295259547]}]},{"allowed_amount":310.23,"providers":[{"billed_charge":1125.00,"npi":[1952727034]}]},{"allowed_amount":206.82,"providers":[{"billed_charge":750.00,"npi":[1558995092]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":8378.71,"providers":[{"billed_charge":17324.00,"npi":[1578897765]}]}]},{"tin":{"type":"ein","value":"371829497"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":305.14,"providers":[{"billed_charge":676.00,"npi":[1255528303]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":3378.38,"providers":[{"billed_charge":10219.00,"npi":[1003273731]}]}]},{"tin":{"type":"ein","value":"473975088"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":469.26,"providers":[{"billed_charge":900.00,"npi":[1497225478]}]},{"allowed_amount":1551.15,"providers":[{"billed_charge":2250.00,"npi":[1497225478]}]}]},{"tin":{"type":"ein","value":"811123403"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":619.57,"providers":[{"billed_charge":3349.50,"npi":[1780151373]}]},{"allowed_amount":143.68,"providers":[{"billed_charge":957.00,"npi":[1750739405]}]},{"allowed_amount":2906.82,"providers":[{"billed_charge":15312.00,"npi":[1750739405]}]},{"allowed_amount":130.94,"providers":[{"billed_charge":957.00,"npi":[1780151373]}]},{"allowed_amount":442.55,"providers":[{"billed_charge":2392.50,"npi":[1982624029]}]},{"allowed_amount":708.08,"providers":[{"billed_charge":3828.00,"npi":[1437181237]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":35403.06,"providers":[{"billed_charge":97485.00,"npi":[1639511397]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":335.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":77740.74,"providers":[{"billed_charge":140580.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"834439721"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1220.61,"providers":[{"billed_charge":3200.00,"npi":[1336600758]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2676.52,"providers":[{"billed_charge":4224.00,"npi":[1801874763]}]}]},{"tin":{"type":"ein","value":"473640238"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":387.35,"providers":[{"billed_charge":1000.00,"npi":[1932440021]}]}]},{"tin":{"type":"ein","value":"741586031"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":303.44,"providers":[{"billed_charge":1223.00,"npi":[1396225512]}]}]},{"tin":{"type":"ein","value":"760458535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7891.32,"providers":[{"billed_charge":15012.00,"npi":[1841828548]}]},{"allowed_amount":291.98,"providers":[{"billed_charge":522.00,"npi":[1477510014]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1528.92,"providers":[{"billed_charge":4241.30,"npi":[1841497393]}]},{"allowed_amount":51923.85,"providers":[{"billed_charge":126754.40,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2792.07,"providers":[{"billed_charge":6933.06,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"200241221"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":218.98,"providers":[{"billed_charge":552.00,"npi":[1033795752]}]}]},{"tin":{"type":"ein","value":"854247861"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1094.94,"providers":[{"billed_charge":1730.88,"npi":[1093144560]}]}]},{"tin":{"type":"ein","value":"134334288"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":619.57,"providers":[{"billed_charge":2646.00,"npi":[1063765451]}]}]},{"tin":{"type":"ein","value":"752600873"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":3284.82,"providers":[{"billed_charge":4482.00,"npi":[1215921978]}]},{"allowed_amount":996.00,"providers":[{"billed_charge":996.00,"npi":[1053421461]}]},{"allowed_amount":1778.64,"providers":[{"billed_charge":1992.00,"npi":[1275399297]}]},{"allowed_amount":729.96,"providers":[{"billed_charge":996.00,"npi":[1295350999]}]},{"allowed_amount":2189.88,"providers":[{"billed_charge":2988.00,"npi":[1386639672]}]},{"allowed_amount":547.47,"providers":[{"billed_charge":747.00,"npi":[1700955390]}]},{"allowed_amount":168.15,"providers":[{"billed_charge":249.00,"npi":[1275399297]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2141.28,"providers":[{"billed_charge":4192.00,"npi":[1679953749]}]}]},{"tin":{"type":"ein","value":"741951476"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":5980.65,"providers":[{"billed_charge":14077.70,"npi":[1982267787]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["11","22","02","10"],"billing_class":"professional","payments":[{"allowed_amount":8727.18,"providers":[{"billed_charge":63210.00,"npi":[1952012189]}]},{"allowed_amount":14369.54,"providers":[{"billed_charge":92240.00,"npi":[1245053545]}]},{"allowed_amount":151.72,"providers":[{"billed_charge":1290.00,"npi":[1982334116]}]},{"allowed_amount":65.47,"providers":[{"billed_charge":645.00,"npi":[1780492330]}]},{"allowed_amount":6387.74,"providers":[{"billed_charge":52890.00,"npi":[1245053545]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":645.00,"npi":[1619381316,1932320389]}]},{"allowed_amount":310.23,"providers":[{"billed_charge":1935.00,"npi":[1629889068]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":645.00,"npi":[1376379529,1548298003,1841035318]}]},{"allowed_amount":378.31,"providers":[{"billed_charge":3225.00,"npi":[1548298003]}]},{"allowed_amount":5310.60,"providers":[{"billed_charge":38700.00,"npi":[1780492330]}]},{"allowed_amount":8905.34,"providers":[{"billed_charge":65790.00,"npi":[1932320389]}]},{"allowed_amount":523.76,"providers":[{"billed_charge":5160.00,"npi":[1538426614]}]},{"allowed_amount":1233.08,"providers":[{"billed_charge":7095.00,"npi":[1932320389]}]},{"allowed_amount":809.35,"providers":[{"billed_charge":7095.00,"npi":[1841035318]}]},{"allowed_amount":15694.14,"providers":[{"billed_charge":83205.00,"npi":[1619381316]}]},{"allowed_amount":644.07,"providers":[{"billed_charge":4515.00,"npi":[1619381316]}]},{"allowed_amount":88.51,"providers":[{"billed_charge":645.00,"npi":[1548298003,1164299368]}]},{"allowed_amount":184.02,"providers":[{"billed_charge":1290.00,"npi":[1619381316,1952012189]}]},{"allowed_amount":8511.10,"providers":[{"billed_charge":83850.00,"npi":[1780492330]}]},{"allowed_amount":3903.07,"providers":[{"billed_charge":33865.00,"npi":[1164299368]}]},{"allowed_amount":221.89,"providers":[{"billed_charge":1935.00,"npi":[1548973852]}]},{"allowed_amount":1265.87,"providers":[{"billed_charge":10965.00,"npi":[1629889068]}]},{"allowed_amount":588.87,"providers":[{"billed_charge":4515.00,"npi":[1952012189]}]},{"allowed_amount":327.35,"providers":[{"billed_charge":3225.00,"npi":[1538426614]}]},{"allowed_amount":1806.65,"providers":[{"billed_charge":9675.00,"npi":[1952012189]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","02","20","10"],"billing_class":"professional","payments":[{"allowed_amount":3085.23,"providers":[{"billed_charge":6705.56,"npi":[1234567893]}]},{"allowed_amount":625.90,"providers":[{"billed_charge":1285.00,"npi":[1234567893]}]},{"allowed_amount":739.47,"providers":[{"billed_charge":1575.00,"npi":[1234567893]}]},{"allowed_amount":779.22,"providers":[{"billed_charge":1674.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["71"],"billing_class":"professional","payments":[{"allowed_amount":2316.15,"providers":[{"billed_charge":2587.05,"npi":[1144326521]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":25426.94,"providers":[{"billed_charge":86108.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"811765483"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":973.28,"providers":[{"billed_charge":3360.00,"npi":[1811195365]}]}]},{"tin":{"type":"ein","value":"272471363"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":486.64,"providers":[{"billed_charge":900.00,"npi":[1023012002]}]}]},{"tin":{"type":"ein","value":"900088197"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":608.30,"providers":[{"billed_charge":1220.00,"npi":[1710974811]}]}]},{"tin":{"type":"ein","value":"760579754"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1703.24,"providers":[{"billed_charge":2100.00,"npi":[1043506777]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21509.28,"providers":[{"billed_charge":29120.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"742357970"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":364.98,"providers":[{"billed_charge":569.25,"npi":[1134223175]}]},{"allowed_amount":729.96,"providers":[{"billed_charge":1138.50,"npi":[1134223175]}]}]},{"tin":{"type":"ein","value":"752743893"},"service_code":["11","72"],"billing_class":"professional","payments":[{"allowed_amount":1265.28,"providers":[{"billed_charge":2012.00,"npi":[1821613514]}]},{"allowed_amount":941.01,"providers":[{"billed_charge":1981.00,"npi":[1750080834]}]}]},{"tin":{"type":"ein","value":"993118014"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5352.12,"providers":[{"billed_charge":19150.00,"npi":[1750747226]}]}]},{"tin":{"type":"ein","value":"741793265"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":294.60,"providers":[{"billed_charge":550.00,"npi":[1992420202]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24088.68,"providers":[{"billed_charge":42372.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"202341026"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":544.90,"providers":[{"billed_charge":2170.00,"npi":[1982253092]}]}]},{"tin":{"type":"ein","value":"760453250"},"service_code":["22","19"],"billing_class":"professional","payments":[{"allowed_amount":3696.96,"providers":[{"billed_charge":18050.00,"npi":[1184038598]}]},{"allowed_amount":847.22,"providers":[{"billed_charge":4161.00,"npi":[1184038598]}]}]},{"tin":{"type":"ein","value":"760540476"},"service_code":["11","22"],"billing_class":"professional","payments":[{"allowed_amount":2919.84,"providers":[{"billed_charge":3312.00,"npi":[1609288208]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":138.00,"npi":[1609288208]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1104.12,"providers":[{"billed_charge":3093.60,"npi":[1174771679]}]},{"allowed_amount":1564.17,"providers":[{"billed_charge":4382.60,"npi":[1891941993]}]},{"allowed_amount":5474.70,"providers":[{"billed_charge":11601.00,"npi":[1417335571]}]},{"allowed_amount":851.62,"providers":[{"billed_charge":1804.60,"npi":[1235392432,1447293287]}]},{"allowed_amount":121.66,"providers":[{"billed_charge":257.80,"npi":[1891941993]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":257.80,"npi":[1811516289,1417335571,1568691483]}]},{"allowed_amount":608.30,"providers":[{"billed_charge":1289.00,"npi":[1295988855]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":257.80,"npi":[1700960556]}]},{"allowed_amount":1748.19,"providers":[{"billed_charge":4898.20,"npi":[1235392432]}]},{"allowed_amount":2919.84,"providers":[{"billed_charge":6187.20,"npi":[1942400601]}]},{"allowed_amount":1656.18,"providers":[{"billed_charge":4640.40,"npi":[1215294004]}]},{"allowed_amount":2676.52,"providers":[{"billed_charge":5671.60,"npi":[1982050241]}]},{"allowed_amount":2760.30,"providers":[{"billed_charge":7734.00,"npi":[1528475845]}]},{"allowed_amount":729.96,"providers":[{"billed_charge":1546.80,"npi":[1215294004,1528475845]}]},{"allowed_amount":3929.58,"providers":[{"billed_charge":9796.40,"npi":[1700960556]}]},{"allowed_amount":2890.19,"providers":[{"billed_charge":6187.20,"npi":[1174771679]}]},{"allowed_amount":2275.02,"providers":[{"billed_charge":5671.60,"npi":[1760857379]}]},{"allowed_amount":1932.21,"providers":[{"billed_charge":5413.80,"npi":[1295988855]}]}]},{"tin":{"type":"ein","value":"472107258"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":96.74,"providers":[{"billed_charge":405.00,"npi":[1487097523]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1861.38,"providers":[{"billed_charge":4788.00,"npi":[1790457075]}]}]},{"tin":{"type":"ein","value":"853964646"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":132.61,"providers":[{"billed_charge":292.00,"npi":[1578512679]}]}]},{"tin":{"type":"ein","value":"463951057"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":364.98,"providers":[{"billed_charge":786.00,"npi":[1144330762]}]},{"allowed_amount":460.05,"providers":[{"billed_charge":1310.00,"npi":[1144330762]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":382.32,"providers":[{"billed_charge":696.00,"npi":[1952864092]}]},{"allowed_amount":1232.32,"providers":[{"billed_charge":3698.00,"npi":[1063896124]}]},{"allowed_amount":184.02,"providers":[{"billed_charge":464.00,"npi":[1972819589]}]},{"allowed_amount":1216.60,"providers":[{"billed_charge":2320.00,"npi":[1659913440]}]},{"allowed_amount":937.17,"providers":[{"billed_charge":2088.00,"npi":[1063896124]}]},{"allowed_amount":1824.90,"providers":[{"billed_charge":3452.00,"npi":[1972819589]}]}]},{"tin":{"type":"ein","value":"833527998"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10685.98,"providers":[{"billed_charge":44100.00,"npi":[1790499689]}]},{"allowed_amount":2579.20,"providers":[{"billed_charge":9000.00,"npi":[1275508848]}]}]},{"tin":{"type":"ein","value":"474372206"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":364.98,"providers":[{"billed_charge":750.00,"npi":[1740456144]}]},{"allowed_amount":92.01,"providers":[{"billed_charge":250.00,"npi":[1740456144]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":92.01,"providers":[{"billed_charge":150.00,"npi":[1144275355]}]},{"allowed_amount":261390.87,"providers":[{"billed_charge":322500.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"200462905"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":10898.00,"providers":[{"billed_charge":17600.00,"npi":[1508524828]}]},{"allowed_amount":2942.46,"providers":[{"billed_charge":4752.00,"npi":[1508524828]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6204.66,"providers":[{"billed_charge":12750.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"841777691"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2068.20,"providers":[{"billed_charge":3730.80,"npi":[1659859759]}]}]},{"tin":{"type":"ein","value":"742512591"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2919.84,"providers":[{"billed_charge":4200.00,"npi":[1669470043]}]},{"allowed_amount":1656.18,"providers":[{"billed_charge":3150.00,"npi":[1669470043]}]}]},{"tin":{"type":"ein","value":"742876515"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":3678.39,"providers":[{"billed_charge":4965.00,"npi":[1588638530]}]},{"allowed_amount":10068.13,"providers":[{"billed_charge":10375.00,"npi":[1588638530]}]}]},{"tin":{"type":"ein","value":"352335295"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":121.66,"providers":[{"billed_charge":185.00,"npi":[1194787200]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":58.92,"providers":[{"billed_charge":143.04,"npi":[1114698289]}]},{"allowed_amount":207.96,"providers":[{"billed_charge":429.12,"npi":[1770763666]}]},{"allowed_amount":1473.00,"providers":[{"billed_charge":3601.05,"npi":[1114698289]}]},{"allowed_amount":1672.86,"providers":[{"billed_charge":3053.94,"npi":[1952079634]}]},{"allowed_amount":3050.08,"providers":[{"billed_charge":6368.91,"npi":[1205005519]}]},{"allowed_amount":294.60,"providers":[{"billed_charge":715.20,"npi":[1952079634]}]}]},{"tin":{"type":"ein","value":"412273820"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":558.32,"providers":[{"billed_charge":2464.00,"npi":[1306477906]}]},{"allowed_amount":532.95,"providers":[{"billed_charge":1760.00,"npi":[1275626913]}]},{"allowed_amount":159.52,"providers":[{"billed_charge":704.00,"npi":[1568853257]}]},{"allowed_amount":3597.23,"providers":[{"billed_charge":11968.00,"npi":[1134856941]}]},{"allowed_amount":1702.52,"providers":[{"billed_charge":7040.00,"npi":[1053083428]}]},{"allowed_amount":957.85,"providers":[{"billed_charge":3872.00,"npi":[1306477906]}]},{"allowed_amount":79.76,"providers":[{"billed_charge":352.00,"npi":[1013245778,1134856941]}]},{"allowed_amount":717.84,"providers":[{"billed_charge":3168.00,"npi":[1053083428]}]},{"allowed_amount":1379.51,"providers":[{"billed_charge":3862.00,"npi":[1124057591]}]},{"allowed_amount":2184.73,"providers":[{"billed_charge":7392.00,"npi":[1568853257]}]}]},{"tin":{"type":"ein","value":"756176121"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":443.76,"providers":[{"billed_charge":443.76,"npi":[1750726345,1467436014]}]},{"allowed_amount":961.48,"providers":[{"billed_charge":961.48,"npi":[1528504412]}]}]},{"tin":{"type":"ein","value":"873147341"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1034.10,"providers":[{"billed_charge":1930.00,"npi":[1780108175]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":246.97,"providers":[{"billed_charge":504.00,"npi":[1942390273]}]}]},{"tin":{"type":"ein","value":"742822017"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":637.28,"providers":[{"billed_charge":1134.24,"npi":[1942478292]}]}]},{"tin":{"type":"ein","value":"746003411"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4680.00,"providers":[{"billed_charge":4680.00,"npi":[1629005418]}]},{"allowed_amount":1200.00,"providers":[{"billed_charge":1200.00,"npi":[1609870161]}]}]},{"tin":{"type":"ein","value":"746067306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1561.95,"providers":[{"billed_charge":2295.00,"npi":[1215011747]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["11","22","02"],"billing_class":"professional","payments":[{"allowed_amount":620.46,"providers":[{"billed_charge":2214.00,"npi":[1942947593]}]},{"allowed_amount":2998.89,"providers":[{"billed_charge":10701.00,"npi":[1184991564]}]},{"allowed_amount":13843.17,"providers":[{"billed_charge":65313.00,"npi":[1942947593]}]},{"allowed_amount":11887.92,"providers":[{"billed_charge":56088.00,"npi":[1184991564]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":369.00,"npi":[1942947593,1184991564]}]}]},{"tin":{"type":"ein","value":"812369811"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2311.54,"providers":[{"billed_charge":3572.00,"npi":[1316188725]}]}]},{"tin":{"type":"ein","value":"263275773"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3620.15,"providers":[{"billed_charge":10500.00,"npi":[1326509761]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":10961.46,"providers":[{"billed_charge":30740.00,"npi":[1205344561]}]},{"allowed_amount":860.31,"providers":[{"billed_charge":3190.00,"npi":[1205344561]}]},{"allowed_amount":78.21,"providers":[{"billed_charge":290.00,"npi":[1205344561]}]}]},{"tin":{"type":"ein","value":"432016287"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":486.64,"providers":[{"billed_charge":1000.00,"npi":[1043741275]}]},{"allowed_amount":851.62,"providers":[{"billed_charge":1750.00,"npi":[1043741275]}]}]},{"tin":{"type":"ein","value":"822312224"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1137.51,"providers":[{"billed_charge":2905.32,"npi":[1053568014]}]},{"allowed_amount":9489.48,"providers":[{"billed_charge":20601.36,"npi":[1689687360]}]}]},{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2433.20,"providers":[{"billed_charge":4831.60,"npi":[1295513000]}]},{"allowed_amount":1094.94,"providers":[{"billed_charge":2174.22,"npi":[1770586703]}]}]},{"tin":{"type":"ein","value":"741659064"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3894.44,"providers":[{"billed_charge":5500.00,"npi":[1861915266]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1703.24,"providers":[{"billed_charge":4620.00,"npi":[1164865762]}]}]},{"tin":{"type":"ein","value":"742882192"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12166.00,"providers":[{"billed_charge":25000.00,"npi":[1033370176]}]}]},{"tin":{"type":"ein","value":"460796181"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2179.57,"providers":[{"billed_charge":6538.71,"npi":[1114080173]}]},{"allowed_amount":6410.50,"providers":[{"billed_charge":19231.50,"npi":[1497061303]}]},{"allowed_amount":773.92,"providers":[{"billed_charge":3077.04,"npi":[1497061303]}]},{"allowed_amount":128.21,"providers":[{"billed_charge":384.63,"npi":[1073746871]}]}]},{"tin":{"type":"ein","value":"811830612"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":243.32,"providers":[{"billed_charge":750.00,"npi":[1316044050]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":15614.91,"providers":[{"billed_charge":27180.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3893.12,"providers":[{"billed_charge":7072.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4501.42,"providers":[{"billed_charge":9250.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"275094632"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6872.58,"providers":[{"billed_charge":22198.28,"npi":[1992741193]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":65148.30,"providers":[{"billed_charge":91356.30,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"863331224"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":96.61,"providers":[{"billed_charge":375.00,"npi":[1245453166]}]},{"allowed_amount":10346.94,"providers":[{"billed_charge":30375.00,"npi":[1245453166]}]}]},{"tin":{"type":"ein","value":"205269305"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1551.15,"providers":[{"billed_charge":2250.00,"npi":[1003153628]}]}]}]},{"name":"OFFICE/OUTPATIENT VISIT EST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE OR OTH OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH RE","allowed_amounts":[{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":341.78,"providers":[{"billed_charge":906.00,"npi":[1265583504]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":351.98,"providers":[{"billed_charge":1079.52,"npi":[1609021161]}]}]},{"tin":{"type":"ein","value":"463951057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2905.13,"providers":[{"billed_charge":6001.00,"npi":[1144330762]}]}]},{"tin":{"type":"ein","value":"760285577"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":899.60,"providers":[{"billed_charge":2790.00,"npi":[1871605998]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["11","57"],"billing_class":"professional","payments":[{"allowed_amount":140.09,"providers":[{"billed_charge":371.00,"npi":[1255388203]}]},{"allowed_amount":1538.01,"providers":[{"billed_charge":3427.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"760568042"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":179.92,"providers":[{"billed_charge":260.00,"npi":[1154778611]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":1597.75,"providers":[{"billed_charge":2365.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1538.01,"providers":[{"billed_charge":1980.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":272.08,"providers":[{"billed_charge":884.00,"npi":[1114026598]}]}]}]},{"name":"INITIAL HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"INITIAL HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE","allowed_amounts":[{"tin":{"type":"ein","value":"883517085"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":65.65,"providers":[{"billed_charge":275.00,"npi":[1356821284]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5219.32,"providers":[{"billed_charge":17325.00,"npi":[1215925185]}]},{"allowed_amount":1891.10,"providers":[{"billed_charge":6325.00,"npi":[1316279326]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":932.16,"providers":[{"billed_charge":2452.56,"npi":[1891944708]}]}]}]},{"name":"INITIAL HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99222","description":"INITIAL HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE","allowed_amounts":[{"tin":{"type":"ein","value":"271368002"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4305.34,"providers":[{"billed_charge":19800.00,"npi":[1306048277]}]}]},{"tin":{"type":"ein","value":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1686.10,"providers":[{"billed_charge":3900.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"510602325"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2507.39,"providers":[{"billed_charge":4100.00,"npi":[1720068174]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":14593.63,"providers":[{"billed_charge":29000.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1194.50,"providers":[{"billed_charge":9480.00,"npi":[1164008728]}]},{"allowed_amount":1075.05,"providers":[{"billed_charge":8532.00,"npi":[1164008728]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17234.93,"providers":[{"billed_charge":39900.00,"npi":[1215925185]}]},{"allowed_amount":974.10,"providers":[{"billed_charge":2400.00,"npi":[1235363862]}]},{"allowed_amount":24215.95,"providers":[{"billed_charge":57300.00,"npi":[1316279326]}]},{"allowed_amount":9869.41,"providers":[{"billed_charge":23700.00,"npi":[1184041436]}]}]},{"tin":{"type":"ein","value":"760608057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1075.05,"providers":[{"billed_charge":2700.00,"npi":[1720070121]}]}]},{"tin":{"type":"ein","value":"202396203"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1037.60,"providers":[{"billed_charge":2800.00,"npi":[1861474595]}]}]},{"tin":{"type":"ein","value":"263158703"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":119.46,"providers":[{"billed_charge":250.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"113804707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":125.80,"providers":[{"billed_charge":275.00,"npi":[1164529681]}]}]},{"tin":{"type":"ein","value":"760588954"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":7044.80,"providers":[{"billed_charge":13720.00,"npi":[1780622928]}]},{"allowed_amount":125.80,"providers":[{"billed_charge":245.00,"npi":[1780622928]}]},{"allowed_amount":503.20,"providers":[{"billed_charge":980.00,"npi":[1780622928]}]}]},{"tin":{"type":"ein","value":"30562624"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":377.40,"providers":[{"billed_charge":525.00,"npi":[1528168051]}]},{"allowed_amount":10441.40,"providers":[{"billed_charge":14525.00,"npi":[1528168051]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":492.60,"providers":[{"billed_charge":800.00,"npi":[1164442778]}]},{"allowed_amount":985.20,"providers":[{"billed_charge":1600.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":364.70,"providers":[{"billed_charge":786.00,"npi":[1326173386]}]},{"allowed_amount":750.67,"providers":[{"billed_charge":1572.00,"npi":[1104102086]}]},{"allowed_amount":238.90,"providers":[{"billed_charge":524.00,"npi":[1063070282]}]},{"allowed_amount":629.00,"providers":[{"billed_charge":1310.00,"npi":[1104102086]}]},{"allowed_amount":754.80,"providers":[{"billed_charge":1572.00,"npi":[1386027472]}]}]},{"tin":{"type":"ein","value":"10681320"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":597.25,"providers":[{"billed_charge":1023.20,"npi":[1477618429]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":991.84,"providers":[{"billed_charge":2192.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"450675246"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":942.90,"providers":[{"billed_charge":2450.00,"npi":[1669423067]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3325.05,"providers":[{"billed_charge":12150.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1608.33,"providers":[{"billed_charge":6604.00,"npi":[1235274994]}]},{"allowed_amount":119.45,"providers":[{"billed_charge":508.00,"npi":[1346436276]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":104.68,"providers":[{"billed_charge":657.10,"npi":[1427884741]}]},{"allowed_amount":123.15,"providers":[{"billed_charge":657.10,"npi":[1275152985]}]},{"allowed_amount":628.08,"providers":[{"billed_charge":3942.60,"npi":[1245053545]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":121.67,"providers":[{"billed_charge":262.00,"npi":[1234567893]}]},{"allowed_amount":495.27,"providers":[{"billed_charge":1327.00,"npi":[1234567893]}]},{"allowed_amount":121.30,"providers":[{"billed_charge":200.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"471770620"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":119.45,"providers":[{"billed_charge":417.89,"npi":[1740442144]}]}]},{"tin":{"type":"ein","value":"760123983"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3145.00,"providers":[{"billed_charge":5250.00,"npi":[1538154042]}]}]},{"tin":{"type":"ein","value":"452654166"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":369.45,"providers":[{"billed_charge":834.00,"npi":[1811189269]}]},{"allowed_amount":123.15,"providers":[{"billed_charge":278.00,"npi":[1811189269]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2698.96,"providers":[{"billed_charge":7054.08,"npi":[1891944708]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":369.45,"providers":[{"billed_charge":1266.00,"npi":[1427478965]}]}]},{"tin":{"type":"ein","value":"460894804"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1297.00,"providers":[{"billed_charge":4000.00,"npi":[1366461311]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":380.34,"providers":[{"billed_charge":1077.00,"npi":[1255999314]}]},{"allowed_amount":447.48,"providers":[{"billed_charge":1077.00,"npi":[1265695001]}]},{"allowed_amount":126.78,"providers":[{"billed_charge":359.00,"npi":[1417601162]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3078.75,"providers":[{"billed_charge":5000.00,"npi":[1932300779]}]}]},{"tin":{"type":"ein","value":"611715115"},"service_code":["55","21"],"billing_class":"professional","payments":[{"allowed_amount":358.35,"providers":[{"billed_charge":750.00,"npi":[1639187263]}]},{"allowed_amount":3105.80,"providers":[{"billed_charge":6500.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"812513596"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":134.70,"providers":[{"billed_charge":360.00,"npi":[1487833042]}]},{"allowed_amount":942.90,"providers":[{"billed_charge":2520.00,"npi":[1487833042]}]}]},{"tin":{"type":"ein","value":"752887124"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":236.30,"providers":[{"billed_charge":1050.00,"npi":[1962430413]}]},{"allowed_amount":590.75,"providers":[{"billed_charge":2625.00,"npi":[1962430413]}]}]},{"tin":{"type":"ein","value":"823426999"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":597.25,"providers":[{"billed_charge":1540.00,"npi":[1962086900]}]},{"allowed_amount":238.90,"providers":[{"billed_charge":616.00,"npi":[1962086900]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":910.44,"providers":[{"billed_charge":1668.00,"npi":[1407849946]}]}]}]},{"name":"INITIAL HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99223","description":"INITIAL HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE","allowed_amounts":[{"tin":{"type":"ein","value":"472401409"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4187.00,"providers":[{"billed_charge":8700.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":159.46,"providers":[{"billed_charge":342.88,"npi":[1427620491]}]},{"allowed_amount":797.30,"providers":[{"billed_charge":1714.40,"npi":[1427620491]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":324.94,"providers":[{"billed_charge":2778.00,"npi":[1740570084]}]},{"allowed_amount":2707.08,"providers":[{"billed_charge":23613.00,"npi":[1164008728]}]},{"allowed_amount":649.88,"providers":[{"billed_charge":5556.00,"npi":[1740570084]}]}]},{"tin":{"type":"ein","value":"760608057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10350.60,"providers":[{"billed_charge":22750.00,"npi":[1720070121]}]}]},{"tin":{"type":"ein","value":"862597993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":492.48,"providers":[{"billed_charge":1005.00,"npi":[1740426592]}]},{"allowed_amount":1149.12,"providers":[{"billed_charge":2345.00,"npi":[1790168086]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7369.12,"providers":[{"billed_charge":14872.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"934237235"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":159.24,"providers":[{"billed_charge":305.00,"npi":[1831578665]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1433.16,"providers":[{"billed_charge":3303.00,"npi":[1336113323]}]},{"allowed_amount":1339.84,"providers":[{"billed_charge":2936.00,"npi":[1689969974]}]},{"allowed_amount":2070.12,"providers":[{"billed_charge":4771.00,"npi":[1669712980]}]},{"allowed_amount":477.72,"providers":[{"billed_charge":1101.00,"npi":[1386027472]}]},{"allowed_amount":318.48,"providers":[{"billed_charge":734.00,"npi":[1962023416,1386027472]}]},{"allowed_amount":1863.00,"providers":[{"billed_charge":4037.00,"npi":[1366947608]}]},{"allowed_amount":837.40,"providers":[{"billed_charge":1835.00,"npi":[1699809483]}]},{"allowed_amount":167.48,"providers":[{"billed_charge":367.00,"npi":[1700347051,1558925263,1417391285]}]},{"allowed_amount":2388.60,"providers":[{"billed_charge":5505.00,"npi":[1669712980]}]},{"allowed_amount":1114.68,"providers":[{"billed_charge":2569.00,"npi":[1457714925]}]},{"allowed_amount":340.14,"providers":[{"billed_charge":734.00,"npi":[1366947608]}]},{"allowed_amount":159.24,"providers":[{"billed_charge":367.00,"npi":[1578795209,1023630779,1962023416,1225534258,1548880909]}]},{"allowed_amount":334.96,"providers":[{"billed_charge":734.00,"npi":[1447488903,1417391285]}]},{"allowed_amount":1842.28,"providers":[{"billed_charge":4037.00,"npi":[1699809483]}]},{"allowed_amount":502.44,"providers":[{"billed_charge":1101.00,"npi":[1689969974,1881844470]}]},{"allowed_amount":2344.72,"providers":[{"billed_charge":5138.00,"npi":[1881844470]}]},{"allowed_amount":1172.36,"providers":[{"billed_charge":2569.00,"npi":[1447488903,1780941070]}]},{"allowed_amount":1674.80,"providers":[{"billed_charge":3670.00,"npi":[1780941070]}]},{"allowed_amount":1004.88,"providers":[{"billed_charge":2202.00,"npi":[1912319211,1700347051]}]},{"allowed_amount":636.96,"providers":[{"billed_charge":1468.00,"npi":[1457930224,1336113323,1457714925]}]}]},{"tin":{"type":"ein","value":"752617462"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":796.20,"providers":[{"billed_charge":1696.00,"npi":[1548219959]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4366.67,"providers":[{"billed_charge":12575.00,"npi":[1760529515]}]},{"allowed_amount":2262.13,"providers":[{"billed_charge":6539.00,"npi":[1588168157]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":172.66,"providers":[{"billed_charge":517.98,"npi":[1609021161]}]}]},{"tin":{"type":"ein","value":"454341486"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":334.96,"providers":[{"billed_charge":900.00,"npi":[1407292352]}]}]},{"tin":{"type":"ein","value":"10681320"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":5414.16,"providers":[{"billed_charge":8936.56,"npi":[1881954030]}]},{"allowed_amount":318.48,"providers":[{"billed_charge":525.68,"npi":[1881954030,1477618429]}]}]},{"tin":{"type":"ein","value":"921363582"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":328.32,"providers":[{"billed_charge":650.32,"npi":[1508244179]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":3025.56,"providers":[{"billed_charge":11761.00,"npi":[1013445329]}]},{"allowed_amount":955.44,"providers":[{"billed_charge":3714.00,"npi":[1174987820,1992952261]}]},{"allowed_amount":8598.96,"providers":[{"billed_charge":33426.00,"npi":[1710333620]}]},{"allowed_amount":1114.68,"providers":[{"billed_charge":4333.00,"npi":[1841547759]}]},{"allowed_amount":7325.04,"providers":[{"billed_charge":28474.00,"npi":[1013445329]}]},{"allowed_amount":2070.12,"providers":[{"billed_charge":8047.00,"npi":[1174987820]}]},{"allowed_amount":1751.64,"providers":[{"billed_charge":6809.00,"npi":[1841547759,1154568558]}]},{"allowed_amount":477.72,"providers":[{"billed_charge":1857.00,"npi":[1154568558]}]},{"allowed_amount":159.24,"providers":[{"billed_charge":619.00,"npi":[1841547759,1952663916]}]},{"allowed_amount":318.48,"providers":[{"billed_charge":1238.00,"npi":[1952663916]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":798.92,"providers":[{"billed_charge":1872.00,"npi":[1234567893]}]},{"allowed_amount":5930.32,"providers":[{"billed_charge":16012.49,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"202231203"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":167.48,"providers":[{"billed_charge":385.00,"npi":[1235337254]}]},{"allowed_amount":334.96,"providers":[{"billed_charge":770.00,"npi":[1447454012]}]},{"allowed_amount":1172.36,"providers":[{"billed_charge":2695.00,"npi":[1235337254]}]},{"allowed_amount":1674.80,"providers":[{"billed_charge":3850.00,"npi":[1447454012]}]}]},{"tin":{"type":"ein","value":"882064487"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1313.28,"providers":[{"billed_charge":4080.00,"npi":[1437531126]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2134.08,"providers":[{"billed_charge":11279.45,"npi":[1669615944]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4104.00,"providers":[{"billed_charge":9593.00,"npi":[1740212042]}]},{"allowed_amount":3447.36,"providers":[{"billed_charge":7764.00,"npi":[1154393817]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":167.48,"providers":[{"billed_charge":441.00,"npi":[1730619990]}]},{"allowed_amount":334.96,"providers":[{"billed_charge":882.00,"npi":[1730619990,1851703540]}]},{"allowed_amount":159.24,"providers":[{"billed_charge":441.00,"npi":[1346772746]}]},{"allowed_amount":318.48,"providers":[{"billed_charge":882.00,"npi":[1881154177,1386204840]}]},{"allowed_amount":837.40,"providers":[{"billed_charge":2205.00,"npi":[1619242765]}]},{"allowed_amount":636.96,"providers":[{"billed_charge":1764.00,"npi":[1386204840,1346772746]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3517.08,"providers":[{"billed_charge":13230.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5115.25,"providers":[{"billed_charge":18870.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"760151399"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":538.56,"providers":[{"billed_charge":1050.00,"npi":[1982671590]}]}]},{"tin":{"type":"ein","value":"460894804"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":517.98,"providers":[{"billed_charge":2268.00,"npi":[1366461311]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":159.24,"providers":[{"billed_charge":250.00,"npi":[1700970282]}]},{"allowed_amount":6847.32,"providers":[{"billed_charge":10750.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1985.60,"providers":[{"billed_charge":5190.00,"npi":[1578921243]}]},{"allowed_amount":506.34,"providers":[{"billed_charge":1557.00,"npi":[1326780552]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3949.44,"providers":[{"billed_charge":6600.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1592.40,"providers":[{"billed_charge":10910.00,"npi":[1386619765]}]},{"allowed_amount":1433.16,"providers":[{"billed_charge":9819.00,"npi":[1992454797]}]},{"allowed_amount":7165.80,"providers":[{"billed_charge":49095.00,"npi":[1073190898]}]},{"allowed_amount":477.72,"providers":[{"billed_charge":3273.00,"npi":[1497068233,1164835195,1679768089]}]},{"allowed_amount":796.20,"providers":[{"billed_charge":5455.00,"npi":[1164835195]}]},{"allowed_amount":1910.88,"providers":[{"billed_charge":13092.00,"npi":[1063040020]}]},{"allowed_amount":2707.08,"providers":[{"billed_charge":18547.00,"npi":[1043705528]}]},{"allowed_amount":318.48,"providers":[{"billed_charge":2182.00,"npi":[1043705528]}]},{"allowed_amount":3821.76,"providers":[{"billed_charge":26184.00,"npi":[1073190898]}]},{"allowed_amount":636.96,"providers":[{"billed_charge":4364.00,"npi":[1386619765,1992454797]}]},{"allowed_amount":2229.36,"providers":[{"billed_charge":15274.00,"npi":[1063040020]}]}]},{"tin":{"type":"ein","value":"455613680"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":656.64,"providers":[{"billed_charge":1000.00,"npi":[1902022056]}]}]},{"tin":{"type":"ein","value":"462718719"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":159.24,"providers":[{"billed_charge":2012.16,"npi":[1730616657]}]}]},{"tin":{"type":"ein","value":"752887124"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2772.84,"providers":[{"billed_charge":9955.00,"npi":[1962430413]}]},{"allowed_amount":787.60,"providers":[{"billed_charge":2900.00,"npi":[1962430413]}]}]},{"tin":{"type":"ein","value":"760532341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":502.44,"providers":[{"billed_charge":1200.00,"npi":[1548292980]}]}]},{"tin":{"type":"ein","value":"752435278"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":636.96,"providers":[{"billed_charge":1400.00,"npi":[1598840191]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4427.40,"providers":[{"billed_charge":13932.00,"npi":[1356637227]}]}]},{"tin":{"type":"ein","value":"470964891"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":8206.52,"providers":[{"billed_charge":14700.00,"npi":[1710025515]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":279.08,"providers":[{"billed_charge":1735.30,"npi":[1881984029]}]},{"allowed_amount":558.16,"providers":[{"billed_charge":3470.60,"npi":[1881984029]}]}]},{"tin":{"type":"ein","value":"421708103"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5191.88,"providers":[{"billed_charge":11625.00,"npi":[1861486482]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":167.50,"providers":[{"billed_charge":1042.00,"npi":[1124125000,1932407350]}]},{"allowed_amount":3350.00,"providers":[{"billed_charge":20840.00,"npi":[1861074619]}]},{"allowed_amount":670.00,"providers":[{"billed_charge":4168.00,"npi":[1548296429]}]},{"allowed_amount":492.48,"providers":[{"billed_charge":3126.00,"npi":[1285037994]}]},{"allowed_amount":1340.00,"providers":[{"billed_charge":8336.00,"npi":[1851559595]}]},{"allowed_amount":1005.00,"providers":[{"billed_charge":6252.00,"npi":[1528031416]}]},{"allowed_amount":502.50,"providers":[{"billed_charge":3126.00,"npi":[1811331341]}]}]},{"tin":{"type":"ein","value":"473891182"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":172.66,"providers":[{"billed_charge":574.98,"npi":[1265643563]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1655.68,"providers":[{"billed_charge":3500.00,"npi":[1184041436]}]},{"allowed_amount":12003.86,"providers":[{"billed_charge":24850.00,"npi":[1316279326]}]},{"allowed_amount":11896.54,"providers":[{"billed_charge":24150.00,"npi":[1215925185]}]}]},{"tin":{"type":"ein","value":"831944931"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":325.12,"providers":[{"billed_charge":600.00,"npi":[1013265677]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":1313.28,"providers":[{"billed_charge":2328.00,"npi":[1336339340]}]},{"allowed_amount":1521.44,"providers":[{"billed_charge":2619.00,"npi":[1336339340]}]},{"allowed_amount":681.96,"providers":[{"billed_charge":1164.00,"npi":[1649470931]}]}]},{"tin":{"type":"ein","value":"760440837"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":328.32,"providers":[{"billed_charge":510.00,"npi":[1720279912]}]}]},{"tin":{"type":"ein","value":"873385999"},"service_code":["02","21"],"billing_class":"professional","payments":[{"allowed_amount":1965.00,"providers":[{"billed_charge":4800.00,"npi":[1710942727]}]},{"allowed_amount":4094.16,"providers":[{"billed_charge":10000.00,"npi":[1710942727]}]}]},{"tin":{"type":"ein","value":"450675246"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":3390.99,"providers":[{"billed_charge":8500.00,"npi":[1669423067]}]},{"allowed_amount":199.47,"providers":[{"billed_charge":500.00,"npi":[1669423067]}]}]},{"tin":{"type":"ein","value":"651287824"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3280.54,"providers":[{"billed_charge":9785.00,"npi":[1417069246]}]}]},{"tin":{"type":"ein","value":"824485972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":318.48,"providers":[{"billed_charge":2778.00,"npi":[1407056906]}]}]},{"tin":{"type":"ein","value":"814594733"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":955.44,"providers":[{"billed_charge":2400.00,"npi":[1891044434]}]}]},{"tin":{"type":"ein","value":"934915781"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":164.16,"providers":[{"billed_charge":320.00,"npi":[1932339371]}]}]},{"tin":{"type":"ein","value":"760339401"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":328.32,"providers":[{"billed_charge":710.00,"npi":[1952755944]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":9192.96,"providers":[{"billed_charge":34664.00,"npi":[1427478965]}]},{"allowed_amount":492.48,"providers":[{"billed_charge":1857.00,"npi":[1881027126]}]},{"allowed_amount":328.32,"providers":[{"billed_charge":1238.00,"npi":[1922685866]}]},{"allowed_amount":1477.44,"providers":[{"billed_charge":5571.00,"npi":[1922685866]}]},{"allowed_amount":984.96,"providers":[{"billed_charge":3714.00,"npi":[1942863170]}]},{"allowed_amount":12804.48,"providers":[{"billed_charge":48282.00,"npi":[1881027126]}]},{"allowed_amount":656.64,"providers":[{"billed_charge":2476.00,"npi":[1942863170]}]},{"allowed_amount":6238.08,"providers":[{"billed_charge":23522.00,"npi":[1427478965]}]}]},{"tin":{"type":"ein","value":"462991144"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":1208.62,"providers":[{"billed_charge":2870.00,"npi":[1487833042]}]},{"allowed_amount":517.98,"providers":[{"billed_charge":1230.00,"npi":[1487833042]}]}]},{"tin":{"type":"ein","value":"922465140"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5438.85,"providers":[{"billed_charge":16605.00,"npi":[1376536862]}]}]},{"tin":{"type":"ein","value":"471197805"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4512.00,"providers":[{"billed_charge":6750.00,"npi":[1770726309]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":167.48,"providers":[{"billed_charge":432.00,"npi":[1750679395]}]}]},{"tin":{"type":"ein","value":"825244490"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":636.96,"providers":[{"billed_charge":1381.28,"npi":[1083034771]}]}]},{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":324.94,"providers":[{"billed_charge":670.72,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"760187419"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1842.28,"providers":[{"billed_charge":3300.00,"npi":[1366440265]}]}]},{"tin":{"type":"ein","value":"331068598"},"service_code":["02","21"],"billing_class":"professional","payments":[{"allowed_amount":5128.80,"providers":[{"billed_charge":11119.08,"npi":[1912999426]}]},{"allowed_amount":164.16,"providers":[{"billed_charge":358.68,"npi":[1912999426]}]}]},{"tin":{"type":"ein","value":"742177317"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2512.20,"providers":[{"billed_charge":4125.00,"npi":[1518997477]}]}]},{"tin":{"type":"ein","value":"452555165"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1172.36,"providers":[{"billed_charge":2800.00,"npi":[1194751214]}]}]},{"tin":{"type":"ein","value":"834542505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":517.98,"providers":[{"billed_charge":1035.96,"npi":[1801216114]}]}]}]},{"name":"SUBSEQUENT HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SUBSEQUENT HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT","allowed_amounts":[{"tin":{"type":"ein","value":"460820928"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3441.35,"providers":[{"billed_charge":6000.00,"npi":[1083600456]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1143.18,"providers":[{"billed_charge":7226.80,"npi":[1447813449]}]},{"allowed_amount":46.38,"providers":[{"billed_charge":249.20,"npi":[1265953137]}]},{"allowed_amount":2719.98,"providers":[{"billed_charge":17194.80,"npi":[1093288110]}]}]},{"tin":{"type":"ein","value":"460293946"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":979.44,"providers":[{"billed_charge":1980.00,"npi":[1952304628]}]}]},{"tin":{"type":"ein","value":"559437844"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1074.36,"providers":[{"billed_charge":2520.00,"npi":[1972506699]}]}]},{"tin":{"type":"ein","value":"760588954"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":851.58,"providers":[{"billed_charge":1296.00,"npi":[1780622928]}]}]},{"tin":{"type":"ein","value":"743099730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":520.85,"providers":[{"billed_charge":1067.00,"npi":[1134165988]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":94.62,"providers":[{"billed_charge":200.00,"npi":[1356781777]}]}]},{"tin":{"type":"ein","value":"204791426"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1326.38,"providers":[{"billed_charge":2332.00,"npi":[1417911660]}]}]},{"tin":{"type":"ein","value":"202706713"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3804.06,"providers":[{"billed_charge":6240.00,"npi":[1417972688]}]}]},{"tin":{"type":"ein","value":"204473802"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":371.04,"providers":[{"billed_charge":784.00,"npi":[1861460040]}]}]},{"tin":{"type":"ein","value":"260856658"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":756.96,"providers":[{"billed_charge":1840.00,"npi":[1952391161]}]}]},{"tin":{"type":"ein","value":"204428240"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":44.99,"providers":[{"billed_charge":75.00,"npi":[1699741330]}]}]},{"tin":{"type":"ein","value":"742978769"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1014.70,"providers":[{"billed_charge":3240.00,"npi":[1497329445]}]}]},{"tin":{"type":"ein","value":"134236446"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1901.58,"providers":[{"billed_charge":8200.00,"npi":[1043396211]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":520.41,"providers":[{"billed_charge":4235.00,"npi":[1265442420]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":94.62,"providers":[{"billed_charge":230.00,"npi":[1790989283]}]}]},{"tin":{"type":"ein","value":"200036985"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":314.93,"providers":[{"billed_charge":518.00,"npi":[1265424980]}]},{"allowed_amount":179.96,"providers":[{"billed_charge":296.00,"npi":[1265424980]}]}]},{"tin":{"type":"ein","value":"202369593"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":898.89,"providers":[{"billed_charge":1615.00,"npi":[1033114533]}]}]},{"tin":{"type":"ein","value":"352527258"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":97.83,"providers":[{"billed_charge":431.94,"npi":[1265147847]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10889.17,"providers":[{"billed_charge":28692.88,"npi":[1891944708]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":56.09,"providers":[{"billed_charge":103.00,"npi":[1790724698,1265695001]}]},{"allowed_amount":2860.20,"providers":[{"billed_charge":6180.00,"npi":[1699462986]}]},{"allowed_amount":224.36,"providers":[{"billed_charge":412.00,"npi":[1255727046]}]}]},{"tin":{"type":"ein","value":"760453250"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":230.22,"providers":[{"billed_charge":858.00,"npi":[1780137406]}]},{"allowed_amount":163.05,"providers":[{"billed_charge":715.00,"npi":[1225792179]}]}]},{"tin":{"type":"ein","value":"883517085"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2138.18,"providers":[{"billed_charge":4125.00,"npi":[1356821284]}]}]},{"tin":{"type":"ein","value":"752668016"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":834.90,"providers":[{"billed_charge":3225.00,"npi":[1750397865]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":59.13,"providers":[{"billed_charge":112.00,"npi":[1467427054]}]}]},{"tin":{"type":"ein","value":"752668019"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":134.97,"providers":[{"billed_charge":237.00,"npi":[1548207731]}]}]},{"tin":{"type":"ein","value":"752887124"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1736.28,"providers":[{"billed_charge":4290.00,"npi":[1962430413]}]},{"allowed_amount":44.52,"providers":[{"billed_charge":110.00,"npi":[1962430413]}]}]},{"tin":{"type":"ein","value":"371871828"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3491.67,"providers":[{"billed_charge":13650.00,"npi":[1275945511]}]}]},{"tin":{"type":"ein","value":"471158090"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":494.89,"providers":[{"billed_charge":1067.00,"npi":[1922318179]}]}]},{"tin":{"type":"ein","value":"870746963"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.95,"providers":[{"billed_charge":325.00,"npi":[1851380885]}]}]},{"tin":{"type":"ein","value":"760482007"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":425.79,"providers":[{"billed_charge":2691.90,"npi":[1689872228]}]}]},{"tin":{"type":"ein","value":"873018884"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":275.28,"providers":[{"billed_charge":588.00,"npi":[1922093426]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1141.40,"providers":[{"billed_charge":1600.00,"npi":[1407849946]}]}]}]},{"name":"SUBSEQUENT HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99232","description":"SUBSEQUENT HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT","allowed_amounts":[{"tin":{"type":"ein","value":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6149.52,"providers":[{"billed_charge":15600.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"810877341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":374.60,"providers":[{"billed_charge":735.00,"npi":[1740473305]}]}]},{"tin":{"type":"ein","value":"760403505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":764.70,"providers":[{"billed_charge":1104.90,"npi":[1164084240]}]}]},{"tin":{"type":"ein","value":"202992162"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3778.84,"providers":[{"billed_charge":7800.00,"npi":[1841309341]}]}]},{"tin":{"type":"ein","value":"760389235"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2217.63,"providers":[{"billed_charge":4583.16,"npi":[1912937921]}]}]},{"tin":{"type":"ein","value":"833705288"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":944.71,"providers":[{"billed_charge":1391.00,"npi":[1336495886]}]}]},{"tin":{"type":"ein","value":"752684668"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":468.00,"npi":[1295790707]}]}]},{"tin":{"type":"ein","value":"752616977"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":3489.21,"providers":[{"billed_charge":8352.00,"npi":[1447505243]}]},{"allowed_amount":2236.18,"providers":[{"billed_charge":5181.00,"npi":[1376955492]}]},{"allowed_amount":698.24,"providers":[{"billed_charge":1344.00,"npi":[1366790990]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":177.00,"npi":[1588843585,1760662282]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":1131.00,"npi":[1760662282]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":672.00,"npi":[1306847504]}]},{"allowed_amount":143.76,"providers":[{"billed_charge":354.00,"npi":[1376955492]}]}]},{"tin":{"type":"ein","value":"760588954"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":130.00,"npi":[1780622928]}]},{"allowed_amount":2370.57,"providers":[{"billed_charge":4030.00,"npi":[1780622928]}]},{"allowed_amount":29593.89,"providers":[{"billed_charge":50310.00,"npi":[1780622928]}]}]},{"tin":{"type":"ein","value":"851164952"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4205.85,"providers":[{"billed_charge":6050.00,"npi":[1982047676]}]}]},{"tin":{"type":"ein","value":"760537362"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":382.35,"providers":[{"billed_charge":625.00,"npi":[1588667778]}]}]},{"tin":{"type":"ein","value":"752780119"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":97.40,"providers":[{"billed_charge":135.00,"npi":[1568413417]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1800.36,"providers":[{"billed_charge":5267.00,"npi":[1407318470]}]},{"allowed_amount":5056.58,"providers":[{"billed_charge":14656.00,"npi":[1346828704]}]},{"allowed_amount":3071.08,"providers":[{"billed_charge":8931.00,"npi":[1437735206]}]},{"allowed_amount":397.10,"providers":[{"billed_charge":1145.00,"npi":[1881816437]}]},{"allowed_amount":722.27,"providers":[{"billed_charge":2061.00,"npi":[1760529515]}]}]},{"tin":{"type":"ein","value":"200201407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":76.45,"providers":[{"billed_charge":155.00,"npi":[1700957230]}]}]},{"tin":{"type":"ein","value":"371737462"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1592.00,"providers":[{"billed_charge":4750.00,"npi":[1356808950]}]},{"allowed_amount":299.68,"providers":[{"billed_charge":760.00,"npi":[1538233200]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1103.76,"providers":[{"billed_charge":3311.28,"npi":[1073601928]}]},{"allowed_amount":709.56,"providers":[{"billed_charge":2128.68,"npi":[1093212821]}]},{"allowed_amount":1068.48,"providers":[{"billed_charge":3311.28,"npi":[1609021161]}]}]},{"tin":{"type":"ein","value":"10681320"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2470.78,"providers":[{"billed_charge":3298.00,"npi":[1881954030]}]},{"allowed_amount":2252.77,"providers":[{"billed_charge":3007.00,"npi":[1477618429]}]}]},{"tin":{"type":"ein","value":"205971980"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":364.84,"providers":[{"billed_charge":997.00,"npi":[1912921990]}]}]},{"tin":{"type":"ein","value":"475401520"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":700.48,"providers":[{"billed_charge":1980.00,"npi":[1649512591]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1162.72,"providers":[{"billed_charge":2224.00,"npi":[1710186093]}]},{"allowed_amount":1017.38,"providers":[{"billed_charge":1946.00,"npi":[1760610182]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":139.00,"npi":[1710186093,1760610182]}]},{"allowed_amount":726.70,"providers":[{"billed_charge":1390.00,"npi":[1336337229]}]}]},{"tin":{"type":"ein","value":"760700653"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":3047.87,"providers":[{"billed_charge":4036.45,"npi":[1912957879]}]},{"allowed_amount":872.04,"providers":[{"billed_charge":1181.40,"npi":[1912957879]}]}]},{"tin":{"type":"ein","value":"882064487"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6892.64,"providers":[{"billed_charge":17480.00,"npi":[1437531126]}]}]},{"tin":{"type":"ein","value":"823797584"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":449.52,"providers":[{"billed_charge":918.36,"npi":[1861670440]}]}]},{"tin":{"type":"ein","value":"461184208"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16976.34,"providers":[{"billed_charge":42180.00,"npi":[1659469609]}]},{"allowed_amount":6110.00,"providers":[{"billed_charge":17860.00,"npi":[1003384439]}]},{"allowed_amount":4129.38,"providers":[{"billed_charge":10260.00,"npi":[1508375445]}]}]},{"tin":{"type":"ein","value":"820659076"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":824.12,"providers":[{"billed_charge":1815.00,"npi":[1205854783]}]}]},{"tin":{"type":"ein","value":"261104730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":150.00,"npi":[1255440418]}]},{"allowed_amount":1348.56,"providers":[{"billed_charge":2700.00,"npi":[1164804225]}]},{"allowed_amount":1423.48,"providers":[{"billed_charge":2850.00,"npi":[1578594024]}]}]},{"tin":{"type":"ein","value":"463932661"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":444.96,"providers":[{"billed_charge":882.00,"npi":[1902009780]}]},{"allowed_amount":2478.45,"providers":[{"billed_charge":6027.00,"npi":[1780198622]}]}]},{"tin":{"type":"ein","value":"200036985"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":799.37,"providers":[{"billed_charge":1540.00,"npi":[1265424980]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":980.00,"npi":[1265424980]}]}]},{"tin":{"type":"ein","value":"760123983"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23705.70,"providers":[{"billed_charge":34100.00,"npi":[1538154042]}]}]},{"tin":{"type":"ein","value":"990852119"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2108.61,"providers":[{"billed_charge":9800.00,"npi":[1588161590]}]}]},{"tin":{"type":"ein","value":"460894804"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3311.28,"providers":[{"billed_charge":12726.00,"npi":[1366461311]}]},{"allowed_amount":551.88,"providers":[{"billed_charge":2121.00,"npi":[1295978393]}]}]},{"tin":{"type":"ein","value":"823224794"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":788.40,"providers":[{"billed_charge":2920.00,"npi":[1043251044]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2616.12,"providers":[{"billed_charge":5400.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"921613687"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":372.56,"npi":[1881661593]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":85.00,"npi":[1528254950]}]},{"allowed_amount":299.68,"providers":[{"billed_charge":745.12,"npi":[1598984791]}]}]},{"tin":{"type":"ein","value":"273924953"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1889.42,"providers":[{"billed_charge":4394.00,"npi":[1699710012]}]}]},{"tin":{"type":"ein","value":"364705614"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":145.34,"providers":[{"billed_charge":310.00,"npi":[1750387759]}]}]},{"tin":{"type":"ein","value":"841700490"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3517.62,"providers":[{"billed_charge":18400.00,"npi":[1174631535]}]}]},{"tin":{"type":"ein","value":"760532341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":305.88,"providers":[{"billed_charge":600.00,"npi":[1023022985]}]},{"allowed_amount":4660.21,"providers":[{"billed_charge":9150.00,"npi":[1548292980]}]}]},{"tin":{"type":"ein","value":"882126248"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2941.96,"providers":[{"billed_charge":7239.00,"npi":[1255369567]}]}]},{"tin":{"type":"ein","value":"471158090"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.01,"providers":[{"billed_charge":468.00,"npi":[1588061030,1336162064]}]}]},{"tin":{"type":"ein","value":"843838788"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2523.51,"providers":[{"billed_charge":7805.16,"npi":[1528019023]}]}]},{"tin":{"type":"ein","value":"454432044"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":225.53,"npi":[1750673901]}]}]},{"tin":{"type":"ein","value":"823426999"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2765.96,"providers":[{"billed_charge":6538.00,"npi":[1689107948]}]}]},{"tin":{"type":"ein","value":"850803569"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":872.04,"providers":[{"billed_charge":1980.00,"npi":[1720090988]}]}]},{"tin":{"type":"ein","value":"392489817"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1557.36,"providers":[{"billed_charge":2730.00,"npi":[1891374492]}]}]},{"tin":{"type":"ein","value":"752903739"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":436.02,"providers":[{"billed_charge":1470.00,"npi":[1710900527]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":1715.00,"npi":[1710900527]}]}]},{"tin":{"type":"ein","value":"831655890"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1723.16,"providers":[{"billed_charge":4600.00,"npi":[1932442084]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":379.34,"providers":[{"billed_charge":2370.60,"npi":[1932640091]}]},{"allowed_amount":1273.60,"providers":[{"billed_charge":7902.00,"npi":[1558994947]}]},{"allowed_amount":63.68,"providers":[{"billed_charge":395.10,"npi":[1881984029]}]},{"allowed_amount":1974.08,"providers":[{"billed_charge":12248.10,"npi":[1992456578]}]},{"allowed_amount":127.36,"providers":[{"billed_charge":790.20,"npi":[1881984029,1831792696]}]},{"allowed_amount":191.04,"providers":[{"billed_charge":1185.30,"npi":[1275865255]}]}]},{"tin":{"type":"ein","value":"201684800"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":503.16,"providers":[{"billed_charge":1120.00,"npi":[1710977913]}]}]},{"tin":{"type":"ein","value":"510602325"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21010.42,"providers":[{"billed_charge":35500.00,"npi":[1720068174]}]}]},{"tin":{"type":"ein","value":"833693670"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":308.85,"providers":[{"billed_charge":1065.00,"npi":[1245887447]}]},{"allowed_amount":61.77,"providers":[{"billed_charge":213.00,"npi":[1245887447,1972350346]}]},{"allowed_amount":803.01,"providers":[{"billed_charge":2769.00,"npi":[1972350346]}]}]},{"tin":{"type":"ein","value":"473891182"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1320.68,"providers":[{"billed_charge":3516.96,"npi":[1265643563]}]}]},{"tin":{"type":"ein","value":"844058518"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2622.20,"providers":[{"billed_charge":6825.00,"npi":[1932470689]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":142.24,"providers":[{"billed_charge":434.00,"npi":[1366869240]}]},{"allowed_amount":858.78,"providers":[{"billed_charge":2170.00,"npi":[1679078042]}]},{"allowed_amount":305.88,"providers":[{"billed_charge":868.00,"npi":[1629335443]}]},{"allowed_amount":76.47,"providers":[{"billed_charge":217.00,"npi":[1710247754]}]},{"allowed_amount":2294.10,"providers":[{"billed_charge":6510.00,"npi":[1437276201]}]},{"allowed_amount":535.29,"providers":[{"billed_charge":1519.00,"npi":[1962603563]}]},{"allowed_amount":89.91,"providers":[{"billed_charge":217.00,"npi":[1861062960]}]},{"allowed_amount":841.17,"providers":[{"billed_charge":2387.00,"npi":[1780027136]}]},{"allowed_amount":229.41,"providers":[{"billed_charge":651.00,"npi":[1467980433]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":201.03,"providers":[{"billed_charge":946.08,"npi":[1851883128]}]},{"allowed_amount":78.84,"providers":[{"billed_charge":315.36,"npi":[1497242382]}]},{"allowed_amount":67.01,"providers":[{"billed_charge":315.36,"npi":[1477123719]}]},{"allowed_amount":157.68,"providers":[{"billed_charge":630.72,"npi":[1750709895]}]}]},{"tin":{"type":"ein","value":"831944931"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":8549.44,"providers":[{"billed_charge":20475.00,"npi":[1013265677]}]}]},{"tin":{"type":"ein","value":"831838607"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":630.72,"providers":[{"billed_charge":1200.00,"npi":[1255544839]}]}]},{"tin":{"type":"ein","value":"742057621"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":229.41,"providers":[{"billed_charge":525.00,"npi":[1487695672]}]}]},{"tin":{"type":"ein","value":"811227908"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":78.84,"providers":[{"billed_charge":150.00,"npi":[1235373804]}]}]},{"tin":{"type":"ein","value":"760440837"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3071.72,"providers":[{"billed_charge":4510.00,"npi":[1568462539]}]},{"allowed_amount":1873.00,"providers":[{"billed_charge":2750.00,"npi":[1720279912]}]}]},{"tin":{"type":"ein","value":"845048280"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1223.52,"providers":[{"billed_charge":5600.00,"npi":[1902255102]}]}]},{"tin":{"type":"ein","value":"992442600"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20470.61,"providers":[{"billed_charge":41381.50,"npi":[1730209719]}]}]},{"tin":{"type":"ein","value":"300625848"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1682.34,"providers":[{"billed_charge":5203.44,"npi":[1386723989]}]}]},{"tin":{"type":"ein","value":"760672320"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1182.60,"providers":[{"billed_charge":1650.00,"npi":[1447352968]}]},{"allowed_amount":938.14,"providers":[{"billed_charge":1540.00,"npi":[1164989075]}]}]},{"tin":{"type":"ein","value":"451679891"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3270.15,"providers":[{"billed_charge":5850.00,"npi":[1891794996]}]}]},{"tin":{"type":"ein","value":"273705652"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":127.36,"providers":[{"billed_charge":300.00,"npi":[1508302852]}]}]},{"tin":{"type":"ein","value":"824485972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2398.11,"providers":[{"billed_charge":16500.00,"npi":[1053657783]}]},{"allowed_amount":872.04,"providers":[{"billed_charge":5691.20,"npi":[1255528790]}]},{"allowed_amount":799.37,"providers":[{"billed_charge":5500.00,"npi":[1174786107]}]},{"allowed_amount":1453.40,"providers":[{"billed_charge":10000.00,"npi":[1972922748]}]},{"allowed_amount":944.71,"providers":[{"billed_charge":6500.00,"npi":[1629084454]}]},{"allowed_amount":363.35,"providers":[{"billed_charge":2500.00,"npi":[1720485279,1538188941]}]},{"allowed_amount":1235.39,"providers":[{"billed_charge":8500.00,"npi":[1558371682,1235468703]}]},{"allowed_amount":2906.80,"providers":[{"billed_charge":20000.00,"npi":[1457302127]}]},{"allowed_amount":4069.52,"providers":[{"billed_charge":28000.00,"npi":[1285864777]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":1000.00,"npi":[1407858426]}]},{"allowed_amount":581.36,"providers":[{"billed_charge":4000.00,"npi":[1851616304]}]}]},{"tin":{"type":"ein","value":"472354281"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2829.39,"providers":[{"billed_charge":7622.00,"npi":[1376779140]}]}]},{"tin":{"type":"ein","value":"921718602"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1869.96,"providers":[{"billed_charge":3000.00,"npi":[1063919421]}]}]},{"tin":{"type":"ein","value":"273091355"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":150.00,"npi":[1689650970]}]}]},{"tin":{"type":"ein","value":"760681269"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":376.00,"npi":[1831621168]}]},{"allowed_amount":3895.84,"providers":[{"billed_charge":9776.00,"npi":[1154680320]}]},{"allowed_amount":3596.16,"providers":[{"billed_charge":9024.00,"npi":[1649591835]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":442.00,"npi":[1497216121]}]},{"allowed_amount":449.52,"providers":[{"billed_charge":1326.00,"npi":[1427478965,1922685866]}]},{"allowed_amount":5469.16,"providers":[{"billed_charge":16133.00,"npi":[1255952057]}]},{"allowed_amount":1873.00,"providers":[{"billed_charge":5525.00,"npi":[1497216121]}]},{"allowed_amount":2097.76,"providers":[{"billed_charge":6188.00,"npi":[1922685866]}]},{"allowed_amount":299.68,"providers":[{"billed_charge":884.00,"npi":[1518198407]}]},{"allowed_amount":1947.92,"providers":[{"billed_charge":5746.00,"npi":[1942863170]}]},{"allowed_amount":1655.68,"providers":[{"billed_charge":5746.00,"npi":[1790890929]}]},{"allowed_amount":224.76,"providers":[{"billed_charge":663.00,"npi":[1861769663]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":221.00,"npi":[1518198407]}]},{"allowed_amount":899.04,"providers":[{"billed_charge":2652.00,"npi":[1255952057]}]},{"allowed_amount":1048.88,"providers":[{"billed_charge":3094.00,"npi":[1861769663]}]},{"allowed_amount":2921.88,"providers":[{"billed_charge":8619.00,"npi":[1427478965]}]},{"allowed_amount":524.44,"providers":[{"billed_charge":1547.00,"npi":[1316399264,1942863170]}]}]},{"tin":{"type":"ein","value":"760499311"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5429.37,"providers":[{"billed_charge":8094.00,"npi":[1558423103]}]}]},{"tin":{"type":"ein","value":"43903362"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1529.40,"providers":[{"billed_charge":3600.00,"npi":[1609804046]}]}]},{"tin":{"type":"ein","value":"270271587"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3063.87,"providers":[{"billed_charge":12300.00,"npi":[1912037417]}]}]},{"tin":{"type":"ein","value":"862430844"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1348.56,"providers":[{"billed_charge":9480.00,"npi":[1508022740]}]}]},{"tin":{"type":"ein","value":"264717662"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7052.81,"providers":[{"billed_charge":21204.00,"npi":[1770516510]}]}]},{"tin":{"type":"ein","value":"260362434"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7537.68,"providers":[{"billed_charge":25417.92,"npi":[1902479983]}]},{"allowed_amount":645.90,"providers":[{"billed_charge":2191.20,"npi":[1689122574]}]},{"allowed_amount":229.35,"providers":[{"billed_charge":657.36,"npi":[1134617830]}]},{"allowed_amount":518.54,"providers":[{"billed_charge":1752.96,"npi":[1467097105]}]}]},{"tin":{"type":"ein","value":"384109786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":272.01,"providers":[{"billed_charge":600.00,"npi":[1134282783]}]},{"allowed_amount":725.36,"providers":[{"billed_charge":1600.00,"npi":[1467751347]}]}]},{"tin":{"type":"ein","value":"863041466"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":518.21,"providers":[{"billed_charge":1582.00,"npi":[1447646559]}]}]},{"tin":{"type":"ein","value":"471197805"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17159.77,"providers":[{"billed_charge":33900.00,"npi":[1770726309]}]}]},{"tin":{"type":"ein","value":"812513596"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":5476.24,"providers":[{"billed_charge":20020.00,"npi":[1487833042]}]},{"allowed_amount":782.32,"providers":[{"billed_charge":2860.00,"npi":[1487833042]}]},{"allowed_amount":7012.20,"providers":[{"billed_charge":30160.00,"npi":[1730900754]}]}]},{"tin":{"type":"ein","value":"472815347"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2294.10,"providers":[{"billed_charge":3900.00,"npi":[1699784819]}]}]},{"tin":{"type":"ein","value":"760653932"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":299.68,"providers":[{"billed_charge":520.00,"npi":[1639273956]}]}]},{"tin":{"type":"ein","value":"834468187"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.01,"providers":[{"billed_charge":432.00,"npi":[1821483660]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2866.80,"providers":[{"billed_charge":5370.00,"npi":[1467427054]}]}]},{"tin":{"type":"ein","value":"851941193"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1380.73,"providers":[{"billed_charge":4568.55,"npi":[1235101338]}]}]},{"tin":{"type":"ein","value":"464065241"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":337.00,"npi":[1841237815]}]}]},{"tin":{"type":"ein","value":"331068598"},"service_code":["02","21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":163.70,"npi":[1912999426]}]},{"allowed_amount":4604.22,"providers":[{"billed_charge":10309.80,"npi":[1912999426]}]}]},{"tin":{"type":"ein","value":"742177317"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8105.82,"providers":[{"billed_charge":21200.00,"npi":[1518997477]}]}]},{"tin":{"type":"ein","value":"825303754"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":899.04,"providers":[{"billed_charge":1380.00,"npi":[1174572077]}]}]},{"tin":{"type":"ein","value":"853148201"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10099.44,"providers":[{"billed_charge":23800.00,"npi":[1376652206]}]}]},{"tin":{"type":"ein","value":"834542505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1340.28,"providers":[{"billed_charge":2680.56,"npi":[1801216114]}]}]},{"tin":{"type":"ein","value":"760665593"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5352.90,"providers":[{"billed_charge":28000.00,"npi":[1750325601]}]}]},{"tin":{"type":"ein","value":"472459031"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2397.44,"providers":[{"billed_charge":4975.04,"npi":[1700035961]}]},{"allowed_amount":1873.00,"providers":[{"billed_charge":3853.36,"npi":[1235374224]}]}]},{"tin":{"type":"ein","value":"752743883"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":924.56,"providers":[{"billed_charge":1495.00,"npi":[1568670396]}]},{"allowed_amount":640.08,"providers":[{"billed_charge":1035.00,"npi":[1336145838]}]}]},{"tin":{"type":"ein","value":"460692925"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1635.76,"providers":[{"billed_charge":4600.00,"npi":[1942216460]}]}]},{"tin":{"type":"ein","value":"462260000"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1526.07,"providers":[{"billed_charge":2226.00,"npi":[1316061377]}]}]},{"tin":{"type":"ein","value":"924010972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":374.60,"providers":[{"billed_charge":815.00,"npi":[1164478301]}]},{"allowed_amount":973.96,"providers":[{"billed_charge":2119.00,"npi":[1548246168]}]}]},{"tin":{"type":"ein","value":"833128725"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":788.40,"providers":[{"billed_charge":1919.50,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"272656129"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3643.20,"providers":[{"billed_charge":3643.20,"npi":[1124016829]}]}]},{"tin":{"type":"ein","value":"473724156"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":964.08,"providers":[{"billed_charge":2000.00,"npi":[1033525050]}]}]},{"tin":{"type":"ein","value":"273378639"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":535.71,"providers":[{"billed_charge":1050.00,"npi":[1982870416]}]}]},{"tin":{"type":"ein","value":"742992394"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5922.24,"providers":[{"billed_charge":18600.00,"npi":[1033935689]}]}]},{"tin":{"type":"ein","value":"921363582"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3596.16,"providers":[{"billed_charge":7123.20,"npi":[1508244179]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5619.00,"providers":[{"billed_charge":30000.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"205768117"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":305.88,"providers":[{"billed_charge":1168.00,"npi":[1457333775]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["02","51","21"],"billing_class":"professional","payments":[{"allowed_amount":1642.76,"providers":[{"billed_charge":10272.60,"npi":[1770312357]}]},{"allowed_amount":11912.28,"providers":[{"billed_charge":62820.90,"npi":[1669615944]}]},{"allowed_amount":674.28,"providers":[{"billed_charge":3555.90,"npi":[1588964621]}]},{"allowed_amount":10618.01,"providers":[{"billed_charge":67562.10,"npi":[1376221135]}]},{"allowed_amount":4956.90,"providers":[{"billed_charge":32398.20,"npi":[1174357040]}]},{"allowed_amount":7240.87,"providers":[{"billed_charge":38719.80,"npi":[1588964621]}]},{"allowed_amount":5941.40,"providers":[{"billed_charge":31608.00,"npi":[1154616894]}]},{"allowed_amount":254.72,"providers":[{"billed_charge":1580.40,"npi":[1528604063]}]},{"allowed_amount":440.03,"providers":[{"billed_charge":2765.70,"npi":[1376221135]}]},{"allowed_amount":573.12,"providers":[{"billed_charge":3555.90,"npi":[1154030070]}]},{"allowed_amount":9833.95,"providers":[{"billed_charge":61635.60,"npi":[1427884741]}]},{"allowed_amount":1074.92,"providers":[{"billed_charge":6716.70,"npi":[1821632712]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":395.10,"npi":[1588964621]}]},{"allowed_amount":3393.12,"providers":[{"billed_charge":22125.60,"npi":[1033786579]}]},{"allowed_amount":764.16,"providers":[{"billed_charge":4741.20,"npi":[1154030070]}]},{"allowed_amount":5540.16,"providers":[{"billed_charge":34373.70,"npi":[1699303875]}]},{"allowed_amount":302.25,"providers":[{"billed_charge":1975.50,"npi":[1457165037]}]},{"allowed_amount":191.04,"providers":[{"billed_charge":1185.30,"npi":[1528604063]}]},{"allowed_amount":6176.96,"providers":[{"billed_charge":38324.70,"npi":[1528604063]}]},{"allowed_amount":378.85,"providers":[{"billed_charge":2370.60,"npi":[1770312357]}]}]},{"tin":{"type":"ein","value":"202231203"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":12617.55,"providers":[{"billed_charge":23100.00,"npi":[1447454012]}]},{"allowed_amount":7494.06,"providers":[{"billed_charge":13720.00,"npi":[1235337254]}]},{"allowed_amount":6652.89,"providers":[{"billed_charge":12180.00,"npi":[1235337254]}]},{"allowed_amount":5888.19,"providers":[{"billed_charge":10780.00,"npi":[1447454012]}]}]},{"tin":{"type":"ein","value":"742997721"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":508.69,"providers":[{"billed_charge":1015.00,"npi":[1053303958]}]}]},{"tin":{"type":"ein","value":"861975468"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":449.52,"providers":[{"billed_charge":1170.00,"npi":[1306836671]}]}]},{"tin":{"type":"ein","value":"760530248"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":917.64,"providers":[{"billed_charge":2400.00,"npi":[1346444932]}]}]},{"tin":{"type":"ein","value":"760320827"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":229.41,"providers":[{"billed_charge":450.00,"npi":[1366555039]}]}]},{"tin":{"type":"ein","value":"462598097"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4345.36,"providers":[{"billed_charge":11600.00,"npi":[1578974614]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3288.21,"providers":[{"billed_charge":30100.00,"npi":[1245427020]}]},{"allowed_amount":7188.18,"providers":[{"billed_charge":65800.00,"npi":[1265442420]}]},{"allowed_amount":5276.43,"providers":[{"billed_charge":48300.00,"npi":[1285898403]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":636.80,"providers":[{"billed_charge":1501.88,"npi":[1871110387]}]},{"allowed_amount":9215.16,"providers":[{"billed_charge":18800.24,"npi":[1740212042]}]},{"allowed_amount":14010.04,"providers":[{"billed_charge":28418.20,"npi":[1154393817]}]}]},{"tin":{"type":"ein","value":"862330456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2813.14,"providers":[{"billed_charge":7600.00,"npi":[1821388075]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":872.04,"providers":[{"billed_charge":1896.00,"npi":[1952798944]}]},{"allowed_amount":305.88,"providers":[{"billed_charge":632.00,"npi":[1700072618]}]},{"allowed_amount":1147.05,"providers":[{"billed_charge":2370.00,"npi":[1568532307]}]},{"allowed_amount":6322.29,"providers":[{"billed_charge":13746.00,"npi":[1952562407]}]},{"allowed_amount":1605.87,"providers":[{"billed_charge":3318.00,"npi":[1922419209]}]},{"allowed_amount":611.76,"providers":[{"billed_charge":1688.00,"npi":[1497241087]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":632.00,"npi":[1992239321]}]},{"allowed_amount":841.17,"providers":[{"billed_charge":2321.00,"npi":[1861715997]}]},{"allowed_amount":1758.81,"providers":[{"billed_charge":3634.00,"npi":[1700815479]}]},{"allowed_amount":1529.40,"providers":[{"billed_charge":3160.00,"npi":[1386660876]}]},{"allowed_amount":764.70,"providers":[{"billed_charge":1500.00,"npi":[1275889198]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":13076.37,"providers":[{"billed_charge":38475.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"300038860"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":158.00,"npi":[1386621746,1245466762]}]}]},{"tin":{"type":"ein","value":"760151399"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1792.28,"providers":[{"billed_charge":3500.00,"npi":[1982671590]}]}]},{"tin":{"type":"ein","value":"10726196"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":749.20,"providers":[{"billed_charge":2110.00,"npi":[1659474203]}]}]},{"tin":{"type":"ein","value":"452454129"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":250.00,"npi":[1508869116]}]}]},{"tin":{"type":"ein","value":"611715115"},"service_code":["55","21"],"billing_class":"professional","payments":[{"allowed_amount":32228.94,"providers":[{"billed_charge":66405.00,"npi":[1639187263]}]},{"allowed_amount":363.35,"providers":[{"billed_charge":750.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6913.08,"providers":[{"billed_charge":16200.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"760453250"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1066.80,"providers":[{"billed_charge":3405.00,"npi":[1184038598]}]}]},{"tin":{"type":"ein","value":"752613493"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":476.00,"npi":[1861439143,1700263134,1235442393]}]},{"allowed_amount":374.60,"providers":[{"billed_charge":1190.00,"npi":[1609072065,1427204270]}]},{"allowed_amount":449.52,"providers":[{"billed_charge":1428.00,"npi":[1104243104]}]},{"allowed_amount":224.76,"providers":[{"billed_charge":714.00,"npi":[1629398540,1831417039,1053768259]}]},{"allowed_amount":674.28,"providers":[{"billed_charge":2142.00,"npi":[1871530469,1235338781]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":238.00,"npi":[1629398540,1679988869,1871530469]}]},{"allowed_amount":1048.88,"providers":[{"billed_charge":3332.00,"npi":[1679988869]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":476.00,"npi":[1548469299]}]}]},{"tin":{"type":"ein","value":"208770785"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4178.52,"providers":[{"billed_charge":7950.00,"npi":[1154488195]}]}]},{"tin":{"type":"ein","value":"824683113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":716.76,"providers":[{"billed_charge":1457.00,"npi":[1063695336]}]}]},{"tin":{"type":"ein","value":"760079729"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2523.51,"providers":[{"billed_charge":8580.00,"npi":[1467456897]}]}]},{"tin":{"type":"ein","value":"203988983"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":872.04,"providers":[{"billed_charge":2148.00,"npi":[1063413482]}]},{"allowed_amount":363.35,"providers":[{"billed_charge":895.00,"npi":[1063413482]}]}]},{"tin":{"type":"ein","value":"475627670"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":558.00,"npi":[1760704068]}]}]},{"tin":{"type":"ein","value":"813260624"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":600.00,"npi":[1073781142]}]},{"allowed_amount":524.44,"providers":[{"billed_charge":1400.00,"npi":[1871855585]}]}]},{"tin":{"type":"ein","value":"752599264"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":593.28,"providers":[{"billed_charge":1080.00,"npi":[1144272071]}]}]},{"tin":{"type":"ein","value":"451125559"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":450.00,"npi":[1861482861]}]}]},{"tin":{"type":"ein","value":"760525218"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1950.22,"providers":[{"billed_charge":3250.00,"npi":[1457452757]}]}]},{"tin":{"type":"ein","value":"842548672"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5993.60,"providers":[{"billed_charge":13200.00,"npi":[1104118918]}]}]},{"tin":{"type":"ein","value":"760617615"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":799.37,"providers":[{"billed_charge":2970.00,"npi":[1619200607]}]},{"allowed_amount":944.71,"providers":[{"billed_charge":3510.00,"npi":[1659369056]}]},{"allowed_amount":363.35,"providers":[{"billed_charge":1350.00,"npi":[1811510076]}]},{"allowed_amount":436.02,"providers":[{"billed_charge":1620.00,"npi":[1811139371]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":1060.00,"npi":[1609185818]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":1890.00,"npi":[1164500245]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":540.00,"npi":[1265468326]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":6345.70,"providers":[{"billed_charge":19890.00,"npi":[1356637227]}]}]},{"tin":{"type":"ein","value":"264827225"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1768.18,"providers":[{"billed_charge":3895.84,"npi":[1841248846]}]},{"allowed_amount":749.20,"providers":[{"billed_charge":1498.40,"npi":[1568924462]}]}]},{"tin":{"type":"ein","value":"300979881"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2204.91,"providers":[{"billed_charge":7491.00,"npi":[1760063861]}]}]},{"tin":{"type":"ein","value":"474978705"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":305.88,"providers":[{"billed_charge":500.00,"npi":[1912015975]}]}]},{"tin":{"type":"ein","value":"833767505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":986.51,"providers":[{"billed_charge":1430.00,"npi":[1295178507]}]}]},{"tin":{"type":"ein","value":"474387061"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":749.20,"providers":[{"billed_charge":1000.00,"npi":[1508022484]}]}]},{"tin":{"type":"ein","value":"760560440"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":646.92,"providers":[{"billed_charge":1350.00,"npi":[1508862954]}]}]},{"tin":{"type":"ein","value":"30562624"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1147.05,"providers":[{"billed_charge":1500.00,"npi":[1528168051]}]},{"allowed_amount":33417.39,"providers":[{"billed_charge":43700.00,"npi":[1528168051]}]}]},{"tin":{"type":"ein","value":"760693452"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21946.89,"providers":[{"billed_charge":45346.00,"npi":[1265607725]}]},{"allowed_amount":16574.88,"providers":[{"billed_charge":34286.00,"npi":[1144226515]}]}]},{"tin":{"type":"ein","value":"471603609"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5696.89,"providers":[{"billed_charge":11570.00,"npi":[1083900955]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":11312.92,"providers":[{"billed_charge":22650.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"352335295"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":299.68,"providers":[{"billed_charge":900.00,"npi":[1194787200]}]}]},{"tin":{"type":"ein","value":"264232139"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3718.07,"providers":[{"billed_charge":7650.00,"npi":[1477622710]}]}]},{"tin":{"type":"ein","value":"341983840"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":130.00,"npi":[1932327749]}]},{"allowed_amount":1299.99,"providers":[{"billed_charge":2210.00,"npi":[1932327749]}]}]},{"tin":{"type":"ein","value":"472081709"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":229.41,"providers":[{"billed_charge":450.00,"npi":[1467645283]}]}]},{"tin":{"type":"ein","value":"832991106"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1072.16,"providers":[{"billed_charge":1840.00,"npi":[1669003760]}]},{"allowed_amount":536.08,"providers":[{"billed_charge":920.00,"npi":[1770139743]}]}]},{"tin":{"type":"ein","value":"332417145"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":594.86,"providers":[{"billed_charge":1160.00,"npi":[1265661474]}]},{"allowed_amount":147.59,"providers":[{"billed_charge":290.00,"npi":[1265661474]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":306.00,"npi":[1508830985]}]},{"allowed_amount":5743.42,"providers":[{"billed_charge":11628.00,"npi":[1508830985]}]},{"allowed_amount":872.04,"providers":[{"billed_charge":1836.00,"npi":[1346436276]}]},{"allowed_amount":457.73,"providers":[{"billed_charge":1071.00,"npi":[1376068809]}]},{"allowed_amount":436.02,"providers":[{"billed_charge":918.00,"npi":[1699986968]}]},{"allowed_amount":1051.13,"providers":[{"billed_charge":2142.00,"npi":[1235274994]}]}]},{"tin":{"type":"ein","value":"760646261"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1940.76,"providers":[{"billed_charge":4050.00,"npi":[1093300410]}]}]},{"tin":{"type":"ein","value":"832621574"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1983.58,"providers":[{"billed_charge":2340.00,"npi":[1366627523]}]},{"allowed_amount":757.74,"providers":[{"billed_charge":900.00,"npi":[1477518314]}]}]},{"tin":{"type":"ein","value":"842103878"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":2458.17,"providers":[{"billed_charge":9555.00,"npi":[1710587845]}]},{"allowed_amount":247.08,"providers":[{"billed_charge":980.00,"npi":[1033845417]}]},{"allowed_amount":2332.11,"providers":[{"billed_charge":9065.00,"npi":[1497385645]}]},{"allowed_amount":61.77,"providers":[{"billed_charge":245.00,"npi":[1871114314,1518362623]}]},{"allowed_amount":679.47,"providers":[{"billed_charge":2695.00,"npi":[1033845417]}]},{"allowed_amount":123.54,"providers":[{"billed_charge":490.00,"npi":[1518362623]}]},{"allowed_amount":364.92,"providers":[{"billed_charge":1225.00,"npi":[1942265038]}]}]},{"tin":{"type":"ein","value":"931606104"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":296.64,"providers":[{"billed_charge":764.52,"npi":[1649434804]}]}]},{"tin":{"type":"ein","value":"844177033"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":157.68,"providers":[{"billed_charge":438.00,"npi":[1881829695]}]}]},{"tin":{"type":"ein","value":"463359105"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1090.05,"providers":[{"billed_charge":5565.00,"npi":[1508067885]}]}]},{"tin":{"type":"ein","value":"811443260"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2903.09,"providers":[{"billed_charge":7260.00,"npi":[1629365671]}]}]},{"tin":{"type":"ein","value":"832574302"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":565.03,"providers":[{"billed_charge":1377.00,"npi":[1245626373]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3731.00,"providers":[{"billed_charge":9639.50,"npi":[1891944708]}]}]},{"tin":{"type":"ein","value":"760420935"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3441.15,"providers":[{"billed_charge":5565.00,"npi":[1629043500]}]}]},{"tin":{"type":"ein","value":"455599557"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1223.52,"providers":[{"billed_charge":2000.00,"npi":[1093881278]}]}]},{"tin":{"type":"ein","value":"352645807"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":865.62,"providers":[{"billed_charge":1440.00,"npi":[1780241760]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.25,"providers":[{"billed_charge":1205.00,"npi":[1306251665]}]},{"allowed_amount":236.52,"providers":[{"billed_charge":723.00,"npi":[1215389648]}]},{"allowed_amount":764.50,"providers":[{"billed_charge":2410.00,"npi":[1023685971]}]},{"allowed_amount":917.40,"providers":[{"billed_charge":2892.00,"npi":[1841854627]}]}]},{"tin":{"type":"ein","value":"741941710"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":611.76,"providers":[{"billed_charge":1546.08,"npi":[1275807638]}]},{"allowed_amount":3976.44,"providers":[{"billed_charge":10136.04,"npi":[1275578544]}]},{"allowed_amount":229.41,"providers":[{"billed_charge":450.00,"npi":[1891069050]}]}]},{"tin":{"type":"ein","value":"455038058"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":12211.96,"providers":[{"billed_charge":24540.00,"npi":[1407056443]}]}]},{"tin":{"type":"ein","value":"451766766"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3150.65,"providers":[{"billed_charge":3655.00,"npi":[1427165588]}]}]},{"tin":{"type":"ein","value":"991682710"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":416.43,"npi":[1417935826]}]},{"allowed_amount":3296.48,"providers":[{"billed_charge":6107.64,"npi":[1417935826]}]}]},{"tin":{"type":"ein","value":"934013640"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":299.68,"providers":[{"billed_charge":800.00,"npi":[1659780013]}]},{"allowed_amount":2846.96,"providers":[{"billed_charge":7600.00,"npi":[1639599632]}]}]},{"tin":{"type":"ein","value":"760187419"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5352.90,"providers":[{"billed_charge":12300.00,"npi":[1366440265]}]}]},{"tin":{"type":"ein","value":"871027761"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":599.36,"providers":[{"billed_charge":1112.00,"npi":[1821384058]}]}]},{"tin":{"type":"ein","value":"800890437"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1353.66,"providers":[{"billed_charge":1980.00,"npi":[1982791463]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1310.04,"providers":[{"billed_charge":2809.44,"npi":[1396110193]}]},{"allowed_amount":85.62,"providers":[{"billed_charge":156.08,"npi":[1609809185,1275798019]}]},{"allowed_amount":2739.84,"providers":[{"billed_charge":4994.56,"npi":[1740433226]}]},{"allowed_amount":428.10,"providers":[{"billed_charge":780.40,"npi":[1295053072]}]},{"allowed_amount":74.16,"providers":[{"billed_charge":156.08,"npi":[1053462069]}]},{"allowed_amount":222.48,"providers":[{"billed_charge":468.24,"npi":[1598781122]}]},{"allowed_amount":72.78,"providers":[{"billed_charge":156.08,"npi":[1396110193]}]},{"allowed_amount":1113.06,"providers":[{"billed_charge":2029.04,"npi":[1609809185]}]},{"allowed_amount":171.24,"providers":[{"billed_charge":312.16,"npi":[1376066647]}]},{"allowed_amount":1027.44,"providers":[{"billed_charge":1872.96,"npi":[1275798019]}]},{"allowed_amount":593.28,"providers":[{"billed_charge":1248.64,"npi":[1992989206]}]},{"allowed_amount":519.12,"providers":[{"billed_charge":1092.56,"npi":[1356545040]}]}]},{"tin":{"type":"ein","value":"642528375"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1854.00,"providers":[{"billed_charge":5000.00,"npi":[1568457968]}]}]},{"tin":{"type":"ein","value":"751772118"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":890.88,"providers":[{"billed_charge":2856.00,"npi":[1871733188,1225320625]}]}]},{"tin":{"type":"ein","value":"202396203"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1419.12,"providers":[{"billed_charge":4500.00,"npi":[1861474595]}]}]},{"tin":{"type":"ein","value":"353561589"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3924.18,"providers":[{"billed_charge":7579.44,"npi":[1285675033]}]}]},{"tin":{"type":"ein","value":"862597993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4045.68,"providers":[{"billed_charge":8256.60,"npi":[1740426592]}]}]},{"tin":{"type":"ein","value":"201790156"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":599.36,"providers":[{"billed_charge":1280.00,"npi":[1386636025]}]},{"allowed_amount":2829.39,"providers":[{"billed_charge":5920.00,"npi":[1326069139]}]}]},{"tin":{"type":"ein","value":"843475529"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":812.57,"providers":[{"billed_charge":1683.66,"npi":[1871209296]}]}]},{"tin":{"type":"ein","value":"934237235"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4505.54,"providers":[{"billed_charge":6820.00,"npi":[1831578665]}]},{"allowed_amount":6685.64,"providers":[{"billed_charge":10120.00,"npi":[1205098753]}]}]},{"tin":{"type":"ein","value":"752673928"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":964.08,"providers":[{"billed_charge":2704.00,"npi":[1174606065]}]},{"allowed_amount":148.32,"providers":[{"billed_charge":416.00,"npi":[1174606065]}]}]},{"tin":{"type":"ein","value":"462882391"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2294.10,"providers":[{"billed_charge":5400.00,"npi":[1154517688]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1988.22,"providers":[{"billed_charge":4160.00,"npi":[1851528475]}]},{"allowed_amount":152.94,"providers":[{"billed_charge":320.00,"npi":[1659995611]}]},{"allowed_amount":2523.51,"providers":[{"billed_charge":5280.00,"npi":[1316399769]}]},{"allowed_amount":535.29,"providers":[{"billed_charge":1120.00,"npi":[1356733018]}]},{"allowed_amount":1017.38,"providers":[{"billed_charge":2240.00,"npi":[1639494743]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":160.00,"npi":[1326173386,1992759070,1639494743]}]},{"allowed_amount":1816.75,"providers":[{"billed_charge":4000.00,"npi":[1992759070]}]},{"allowed_amount":688.23,"providers":[{"billed_charge":1440.00,"npi":[1265052625]}]},{"allowed_amount":836.29,"providers":[{"billed_charge":1760.00,"npi":[1013336023]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":320.00,"npi":[1801216676]}]},{"allowed_amount":458.82,"providers":[{"billed_charge":960.00,"npi":[1902024987,1558980037]}]},{"allowed_amount":76.47,"providers":[{"billed_charge":160.00,"npi":[1902337306,1437416518,1316399769]}]},{"allowed_amount":1223.52,"providers":[{"billed_charge":2560.00,"npi":[1477588192]}]},{"allowed_amount":3924.18,"providers":[{"billed_charge":8640.00,"npi":[1326173386]}]},{"allowed_amount":841.17,"providers":[{"billed_charge":1760.00,"npi":[1477588192,1437416518]}]},{"allowed_amount":225.61,"providers":[{"billed_charge":480.00,"npi":[1578795209]}]},{"allowed_amount":229.41,"providers":[{"billed_charge":480.00,"npi":[1386027472]}]}]},{"tin":{"type":"ein","value":"760624055"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10017.57,"providers":[{"billed_charge":15720.00,"npi":[1194786137]}]},{"allowed_amount":1376.46,"providers":[{"billed_charge":2160.00,"npi":[1356383152]}]}]},{"tin":{"type":"ein","value":"464534404"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":355.60,"providers":[{"billed_charge":800.00,"npi":[1417967423]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":799.37,"providers":[{"billed_charge":2431.00,"npi":[1952663916]}]},{"allowed_amount":218.01,"providers":[{"billed_charge":663.00,"npi":[1174987820,1841547759]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":221.00,"npi":[1154568558]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":884.00,"npi":[1841547759]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":442.00,"npi":[1669889291,1174987820,1235101221]}]},{"allowed_amount":2398.11,"providers":[{"billed_charge":7293.00,"npi":[1841547759,1154568558]}]},{"allowed_amount":654.03,"providers":[{"billed_charge":1989.00,"npi":[1174987820,1174985634]}]},{"allowed_amount":1889.42,"providers":[{"billed_charge":5746.00,"npi":[1992952261]}]},{"allowed_amount":1380.73,"providers":[{"billed_charge":4199.00,"npi":[1235101221]}]},{"allowed_amount":4505.54,"providers":[{"billed_charge":13702.00,"npi":[1992952261]}]},{"allowed_amount":3996.85,"providers":[{"billed_charge":12155.00,"npi":[1952663916]}]},{"allowed_amount":3488.16,"providers":[{"billed_charge":10608.00,"npi":[1235101221]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":1547.00,"npi":[1386140002]}]},{"allowed_amount":581.36,"providers":[{"billed_charge":1768.00,"npi":[1669889291]}]}]},{"tin":{"type":"ein","value":"990634620"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":374.60,"providers":[{"billed_charge":788.40,"npi":[1720584436]}]}]},{"tin":{"type":"ein","value":"813904483"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2365.20,"providers":[{"billed_charge":5985.90,"npi":[1386903037]}]}]},{"tin":{"type":"ein","value":"851939600"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":436.02,"providers":[{"billed_charge":720.00,"npi":[1427257872]}]}]},{"tin":{"type":"ein","value":"461522270"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":872.04,"providers":[{"billed_charge":3867.00,"npi":[1073856019]}]},{"allowed_amount":218.01,"providers":[{"billed_charge":1011.00,"npi":[1073856019]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":160.00,"npi":[1780879486]},{"billed_charge":337.00,"npi":[1780615229]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":1348.00,"npi":[1780615229]}]},{"allowed_amount":508.69,"providers":[{"billed_charge":2005.00,"npi":[1285998161]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":497.00,"npi":[1447623749]}]}]},{"tin":{"type":"ein","value":"760613299"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":688.23,"providers":[{"billed_charge":3375.00,"npi":[1699021972]}]}]},{"tin":{"type":"ein","value":"200167479"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1360.05,"providers":[{"billed_charge":3000.00,"npi":[1003965377]}]},{"allowed_amount":688.23,"providers":[{"billed_charge":1800.00,"npi":[1265929061]}]}]},{"tin":{"type":"ein","value":"752836096"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":5794.88,"providers":[{"billed_charge":10283.00,"npi":[1740571660]}]}]},{"tin":{"type":"ein","value":"760674551"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":260.00,"providers":[{"billed_charge":956.00,"npi":[1821648593]}]}]},{"tin":{"type":"ein","value":"261162574"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":216.95,"providers":[{"billed_charge":450.00,"npi":[1851597793]}]}]},{"tin":{"type":"ein","value":"474097859"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":611.76,"providers":[{"billed_charge":1600.00,"npi":[1295048528]}]}]},{"tin":{"type":"ein","value":"752799006"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":290.68,"providers":[{"billed_charge":500.00,"npi":[1235116393]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":799.37,"providers":[{"billed_charge":4323.00,"npi":[1164835195]}]},{"allowed_amount":1962.09,"providers":[{"billed_charge":10611.00,"npi":[1043705528]}]},{"allowed_amount":944.71,"providers":[{"billed_charge":5109.00,"npi":[1679768089]}]},{"allowed_amount":1017.38,"providers":[{"billed_charge":5502.00,"npi":[1174883177]}]},{"allowed_amount":436.02,"providers":[{"billed_charge":2358.00,"npi":[1386619765]}]},{"allowed_amount":726.70,"providers":[{"billed_charge":3930.00,"npi":[1881154201]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":393.00,"npi":[1386619765]}]},{"allowed_amount":290.68,"providers":[{"billed_charge":1572.00,"npi":[1649401589]}]},{"allowed_amount":1308.06,"providers":[{"billed_charge":7074.00,"npi":[1952798001]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":786.00,"npi":[1679768089,1881154201]}]}]},{"tin":{"type":"ein","value":"760567853"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1376.46,"providers":[{"billed_charge":2520.00,"npi":[1770596736]}]}]},{"tin":{"type":"ein","value":"760446083"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2759.40,"providers":[{"billed_charge":3850.00,"npi":[1649456336]}]}]},{"tin":{"type":"ein","value":"760580939"},"service_code":["61","51","21"],"billing_class":"professional","payments":[{"allowed_amount":149.84,"providers":[{"billed_charge":250.00,"npi":[1487760229]}]},{"allowed_amount":6667.88,"providers":[{"billed_charge":11125.00,"npi":[1487760229]}]},{"allowed_amount":524.44,"providers":[{"billed_charge":875.00,"npi":[1487760229]}]}]},{"tin":{"type":"ein","value":"850741151"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2697.12,"providers":[{"billed_charge":5760.00,"npi":[1619223104]}]}]},{"tin":{"type":"ein","value":"465019838"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":11699.91,"providers":[{"billed_charge":22950.00,"npi":[1194040451]}]}]},{"tin":{"type":"ein","value":"470964891"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":39917.34,"providers":[{"billed_charge":78300.00,"npi":[1710025515]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":4645.04,"providers":[{"billed_charge":23126.00,"npi":[1528389954]}]},{"allowed_amount":76.45,"providers":[{"billed_charge":373.00,"npi":[1851551741]}]},{"allowed_amount":374.60,"providers":[{"billed_charge":1865.00,"npi":[1629571492]}]},{"allowed_amount":149.84,"providers":[{"billed_charge":746.00,"npi":[1548296387]}]},{"allowed_amount":152.90,"providers":[{"billed_charge":746.00,"npi":[1548296429,1851559595]}]},{"allowed_amount":840.95,"providers":[{"billed_charge":4103.00,"npi":[1851559595]}]},{"allowed_amount":381.48,"providers":[{"billed_charge":1865.00,"npi":[1780646646]}]},{"allowed_amount":382.25,"providers":[{"billed_charge":1865.00,"npi":[1821652421,1346861960]}]},{"allowed_amount":1374.56,"providers":[{"billed_charge":6714.00,"npi":[1003807462]}]},{"allowed_amount":1681.90,"providers":[{"billed_charge":8206.00,"npi":[1194785923]}]},{"allowed_amount":976.24,"providers":[{"billed_charge":4849.00,"npi":[1114546306]}]},{"allowed_amount":299.68,"providers":[{"billed_charge":1492.00,"npi":[1679501225]}]}]},{"tin":{"type":"ein","value":"208757995"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":640.08,"providers":[{"billed_charge":2128.68,"npi":[1790730430]}]}]},{"tin":{"type":"ein","value":"10697777"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":299.68,"providers":[{"billed_charge":500.00,"npi":[1194793851]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":13838.84,"providers":[{"billed_charge":36200.00,"npi":[1316279326]}]},{"allowed_amount":449.52,"providers":[{"billed_charge":1200.00,"npi":[1255919148]}]},{"allowed_amount":8883.07,"providers":[{"billed_charge":24200.00,"npi":[1235363862]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":200.00,"npi":[1093161630]}]},{"allowed_amount":8261.94,"providers":[{"billed_charge":21800.00,"npi":[1184041436]}]},{"allowed_amount":15054.52,"providers":[{"billed_charge":38200.00,"npi":[1215925185]}]}]},{"tin":{"type":"ein","value":"853170759"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2034.76,"providers":[{"billed_charge":3360.00,"npi":[1275775116]}]}]},{"tin":{"type":"ein","value":"43685748"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3071.72,"providers":[{"billed_charge":5535.00,"npi":[1396754537]}]}]},{"tin":{"type":"ein","value":"462747441"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":7147.80,"providers":[{"billed_charge":11250.00,"npi":[1396991162]}]}]},{"tin":{"type":"ein","value":"10744731"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":157.00,"npi":[1255433611]}]},{"allowed_amount":152.94,"providers":[{"billed_charge":314.00,"npi":[1255433611]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":374.60,"providers":[{"billed_charge":1182.60,"npi":[1063413235]}]},{"allowed_amount":224.76,"providers":[{"billed_charge":709.56,"npi":[1215110556]}]},{"allowed_amount":973.96,"providers":[{"billed_charge":3074.76,"npi":[1053406546]}]},{"allowed_amount":1348.56,"providers":[{"billed_charge":4257.36,"npi":[1215971049]}]},{"allowed_amount":1423.48,"providers":[{"billed_charge":4493.88,"npi":[1790936144]}]},{"allowed_amount":1123.80,"providers":[{"billed_charge":3547.80,"npi":[1245493360]}]},{"allowed_amount":3146.64,"providers":[{"billed_charge":9933.84,"npi":[1447699145]}]},{"allowed_amount":2846.96,"providers":[{"billed_charge":8987.76,"npi":[1831519511]}]}]},{"tin":{"type":"ein","value":"760564330"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":241.80,"providers":[{"billed_charge":1300.00,"npi":[1467737585]}]},{"allowed_amount":355.60,"providers":[{"billed_charge":1625.00,"npi":[1548297898]}]}]},{"tin":{"type":"ein","value":"473553486"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":426.72,"providers":[{"billed_charge":1752.00,"npi":[1801812649]}]},{"allowed_amount":284.48,"providers":[{"billed_charge":1168.00,"npi":[1295344471,1659506392,1942486253]}]},{"allowed_amount":71.12,"providers":[{"billed_charge":292.00,"npi":[1962884338]}]},{"allowed_amount":640.08,"providers":[{"billed_charge":2628.00,"npi":[1598886954]}]}]},{"tin":{"type":"ein","value":"450675246"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":213.36,"providers":[{"billed_charge":900.00,"npi":[1033607684]}]},{"allowed_amount":1920.24,"providers":[{"billed_charge":8100.00,"npi":[1669423067]}]},{"allowed_amount":924.56,"providers":[{"billed_charge":3900.00,"npi":[1346402781]}]}]},{"tin":{"type":"ein","value":"834429224"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3997.62,"providers":[{"billed_charge":10800.00,"npi":[1063626455]}]}]},{"tin":{"type":"ein","value":"471770620"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10101.13,"providers":[{"billed_charge":30174.12,"npi":[1740442144]}]}]},{"tin":{"type":"ein","value":"261996124"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1012.50,"providers":[{"billed_charge":1696.54,"npi":[1245791425]}]},{"allowed_amount":73.87,"providers":[{"billed_charge":111.30,"npi":[1245791425]}]}]},{"tin":{"type":"ein","value":"352527258"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2141.35,"providers":[{"billed_charge":6706.80,"npi":[1245811074]}]}]},{"tin":{"type":"ein","value":"760699297"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":674.28,"providers":[{"billed_charge":954.00,"npi":[1699782417]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2522.88,"providers":[{"billed_charge":4803.84,"npi":[1003257999]}]},{"allowed_amount":1971.00,"providers":[{"billed_charge":3753.00,"npi":[1568818508]}]}]},{"tin":{"type":"ein","value":"931760767"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1380.73,"providers":[{"billed_charge":2755.00,"npi":[1760629240]}]}]},{"tin":{"type":"ein","value":"462991144"},"service_code":["02","51","21"],"billing_class":"professional","payments":[{"allowed_amount":1753.05,"providers":[{"billed_charge":7540.00,"npi":[1538851134]}]},{"allowed_amount":254.92,"providers":[{"billed_charge":1040.00,"npi":[1780293704]}]},{"allowed_amount":1846.30,"providers":[{"billed_charge":7800.00,"npi":[1972295079]}]},{"allowed_amount":3232.44,"providers":[{"billed_charge":10660.00,"npi":[1487833042]}]},{"allowed_amount":4592.79,"providers":[{"billed_charge":19500.00,"npi":[1497589873]}]},{"allowed_amount":1707.04,"providers":[{"billed_charge":5720.00,"npi":[1487833042]}]},{"allowed_amount":157.68,"providers":[{"billed_charge":520.00,"npi":[1487833042]}]}]},{"tin":{"type":"ein","value":"743021726"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":867.24,"providers":[{"billed_charge":1100.00,"npi":[1538159538]}]}]},{"tin":{"type":"ein","value":"923874087"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":145.34,"providers":[{"billed_charge":459.18,"npi":[1558518209]}]}]},{"tin":{"type":"ein","value":"814695407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1889.42,"providers":[{"billed_charge":3900.00,"npi":[1871836635]}]}]},{"tin":{"type":"ein","value":"455388396"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6431.68,"providers":[{"billed_charge":15962.04,"npi":[1275540700]}]},{"allowed_amount":9357.36,"providers":[{"billed_charge":21493.44,"npi":[1366615866]}]}]},{"tin":{"type":"ein","value":"752668019"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":126.00,"npi":[1285838870]}]}]},{"tin":{"type":"ein","value":"272885552"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":158.00,"npi":[1699089771]}]},{"allowed_amount":3521.24,"providers":[{"billed_charge":7426.00,"npi":[1912090572]}]}]},{"tin":{"type":"ein","value":"760317231"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2176.34,"providers":[{"billed_charge":5100.00,"npi":[1225058852]}]}]},{"tin":{"type":"ein","value":"331658284"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":524.44,"providers":[{"billed_charge":1106.00,"npi":[1023304946]}]}]},{"tin":{"type":"ein","value":"873018884"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1779.84,"providers":[{"billed_charge":3768.00,"npi":[1922093426]}]}]},{"tin":{"type":"ein","value":"271368002"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3055.28,"providers":[{"billed_charge":13650.00,"npi":[1306048277]}]}]},{"tin":{"type":"ein","value":"202631987"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":200.00,"npi":[1902952112]}]},{"allowed_amount":1531.88,"providers":[{"billed_charge":4000.00,"npi":[1902952112]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":58040.73,"providers":[{"billed_charge":94875.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":502.38,"providers":[{"billed_charge":4000.00,"npi":[1215395405]}]},{"allowed_amount":580.10,"providers":[{"billed_charge":4000.00,"npi":[1033640784]}]},{"allowed_amount":558.63,"providers":[{"billed_charge":4500.00,"npi":[1528690476]}]},{"allowed_amount":2224.80,"providers":[{"billed_charge":15000.00,"npi":[1609370048]}]},{"allowed_amount":815.76,"providers":[{"billed_charge":5500.00,"npi":[1417189903]}]},{"allowed_amount":299.68,"providers":[{"billed_charge":2000.00,"npi":[1376824938]}]},{"allowed_amount":222.30,"providers":[{"billed_charge":1500.00,"npi":[1902427743]}]}]},{"tin":{"type":"ein","value":"760560985"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4150.61,"providers":[{"billed_charge":5600.00,"npi":[1578658001]}]}]},{"tin":{"type":"ein","value":"202098880"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":2515.80,"providers":[{"billed_charge":4843.65,"npi":[1548240641]}]}]},{"tin":{"type":"ein","value":"760608057"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5964.66,"providers":[{"billed_charge":15600.00,"npi":[1700878816]}]},{"allowed_amount":79428.31,"providers":[{"billed_charge":218600.00,"npi":[1720070121]}]}]},{"tin":{"type":"ein","value":"800711887"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":150.00,"npi":[1124105937]}]},{"allowed_amount":1198.72,"providers":[{"billed_charge":2400.00,"npi":[1124105937]}]}]},{"tin":{"type":"ein","value":"462604452"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":524.44,"providers":[{"billed_charge":1050.00,"npi":[1316188519]}]}]},{"tin":{"type":"ein","value":"811298135"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":74.92,"providers":[{"billed_charge":100.00,"npi":[1902191240]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16593.99,"providers":[{"billed_charge":31899.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"842435109"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":436.02,"providers":[{"billed_charge":678.00,"npi":[1326305624]}]}]},{"tin":{"type":"ein","value":"822018496"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1170.00,"providers":[{"billed_charge":2700.00,"npi":[1104371822]}]},{"allowed_amount":2210.00,"providers":[{"billed_charge":5100.00,"npi":[1942620588]}]}]},{"tin":{"type":"ein","value":"263269355"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4374.97,"providers":[{"billed_charge":6595.00,"npi":[1982617940]}]}]},{"tin":{"type":"ein","value":"741586031"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":185.31,"providers":[{"billed_charge":573.00,"npi":[1760953509]}]}]},{"tin":{"type":"ein","value":"451059274"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":374.60,"providers":[{"billed_charge":1400.00,"npi":[1275533846]}]}]},{"tin":{"type":"ein","value":"457439325"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":726.70,"providers":[{"billed_charge":1388.10,"npi":[1417935826]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":138.81,"npi":[1417935826]}]}]},{"tin":{"type":"ein","value":"161728507"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":15141.06,"providers":[{"billed_charge":35640.00,"npi":[1851360499]}]}]},{"tin":{"type":"ein","value":"454341486"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":76.47,"providers":[{"billed_charge":180.00,"npi":[1013394758]}]},{"allowed_amount":764.70,"providers":[{"billed_charge":1800.00,"npi":[1558882647]}]}]},{"tin":{"type":"ein","value":"760189664"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3311.28,"providers":[{"billed_charge":9933.84,"npi":[1881770576]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55","51"],"billing_class":"professional","payments":[{"allowed_amount":1384.74,"providers":[{"billed_charge":5536.00,"npi":[1134745698]}]},{"allowed_amount":4136.68,"providers":[{"billed_charge":14814.00,"npi":[1255388203]}]},{"allowed_amount":307.72,"providers":[{"billed_charge":860.00,"npi":[1255388203]}]},{"allowed_amount":1567.02,"providers":[{"billed_charge":5054.00,"npi":[1598023079]}]}]},{"tin":{"type":"ein","value":"371714382"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":11502.31,"providers":[{"billed_charge":26843.85,"npi":[1245200393]}]},{"allowed_amount":7327.82,"providers":[{"billed_charge":17545.00,"npi":[1639120827]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","61","51","21"],"billing_class":"professional","payments":[{"allowed_amount":233.11,"providers":[{"billed_charge":704.00,"npi":[1234567893]}]},{"allowed_amount":3558.46,"providers":[{"billed_charge":10159.24,"npi":[1234567893]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":215.00,"npi":[1234567893]}]},{"allowed_amount":890.16,"providers":[{"billed_charge":1590.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"832926945"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":841.17,"providers":[{"billed_charge":2970.00,"npi":[1841337128]}]}]},{"tin":{"type":"ein","value":"460587961"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":67.01,"providers":[{"billed_charge":200.00,"npi":[1265949176]}]}]},{"tin":{"type":"ein","value":"455399300"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8615.80,"providers":[{"billed_charge":16141.40,"npi":[1194938035]}]}]},{"tin":{"type":"ein","value":"134236446"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3371.40,"providers":[{"billed_charge":11250.00,"npi":[1043396211]}]}]},{"tin":{"type":"ein","value":"752547668"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":290.68,"providers":[{"billed_charge":960.00,"npi":[1336240399]}]}]},{"tin":{"type":"ein","value":"751604753"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":889.92,"providers":[{"billed_charge":1872.00,"npi":[1023491255]}]},{"allowed_amount":296.64,"providers":[{"billed_charge":624.00,"npi":[1700871019]}]},{"allowed_amount":815.76,"providers":[{"billed_charge":1716.00,"npi":[1518951151]}]},{"allowed_amount":370.80,"providers":[{"billed_charge":780.00,"npi":[1194250696,1659698579]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2650.20,"providers":[{"billed_charge":10290.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"752778121"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":9229.09,"providers":[{"billed_charge":16764.00,"npi":[1437137981]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":264.00,"npi":[1437137981]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":90.67,"providers":[{"billed_charge":200.00,"npi":[1073923181]}]},{"allowed_amount":3555.80,"providers":[{"billed_charge":8000.00,"npi":[1720213135]}]},{"allowed_amount":1813.40,"providers":[{"billed_charge":4000.00,"npi":[1366639031]}]},{"allowed_amount":5296.21,"providers":[{"billed_charge":11800.00,"npi":[1558807818]}]},{"allowed_amount":1926.75,"providers":[{"billed_charge":5000.00,"npi":[1336858083]}]},{"allowed_amount":6768.59,"providers":[{"billed_charge":15400.00,"npi":[1790304517]}]},{"allowed_amount":924.84,"providers":[{"billed_charge":2400.00,"npi":[1699462986]}]},{"allowed_amount":4624.17,"providers":[{"billed_charge":10200.00,"npi":[1578921243]}]},{"allowed_amount":7434.94,"providers":[{"billed_charge":16400.00,"npi":[1104189778]}]},{"allowed_amount":3170.70,"providers":[{"billed_charge":7200.00,"npi":[1457914517]}]},{"allowed_amount":4533.50,"providers":[{"billed_charge":10000.00,"npi":[1407342785]}]},{"allowed_amount":2928.66,"providers":[{"billed_charge":7600.00,"npi":[1972360501]}]},{"allowed_amount":1440.19,"providers":[{"billed_charge":3800.00,"npi":[1861263725]}]},{"allowed_amount":2003.82,"providers":[{"billed_charge":5200.00,"npi":[1184479420]}]},{"allowed_amount":1156.05,"providers":[{"billed_charge":3000.00,"npi":[1932972304]}]},{"allowed_amount":539.49,"providers":[{"billed_charge":1400.00,"npi":[1922708916]}]},{"allowed_amount":9613.23,"providers":[{"billed_charge":21800.00,"npi":[1689934705]}]},{"allowed_amount":3717.47,"providers":[{"billed_charge":8200.00,"npi":[1790724698]}]},{"allowed_amount":725.36,"providers":[{"billed_charge":1600.00,"npi":[1558947986]}]},{"allowed_amount":4547.13,"providers":[{"billed_charge":11800.00,"npi":[1164177762]}]},{"allowed_amount":231.21,"providers":[{"billed_charge":600.00,"npi":[1558093658]}]},{"allowed_amount":3082.78,"providers":[{"billed_charge":6800.00,"npi":[1245816727]}]},{"allowed_amount":181.34,"providers":[{"billed_charge":400.00,"npi":[1053315598]}]},{"allowed_amount":9710.82,"providers":[{"billed_charge":25200.00,"npi":[1922536812]}]},{"allowed_amount":4170.82,"providers":[{"billed_charge":9200.00,"npi":[1548715196]}]},{"allowed_amount":816.03,"providers":[{"billed_charge":1800.00,"npi":[1811517618]}]},{"allowed_amount":3808.14,"providers":[{"billed_charge":8400.00,"npi":[1548889470]}]},{"allowed_amount":1741.05,"providers":[{"billed_charge":4800.00,"npi":[1114630043]}]},{"allowed_amount":1360.05,"providers":[{"billed_charge":3000.00,"npi":[1104408145]}]},{"allowed_amount":1505.19,"providers":[{"billed_charge":4000.00,"npi":[1316635824]}]},{"allowed_amount":7253.60,"providers":[{"billed_charge":16000.00,"npi":[1134573934]}]},{"allowed_amount":2538.76,"providers":[{"billed_charge":5600.00,"npi":[1962939140]}]},{"allowed_amount":77.07,"providers":[{"billed_charge":200.00,"npi":[1245040708]}]},{"allowed_amount":634.69,"providers":[{"billed_charge":1400.00,"npi":[1467081927,1265695001,1326010208]}]},{"allowed_amount":2720.10,"providers":[{"billed_charge":6000.00,"npi":[1144676156]}]},{"allowed_amount":362.68,"providers":[{"billed_charge":800.00,"npi":[1053315598]}]},{"allowed_amount":770.70,"providers":[{"billed_charge":2000.00,"npi":[1639383862]}]},{"allowed_amount":6088.53,"providers":[{"billed_charge":15800.00,"npi":[1912656521]}]},{"allowed_amount":5440.20,"providers":[{"billed_charge":12000.00,"npi":[1861889891]}]},{"allowed_amount":5240.76,"providers":[{"billed_charge":13600.00,"npi":[1114644366]}]},{"allowed_amount":9803.18,"providers":[{"billed_charge":22800.00,"npi":[1740628221]}]},{"allowed_amount":2887.24,"providers":[{"billed_charge":6400.00,"npi":[1114718459]}]},{"allowed_amount":4725.78,"providers":[{"billed_charge":10800.00,"npi":[1801416086]}]}]},{"tin":{"type":"ein","value":"461461035"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.25,"providers":[{"billed_charge":526.60,"npi":[1689712945]}]}]},{"tin":{"type":"ein","value":"454070993"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":741.60,"providers":[{"billed_charge":2920.00,"npi":[1164652905]}]},{"allowed_amount":2180.10,"providers":[{"billed_charge":8760.00,"npi":[1689994840]}]},{"allowed_amount":145.34,"providers":[{"billed_charge":584.00,"npi":[1689994840]}]}]},{"tin":{"type":"ein","value":"822315152"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":216.00,"npi":[1649438193]}]}]},{"tin":{"type":"ein","value":"752887124"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2587.68,"providers":[{"billed_charge":7560.00,"npi":[1962430413]}]}]},{"tin":{"type":"ein","value":"641125297"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2599.98,"providers":[{"billed_charge":11900.00,"npi":[1902255102]}]}]},{"tin":{"type":"ein","value":"812573904"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":499.89,"providers":[{"billed_charge":904.00,"npi":[1245626373]}]}]},{"tin":{"type":"ein","value":"752435278"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1671.41,"providers":[{"billed_charge":3220.00,"npi":[1598840191]}]}]},{"tin":{"type":"ein","value":"811044359"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1712.97,"providers":[{"billed_charge":3300.00,"npi":[1609184027]}]}]},{"tin":{"type":"ein","value":"453744107"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9215.16,"providers":[{"billed_charge":29091.96,"npi":[1750450342]}]}]},{"tin":{"type":"ein","value":"273390698"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8182.29,"providers":[{"billed_charge":19260.00,"npi":[1740431113]}]}]},{"tin":{"type":"ein","value":"263158703"},"service_code":["55","21"],"billing_class":"professional","payments":[{"allowed_amount":6657.63,"providers":[{"billed_charge":13540.00,"npi":[1639187263]}]},{"allowed_amount":72.67,"providers":[{"billed_charge":150.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"113804707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1988.22,"providers":[{"billed_charge":3770.00,"npi":[1164529681]}]}]},{"tin":{"type":"ein","value":"842897951"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":899.04,"providers":[{"billed_charge":2564.00,"npi":[1003197088]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":881.97,"providers":[{"billed_charge":1498.00,"npi":[1972140101]}]},{"allowed_amount":2310.20,"providers":[{"billed_charge":3531.00,"npi":[1336339340]}]},{"allowed_amount":4531.03,"providers":[{"billed_charge":6741.00,"npi":[1649470931]}]},{"allowed_amount":382.08,"providers":[{"billed_charge":642.00,"npi":[1972140101]}]},{"allowed_amount":2097.76,"providers":[{"billed_charge":2996.00,"npi":[1336339340]}]}]},{"tin":{"type":"ein","value":"760654935"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":236.52,"providers":[{"billed_charge":450.00,"npi":[1336473172]}]}]},{"tin":{"type":"ein","value":"464495456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2322.52,"providers":[{"billed_charge":9796.00,"npi":[1497010144]}]}]},{"tin":{"type":"ein","value":"260856658"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3594.09,"providers":[{"billed_charge":9400.00,"npi":[1952391161]}]}]},{"tin":{"type":"ein","value":"931769486"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":245.00,"npi":[1538513866]}]}]},{"tin":{"type":"ein","value":"320119960"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":889.92,"providers":[{"billed_charge":1716.00,"npi":[1992702062]}]},{"allowed_amount":126.06,"providers":[{"billed_charge":286.00,"npi":[1316447642]}]}]},{"tin":{"type":"ein","value":"600811631"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3456.54,"providers":[{"billed_charge":8370.00,"npi":[1730190638]}]}]},{"tin":{"type":"ein","value":"862536544"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":6194.76,"providers":[{"billed_charge":17940.00,"npi":[1700170867]}]}]},{"tin":{"type":"ein","value":"475215218"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":363.35,"providers":[{"billed_charge":600.00,"npi":[1477577815]}]}]},{"tin":{"type":"ein","value":"752712328"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2905.18,"providers":[{"billed_charge":9500.00,"npi":[1063657740]}]},{"allowed_amount":1223.36,"providers":[{"billed_charge":4000.00,"npi":[1013982511]}]},{"allowed_amount":458.70,"providers":[{"billed_charge":1500.00,"npi":[1114014248]}]},{"allowed_amount":4028.90,"providers":[{"billed_charge":13250.00,"npi":[1801274477]}]}]},{"tin":{"type":"ein","value":"994323503"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":224.76,"providers":[{"billed_charge":684.09,"npi":[1386881993]}]}]},{"tin":{"type":"ein","value":"863579369"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1592.00,"providers":[{"billed_charge":3750.00,"npi":[1306392162]}]}]},{"tin":{"type":"ein","value":"460510254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":218.01,"providers":[{"billed_charge":390.00,"npi":[1831544675]}]}]},{"tin":{"type":"ein","value":"472004181"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":953.04,"providers":[{"billed_charge":2160.00,"npi":[1922028125]}]}]},{"tin":{"type":"ein","value":"269983488"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1781.76,"providers":[{"billed_charge":3673.44,"npi":[1770556995]}]}]},{"tin":{"type":"ein","value":"452783909"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3942.00,"providers":[{"billed_charge":7565.00,"npi":[1497174320]}]}]},{"tin":{"type":"ein","value":"452654166"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":7117.40,"providers":[{"billed_charge":18240.00,"npi":[1629654470]}]},{"allowed_amount":74.92,"providers":[{"billed_charge":192.00,"npi":[1205287646]}]},{"allowed_amount":2472.36,"providers":[{"billed_charge":6336.00,"npi":[1548826100]}]},{"allowed_amount":4944.72,"providers":[{"billed_charge":12672.00,"npi":[1750856381]}]},{"allowed_amount":1048.88,"providers":[{"billed_charge":2688.00,"npi":[1205287646]}]},{"allowed_amount":3371.40,"providers":[{"billed_charge":8640.00,"npi":[1679737605]}]}]},{"tin":{"type":"ein","value":"510598546"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":290.68,"providers":[{"billed_charge":611.84,"npi":[1033425087]}]}]},{"tin":{"type":"ein","value":"760432182"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2286.36,"providers":[{"billed_charge":3770.00,"npi":[1205218054]}]}]},{"tin":{"type":"ein","value":"760007874"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":26382.15,"providers":[{"billed_charge":51750.00,"npi":[1790861102]}]}]},{"tin":{"type":"ein","value":"861923754"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1962.09,"providers":[{"billed_charge":10800.00,"npi":[1235486440]}]}]},{"tin":{"type":"ein","value":"461375202"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1486.11,"providers":[{"billed_charge":2185.00,"npi":[1104055094]}]}]},{"tin":{"type":"ein","value":"264301474"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":382.08,"providers":[{"billed_charge":690.00,"npi":[1376954677]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":799.37,"providers":[{"billed_charge":2167.00,"npi":[1295355311]}]},{"allowed_amount":516.77,"providers":[{"billed_charge":1566.00,"npi":[1467114579]}]},{"allowed_amount":2034.76,"providers":[{"billed_charge":5516.00,"npi":[1881914737]}]},{"allowed_amount":382.35,"providers":[{"billed_charge":985.00,"npi":[1417447798]}]},{"allowed_amount":2325.44,"providers":[{"billed_charge":6304.00,"npi":[1295355311]}]},{"allowed_amount":76.47,"providers":[{"billed_charge":197.00,"npi":[1265875264]}]},{"allowed_amount":2294.10,"providers":[{"billed_charge":5910.00,"npi":[1821265687]}]},{"allowed_amount":617.70,"providers":[{"billed_charge":1870.00,"npi":[1467114579]}]},{"allowed_amount":363.35,"providers":[{"billed_charge":985.00,"npi":[1629239108]}]},{"allowed_amount":12449.41,"providers":[{"billed_charge":32111.00,"npi":[1629239108]}]},{"allowed_amount":9425.00,"providers":[{"billed_charge":28565.00,"npi":[1689339608]}]},{"allowed_amount":3517.62,"providers":[{"billed_charge":9062.00,"npi":[1417447798]}]},{"allowed_amount":760.90,"providers":[{"billed_charge":1970.00,"npi":[1265875264]}]},{"allowed_amount":5352.90,"providers":[{"billed_charge":13790.00,"npi":[1750679395]}]}]},{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4299.79,"providers":[{"billed_charge":8877.48,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"271823374"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.67,"providers":[{"billed_charge":250.00,"npi":[1942281415]}]}]},{"tin":{"type":"ein","value":"455240716"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":61.77,"providers":[{"billed_charge":300.24,"npi":[1225626278]}]}]},{"tin":{"type":"ein","value":"815340807"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2352.13,"providers":[{"billed_charge":4480.00,"npi":[1972850170]}]}]},{"tin":{"type":"ein","value":"452555165"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3594.09,"providers":[{"billed_charge":8225.00,"npi":[1194751214]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3136.16,"providers":[{"billed_charge":4964.00,"npi":[1093854010]}]},{"allowed_amount":1568.08,"providers":[{"billed_charge":2482.00,"npi":[1205847944,1881604460]}]},{"allowed_amount":2582.72,"providers":[{"billed_charge":4088.00,"npi":[1073581773]}]},{"allowed_amount":1660.32,"providers":[{"billed_charge":2628.00,"npi":[1265636831]}]},{"allowed_amount":92.24,"providers":[{"billed_charge":146.00,"npi":[1104323922]}]}]}]},{"name":"SUBSEQUENT HOSPITAL CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SUBSEQUENT HOSPITAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT","allowed_amounts":[{"tin":{"type":"ein","value":"873023862"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":3767.32,"providers":[{"billed_charge":3767.32,"npi":[1336546084]}]}]},{"tin":{"type":"ein","value":"861543241"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6820.41,"providers":[{"billed_charge":17491.75,"npi":[1689957482]}]}]},{"tin":{"type":"ein","value":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5747.21,"providers":[{"billed_charge":12250.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"472401409"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":26394.64,"providers":[{"billed_charge":55216.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"760403505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":796.39,"providers":[{"billed_charge":1111.53,"npi":[1710914973]}]}]},{"tin":{"type":"ein","value":"810877341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2012.58,"providers":[{"billed_charge":3780.00,"npi":[1740473305,1477717320]}]}]},{"tin":{"type":"ein","value":"852136296"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":711.12,"providers":[{"billed_charge":2040.00,"npi":[1164717401]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":511.24,"providers":[{"billed_charge":939.20,"npi":[1225698293]}]},{"allowed_amount":1917.15,"providers":[{"billed_charge":3522.00,"npi":[1851929186]}]},{"allowed_amount":102.45,"providers":[{"billed_charge":234.80,"npi":[1356848287]}]},{"allowed_amount":3323.06,"providers":[{"billed_charge":6104.80,"npi":[1225698293]}]},{"allowed_amount":108.64,"providers":[{"billed_charge":234.80,"npi":[1114404548]}]},{"allowed_amount":553.45,"providers":[{"billed_charge":1174.00,"npi":[1235699265]}]},{"allowed_amount":325.92,"providers":[{"billed_charge":704.40,"npi":[1427620491]}]},{"allowed_amount":1024.50,"providers":[{"billed_charge":2348.00,"npi":[1356848287]}]},{"allowed_amount":1278.10,"providers":[{"billed_charge":2348.00,"npi":[1871985408]}]},{"allowed_amount":717.15,"providers":[{"billed_charge":1643.60,"npi":[1427317544]}]},{"allowed_amount":409.80,"providers":[{"billed_charge":939.20,"npi":[1356848287]}]},{"allowed_amount":543.20,"providers":[{"billed_charge":1174.00,"npi":[1114404548]}]},{"allowed_amount":1303.68,"providers":[{"billed_charge":2817.60,"npi":[1427620491]}]}]},{"tin":{"type":"ein","value":"800890437"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":899.52,"providers":[{"billed_charge":1200.00,"npi":[1982791463]}]}]},{"tin":{"type":"ein","value":"751772118"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":110.82,"providers":[{"billed_charge":358.00,"npi":[1871733188]}]}]},{"tin":{"type":"ein","value":"353561589"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2494.35,"providers":[{"billed_charge":4651.06,"npi":[1285675033]}]}]},{"tin":{"type":"ein","value":"862597993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2907.06,"providers":[{"billed_charge":5933.72,"npi":[1740426592]}]}]},{"tin":{"type":"ein","value":"752616977"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":521.00,"providers":[{"billed_charge":1052.00,"npi":[1285619205]}]}]},{"tin":{"type":"ein","value":"830594617"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5925.93,"providers":[{"billed_charge":17020.95,"npi":[1497918155]}]}]},{"tin":{"type":"ein","value":"832447367"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":113.77,"providers":[{"billed_charge":351.87,"npi":[1114921905]}]}]},{"tin":{"type":"ein","value":"201790156"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2142.00,"npi":[1386636025]}]}]},{"tin":{"type":"ein","value":"743207127"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5952.06,"providers":[{"billed_charge":17604.00,"npi":[1033216643]}]}]},{"tin":{"type":"ein","value":"934237235"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1952.10,"providers":[{"billed_charge":2790.00,"npi":[1831578665]}]}]},{"tin":{"type":"ein","value":"462882391"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":341.31,"providers":[{"billed_charge":900.00,"npi":[1154517688]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2502.94,"providers":[{"billed_charge":5236.00,"npi":[1801066733]}]},{"allowed_amount":1197.21,"providers":[{"billed_charge":2618.00,"npi":[1437310083]}]},{"allowed_amount":3145.05,"providers":[{"billed_charge":6902.00,"npi":[1801450127,1154709665,1215076229]}]},{"allowed_amount":2279.58,"providers":[{"billed_charge":4998.00,"npi":[1437405164]}]},{"allowed_amount":2958.02,"providers":[{"billed_charge":6188.00,"npi":[1134549694,1093145070]}]},{"allowed_amount":4211.05,"providers":[{"billed_charge":8806.00,"npi":[1730615873]}]},{"allowed_amount":3036.60,"providers":[{"billed_charge":6664.00,"npi":[1124443288]}]},{"allowed_amount":1706.55,"providers":[{"billed_charge":3570.00,"npi":[1356874044]}]},{"allowed_amount":3868.18,"providers":[{"billed_charge":8092.00,"npi":[1962707414]}]},{"allowed_amount":1592.78,"providers":[{"billed_charge":3332.00,"npi":[1013536457,1548642127,1477138238,1467915264]}]},{"allowed_amount":222.22,"providers":[{"billed_charge":476.00,"npi":[1346778644]}]},{"allowed_amount":2616.71,"providers":[{"billed_charge":5474.00,"npi":[1558788950]}]},{"allowed_amount":796.39,"providers":[{"billed_charge":1666.00,"npi":[1053803023,1336521897,1851755227,1669000782,1497109482,1326615204,1255996385]}]},{"allowed_amount":568.85,"providers":[{"billed_charge":1190.00,"npi":[1376753087,1538747126,1790163764,1225349061]}]},{"allowed_amount":2169.00,"providers":[{"billed_charge":4760.00,"npi":[1831473081,1518547108,1528621687]}]},{"allowed_amount":3640.64,"providers":[{"billed_charge":7616.00,"npi":[1891271904,1073191052]}]},{"allowed_amount":2047.86,"providers":[{"billed_charge":4284.00,"npi":[1215506779,1376925081,1538664842,1083058515]}]},{"allowed_amount":5005.88,"providers":[{"billed_charge":10472.00,"npi":[1265799597]}]},{"allowed_amount":1479.01,"providers":[{"billed_charge":3094.00,"npi":[1730767195,1699936708,1598079659]}]},{"allowed_amount":110.58,"providers":[{"billed_charge":238.00,"npi":[1447606264,1528357050,1568968345]}]},{"allowed_amount":2730.48,"providers":[{"billed_charge":5712.00,"npi":[1063858348]}]},{"allowed_amount":3246.13,"providers":[{"billed_charge":6902.00,"npi":[1093748816]}]},{"allowed_amount":433.80,"providers":[{"billed_charge":952.00,"npi":[1174082978]}]},{"allowed_amount":1301.40,"providers":[{"billed_charge":2856.00,"npi":[1558847228,1821357096,1093132383,1649641226]}]},{"allowed_amount":1934.09,"providers":[{"billed_charge":4046.00,"npi":[1649711946]}]},{"allowed_amount":216.90,"providers":[{"billed_charge":476.00,"npi":[1154577393,1881049500,1831473081,1578795209,1912355983,1922418193,1548882038,1578916490,1093132383]}]},{"allowed_amount":2439.14,"providers":[{"billed_charge":5236.00,"npi":[1447606264]}]},{"allowed_amount":910.16,"providers":[{"billed_charge":1904.00,"npi":[1477755510,1750586848,1336119486]}]},{"allowed_amount":759.15,"providers":[{"billed_charge":1666.00,"npi":[1013593896,1154709665,1891145181]}]},{"allowed_amount":2060.55,"providers":[{"billed_charge":4522.00,"npi":[1740586411]}]},{"allowed_amount":3361.95,"providers":[{"billed_charge":7378.00,"npi":[1881821775]}]},{"allowed_amount":2389.17,"providers":[{"billed_charge":4998.00,"npi":[1467834879]}]},{"allowed_amount":3413.10,"providers":[{"billed_charge":7140.00,"npi":[1316320252]}]},{"allowed_amount":5119.65,"providers":[{"billed_charge":10710.00,"npi":[1700026457]}]},{"allowed_amount":3185.56,"providers":[{"billed_charge":6664.00,"npi":[1366822330,1356906242,1225349061]}]},{"allowed_amount":1084.50,"providers":[{"billed_charge":2380.00,"npi":[1114231636,1508845744]}]},{"allowed_amount":976.05,"providers":[{"billed_charge":2142.00,"npi":[1881049500,1477798569,1306412432]}]},{"allowed_amount":1820.32,"providers":[{"billed_charge":3808.00,"npi":[1154819134]}]},{"allowed_amount":1365.24,"providers":[{"billed_charge":2856.00,"npi":[1538571732,1023564176,1568824100,1942761044,1659729028,1700469335]}]},{"allowed_amount":2275.40,"providers":[{"billed_charge":4760.00,"npi":[1275065559]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":238.00,"npi":[1316501208,1881821775,1891145181,1558847228,1821357096,1518547108,1356924294,1437310083,1215076229,1477798569,1548494016,1700406501]}]},{"allowed_amount":650.70,"providers":[{"billed_charge":1428.00,"npi":[1861044547,1033480231]}]},{"allowed_amount":1518.30,"providers":[{"billed_charge":3332.00,"npi":[1134706864]}]},{"allowed_amount":1843.65,"providers":[{"billed_charge":4046.00,"npi":[1912355983,1578916490]}]},{"allowed_amount":1626.75,"providers":[{"billed_charge":3570.00,"npi":[1225474729,1922418193]}]},{"allowed_amount":227.54,"providers":[{"billed_charge":476.00,"npi":[1013536457,1730767195,1023564176,1518908763,1063858348,1417488164,1700469335,1467915264,1649711946,1386222719,1720230071,1902252349]}]},{"allowed_amount":455.08,"providers":[{"billed_charge":952.00,"npi":[1265966295,1164699518,1710189097,1184911448,1083091060,1003202128,1427289321]}]},{"allowed_amount":2065.87,"providers":[{"billed_charge":4522.00,"npi":[1346778644]}]},{"allowed_amount":1382.70,"providers":[{"billed_charge":3570.00,"npi":[1497319982]}]},{"allowed_amount":2277.45,"providers":[{"billed_charge":4998.00,"npi":[1326487638]}]},{"allowed_amount":341.31,"providers":[{"billed_charge":714.00,"npi":[1710189097,1275065559,1083058515,1336119486,1144615014]}]},{"allowed_amount":682.62,"providers":[{"billed_charge":1428.00,"npi":[1467834879,1669817136,1447412895,1477940856]}]},{"allowed_amount":221.16,"providers":[{"billed_charge":476.00,"npi":[1124367305]}]},{"allowed_amount":1735.20,"providers":[{"billed_charge":3808.00,"npi":[1689088692]}]},{"allowed_amount":1251.47,"providers":[{"billed_charge":2618.00,"npi":[1871836635,1073191052,1407381775]}]},{"allowed_amount":2602.80,"providers":[{"billed_charge":5712.00,"npi":[1174082978,1700406501]}]},{"allowed_amount":2928.15,"providers":[{"billed_charge":6426.00,"npi":[1578795209]}]},{"allowed_amount":331.74,"providers":[{"billed_charge":714.00,"npi":[1316243868]}]},{"allowed_amount":1023.93,"providers":[{"billed_charge":2142.00,"npi":[1285862789,1073990305,1417535402,1417488164]}]},{"allowed_amount":325.35,"providers":[{"billed_charge":714.00,"npi":[1194196758,1528621687,1548494016]}]},{"allowed_amount":542.25,"providers":[{"billed_charge":1190.00,"npi":[1801450127,1598172975,1124443288]}]},{"allowed_amount":113.77,"providers":[{"billed_charge":238.00,"npi":[1366822330,1477755510,1730615873,1962707414,1407301898,1407381775,1700026457,1073048856,1376753087,1316226145,1497109482,1669817136,1184911448,1356874044]}]},{"allowed_amount":2494.35,"providers":[{"billed_charge":5474.00,"npi":[1275198053]}]},{"allowed_amount":3687.30,"providers":[{"billed_charge":8092.00,"npi":[1154577393]}]}]},{"tin":{"type":"ein","value":"260685264"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":1523.04,"providers":[{"billed_charge":2380.00,"npi":[1073521019]}]},{"allowed_amount":4342.78,"providers":[{"billed_charge":6800.00,"npi":[1073521019]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4622.28,"providers":[{"billed_charge":13338.00,"npi":[1588168157]}]},{"allowed_amount":237.04,"providers":[{"billed_charge":684.00,"npi":[1932395811]}]},{"allowed_amount":4763.16,"providers":[{"billed_charge":13680.00,"npi":[1760529515]}]}]},{"tin":{"type":"ein","value":"200201407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6514.56,"providers":[{"billed_charge":9860.00,"npi":[1700957230]}]}]},{"tin":{"type":"ein","value":"862932341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1876.64,"providers":[{"billed_charge":7884.80,"npi":[1669487401]}]},{"allowed_amount":117.29,"providers":[{"billed_charge":492.80,"npi":[1841495611]}]}]},{"tin":{"type":"ein","value":"522306954"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":108.45,"providers":[{"billed_charge":170.00,"npi":[1316044530]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":228.00,"providers":[{"billed_charge":703.74,"npi":[1609021161]}]},{"allowed_amount":3753.28,"providers":[{"billed_charge":11259.84,"npi":[1073601928]}]}]},{"tin":{"type":"ein","value":"460664930"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2253.90,"providers":[{"billed_charge":7741.14,"npi":[1922204270]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":7483.05,"providers":[{"billed_charge":22011.00,"npi":[1902292808]}]},{"allowed_amount":10736.55,"providers":[{"billed_charge":31581.00,"npi":[1154568558]}]},{"allowed_amount":216.90,"providers":[{"billed_charge":638.00,"npi":[1154568558]}]},{"allowed_amount":4229.55,"providers":[{"billed_charge":12441.00,"npi":[1174987820]}]},{"allowed_amount":2819.70,"providers":[{"billed_charge":8294.00,"npi":[1841547759]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":319.00,"npi":[1386140002,1992952261]}]},{"allowed_amount":4880.25,"providers":[{"billed_charge":14355.00,"npi":[1386140002]}]},{"allowed_amount":325.35,"providers":[{"billed_charge":957.00,"npi":[1174987820]}]},{"allowed_amount":4663.35,"providers":[{"billed_charge":13717.00,"npi":[1992952261]}]},{"allowed_amount":4771.80,"providers":[{"billed_charge":14036.00,"npi":[1669889291]}]},{"allowed_amount":5639.40,"providers":[{"billed_charge":16588.00,"npi":[1952663916]}]},{"allowed_amount":2494.35,"providers":[{"billed_charge":7337.00,"npi":[1710333620]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":108.45,"providers":[{"billed_charge":201.00,"npi":[1053699132]}]},{"allowed_amount":542.25,"providers":[{"billed_charge":1005.00,"npi":[1437735271]}]}]},{"tin":{"type":"ein","value":"208429568"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1235.52,"providers":[{"billed_charge":8866.00,"npi":[1811610769]}]},{"allowed_amount":1006.29,"providers":[{"billed_charge":6138.00,"npi":[1326667593]}]}]},{"tin":{"type":"ein","value":"813904483"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":821.03,"providers":[{"billed_charge":2007.25,"npi":[1386903037]}]}]},{"tin":{"type":"ein","value":"882064487"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3801.54,"providers":[{"billed_charge":9180.00,"npi":[1437531126]}]}]},{"tin":{"type":"ein","value":"463853362"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3173.12,"providers":[{"billed_charge":4800.00,"npi":[1437378999]}]}]},{"tin":{"type":"ein","value":"851248990"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8273.94,"providers":[{"billed_charge":18500.00,"npi":[1801091384]}]}]},{"tin":{"type":"ein","value":"810917577"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":433.80,"providers":[{"billed_charge":700.00,"npi":[1477872505]}]}]},{"tin":{"type":"ein","value":"334355393"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1192.95,"providers":[{"billed_charge":3037.00,"npi":[1174572077]}]}]},{"tin":{"type":"ein","value":"202971454"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2602.80,"providers":[{"billed_charge":3912.00,"npi":[1760731293]}]},{"allowed_amount":433.80,"providers":[{"billed_charge":652.00,"npi":[1497719306]}]}]},{"tin":{"type":"ein","value":"261104730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":223.62,"providers":[{"billed_charge":500.00,"npi":[1164804225]}]}]},{"tin":{"type":"ein","value":"760613299"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.54,"providers":[{"billed_charge":850.00,"npi":[1699021972]}]}]},{"tin":{"type":"ein","value":"832716119"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":87.08,"providers":[{"billed_charge":1371.00,"npi":[1720873698]}]},{"allowed_amount":1654.52,"providers":[{"billed_charge":20336.50,"npi":[1609275312]}]}]},{"tin":{"type":"ein","value":"200167479"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1618.56,"providers":[{"billed_charge":3396.00,"npi":[1154355196]}]},{"allowed_amount":944.16,"providers":[{"billed_charge":1981.00,"npi":[1558854299]}]}]},{"tin":{"type":"ein","value":"752836096"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":2185.92,"providers":[{"billed_charge":4600.00,"npi":[1740571660]}]}]},{"tin":{"type":"ein","value":"990852119"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5400.20,"providers":[{"billed_charge":18000.00,"npi":[1588161590]}]}]},{"tin":{"type":"ein","value":"201763901"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7508.82,"providers":[{"billed_charge":16830.00,"npi":[1962486878]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":108.45,"providers":[{"billed_charge":150.00,"npi":[1700970282]}]},{"allowed_amount":47936.18,"providers":[{"billed_charge":66300.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"460894804"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":821.03,"providers":[{"billed_charge":3045.00,"npi":[1114275484]}]}]},{"tin":{"type":"ein","value":"752905110"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":554.10,"providers":[{"billed_charge":600.00,"npi":[1598933558]}]}]},{"tin":{"type":"ein","value":"752943993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":237.04,"providers":[{"billed_charge":456.00,"npi":[1013131945]}]},{"allowed_amount":355.56,"providers":[{"billed_charge":684.00,"npi":[1033100375]}]}]},{"tin":{"type":"ein","value":"830476355"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2928.15,"providers":[{"billed_charge":4050.00,"npi":[1346277043]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":13305.39,"providers":[{"billed_charge":17850.00,"npi":[1932300779]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":5205.60,"providers":[{"billed_charge":27072.00,"npi":[1497068233]}]},{"allowed_amount":3145.05,"providers":[{"billed_charge":16356.00,"npi":[1881009215]}]},{"allowed_amount":7049.25,"providers":[{"billed_charge":36660.00,"npi":[1043705528]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":564.00,"npi":[1952798001,1073190898,1679768089,1043705528,1174883177]}]},{"allowed_amount":4880.25,"providers":[{"billed_charge":25380.00,"npi":[1164835195]}]},{"allowed_amount":8025.30,"providers":[{"billed_charge":41736.00,"npi":[1952798001]}]},{"allowed_amount":4663.35,"providers":[{"billed_charge":24252.00,"npi":[1174883177]}]},{"allowed_amount":5639.40,"providers":[{"billed_charge":29328.00,"npi":[1073190898]}]},{"allowed_amount":553.08,"providers":[{"billed_charge":3384.00,"npi":[1366793952]}]},{"allowed_amount":1952.10,"providers":[{"billed_charge":10152.00,"npi":[1336777028]}]},{"allowed_amount":2602.80,"providers":[{"billed_charge":13536.00,"npi":[1528043676]}]},{"allowed_amount":4229.55,"providers":[{"billed_charge":21996.00,"npi":[1679768089]}]},{"allowed_amount":325.35,"providers":[{"billed_charge":1692.00,"npi":[1386619765,1528043676]}]},{"allowed_amount":4446.45,"providers":[{"billed_charge":23124.00,"npi":[1881154201]}]},{"allowed_amount":4771.80,"providers":[{"billed_charge":24816.00,"npi":[1386619765]}]}]},{"tin":{"type":"ein","value":"364705614"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":765.86,"providers":[{"billed_charge":1631.00,"npi":[1396958484]}]}]},{"tin":{"type":"ein","value":"841700490"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3185.56,"providers":[{"billed_charge":16940.00,"npi":[1174631535]}]}]},{"tin":{"type":"ein","value":"852906340"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2273.44,"providers":[{"billed_charge":2550.00,"npi":[1639154883]}]}]},{"tin":{"type":"ein","value":"873105092"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2160.00,"npi":[1932561594]}]}]},{"tin":{"type":"ein","value":"824236908"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":276.54,"providers":[{"billed_charge":585.00,"npi":[1659183036]}]}]},{"tin":{"type":"ein","value":"473112502"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2138.71,"providers":[{"billed_charge":5839.65,"npi":[1922211697]}]}]},{"tin":{"type":"ein","value":"850741151"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2160.00,"npi":[1619223104]}]}]},{"tin":{"type":"ein","value":"465019838"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8987.83,"providers":[{"billed_charge":16748.00,"npi":[1194040451]}]}]},{"tin":{"type":"ein","value":"455270128"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":216.90,"providers":[{"billed_charge":400.00,"npi":[1730392549]}]},{"allowed_amount":5565.17,"providers":[{"billed_charge":10600.00,"npi":[1730392549]}]}]},{"tin":{"type":"ein","value":"752903739"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1735.20,"providers":[{"billed_charge":4320.00,"npi":[1710900527]}]}]},{"tin":{"type":"ein","value":"883703657"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6261.36,"providers":[{"billed_charge":13440.00,"npi":[1194179010]}]}]},{"tin":{"type":"ein","value":"844233151"},"service_code":["02","21"],"billing_class":"professional","payments":[{"allowed_amount":3219.28,"providers":[{"billed_charge":7500.00,"npi":[1003078692]}]},{"allowed_amount":214.54,"providers":[{"billed_charge":500.00,"npi":[1164659546,1003078692]}]},{"allowed_amount":429.08,"providers":[{"billed_charge":1000.00,"npi":[1164659546]}]}]},{"tin":{"type":"ein","value":"203542589"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1447.68,"providers":[{"billed_charge":9334.00,"npi":[1598295404]}]},{"allowed_amount":188.40,"providers":[{"billed_charge":1436.00,"npi":[1659683332]}]}]},{"tin":{"type":"ein","value":"833838272"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1479.01,"providers":[{"billed_charge":3484.00,"npi":[1720256274]}]},{"allowed_amount":3868.18,"providers":[{"billed_charge":9112.00,"npi":[1366881393]}]},{"allowed_amount":5005.88,"providers":[{"billed_charge":11792.00,"npi":[1124285697]}]},{"allowed_amount":1592.78,"providers":[{"billed_charge":3752.00,"npi":[1790133049]}]},{"allowed_amount":1820.32,"providers":[{"billed_charge":4288.00,"npi":[1174749816]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":2852.75,"providers":[{"billed_charge":13400.00,"npi":[1932327533,1780646646]}]},{"allowed_amount":2683.44,"providers":[{"billed_charge":12864.00,"npi":[1710299623,1386959906]}]},{"allowed_amount":342.33,"providers":[{"billed_charge":1608.00,"npi":[1851978167]}]},{"allowed_amount":6261.36,"providers":[{"billed_charge":30016.00,"npi":[1457536799]}]},{"allowed_amount":5591.39,"providers":[{"billed_charge":26264.00,"npi":[1073527339]}]},{"allowed_amount":4919.64,"providers":[{"billed_charge":23584.00,"npi":[1801155593]}]},{"allowed_amount":2236.20,"providers":[{"billed_charge":10720.00,"npi":[1427320514]}]},{"allowed_amount":570.55,"providers":[{"billed_charge":2680.00,"npi":[1457796732]}]},{"allowed_amount":6618.38,"providers":[{"billed_charge":31088.00,"npi":[1548296429]}]},{"allowed_amount":1711.65,"providers":[{"billed_charge":8040.00,"npi":[1598915019,1528031416]}]},{"allowed_amount":2053.98,"providers":[{"billed_charge":9648.00,"npi":[1801453808]}]},{"allowed_amount":335.43,"providers":[{"billed_charge":1608.00,"npi":[1184112724,1134384118]}]},{"allowed_amount":4792.62,"providers":[{"billed_charge":22512.00,"npi":[1194785923]}]},{"allowed_amount":1026.99,"providers":[{"billed_charge":4824.00,"npi":[1598709719]}]},{"allowed_amount":782.67,"providers":[{"billed_charge":3752.00,"npi":[1568485084,1467854992]}]},{"allowed_amount":4906.73,"providers":[{"billed_charge":23048.00,"npi":[1871633636]}]},{"allowed_amount":2849.34,"providers":[{"billed_charge":13400.00,"npi":[1356865406]}]},{"allowed_amount":228.22,"providers":[{"billed_charge":1072.00,"npi":[1447350822,1154903466,1346861960]}]},{"allowed_amount":3355.49,"providers":[{"billed_charge":16080.00,"npi":[1285037994]}]},{"allowed_amount":1992.42,"providers":[{"billed_charge":9648.00,"npi":[1518352954]}]},{"allowed_amount":3423.30,"providers":[{"billed_charge":16080.00,"npi":[1356747257]}]},{"allowed_amount":1565.34,"providers":[{"billed_charge":7504.00,"npi":[1629571492]}]},{"allowed_amount":1229.91,"providers":[{"billed_charge":5896.00,"npi":[1114361508]}]},{"allowed_amount":1939.87,"providers":[{"billed_charge":9112.00,"npi":[1760989024,1972054641,1003186644]}]},{"allowed_amount":6047.83,"providers":[{"billed_charge":28408.00,"npi":[1275503492]}]},{"allowed_amount":3080.97,"providers":[{"billed_charge":14472.00,"npi":[1346861960]}]},{"allowed_amount":3064.87,"providers":[{"billed_charge":14472.00,"npi":[1316250707]}]},{"allowed_amount":2571.63,"providers":[{"billed_charge":12328.00,"npi":[1568723542]}]},{"allowed_amount":2242.15,"providers":[{"billed_charge":10720.00,"npi":[1467791160]}]},{"allowed_amount":447.24,"providers":[{"billed_charge":2144.00,"npi":[1902199250,1669630265]}]},{"allowed_amount":1118.10,"providers":[{"billed_charge":5360.00,"npi":[1659807766]}]},{"allowed_amount":3308.08,"providers":[{"billed_charge":15544.00,"npi":[1609134550]}]},{"allowed_amount":1252.91,"providers":[{"billed_charge":5896.00,"npi":[1851551741]}]},{"allowed_amount":798.77,"providers":[{"billed_charge":3752.00,"npi":[1710902473,1699989525,1851559595,1124125000]}]},{"allowed_amount":684.66,"providers":[{"billed_charge":3216.00,"npi":[1447350822,1851321558]}]},{"allowed_amount":2624.53,"providers":[{"billed_charge":12328.00,"npi":[1770602237]}]},{"allowed_amount":1007.48,"providers":[{"billed_charge":4824.00,"npi":[1477900496]}]},{"allowed_amount":1483.43,"providers":[{"billed_charge":6968.00,"npi":[1821652421]}]},{"allowed_amount":3130.68,"providers":[{"billed_charge":15008.00,"npi":[1902281934]}]},{"allowed_amount":1900.77,"providers":[{"billed_charge":9112.00,"npi":[1497918528]}]},{"allowed_amount":2012.58,"providers":[{"billed_charge":9648.00,"npi":[1548296387]}]},{"allowed_amount":2738.64,"providers":[{"billed_charge":12864.00,"npi":[1932407350]}]},{"allowed_amount":2459.82,"providers":[{"billed_charge":11792.00,"npi":[1679501258]}]},{"allowed_amount":4138.16,"providers":[{"billed_charge":19832.00,"npi":[1497214258]}]},{"allowed_amount":223.62,"providers":[{"billed_charge":1072.00,"npi":[1215267570]}]},{"allowed_amount":1788.96,"providers":[{"billed_charge":8576.00,"npi":[1679501225,1366733743]}]},{"allowed_amount":670.86,"providers":[{"billed_charge":3216.00,"npi":[1376734525,1609339316]}]},{"allowed_amount":2348.01,"providers":[{"billed_charge":11256.00,"npi":[1093968729]}]}]},{"tin":{"type":"ein","value":"473891182"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7039.61,"providers":[{"billed_charge":18142.62,"npi":[1265643563]}]},{"allowed_amount":3839.90,"providers":[{"billed_charge":10112.28,"npi":[1346776770]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1440.79,"providers":[{"billed_charge":3553.00,"npi":[1922416346]}]},{"allowed_amount":2161.63,"providers":[{"billed_charge":6137.00,"npi":[1710419825]}]},{"allowed_amount":4437.03,"providers":[{"billed_charge":12597.00,"npi":[1770938029]}]},{"allowed_amount":102.45,"providers":[{"billed_charge":323.00,"npi":[1366869240]}]},{"allowed_amount":568.85,"providers":[{"billed_charge":1615.00,"npi":[1215498183]}]},{"allowed_amount":796.39,"providers":[{"billed_charge":2261.00,"npi":[1891748935]}]},{"allowed_amount":227.54,"providers":[{"billed_charge":646.00,"npi":[1538696224]}]},{"allowed_amount":1023.93,"providers":[{"billed_charge":2907.00,"npi":[1174189203]}]},{"allowed_amount":1260.17,"providers":[{"billed_charge":2907.00,"npi":[1003347857]}]},{"allowed_amount":113.77,"providers":[{"billed_charge":323.00,"npi":[1770938029,1699111666,1205163888,1891748935]}]},{"allowed_amount":455.08,"providers":[{"billed_charge":1292.00,"npi":[1295954147]}]}]},{"tin":{"type":"ein","value":"43685748"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":782.67,"providers":[{"billed_charge":1295.00,"npi":[1396754537]}]}]},{"tin":{"type":"ein","value":"933143954"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3953.51,"providers":[{"billed_charge":7755.00,"npi":[1972245983]}]}]},{"tin":{"type":"ein","value":"825384084"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":341.31,"providers":[{"billed_charge":1275.00,"npi":[1841386125]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.81,"providers":[{"billed_charge":351.87,"npi":[1215971049]}]},{"allowed_amount":3242.49,"providers":[{"billed_charge":10204.23,"npi":[1821064304]}]},{"allowed_amount":3689.73,"providers":[{"billed_charge":11611.71,"npi":[1962651067]}]},{"allowed_amount":2683.44,"providers":[{"billed_charge":8444.88,"npi":[1053406546]}]},{"allowed_amount":2954.10,"providers":[{"billed_charge":9148.62,"npi":[1265616858]}]},{"allowed_amount":5702.31,"providers":[{"billed_charge":18048.96,"npi":[1790936144]}]},{"allowed_amount":4919.64,"providers":[{"billed_charge":15482.28,"npi":[1831519511]}]},{"allowed_amount":6149.55,"providers":[{"billed_charge":19352.85,"npi":[1447699145]}]},{"allowed_amount":1453.53,"providers":[{"billed_charge":4574.31,"npi":[1568776177]}]},{"allowed_amount":2795.25,"providers":[{"billed_charge":8796.75,"npi":[1255575049]}]},{"allowed_amount":5031.45,"providers":[{"billed_charge":15834.15,"npi":[1245493360]}]}]},{"tin":{"type":"ein","value":"760561296"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":568.85,"providers":[{"billed_charge":750.00,"npi":[1689750200]}]}]},{"tin":{"type":"ein","value":"843654061"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7037.40,"providers":[{"billed_charge":18000.00,"npi":[1063546406]}]}]},{"tin":{"type":"ein","value":"760672320"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":234.58,"providers":[{"billed_charge":320.00,"npi":[1144387705]}]},{"allowed_amount":821.03,"providers":[{"billed_charge":1120.00,"npi":[1144387705]}]}]},{"tin":{"type":"ein","value":"880857678"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3577.92,"providers":[{"billed_charge":8640.00,"npi":[1588005276]}]}]},{"tin":{"type":"ein","value":"742798500"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1453.53,"providers":[{"billed_charge":2672.80,"npi":[1164736955]}]},{"allowed_amount":223.62,"providers":[{"billed_charge":411.20,"npi":[1316394935,1164736955]}]}]},{"tin":{"type":"ein","value":"880860773"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":780.88,"providers":[{"billed_charge":2940.00,"npi":[1821112616]}]}]},{"tin":{"type":"ein","value":"822401359"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1595.04,"providers":[{"billed_charge":5629.92,"npi":[1376543553]}]}]},{"tin":{"type":"ein","value":"824094685"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2111.22,"providers":[{"billed_charge":17100.00,"npi":[1821388075]}]}]},{"tin":{"type":"ein","value":"450675246"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1639.20,"providers":[{"billed_charge":5600.00,"npi":[1396970950]}]},{"allowed_amount":512.25,"providers":[{"billed_charge":1750.00,"npi":[1255381414]}]},{"allowed_amount":717.15,"providers":[{"billed_charge":2450.00,"npi":[1649490418,1346402781]}]},{"allowed_amount":1741.65,"providers":[{"billed_charge":5950.00,"npi":[1265011555]}]},{"allowed_amount":102.45,"providers":[{"billed_charge":350.00,"npi":[1851388441,1396935730]}]},{"allowed_amount":204.90,"providers":[{"billed_charge":700.00,"npi":[1578855466]}]}]},{"tin":{"type":"ein","value":"651287824"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22402.39,"providers":[{"billed_charge":50233.00,"npi":[1417069246]}]}]},{"tin":{"type":"ein","value":"760096979"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1643.46,"providers":[{"billed_charge":4410.00,"npi":[1316327679]}]}]},{"tin":{"type":"ein","value":"824485972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":867.60,"providers":[{"billed_charge":5744.00,"npi":[1780849950]}]}]},{"tin":{"type":"ein","value":"814594733"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":21936.24,"providers":[{"billed_charge":41612.00,"npi":[1891044434]}]}]},{"tin":{"type":"ein","value":"921718602"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2116.55,"providers":[{"billed_charge":3420.00,"npi":[1063919421]}]}]},{"tin":{"type":"ein","value":"471770620"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1301.40,"providers":[{"billed_charge":3752.64,"npi":[1740442144]}]}]},{"tin":{"type":"ein","value":"760339401"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":670.86,"providers":[{"billed_charge":1470.00,"npi":[1952755944]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1341.72,"providers":[{"billed_charge":3828.00,"npi":[1255952057]}]},{"allowed_amount":1006.29,"providers":[{"billed_charge":2871.00,"npi":[1497216121,1316399264]}]},{"allowed_amount":447.24,"providers":[{"billed_charge":1276.00,"npi":[1427478965,1861769663]}]},{"allowed_amount":7603.08,"providers":[{"billed_charge":21692.00,"npi":[1427478965]}]},{"allowed_amount":6373.17,"providers":[{"billed_charge":18183.00,"npi":[1922685866]}]},{"allowed_amount":1118.10,"providers":[{"billed_charge":3190.00,"npi":[1942863170]}]},{"allowed_amount":111.81,"providers":[{"billed_charge":319.00,"npi":[1083136360]}]},{"allowed_amount":6708.60,"providers":[{"billed_charge":19140.00,"npi":[1942863170]}]},{"allowed_amount":894.48,"providers":[{"billed_charge":2552.00,"npi":[1922685866]}]},{"allowed_amount":335.43,"providers":[{"billed_charge":957.00,"npi":[1780264317,1497216121]}]},{"allowed_amount":5255.07,"providers":[{"billed_charge":14993.00,"npi":[1083136360]}]},{"allowed_amount":223.62,"providers":[{"billed_charge":638.00,"npi":[1780264317]}]},{"allowed_amount":2124.39,"providers":[{"billed_charge":6061.00,"npi":[1861769663]}]}]},{"tin":{"type":"ein","value":"462991144"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":883.41,"providers":[{"billed_charge":3100.00,"npi":[1497589873]}]},{"allowed_amount":703.74,"providers":[{"billed_charge":1860.00,"npi":[1487833042]}]},{"allowed_amount":117.29,"providers":[{"billed_charge":310.00,"npi":[1487833042]}]}]},{"tin":{"type":"ein","value":"831623572"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":670.86,"providers":[{"billed_charge":1854.00,"npi":[1548527815]}]}]},{"tin":{"type":"ein","value":"260362434"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":679.00,"providers":[{"billed_charge":2192.82,"npi":[1902479983]}]},{"allowed_amount":1138.80,"providers":[{"billed_charge":3132.60,"npi":[1487608923]}]}]},{"tin":{"type":"ein","value":"264717662"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":790.51,"providers":[{"billed_charge":2366.00,"npi":[1770516510]}]}]},{"tin":{"type":"ein","value":"471197805"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2477.46,"providers":[{"billed_charge":3300.00,"npi":[1770726309]}]}]},{"tin":{"type":"ein","value":"472815347"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1820.32,"providers":[{"billed_charge":2960.00,"npi":[1699784819]}]}]},{"tin":{"type":"ein","value":"742542858"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":433.80,"providers":[{"billed_charge":1200.00,"npi":[1275505570]}]}]},{"tin":{"type":"ein","value":"751739707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2459.82,"providers":[{"billed_charge":6149.66,"npi":[1851952543]}]},{"allowed_amount":553.45,"providers":[{"billed_charge":1397.65,"npi":[1407262694]}]}]},{"tin":{"type":"ein","value":"741697101"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2111.22,"providers":[{"billed_charge":4500.00,"npi":[1427318260]}]},{"allowed_amount":2616.71,"providers":[{"billed_charge":5750.00,"npi":[1013146901]}]},{"allowed_amount":1876.64,"providers":[{"billed_charge":4000.00,"npi":[1780990341]}]},{"allowed_amount":4105.15,"providers":[{"billed_charge":8750.00,"npi":[1558556001]}]}]},{"tin":{"type":"ein","value":"752889402"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2356.35,"providers":[{"billed_charge":9262.33,"npi":[1497966329]}]}]},{"tin":{"type":"ein","value":"834542505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8210.30,"providers":[{"billed_charge":16420.60,"npi":[1801216114]}]}]},{"tin":{"type":"ein","value":"760665593"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":11945.85,"providers":[{"billed_charge":63525.00,"npi":[1750325601]}]}]},{"tin":{"type":"ein","value":"760386391"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":910.16,"providers":[{"billed_charge":3666.00,"npi":[1932540143]}]}]},{"tin":{"type":"ein","value":"202631987"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":1251.47,"providers":[{"billed_charge":3300.00,"npi":[1902952112]}]},{"allowed_amount":113.77,"providers":[{"billed_charge":300.00,"npi":[1902952112]}]}]},{"tin":{"type":"ein","value":"812881707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2616.71,"providers":[{"billed_charge":5865.00,"npi":[1982700837]}]}]},{"tin":{"type":"ein","value":"475541222"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1677.15,"providers":[{"billed_charge":3600.00,"npi":[1184910382]}]}]},{"tin":{"type":"ein","value":"273317358"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":821.03,"providers":[{"billed_charge":4991.00,"npi":[1275634289]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":3035.75,"providers":[{"billed_charge":19386.00,"npi":[1073020707]}]},{"allowed_amount":110.69,"providers":[{"billed_charge":718.00,"npi":[1962757849,1811275233,1073020707,1629606587,1063946390,1235449133]}]},{"allowed_amount":6615.45,"providers":[{"billed_charge":43798.00,"npi":[1326305624,1770080921]}]},{"allowed_amount":650.70,"providers":[{"billed_charge":4308.00,"npi":[1548573595,1447575071]}]},{"allowed_amount":885.52,"providers":[{"billed_charge":5744.00,"npi":[1811275233]}]},{"allowed_amount":4663.35,"providers":[{"billed_charge":30874.00,"npi":[1134484264]}]},{"allowed_amount":332.07,"providers":[{"billed_charge":2154.00,"npi":[1114422078,1881988020,1376047357,1609370048]}]},{"allowed_amount":553.45,"providers":[{"billed_charge":3590.00,"npi":[1831355171,1063946390]}]},{"allowed_amount":114.11,"providers":[{"billed_charge":718.00,"npi":[1366825184,1962089979]}]},{"allowed_amount":209.60,"providers":[{"billed_charge":1436.00,"npi":[1093337172]}]},{"allowed_amount":996.21,"providers":[{"billed_charge":6462.00,"npi":[1629606587]}]},{"allowed_amount":2830.09,"providers":[{"billed_charge":17950.00,"npi":[1902427743]}]},{"allowed_amount":782.67,"providers":[{"billed_charge":5026.00,"npi":[1386970408]}]},{"allowed_amount":228.22,"providers":[{"billed_charge":1436.00,"npi":[1902427743]}]},{"allowed_amount":654.61,"providers":[{"billed_charge":4308.00,"npi":[1154585768]}]},{"allowed_amount":973.60,"providers":[{"billed_charge":7180.00,"npi":[1528690476]}]},{"allowed_amount":2608.91,"providers":[{"billed_charge":17232.00,"npi":[1902809486]}]},{"allowed_amount":3763.46,"providers":[{"billed_charge":24412.00,"npi":[1235449133]}]},{"allowed_amount":2370.10,"providers":[{"billed_charge":15078.00,"npi":[1023682663]}]},{"allowed_amount":433.80,"providers":[{"billed_charge":2872.00,"npi":[1881820025]}]},{"allowed_amount":442.76,"providers":[{"billed_charge":2872.00,"npi":[1417189903]}]},{"allowed_amount":664.14,"providers":[{"billed_charge":4308.00,"npi":[1588811947]}]},{"allowed_amount":774.83,"providers":[{"billed_charge":5026.00,"npi":[1760800247,1366825184,1376047357]}]},{"allowed_amount":1118.10,"providers":[{"billed_charge":7180.00,"npi":[1700264785]}]},{"allowed_amount":867.60,"providers":[{"billed_charge":5744.00,"npi":[1457705428]}]},{"allowed_amount":216.90,"providers":[{"billed_charge":1436.00,"npi":[1326305624,1134484264,1770080921,1982882122]}]},{"allowed_amount":5091.74,"providers":[{"billed_charge":33028.00,"npi":[1609370048]}]},{"allowed_amount":3130.68,"providers":[{"billed_charge":20104.00,"npi":[1629648308]}]},{"allowed_amount":1483.43,"providers":[{"billed_charge":9334.00,"npi":[1962089979]}]},{"allowed_amount":5097.15,"providers":[{"billed_charge":33746.00,"npi":[1457705428]}]},{"allowed_amount":2012.58,"providers":[{"billed_charge":12924.00,"npi":[1053949362]}]},{"allowed_amount":101.16,"providers":[{"billed_charge":718.00,"npi":[1902809486]}]},{"allowed_amount":5423.81,"providers":[{"billed_charge":35182.00,"npi":[1881988020]}]},{"allowed_amount":542.25,"providers":[{"billed_charge":3590.00,"npi":[1144717422,1417262320,1487829057]}]},{"allowed_amount":223.62,"providers":[{"billed_charge":1436.00,"npi":[1831682780,1386970408,1053949362]}]},{"allowed_amount":1788.96,"providers":[{"billed_charge":11488.00,"npi":[1831682780]}]},{"allowed_amount":1328.28,"providers":[{"billed_charge":8616.00,"npi":[1144639030]}]}]},{"tin":{"type":"ein","value":"472459031"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2174.58,"npi":[1235374224]}]}]},{"tin":{"type":"ein","value":"510484748"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1084.50,"providers":[{"billed_charge":2700.00,"npi":[1649732520]}]}]},{"tin":{"type":"ein","value":"463932990"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2844.25,"providers":[{"billed_charge":5000.00,"npi":[1326206822]}]}]},{"tin":{"type":"ein","value":"752743883"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":204.90,"providers":[{"billed_charge":370.00,"npi":[1346472206]}]}]},{"tin":{"type":"ein","value":"842435109"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":542.25,"providers":[{"billed_charge":1000.00,"npi":[1326305624]}]},{"allowed_amount":1301.40,"providers":[{"billed_charge":2400.00,"npi":[1326305624]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":25370.71,"providers":[{"billed_charge":48391.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"272656129"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2230.48,"providers":[{"billed_charge":2230.48,"npi":[1124016829]}]}]},{"tin":{"type":"ein","value":"844738013"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2700.00,"npi":[1790798452]}]}]},{"tin":{"type":"ein","value":"454341486"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1479.01,"providers":[{"billed_charge":3900.00,"npi":[1558780171]}]},{"allowed_amount":1365.24,"providers":[{"billed_charge":3600.00,"npi":[1013394758]}]},{"allowed_amount":568.85,"providers":[{"billed_charge":1500.00,"npi":[1649850405,1386936789]}]},{"allowed_amount":1023.93,"providers":[{"billed_charge":2700.00,"npi":[1457925802,1629480561]}]},{"allowed_amount":2047.86,"providers":[{"billed_charge":5400.00,"npi":[1215258728]}]}]},{"tin":{"type":"ein","value":"760189664"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16537.89,"providers":[{"billed_charge":45543.00,"npi":[1881770576]}]}]},{"tin":{"type":"ein","value":"752600873"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":167.72,"providers":[{"billed_charge":204.00,"npi":[1629573274]}]},{"allowed_amount":3354.40,"providers":[{"billed_charge":4080.00,"npi":[1629573274]}]},{"allowed_amount":2448.00,"providers":[{"billed_charge":2448.00,"npi":[1245938653]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":562.04,"providers":[{"billed_charge":1245.00,"npi":[1255388203]}]},{"allowed_amount":9242.88,"providers":[{"billed_charge":20667.00,"npi":[1598023079]}]}]},{"tin":{"type":"ein","value":"461015457"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.81,"providers":[{"billed_charge":320.00,"npi":[1003814146]}]}]},{"tin":{"type":"ein","value":"205768117"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2616.71,"providers":[{"billed_charge":9660.00,"npi":[1457333775]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":7599.68,"providers":[{"billed_charge":23869.87,"npi":[1234567893]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":309.00,"npi":[1234567893]}]},{"allowed_amount":910.94,"providers":[{"billed_charge":3950.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"260834681"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":894.48,"providers":[{"billed_charge":2144.00,"npi":[1376623793]}]}]},{"tin":{"type":"ein","value":"832926945"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.54,"providers":[{"billed_charge":580.00,"npi":[1841337128]}]}]},{"tin":{"type":"ein","value":"821493649"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":559.05,"providers":[{"billed_charge":1250.00,"npi":[1184929333]}]}]},{"tin":{"type":"ein","value":"861975468"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2012.58,"providers":[{"billed_charge":4662.00,"npi":[1568859635]}]},{"allowed_amount":670.86,"providers":[{"billed_charge":1554.00,"npi":[1558895771]}]}]},{"tin":{"type":"ein","value":"864001978"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.81,"providers":[{"billed_charge":307.35,"npi":[1558868760]}]},{"allowed_amount":1900.77,"providers":[{"billed_charge":5224.95,"npi":[1467570895]}]},{"allowed_amount":2571.63,"providers":[{"billed_charge":7069.05,"npi":[1922211697]}]},{"allowed_amount":447.24,"providers":[{"billed_charge":1229.40,"npi":[1881914349]}]}]},{"tin":{"type":"ein","value":"462598097"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1118.10,"providers":[{"billed_charge":2500.00,"npi":[1578974614]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1006.29,"providers":[{"billed_charge":2250.00,"npi":[1154393817]}]},{"allowed_amount":6261.36,"providers":[{"billed_charge":13075.00,"npi":[1740212042]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.54,"providers":[{"billed_charge":2030.00,"npi":[1245427020]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2502.94,"providers":[{"billed_charge":4972.00,"npi":[1699702837,1770144008]}]},{"allowed_amount":341.31,"providers":[{"billed_charge":678.00,"npi":[1073017661,1134323462]}]},{"allowed_amount":2958.02,"providers":[{"billed_charge":5876.00,"npi":[1831300839]}]},{"allowed_amount":2730.48,"providers":[{"billed_charge":5424.00,"npi":[1942863006,1134323462]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":226.00,"npi":[1215171103,1437538675]}]},{"allowed_amount":1137.70,"providers":[{"billed_charge":2260.00,"npi":[1386959328,1922310747]},{"billed_charge":2400.00,"npi":[1275889198]}]},{"allowed_amount":433.80,"providers":[{"billed_charge":904.00,"npi":[1619136611,1881259299]}]},{"allowed_amount":1301.40,"providers":[{"billed_charge":2712.00,"npi":[1003205683]}]},{"allowed_amount":1592.78,"providers":[{"billed_charge":3164.00,"npi":[1861874000]}]},{"allowed_amount":1251.47,"providers":[{"billed_charge":2486.00,"npi":[1770895542,1396107165]}]},{"allowed_amount":1934.09,"providers":[{"billed_charge":3842.00,"npi":[1922356385]}]},{"allowed_amount":1409.85,"providers":[{"billed_charge":2938.00,"npi":[1437538675]}]},{"allowed_amount":8242.20,"providers":[{"billed_charge":17176.00,"npi":[1952562407]}]},{"allowed_amount":910.16,"providers":[{"billed_charge":1808.00,"npi":[1235166687]}]},{"allowed_amount":568.85,"providers":[{"billed_charge":1130.00,"npi":[1447613682,1699061499]}]},{"allowed_amount":2844.25,"providers":[{"billed_charge":5650.00,"npi":[1508328964]}]},{"allowed_amount":227.54,"providers":[{"billed_charge":452.00,"npi":[1235243379,1508328964,1861874000,1770144008]}]},{"allowed_amount":1023.93,"providers":[{"billed_charge":2034.00,"npi":[1538456975]}]},{"allowed_amount":325.35,"providers":[{"billed_charge":678.00,"npi":[1295176253]}]},{"allowed_amount":542.25,"providers":[{"billed_charge":1130.00,"npi":[1619194354,1073812210]}]},{"allowed_amount":113.77,"providers":[{"billed_charge":226.00,"npi":[1477968717,1457884082,1447613682,1699702837,1396107165,1689178501,1629607486]}]},{"allowed_amount":455.08,"providers":[{"billed_charge":904.00,"npi":[1730334178,1124423751,1689178501,1235796707,1629607486]}]},{"allowed_amount":2047.86,"providers":[{"billed_charge":4068.00,"npi":[1477968717,1457884082]}]}]},{"tin":{"type":"ein","value":"990997512"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1118.10,"providers":[{"billed_charge":2416.60,"npi":[1588913867]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":568.85,"providers":[{"billed_charge":1625.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"751604753"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":110.69,"providers":[{"billed_charge":235.00,"npi":[1548375827]}]},{"allowed_amount":221.38,"providers":[{"billed_charge":470.00,"npi":[1659698579]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10362.00,"providers":[{"billed_charge":38610.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"464143234"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2844.25,"providers":[{"billed_charge":8796.75,"npi":[1033346366]}]}]},{"tin":{"type":"ein","value":"471119399"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":261.24,"providers":[{"billed_charge":540.00,"npi":[1306509468]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","51","21"],"billing_class":"professional","payments":[{"allowed_amount":2832.48,"providers":[{"billed_charge":5943.00,"npi":[1669612057]}]},{"allowed_amount":944.16,"providers":[{"billed_charge":1981.00,"npi":[1942655147,1245285352,1205360419]}]},{"allowed_amount":6069.60,"providers":[{"billed_charge":12735.00,"npi":[1639657091]}]},{"allowed_amount":2967.36,"providers":[{"billed_charge":6226.00,"npi":[1811252703]}]},{"allowed_amount":1483.68,"providers":[{"billed_charge":3113.00,"npi":[1598174740]}]},{"allowed_amount":1079.04,"providers":[{"billed_charge":2264.00,"npi":[1811243405]}]},{"allowed_amount":674.40,"providers":[{"billed_charge":1415.00,"npi":[1912361049,1003304395,1326675844,1154940732,1124238191]}]},{"allowed_amount":404.64,"providers":[{"billed_charge":849.00,"npi":[1578921243,1518596063]}]},{"allowed_amount":1462.57,"providers":[{"billed_charge":3113.00,"npi":[1689934705]}]},{"allowed_amount":2023.20,"providers":[{"billed_charge":4245.00,"npi":[1275069056,1376796680]}]},{"allowed_amount":5125.44,"providers":[{"billed_charge":10754.00,"npi":[1225614191]}]},{"allowed_amount":3372.00,"providers":[{"billed_charge":7075.00,"npi":[1255750329,1396278420]}]},{"allowed_amount":1348.80,"providers":[{"billed_charge":2830.00,"npi":[1497271860]}]},{"allowed_amount":2292.96,"providers":[{"billed_charge":4811.00,"npi":[1518596063]}]},{"allowed_amount":1888.32,"providers":[{"billed_charge":3962.00,"npi":[1558908756]}]},{"allowed_amount":134.88,"providers":[{"billed_charge":283.00,"npi":[1255750329,1275988396,1225614191,1184989527,1326675844,1124238191,1295390219,1972829240]}]},{"allowed_amount":5260.32,"providers":[{"billed_charge":11037.00,"npi":[1023671161]}]},{"allowed_amount":269.76,"providers":[{"billed_charge":566.00,"npi":[1851898928,1760737159,1811243405,1154940732]}]}]},{"tin":{"type":"ein","value":"900624186"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":894.48,"providers":[{"billed_charge":1850.00,"npi":[1497741037]}]}]},{"tin":{"type":"ein","value":"611715115"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9503.59,"providers":[{"billed_charge":17285.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16782.22,"providers":[{"billed_charge":31850.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"742810500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":433.84,"providers":[{"billed_charge":796.00,"npi":[1568447233]}]}]},{"tin":{"type":"ein","value":"455613680"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16277.46,"providers":[{"billed_charge":24090.00,"npi":[1902022056]}]}]},{"tin":{"type":"ein","value":"815197762"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":87.08,"providers":[{"billed_charge":375.00,"npi":[1427677913]}]}]},{"tin":{"type":"ein","value":"752536818"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2601.67,"providers":[{"billed_charge":5085.92,"npi":[1831322916]}]},{"allowed_amount":410.79,"providers":[{"billed_charge":803.04,"npi":[1275583973]}]},{"allowed_amount":821.58,"providers":[{"billed_charge":1606.08,"npi":[1912945650]}]},{"allowed_amount":273.86,"providers":[{"billed_charge":535.36,"npi":[1184936270]}]}]},{"tin":{"type":"ein","value":"842548672"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3018.87,"providers":[{"billed_charge":5130.00,"npi":[1104118918]}]}]},{"tin":{"type":"ein","value":"641125297"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2389.17,"providers":[{"billed_charge":7875.00,"npi":[1902255102]}]}]},{"tin":{"type":"ein","value":"752435278"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4121.28,"providers":[{"billed_charge":6650.00,"npi":[1598840191]}]}]},{"tin":{"type":"ein","value":"201000287"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":113.77,"providers":[{"billed_charge":262.00,"npi":[1821265513]}]}]},{"tin":{"type":"ein","value":"453744107"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8050.32,"providers":[{"billed_charge":25334.64,"npi":[1750450342]}]},{"allowed_amount":1788.96,"providers":[{"billed_charge":5629.92,"npi":[1710025556]}]}]},{"tin":{"type":"ein","value":"421708103"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":44484.07,"providers":[{"billed_charge":68425.00,"npi":[1861486482]}]}]},{"tin":{"type":"ein","value":"273390698"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":12628.47,"providers":[{"billed_charge":33300.00,"npi":[1740431113]}]}]},{"tin":{"type":"ein","value":"833767505"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":111.81,"providers":[{"billed_charge":150.00,"npi":[1295178507]}]},{"allowed_amount":19402.49,"providers":[{"billed_charge":25950.00,"npi":[1295178507]}]}]},{"tin":{"type":"ein","value":"113804707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4437.03,"providers":[{"billed_charge":8190.00,"npi":[1164529681]}]}]},{"tin":{"type":"ein","value":"474387061"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":782.67,"providers":[{"billed_charge":1050.00,"npi":[1508022484]}]}]},{"tin":{"type":"ein","value":"760693452"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5347.19,"providers":[{"billed_charge":11045.00,"npi":[1265607725]}]},{"allowed_amount":5688.50,"providers":[{"billed_charge":11750.00,"npi":[1144226515]}]}]},{"tin":{"type":"ein","value":"264232139"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9923.48,"providers":[{"billed_charge":16100.00,"npi":[1477622710]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":2822.87,"providers":[{"billed_charge":4575.00,"npi":[1336339340]}]},{"allowed_amount":3018.87,"providers":[{"billed_charge":4815.00,"npi":[1336339340]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":185.00,"npi":[1649470931]}]},{"allowed_amount":3126.85,"providers":[{"billed_charge":4865.00,"npi":[1649470931]}]}]},{"tin":{"type":"ein","value":"352335295"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4360.59,"providers":[{"billed_charge":9750.00,"npi":[1194787200]}]}]},{"tin":{"type":"ein","value":"474101038"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1946.55,"providers":[{"billed_charge":3325.00,"npi":[1215200605]}]}]},{"tin":{"type":"ein","value":"873249972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3413.10,"providers":[{"billed_charge":6000.00,"npi":[1982915013]}]}]},{"tin":{"type":"ein","value":"873385999"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4196.72,"providers":[{"billed_charge":11250.00,"npi":[1538950985]}]},{"allowed_amount":5186.94,"providers":[{"billed_charge":13500.00,"npi":[1508322454]}]},{"allowed_amount":5538.88,"providers":[{"billed_charge":14500.00,"npi":[1902496425]}]},{"allowed_amount":5291.65,"providers":[{"billed_charge":14500.00,"npi":[1902680556]}]},{"allowed_amount":14404.77,"providers":[{"billed_charge":37250.00,"npi":[1740992106]}]}]},{"tin":{"type":"ein","value":"760273984"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.54,"providers":[{"billed_charge":610.00,"npi":[1720378235]}]}]},{"tin":{"type":"ein","value":"994323503"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1900.77,"providers":[{"billed_charge":5831.34,"npi":[1386881993]}]}]},{"tin":{"type":"ein","value":"752712328"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":570.55,"providers":[{"billed_charge":1135.90,"npi":[1063657740]}]}]},{"tin":{"type":"ein","value":"863579369"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4466.88,"providers":[{"billed_charge":11750.00,"npi":[1306392162]}]}]},{"tin":{"type":"ein","value":"931606104"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3413.47,"providers":[{"billed_charge":8843.37,"npi":[1649434804]}]}]},{"tin":{"type":"ein","value":"832621574"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1706.55,"providers":[{"billed_charge":2025.00,"npi":[1477518314]}]}]},{"tin":{"type":"ein","value":"743010877"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":111.36,"providers":[{"billed_charge":325.00,"npi":[1568543221]}]},{"allowed_amount":650.34,"providers":[{"billed_charge":1950.00,"npi":[1568543221]}]}]},{"tin":{"type":"ein","value":"264254315"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":455.08,"providers":[{"billed_charge":840.00,"npi":[1063478006]}]}]},{"tin":{"type":"ein","value":"460510254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":22232.25,"providers":[{"billed_charge":30750.00,"npi":[1831544675]}]}]},{"tin":{"type":"ein","value":"934915781"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":559.05,"providers":[{"billed_charge":1100.00,"npi":[1932339371]}]}]},{"tin":{"type":"ein","value":"811443260"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1846.47,"providers":[{"billed_charge":4650.00,"npi":[1629365671]}]}]},{"tin":{"type":"ein","value":"820669611"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":571.11,"providers":[{"billed_charge":1641.75,"npi":[1780951970]}]}]},{"tin":{"type":"ein","value":"760007874"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":38112.95,"providers":[{"billed_charge":71020.00,"npi":[1790861102]}]}]},{"tin":{"type":"ein","value":"455599557"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":796.39,"providers":[{"billed_charge":1050.00,"npi":[1093881278]}]}]},{"tin":{"type":"ein","value":"920405475"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3354.30,"providers":[{"billed_charge":5250.00,"npi":[1699195404]}]}]},{"tin":{"type":"ein","value":"823139603"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":456.44,"providers":[{"billed_charge":1224.12,"npi":[1578535761]}]}]},{"tin":{"type":"ein","value":"922465140"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":5400.40,"providers":[{"billed_charge":13156.00,"npi":[1134362676]}]},{"allowed_amount":234.80,"providers":[{"billed_charge":572.00,"npi":[1568717734,1134362676]}]},{"allowed_amount":20690.04,"providers":[{"billed_charge":48048.00,"npi":[1831775717]}]},{"allowed_amount":6574.40,"providers":[{"billed_charge":16016.00,"npi":[1568717734]}]},{"allowed_amount":469.60,"providers":[{"billed_charge":1144.00,"npi":[1154959310]}]},{"allowed_amount":704.40,"providers":[{"billed_charge":1716.00,"npi":[1801230487]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":2502.94,"providers":[{"billed_charge":6446.00,"npi":[1821265687]}]},{"allowed_amount":3754.41,"providers":[{"billed_charge":9669.00,"npi":[1417447798]}]},{"allowed_amount":910.16,"providers":[{"billed_charge":2344.00,"npi":[1629239108]}]},{"allowed_amount":108.45,"providers":[{"billed_charge":293.00,"npi":[1629239108,1295355311]}]},{"allowed_amount":3361.95,"providers":[{"billed_charge":9083.00,"npi":[1295355311]}]},{"allowed_amount":455.08,"providers":[{"billed_charge":1172.00,"npi":[1417447798]}]}]},{"tin":{"type":"ein","value":"825244490"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7157.70,"providers":[{"billed_charge":15482.28,"npi":[1083034771]}]}]},{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":13497.46,"providers":[{"billed_charge":27877.00,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"455038058"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":111.81,"providers":[{"billed_charge":280.00,"npi":[1407056443]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5925.93,"providers":[{"billed_charge":11395.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"272420316"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2683.44,"providers":[{"billed_charge":9600.00,"npi":[1669905865]}]}]},{"tin":{"type":"ein","value":"850916148"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":285.12,"providers":[{"billed_charge":945.00,"npi":[1245627975]}]},{"allowed_amount":1045.44,"providers":[{"billed_charge":3465.00,"npi":[1821339201]}]},{"allowed_amount":1900.76,"providers":[{"billed_charge":6300.00,"npi":[1114449469]}]},{"allowed_amount":3130.68,"providers":[{"billed_charge":8820.00,"npi":[1104243468]}]}]},{"tin":{"type":"ein","value":"760619975"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":227.54,"providers":[{"billed_charge":400.00,"npi":[1720024466]}]}]},{"tin":{"type":"ein","value":"453837187"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":216.90,"providers":[{"billed_charge":650.00,"npi":[1447589494]}]}]},{"tin":{"type":"ein","value":"815248156"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":648.50,"providers":[{"billed_charge":1150.00,"npi":[1700198405]}]}]},{"tin":{"type":"ein","value":"934056050"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2124.39,"providers":[{"billed_charge":4560.00,"npi":[1548766074]}]}]}]},{"name":"HOSPITAL DISCHARGE DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS","allowed_amounts":[{"tin":{"type":"ein","value":"650578395"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":276.39,"providers":[{"billed_charge":675.00,"npi":[1043211394]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1225.60,"providers":[{"billed_charge":2473.20,"npi":[1740212042]}]},{"allowed_amount":612.80,"providers":[{"billed_charge":1238.20,"npi":[1154393817]}]}]},{"tin":{"type":"ein","value":"421708103"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2658.80,"providers":[{"billed_charge":5780.00,"npi":[1861486482]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":8914.80,"providers":[{"billed_charge":19950.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":225.20,"providers":[{"billed_charge":285.00,"npi":[1235363862]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":819.88,"providers":[{"billed_charge":1701.00,"npi":[1790304517]}]}]},{"tin":{"type":"ein","value":"611715115"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2678.70,"providers":[{"billed_charge":5400.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1479.13,"providers":[{"billed_charge":4025.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":547.40,"providers":[{"billed_charge":1134.00,"npi":[1477588192]}]},{"allowed_amount":469.20,"providers":[{"billed_charge":972.00,"npi":[1477588192]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":74.30,"providers":[{"billed_charge":396.00,"npi":[1386619765]}]}]},{"tin":{"type":"ein","value":"650603121"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":252.64,"providers":[{"billed_charge":1868.00,"npi":[1205509056]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":76.60,"providers":[{"billed_charge":150.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"752887124"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2638.80,"providers":[{"billed_charge":7560.00,"npi":[1962430413]}]},{"allowed_amount":513.10,"providers":[{"billed_charge":1470.00,"npi":[1962430413]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1378.80,"providers":[{"billed_charge":7650.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":455.77,"providers":[{"billed_charge":2840.25,"npi":[1427884741]}]},{"allowed_amount":383.00,"providers":[{"billed_charge":2028.75,"npi":[1588964621]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2818.10,"providers":[{"billed_charge":8991.00,"npi":[1356637227]}]}]}]},{"name":"HOSPITAL DISCHARGE DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT; MORE THAN 30 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"460820928"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":214.98,"providers":[{"billed_charge":440.00,"npi":[1083600456]}]}]},{"tin":{"type":"ein","value":"472401409"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":220.82,"providers":[{"billed_charge":458.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"470964891"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":6293.37,"providers":[{"billed_charge":8550.00,"npi":[1710025515]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":221.62,"providers":[{"billed_charge":1370.00,"npi":[1124125000,1356865406]}]},{"allowed_amount":110.81,"providers":[{"billed_charge":685.00,"npi":[1871633636]}]},{"allowed_amount":886.48,"providers":[{"billed_charge":5480.00,"npi":[1932407350]}]},{"allowed_amount":1883.77,"providers":[{"billed_charge":11645.00,"npi":[1073810990]}]},{"allowed_amount":324.93,"providers":[{"billed_charge":2055.00,"npi":[1801155593]}]},{"allowed_amount":994.79,"providers":[{"billed_charge":6165.00,"npi":[1316250707]}]},{"allowed_amount":1329.72,"providers":[{"billed_charge":8220.00,"npi":[1073527339]}]},{"allowed_amount":1299.72,"providers":[{"billed_charge":8220.00,"npi":[1669630265]}]},{"allowed_amount":216.62,"providers":[{"billed_charge":1370.00,"npi":[1285037994]}]},{"allowed_amount":443.24,"providers":[{"billed_charge":2740.00,"npi":[1346861960]}]},{"allowed_amount":1218.91,"providers":[{"billed_charge":7535.00,"npi":[1851559595]}]},{"allowed_amount":108.31,"providers":[{"billed_charge":685.00,"npi":[1629571492]}]}]},{"tin":{"type":"ein","value":"831944931"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":214.98,"providers":[{"billed_charge":450.00,"npi":[1013265677]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":829.82,"providers":[{"billed_charge":1272.00,"npi":[1336339340]}]},{"allowed_amount":758.17,"providers":[{"billed_charge":1113.00,"npi":[1336339340]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1104.10,"providers":[{"billed_charge":2280.00,"npi":[1467834879]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":228.00,"npi":[1154577393,1346778644,1740586411,1891145181,1518547108,1215076229,1528621687,1033480231]}]},{"allowed_amount":210.12,"providers":[{"billed_charge":456.00,"npi":[1518547108,1821357096,1093132383,1528621687,1124443288,1700406501]}]},{"allowed_amount":432.70,"providers":[{"billed_charge":912.00,"npi":[1447606264]}]},{"allowed_amount":662.46,"providers":[{"billed_charge":1368.00,"npi":[1225349061]}]},{"allowed_amount":315.18,"providers":[{"billed_charge":684.00,"npi":[1346778644,1578795209,1881821775]}]},{"allowed_amount":420.24,"providers":[{"billed_charge":912.00,"npi":[1578916490,1124443288]}]},{"allowed_amount":220.82,"providers":[{"billed_charge":456.00,"npi":[1376753087,1265966295,1538664842,1225349061,1336119486,1700026457]}]},{"allowed_amount":735.42,"providers":[{"billed_charge":1596.00,"npi":[1801450127,1578795209,1821357096]}]},{"allowed_amount":630.36,"providers":[{"billed_charge":1368.00,"npi":[1881821775]}]},{"allowed_amount":441.64,"providers":[{"billed_charge":912.00,"npi":[1467834879,1891271904]}]},{"allowed_amount":1050.60,"providers":[{"billed_charge":2280.00,"npi":[1154709665]}]},{"allowed_amount":840.48,"providers":[{"billed_charge":1824.00,"npi":[1801450127]}]},{"allowed_amount":110.41,"providers":[{"billed_charge":228.00,"npi":[1699936708,1891271904,1538664842,1336119486,1902252349]}]},{"allowed_amount":322.29,"providers":[{"billed_charge":684.00,"npi":[1447606264]}]},{"allowed_amount":525.30,"providers":[{"billed_charge":1140.00,"npi":[1154709665,1578916490]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3455.13,"providers":[{"billed_charge":9960.00,"npi":[1760529515]}]},{"allowed_amount":1262.91,"providers":[{"billed_charge":3652.00,"npi":[1588168157]}]}]},{"tin":{"type":"ein","value":"921363582"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":216.62,"providers":[{"billed_charge":429.36,"npi":[1508244179]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":2941.68,"providers":[{"billed_charge":9156.00,"npi":[1952663916]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":327.00,"npi":[1902292808,1386140002,1952663916]}]},{"allowed_amount":210.12,"providers":[{"billed_charge":654.00,"npi":[1669889291,1841547759]}]},{"allowed_amount":5358.06,"providers":[{"billed_charge":16677.00,"npi":[1154568558]}]},{"allowed_amount":1786.02,"providers":[{"billed_charge":5559.00,"npi":[1174987820,1841547759]}]},{"allowed_amount":1050.60,"providers":[{"billed_charge":3270.00,"npi":[1154568558]}]},{"allowed_amount":2206.26,"providers":[{"billed_charge":6867.00,"npi":[1386140002]}]},{"allowed_amount":315.18,"providers":[{"billed_charge":981.00,"npi":[1992952261]}]},{"allowed_amount":1891.08,"providers":[{"billed_charge":5886.00,"npi":[1902292808]}]},{"allowed_amount":1996.14,"providers":[{"billed_charge":6213.00,"npi":[1669889291]}]},{"allowed_amount":2836.62,"providers":[{"billed_charge":8829.00,"npi":[1992952261]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":761.42,"providers":[{"billed_charge":1561.00,"npi":[1508830985]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":89.90,"providers":[{"billed_charge":737.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2707.75,"providers":[{"billed_charge":14303.75,"npi":[1669615944]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":649.86,"providers":[{"billed_charge":1436.00,"npi":[1740212042]}]},{"allowed_amount":433.24,"providers":[{"billed_charge":904.00,"npi":[1154393817]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":233.00,"npi":[1619136611]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":331.23,"providers":[{"billed_charge":999.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1083.10,"providers":[{"billed_charge":3270.00,"npi":[1427478965,1922685866,1861769663,1942863170]}]},{"allowed_amount":431.51,"providers":[{"billed_charge":1308.00,"npi":[1780264317]}]},{"allowed_amount":1299.72,"providers":[{"billed_charge":3924.00,"npi":[1255952057,1083136360]}]},{"allowed_amount":3140.99,"providers":[{"billed_charge":9483.00,"npi":[1942863170]}]},{"allowed_amount":1191.41,"providers":[{"billed_charge":3597.00,"npi":[1861769663]}]},{"allowed_amount":216.62,"providers":[{"billed_charge":654.00,"npi":[1427478965,1083136360]}]},{"allowed_amount":2599.44,"providers":[{"billed_charge":7848.00,"npi":[1922685866]}]},{"allowed_amount":2166.20,"providers":[{"billed_charge":6540.00,"npi":[1255952057]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2471.04,"providers":[{"billed_charge":9072.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3151.80,"providers":[{"billed_charge":6000.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"460894804"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":796.74,"providers":[{"billed_charge":3143.00,"npi":[1366461311]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":261.78,"providers":[{"billed_charge":578.00,"npi":[1407342785]}]}]},{"tin":{"type":"ein","value":"471197805"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2524.73,"providers":[{"billed_charge":3450.00,"npi":[1770726309]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2924.37,"providers":[{"billed_charge":4050.00,"npi":[1932300779]}]}]},{"tin":{"type":"ein","value":"922465140"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":682.35,"providers":[{"billed_charge":1776.00,"npi":[1134362676]}]},{"allowed_amount":227.45,"providers":[{"billed_charge":592.00,"npi":[1134362676]}]},{"allowed_amount":1673.14,"providers":[{"billed_charge":4144.00,"npi":[1831775717]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":844.65,"providers":[{"billed_charge":2565.00,"npi":[1689339608]}]}]},{"tin":{"type":"ein","value":"812513596"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1157.31,"providers":[{"billed_charge":3960.00,"npi":[1487833042]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":735.42,"providers":[{"billed_charge":4053.00,"npi":[1386619765,1952798001,1679768089,1164835195]}]},{"allowed_amount":105.06,"providers":[{"billed_charge":579.00,"npi":[1073190898,1679768089]}]},{"allowed_amount":2311.32,"providers":[{"billed_charge":12738.00,"npi":[1164835195]}]},{"allowed_amount":630.36,"providers":[{"billed_charge":3474.00,"npi":[1073190898]}]},{"allowed_amount":210.12,"providers":[{"billed_charge":1158.00,"npi":[1386619765]}]},{"allowed_amount":315.18,"providers":[{"billed_charge":1737.00,"npi":[1952798001]}]},{"allowed_amount":1155.66,"providers":[{"billed_charge":6369.00,"npi":[1881154201]}]},{"allowed_amount":420.24,"providers":[{"billed_charge":2316.00,"npi":[1497068233,1174883177]}]},{"allowed_amount":2836.62,"providers":[{"billed_charge":15633.00,"npi":[1043705528]}]},{"allowed_amount":2101.20,"providers":[{"billed_charge":11580.00,"npi":[1497068233]}]},{"allowed_amount":525.30,"providers":[{"billed_charge":2895.00,"npi":[1043705528]}]}]},{"tin":{"type":"ein","value":"454070993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":735.42,"providers":[{"billed_charge":2576.00,"npi":[1104089945]}]}]},{"tin":{"type":"ein","value":"455613680"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":433.24,"providers":[{"billed_charge":800.00,"npi":[1902022056]}]}]},{"tin":{"type":"ein","value":"752435278"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":420.24,"providers":[{"billed_charge":660.00,"npi":[1598840191]}]}]},{"tin":{"type":"ein","value":"823426999"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":105.06,"providers":[{"billed_charge":232.00,"npi":[1689107948]}]},{"allowed_amount":840.48,"providers":[{"billed_charge":1856.00,"npi":[1689107948]}]}]},{"tin":{"type":"ein","value":"853148201"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":429.96,"providers":[{"billed_charge":900.00,"npi":[1376652206]}]}]}]},{"name":"OFFICE CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99243","description":"OFFICE CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A DETAI","allowed_amounts":[{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":100.67,"providers":[{"billed_charge":355.00,"npi":[1255644837]}]},{"allowed_amount":2114.07,"providers":[{"billed_charge":7455.00,"npi":[1255644837]}]}]}]},{"name":"OFFICE CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99244","description":"OFFICE CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A COMPR","allowed_amounts":[{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":512.00,"providers":[{"billed_charge":1280.00,"npi":[1477916708]}]},{"allowed_amount":761.60,"providers":[{"billed_charge":2240.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":457.17,"providers":[{"billed_charge":1425.00,"npi":[1255644837,1225235534]}]}]}]},{"name":"INPATIENT CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99254","description":"INPATIENT CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A CO","allowed_amounts":[{"tin":{"type":"ein","value":"205036495"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1173.69,"providers":[{"billed_charge":7668.00,"npi":[1528389954]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":110.85,"providers":[{"billed_charge":422.00,"npi":[1790890929]}]}]}]},{"name":"INPATIENT CONSULTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"INPATIENT CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE 3 KEY COMPONENTS: A CO","allowed_amounts":[{"tin":{"type":"ein","value":"453744107"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":702.08,"providers":[{"billed_charge":1821.84,"npi":[1750450342]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2106.24,"providers":[{"billed_charge":5465.52,"npi":[1831519511]}]},{"allowed_amount":351.04,"providers":[{"billed_charge":910.92,"npi":[1245493360]}]}]}]},{"name":"EMERGENCY DEPT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KE","allowed_amounts":[{"tin":{"type":"ein","value":"741613878"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":408.03,"providers":[{"billed_charge":1089.00,"npi":[1760025985]}]}]}]},{"name":"EMERGENCY DEPT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KE","allowed_amounts":[{"tin":{"type":"ein","value":"752737522"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1267.16,"providers":[{"billed_charge":3315.00,"npi":[1093908998]}]}]},{"tin":{"type":"ein","value":"333254033"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1574.26,"providers":[{"billed_charge":27907.40,"npi":[1619129624]}]},{"allowed_amount":618.73,"providers":[{"billed_charge":11949.12,"npi":[1356547640]}]}]},{"tin":{"type":"ein","value":"931525992"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":393.65,"providers":[{"billed_charge":7075.12,"npi":[1942527015]}]},{"allowed_amount":1338.41,"providers":[{"billed_charge":22404.44,"npi":[1033197769]}]},{"allowed_amount":602.28,"providers":[{"billed_charge":11477.36,"npi":[1871110627]}]},{"allowed_amount":551.11,"providers":[{"billed_charge":10062.40,"npi":[1043633225]}]}]},{"tin":{"type":"ein","value":"263933920"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1046.67,"providers":[{"billed_charge":19372.00,"npi":[1598393340]}]},{"allowed_amount":1417.14,"providers":[{"billed_charge":22522.00,"npi":[1699417451]}]},{"allowed_amount":788.26,"providers":[{"billed_charge":13818.00,"npi":[1912945460]}]},{"allowed_amount":3320.65,"providers":[{"billed_charge":56800.00,"npi":[1144684168]}]},{"allowed_amount":1395.88,"providers":[{"billed_charge":20613.00,"npi":[1649290370]}]},{"allowed_amount":2173.03,"providers":[{"billed_charge":36395.00,"npi":[1396807491]}]},{"allowed_amount":1080.00,"providers":[{"billed_charge":15935.00,"npi":[1740568708]}]},{"allowed_amount":956.83,"providers":[{"billed_charge":18339.00,"npi":[1952756546]}]},{"allowed_amount":495.56,"providers":[{"billed_charge":8704.00,"npi":[1942512934]}]},{"allowed_amount":2679.70,"providers":[{"billed_charge":44119.00,"npi":[1598023749]}]},{"allowed_amount":2668.59,"providers":[{"billed_charge":45588.00,"npi":[1346533833]}]},{"allowed_amount":821.59,"providers":[{"billed_charge":15291.00,"npi":[1063693125]}]}]},{"tin":{"type":"ein","value":"852464463"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":5185.11,"providers":[{"billed_charge":97622.40,"npi":[1922208776]}]},{"allowed_amount":2727.88,"providers":[{"billed_charge":55474.80,"npi":[1649619719]}]},{"allowed_amount":1147.12,"providers":[{"billed_charge":20976.00,"npi":[1578022778]}]},{"allowed_amount":7112.78,"providers":[{"billed_charge":144650.40,"npi":[1144473570]}]},{"allowed_amount":8455.15,"providers":[{"billed_charge":163360.80,"npi":[1992764419]}]},{"allowed_amount":5099.18,"providers":[{"billed_charge":97592.40,"npi":[1922595727]}]},{"allowed_amount":2056.55,"providers":[{"billed_charge":42098.40,"npi":[1700171014]}]},{"allowed_amount":573.56,"providers":[{"billed_charge":10488.00,"npi":[1629418025]}]},{"allowed_amount":1466.53,"providers":[{"billed_charge":28292.40,"npi":[1851321582]}]},{"allowed_amount":3857.77,"providers":[{"billed_charge":73664.40,"npi":[1942565825]}]},{"allowed_amount":1678.18,"providers":[{"billed_charge":35325.60,"npi":[1235459769]}]},{"allowed_amount":576.60,"providers":[{"billed_charge":10458.00,"npi":[1710181664]}]},{"allowed_amount":1230.34,"providers":[{"billed_charge":22476.00,"npi":[1710919618]}]},{"allowed_amount":83.22,"providers":[{"billed_charge":1500.00,"npi":[1073545588]}]}]},{"tin":{"type":"ein","value":"475013720"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":471.69,"providers":[{"billed_charge":12223.32,"npi":[1750540241]}]}]},{"tin":{"type":"ein","value":"934030155"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":540.00,"providers":[{"billed_charge":3757.00,"npi":[1801893821]}]},{"allowed_amount":354.32,"providers":[{"billed_charge":2904.00,"npi":[1457803124]}]},{"allowed_amount":675.24,"providers":[{"billed_charge":5001.00,"npi":[1932669546]}]},{"allowed_amount":641.91,"providers":[{"billed_charge":4755.00,"npi":[1386099083]}]},{"allowed_amount":225.08,"providers":[{"billed_charge":1575.00,"npi":[1619133774]}]},{"allowed_amount":114.96,"providers":[{"billed_charge":722.00,"npi":[1912598590]}]}]},{"tin":{"type":"ein","value":"921774385"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":4051.44,"providers":[{"billed_charge":63946.00,"npi":[1194162180]}]},{"allowed_amount":911.43,"providers":[{"billed_charge":12970.00,"npi":[1538454707]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6966.40,"providers":[{"billed_charge":81488.09,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"932446901"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1093.40,"providers":[{"billed_charge":8219.00,"npi":[1043604358]}]}]},{"tin":{"type":"ein","value":"831533748"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":629.84,"providers":[{"billed_charge":20150.00,"npi":[1316020456]}]}]},{"tin":{"type":"ein","value":"463675032"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1203.52,"providers":[{"billed_charge":12703.75,"npi":[1639129448]}]},{"allowed_amount":1577.01,"providers":[{"billed_charge":22379.75,"npi":[1124078498]}]},{"allowed_amount":794.51,"providers":[{"billed_charge":13388.25,"npi":[1356390298]}]},{"allowed_amount":436.38,"providers":[{"billed_charge":6189.75,"npi":[1972583110]}]}]},{"tin":{"type":"ein","value":"261973804"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":314.92,"providers":[{"billed_charge":8912.00,"npi":[1295301760]}]}]},{"tin":{"type":"ein","value":"882958926"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":471.03,"providers":[{"billed_charge":7015.00,"npi":[1891716460]}]}]},{"tin":{"type":"ein","value":"863472211"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":166.44,"providers":[{"billed_charge":5000.00,"npi":[1467637462]}]}]},{"tin":{"type":"ein","value":"208747581"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3064.00,"providers":[{"billed_charge":77970.00,"npi":[1265060537]}]},{"allowed_amount":2022.24,"providers":[{"billed_charge":47981.00,"npi":[1639675655]}]}]},{"tin":{"type":"ein","value":"922417967"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":440.12,"providers":[{"billed_charge":5052.00,"npi":[1215337746]}]},{"allowed_amount":359.33,"providers":[{"billed_charge":2034.00,"npi":[1225491046]}]},{"allowed_amount":10659.52,"providers":[{"billed_charge":69003.00,"npi":[1053393983]}]}]},{"tin":{"type":"ein","value":"932457529"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":78.25,"providers":[{"billed_charge":2300.00,"npi":[1013115104]}]},{"allowed_amount":1451.43,"providers":[{"billed_charge":42964.00,"npi":[1063767382]}]},{"allowed_amount":593.77,"providers":[{"billed_charge":16560.00,"npi":[1205812625]}]},{"allowed_amount":1286.09,"providers":[{"billed_charge":37628.00,"npi":[1316030810]}]},{"allowed_amount":145.46,"providers":[{"billed_charge":4600.00,"npi":[1679680201]}]},{"allowed_amount":2318.42,"providers":[{"billed_charge":69184.00,"npi":[1942227574]}]}]},{"tin":{"type":"ein","value":"812294073"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":495.56,"providers":[{"billed_charge":12000.00,"npi":[1184676058]}]},{"allowed_amount":641.91,"providers":[{"billed_charge":14400.00,"npi":[1861752602]}]}]},{"tin":{"type":"ein","value":"822977026"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":641.91,"providers":[{"billed_charge":8030.00,"npi":[1669452504]}]},{"allowed_amount":157.46,"providers":[{"billed_charge":1364.00,"npi":[1447495585]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":4912.17,"providers":[{"billed_charge":29046.00,"npi":[1295756955]}]}]},{"tin":{"type":"ein","value":"320326595"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2085.99,"providers":[{"billed_charge":8471.85,"npi":[1164409355]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2206.43,"providers":[{"billed_charge":7132.00,"npi":[1588118194]}]},{"allowed_amount":828.92,"providers":[{"billed_charge":2004.00,"npi":[1639577919]}]},{"allowed_amount":253.02,"providers":[{"billed_charge":668.00,"npi":[1093294829]}]},{"allowed_amount":842.11,"providers":[{"billed_charge":2672.00,"npi":[1467923771]}]},{"allowed_amount":657.50,"providers":[{"billed_charge":1670.00,"npi":[1760025985]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1329.80,"providers":[{"billed_charge":24033.00,"npi":[1609277292]}]},{"allowed_amount":4704.46,"providers":[{"billed_charge":72979.00,"npi":[1255781498]}]},{"allowed_amount":191.32,"providers":[{"billed_charge":4098.00,"npi":[1437631900]}]},{"allowed_amount":1620.96,"providers":[{"billed_charge":23707.00,"npi":[1801384615]}]},{"allowed_amount":248.80,"providers":[{"billed_charge":4195.00,"npi":[1639168271]}]},{"allowed_amount":450.16,"providers":[{"billed_charge":6927.00,"npi":[1386901098]}]},{"allowed_amount":1542.23,"providers":[{"billed_charge":26571.00,"npi":[1316567480]}]},{"allowed_amount":7011.77,"providers":[{"billed_charge":113176.00,"npi":[1952374373]}]},{"allowed_amount":472.38,"providers":[{"billed_charge":7350.00,"npi":[1568951259]}]}]},{"tin":{"type":"ein","value":"841832545"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1125.78,"providers":[{"billed_charge":39431.00,"npi":[1043296692]}]},{"allowed_amount":371.43,"providers":[{"billed_charge":9804.00,"npi":[1881074581]},{"billed_charge":11557.00,"npi":[1780823682]}]},{"allowed_amount":855.88,"providers":[{"billed_charge":25603.00,"npi":[1295077832]}]},{"allowed_amount":3253.03,"providers":[{"billed_charge":98688.00,"npi":[1740474337]}]},{"allowed_amount":1459.63,"providers":[{"billed_charge":56550.00,"npi":[1598420812]}]},{"allowed_amount":1024.52,"providers":[{"billed_charge":35341.00,"npi":[1215308143]}]},{"allowed_amount":79.54,"providers":[{"billed_charge":3073.00,"npi":[1285608463]}]},{"allowed_amount":236.19,"providers":[{"billed_charge":7466.00,"npi":[1174545461]}]},{"allowed_amount":454.19,"providers":[{"billed_charge":17703.00,"npi":[1356804496]}]},{"allowed_amount":763.62,"providers":[{"billed_charge":29260.00,"npi":[1003096959]}]},{"allowed_amount":1387.84,"providers":[{"billed_charge":49819.00,"npi":[1215255633]}]},{"allowed_amount":1293.97,"providers":[{"billed_charge":38112.00,"npi":[1053844555]}]}]},{"tin":{"type":"ein","value":"463902289"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":702.02,"providers":[{"billed_charge":5244.00,"npi":[1952798126]}]},{"allowed_amount":2623.19,"providers":[{"billed_charge":27066.00,"npi":[1790783694]}]},{"allowed_amount":71.48,"providers":[{"billed_charge":921.00,"npi":[1982998308]},{"billed_charge":486.00,"npi":[1699705129]}]},{"allowed_amount":753.97,"providers":[{"billed_charge":7035.00,"npi":[1811162803]}]},{"allowed_amount":237.92,"providers":[{"billed_charge":1458.00,"npi":[1811221211]}]},{"allowed_amount":494.83,"providers":[{"billed_charge":2916.00,"npi":[1801039078]}]},{"allowed_amount":1745.09,"providers":[{"billed_charge":15579.00,"npi":[1467478313]}]},{"allowed_amount":605.96,"providers":[{"billed_charge":4758.00,"npi":[1790075943]}]},{"allowed_amount":154.70,"providers":[{"billed_charge":972.00,"npi":[1285715581]}]},{"allowed_amount":1651.97,"providers":[{"billed_charge":11076.00,"npi":[1326465246]}]},{"allowed_amount":967.94,"providers":[{"billed_charge":10233.00,"npi":[1134113699]}]},{"allowed_amount":67.62,"providers":[{"billed_charge":921.00,"npi":[1982810289]},{"billed_charge":486.00,"npi":[1619989415,1447230685]}]},{"allowed_amount":994.09,"providers":[{"billed_charge":6753.00,"npi":[1508880071]}]},{"allowed_amount":916.46,"providers":[{"billed_charge":6267.00,"npi":[1427010768]}]},{"allowed_amount":1197.48,"providers":[{"billed_charge":7290.00,"npi":[1205152220]}]},{"allowed_amount":392.62,"providers":[{"billed_charge":3735.00,"npi":[1225086606]},{"billed_charge":3300.00,"npi":[1326149931]}]},{"allowed_amount":1595.00,"providers":[{"billed_charge":11946.00,"npi":[1083907166]}]},{"allowed_amount":1177.86,"providers":[{"billed_charge":9465.00,"npi":[1629381538]}]},{"allowed_amount":934.61,"providers":[{"billed_charge":8058.00,"npi":[1316964877]}]},{"allowed_amount":700.92,"providers":[{"billed_charge":5679.00,"npi":[1962723288]}]},{"allowed_amount":720.64,"providers":[{"billed_charge":9210.00,"npi":[1164717658]}]},{"allowed_amount":78.73,"providers":[{"billed_charge":921.00,"npi":[1811097132]},{"billed_charge":486.00,"npi":[1790729911]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":972.00,"npi":[1144326570]},{"billed_charge":1407.00,"npi":[1235367368]}]},{"allowed_amount":796.98,"providers":[{"billed_charge":5730.00,"npi":[1548670326]}]},{"allowed_amount":375.92,"providers":[{"billed_charge":2430.00,"npi":[1144588724]}]},{"allowed_amount":226.18,"providers":[{"billed_charge":1893.00,"npi":[1265499909]}]},{"allowed_amount":574.29,"providers":[{"billed_charge":7368.00,"npi":[1205277241]}]},{"allowed_amount":945.72,"providers":[{"billed_charge":9798.00,"npi":[1861492886]}]},{"allowed_amount":1082.90,"providers":[{"billed_charge":6804.00,"npi":[1841441334]}]},{"allowed_amount":928.20,"providers":[{"billed_charge":6702.00,"npi":[1366488298]}]},{"allowed_amount":1296.30,"providers":[{"billed_charge":8646.00,"npi":[1982862496]},{"billed_charge":9951.00,"npi":[1639494412]}]},{"allowed_amount":439.05,"providers":[{"billed_charge":4656.00,"npi":[1275757841]},{"billed_charge":5091.00,"npi":[1003864158]}]},{"allowed_amount":472.38,"providers":[{"billed_charge":5526.00,"npi":[1396700332]}]},{"allowed_amount":3680.97,"providers":[{"billed_charge":42570.00,"npi":[1831400035]}]}]},{"tin":{"type":"ein","value":"452317041"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":284.77,"providers":[{"billed_charge":2686.00,"npi":[1568082501]}]}]},{"tin":{"type":"ein","value":"813543328"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1159.69,"providers":[{"billed_charge":17903.00,"npi":[1821140906]}]},{"allowed_amount":181.88,"providers":[{"billed_charge":2914.00,"npi":[1710633441]}]}]},{"tin":{"type":"ein","value":"201909363"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3566.37,"providers":[{"billed_charge":77502.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"204362558"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1169.84,"providers":[{"billed_charge":25433.00,"npi":[1265844401]}]}]},{"tin":{"type":"ein","value":"823656564"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1068.89,"providers":[{"billed_charge":32354.00,"npi":[1710984315]}]},{"allowed_amount":922.54,"providers":[{"billed_charge":30960.00,"npi":[1639583321]}]},{"allowed_amount":1688.58,"providers":[{"billed_charge":59530.00,"npi":[1851886113]}]},{"allowed_amount":349.21,"providers":[{"billed_charge":14220.00,"npi":[1801060553]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":5914.00,"npi":[1104205343]},{"billed_charge":3652.00,"npi":[1841285541]}]},{"allowed_amount":574.29,"providers":[{"billed_charge":21396.00,"npi":[1659640977]}]},{"allowed_amount":596.51,"providers":[{"billed_charge":21396.00,"npi":[1740522861]}]},{"allowed_amount":1756.20,"providers":[{"billed_charge":67578.00,"npi":[1720039811]}]},{"allowed_amount":1598.74,"providers":[{"billed_charge":52618.00,"npi":[1033611512]}]},{"allowed_amount":742.86,"providers":[{"billed_charge":27310.00,"npi":[1861454670]}]},{"allowed_amount":450.16,"providers":[{"billed_charge":14350.00,"npi":[1831619709]}]},{"allowed_amount":236.19,"providers":[{"billed_charge":6044.00,"npi":[1992091144]}]},{"allowed_amount":157.46,"providers":[{"billed_charge":3652.00,"npi":[1952557928]}]}]},{"tin":{"type":"ein","value":"824535639"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":563.18,"providers":[{"billed_charge":18004.00,"npi":[1932545035]}]},{"allowed_amount":1398.00,"providers":[{"billed_charge":51230.00,"npi":[1497073878]}]},{"allowed_amount":821.59,"providers":[{"billed_charge":27440.00,"npi":[1629068366]}]}]},{"tin":{"type":"ein","value":"562398079"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":213.97,"providers":[{"billed_charge":4153.00,"npi":[1205047255]}]}]},{"tin":{"type":"ein","value":"810872075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":100.94,"providers":[{"billed_charge":667.00,"npi":[1376869040]}]},{"allowed_amount":302.82,"providers":[{"billed_charge":2659.00,"npi":[1134755127]}]},{"allowed_amount":807.52,"providers":[{"billed_charge":5994.00,"npi":[1225390859]}]},{"allowed_amount":2018.80,"providers":[{"billed_charge":16959.00,"npi":[1013337831]}]},{"allowed_amount":504.70,"providers":[{"billed_charge":4651.00,"npi":[1528321403]}]},{"allowed_amount":201.88,"providers":[{"billed_charge":1334.00,"npi":[1912153370,1255533410]},{"billed_charge":1992.00,"npi":[1700306834]}]},{"allowed_amount":1816.92,"providers":[{"billed_charge":14141.00,"npi":[1093274151]}]},{"allowed_amount":1312.22,"providers":[{"billed_charge":9987.00,"npi":[1245387059]}]},{"allowed_amount":706.58,"providers":[{"billed_charge":5656.00,"npi":[1689832875]}]},{"allowed_amount":403.76,"providers":[{"billed_charge":2997.00,"npi":[1487642419,1285169524]},{"billed_charge":2668.00,"npi":[1740779172]}]}]},{"tin":{"type":"ein","value":"465400615"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1485.72,"providers":[{"billed_charge":25508.00,"npi":[1144200890]}]},{"allowed_amount":269.16,"providers":[{"billed_charge":4492.00,"npi":[1669667952]}]}]},{"tin":{"type":"ein","value":"920750962"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":970.67,"providers":[{"billed_charge":5096.32,"npi":[1003856972]}]},{"allowed_amount":83.22,"providers":[{"billed_charge":395.14,"npi":[1578636270]}]}]},{"tin":{"type":"ein","value":"271112877"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1080.96,"providers":[{"billed_charge":19819.00,"npi":[1396515011]}]},{"allowed_amount":631.44,"providers":[{"billed_charge":12997.00,"npi":[1386194959]}]},{"allowed_amount":574.29,"providers":[{"billed_charge":9657.00,"npi":[1184626871]}]},{"allowed_amount":1665.40,"providers":[{"billed_charge":27277.00,"npi":[1700167897]}]},{"allowed_amount":371.43,"providers":[{"billed_charge":5705.00,"npi":[1902851090]}]},{"allowed_amount":2397.15,"providers":[{"billed_charge":37806.00,"npi":[1710516471]}]},{"allowed_amount":78.73,"providers":[{"billed_charge":1141.00,"npi":[1083868343]}]},{"allowed_amount":1328.26,"providers":[{"billed_charge":20715.00,"npi":[1841795283]}]},{"allowed_amount":1243.16,"providers":[{"billed_charge":22208.00,"npi":[1790160596]}]},{"allowed_amount":1429.21,"providers":[{"billed_charge":22855.00,"npi":[1447646351]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":2282.00,"npi":[1144516600]}]}]},{"tin":{"type":"ein","value":"332012020"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1014.92,"providers":[{"billed_charge":16609.28,"npi":[1710534607]}]},{"allowed_amount":966.88,"providers":[{"billed_charge":15561.20,"npi":[1265996250]}]},{"allowed_amount":1606.92,"providers":[{"billed_charge":25907.60,"npi":[1053670349]}]},{"allowed_amount":3884.72,"providers":[{"billed_charge":66355.52,"npi":[1861204885]}]},{"allowed_amount":360.32,"providers":[{"billed_charge":5578.24,"npi":[1396932349]},{"billed_charge":4764.40,"npi":[1104320019]}]},{"allowed_amount":1564.45,"providers":[{"billed_charge":22445.20,"npi":[1306232244]}]},{"allowed_amount":1193.02,"providers":[{"billed_charge":14815.36,"npi":[1346509874]}]},{"allowed_amount":157.46,"providers":[{"billed_charge":1892.16,"npi":[1851040307]}]},{"allowed_amount":528.89,"providers":[{"billed_charge":7894.32,"npi":[1427256619]}]},{"allowed_amount":3550.12,"providers":[{"billed_charge":58369.76,"npi":[1023055845]}]},{"allowed_amount":213.97,"providers":[{"billed_charge":2838.24,"npi":[1760443360]}]},{"allowed_amount":2723.18,"providers":[{"billed_charge":36602.40,"npi":[1215324140]}]},{"allowed_amount":2247.80,"providers":[{"billed_charge":32892.88,"npi":[1073247946]}]},{"allowed_amount":2667.63,"providers":[{"billed_charge":35754.56,"npi":[1518087568]}]},{"allowed_amount":1684.12,"providers":[{"billed_charge":26528.00,"npi":[1881984029]}]},{"allowed_amount":889.21,"providers":[{"billed_charge":11031.04,"npi":[1720407125]}]},{"allowed_amount":1879.37,"providers":[{"billed_charge":24143.92,"npi":[1124047410]}]},{"allowed_amount":382.64,"providers":[{"billed_charge":6100.40,"npi":[1467964148]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":2316.08,"npi":[1871568352]}]},{"allowed_amount":653.02,"providers":[{"billed_charge":10244.40,"npi":[1942697149]}]},{"allowed_amount":2846.35,"providers":[{"billed_charge":35920.80,"npi":[1386823995]}]},{"allowed_amount":416.83,"providers":[{"billed_charge":6524.32,"npi":[1902251614]}]},{"allowed_amount":2476.84,"providers":[{"billed_charge":42340.80,"npi":[1841451259]}]},{"allowed_amount":776.19,"providers":[{"billed_charge":9918.72,"npi":[1992734156]}]},{"allowed_amount":439.05,"providers":[{"billed_charge":4896.64,"npi":[1700808243]},{"billed_charge":7796.08,"npi":[1902427073]}]},{"allowed_amount":1588.04,"providers":[{"billed_charge":23822.00,"npi":[1710608088]}]},{"allowed_amount":1846.04,"providers":[{"billed_charge":29654.88,"npi":[1417488297]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":360.32,"providers":[{"billed_charge":4618.00,"npi":[1770813610]}]},{"allowed_amount":67.29,"providers":[{"billed_charge":1136.00,"npi":[1154680973]}]},{"allowed_amount":3152.08,"providers":[{"billed_charge":40706.00,"npi":[1518903640]}]},{"allowed_amount":517.78,"providers":[{"billed_charge":5826.00,"npi":[1720279748]}]},{"allowed_amount":225.08,"providers":[{"billed_charge":3054.00,"npi":[1225464860,1619089158]}]},{"allowed_amount":1429.21,"providers":[{"billed_charge":19814.00,"npi":[1437310562]}]},{"allowed_amount":236.19,"providers":[{"billed_charge":3408.00,"npi":[1568849412]}]},{"allowed_amount":439.05,"providers":[{"billed_charge":4691.00,"npi":[1932393428]},{"billed_charge":5399.00,"npi":[1912268582]}]},{"allowed_amount":146.35,"providers":[{"billed_charge":2272.00,"npi":[1588197131,1568710770]},{"billed_charge":1564.00,"npi":[1831418292]},{"billed_charge":1918.00,"npi":[1275973927]}]},{"allowed_amount":157.46,"providers":[{"billed_charge":1563.00,"npi":[1558704098]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6691.23,"providers":[{"billed_charge":184001.00,"npi":[1083822100]}]},{"allowed_amount":6004.95,"providers":[{"billed_charge":156120.00,"npi":[1043455348]}]},{"allowed_amount":5181.33,"providers":[{"billed_charge":139784.00,"npi":[1578129847]}]},{"allowed_amount":3229.92,"providers":[{"billed_charge":77683.00,"npi":[1588646145]}]},{"allowed_amount":3297.21,"providers":[{"billed_charge":84087.00,"npi":[1770565673]}]},{"allowed_amount":3902.82,"providers":[{"billed_charge":99207.00,"npi":[1447232194]}]},{"allowed_amount":7034.37,"providers":[{"billed_charge":207863.00,"npi":[1922200807]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":855.88,"providers":[{"billed_charge":3614.67,"npi":[1821417155]}]},{"allowed_amount":281.59,"providers":[{"billed_charge":1046.55,"npi":[1114337540]}]},{"allowed_amount":236.19,"providers":[{"billed_charge":822.87,"npi":[1114376167]}]},{"allowed_amount":439.05,"providers":[{"billed_charge":1797.57,"npi":[1639306574]}]}]},{"tin":{"type":"ein","value":"852886717"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":213.97,"providers":[{"billed_charge":8965.20,"npi":[1730147703]}]},{"allowed_amount":292.70,"providers":[{"billed_charge":14644.80,"npi":[1780927863]}]}]},{"tin":{"type":"ein","value":"272955668"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":71.48,"providers":[{"billed_charge":2450.00,"npi":[1093732620]}]}]},{"tin":{"type":"ein","value":"993064915"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":78.25,"providers":[{"billed_charge":1631.00,"npi":[1477871770]}]},{"allowed_amount":1739.77,"providers":[{"billed_charge":18954.00,"npi":[1578320339]}]},{"allowed_amount":503.94,"providers":[{"billed_charge":7448.00,"npi":[1134604457]}]},{"allowed_amount":1416.32,"providers":[{"billed_charge":19070.00,"npi":[1437499522]}]},{"allowed_amount":60.76,"providers":[{"billed_charge":611.00,"npi":[1477944718]}]},{"allowed_amount":665.76,"providers":[{"billed_charge":5908.00,"npi":[1902488943]}]},{"allowed_amount":416.10,"providers":[{"billed_charge":3055.00,"npi":[1467193003]}]}]},{"tin":{"type":"ein","value":"873769568"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":393.65,"providers":[{"billed_charge":19428.00,"npi":[1801095880]}]},{"allowed_amount":1736.82,"providers":[{"billed_charge":85483.20,"npi":[1629143029]}]}]},{"tin":{"type":"ein","value":"474649080"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3444.78,"providers":[{"billed_charge":67390.47,"npi":[1255658027]}]},{"allowed_amount":3984.78,"providers":[{"billed_charge":77607.18,"npi":[1720067432]}]},{"allowed_amount":3296.51,"providers":[{"billed_charge":64905.19,"npi":[1790866242]}]},{"allowed_amount":2196.35,"providers":[{"billed_charge":44626.40,"npi":[1013996883]}]},{"allowed_amount":1620.96,"providers":[{"billed_charge":31738.14,"npi":[1184914491]}]},{"allowed_amount":78.73,"providers":[{"billed_charge":1413.09,"npi":[1376546424]}]},{"allowed_amount":4523.82,"providers":[{"billed_charge":90327.79,"npi":[1326400714]}]},{"allowed_amount":2093.34,"providers":[{"billed_charge":41008.45,"npi":[1275066854]}]},{"allowed_amount":2611.12,"providers":[{"billed_charge":50900.08,"npi":[1992952089]}]},{"allowed_amount":7033.99,"providers":[{"billed_charge":135147.88,"npi":[1578852877]}]},{"allowed_amount":4558.11,"providers":[{"billed_charge":88148.97,"npi":[1588849475]}]},{"allowed_amount":4997.16,"providers":[{"billed_charge":97560.89,"npi":[1417167982]}]},{"allowed_amount":5368.59,"providers":[{"billed_charge":103226.27,"npi":[1114069895]}]},{"allowed_amount":4883.18,"providers":[{"billed_charge":90988.17,"npi":[1326280058]}]},{"allowed_amount":8890.18,"providers":[{"billed_charge":169062.04,"npi":[1235118951]}]},{"allowed_amount":7720.34,"providers":[{"billed_charge":151032.77,"npi":[1669460192]}]},{"allowed_amount":2625.08,"providers":[{"billed_charge":52808.70,"npi":[1679746473]}]},{"allowed_amount":3927.31,"providers":[{"billed_charge":72447.55,"npi":[1588825301]}]}]},{"tin":{"type":"ein","value":"815248556"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":67.62,"providers":[{"billed_charge":1153.00,"npi":[1154318095]}]}]},{"tin":{"type":"ein","value":"920970333"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":382.54,"providers":[{"billed_charge":5220.00,"npi":[1316992779]}]},{"allowed_amount":1091.11,"providers":[{"billed_charge":15597.00,"npi":[1861439069]}]},{"allowed_amount":1789.53,"providers":[{"billed_charge":25492.00,"npi":[1619945060]}]}]},{"tin":{"type":"ein","value":"752562784"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":746.43,"providers":[{"billed_charge":1728.00,"npi":[1467018887]}]}]}]},{"name":"EMERGENCY DEPT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KE","allowed_amounts":[{"tin":{"type":"ein","value":"752737522"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2153.15,"providers":[{"billed_charge":5590.00,"npi":[1366880015,1477916443]}]},{"allowed_amount":1711.08,"providers":[{"billed_charge":4406.00,"npi":[1326677147]}]},{"allowed_amount":1723.73,"providers":[{"billed_charge":4340.00,"npi":[1770741563]},{"billed_charge":4472.00,"npi":[1528594942,1063072304]}]},{"allowed_amount":12477.38,"providers":[{"billed_charge":32422.00,"npi":[1801242151]}]},{"allowed_amount":1294.31,"providers":[{"billed_charge":3354.00,"npi":[1881823672]}]},{"allowed_amount":2588.62,"providers":[{"billed_charge":6708.00,"npi":[1649512419,1376733618]}]},{"allowed_amount":5582.46,"providers":[{"billed_charge":14534.00,"npi":[1467494344]}]},{"allowed_amount":22402.44,"providers":[{"billed_charge":58136.00,"npi":[1407803125]}]},{"allowed_amount":3888.98,"providers":[{"billed_charge":10062.00,"npi":[1396062097]}]},{"allowed_amount":845.64,"providers":[{"billed_charge":2236.00,"npi":[1235369398]}]},{"allowed_amount":6036.08,"providers":[{"billed_charge":15652.00,"npi":[1861513830]}]},{"allowed_amount":7753.76,"providers":[{"billed_charge":20124.00,"npi":[1659662674]}]},{"allowed_amount":9042.02,"providers":[{"billed_charge":23478.00,"npi":[1578069605]}]},{"allowed_amount":1717.68,"providers":[{"billed_charge":4472.00,"npi":[1720344161,1801072145,1871099978,1255919189,1215970132]}]},{"allowed_amount":4716.47,"providers":[{"billed_charge":12232.00,"npi":[1104270016]}]},{"allowed_amount":8176.58,"providers":[{"billed_charge":21242.00,"npi":[1316923030]}]},{"allowed_amount":2146.55,"providers":[{"billed_charge":5557.00,"npi":[1245489715]}]},{"allowed_amount":2582.57,"providers":[{"billed_charge":6708.00,"npi":[1881058733,1043391022]}]},{"allowed_amount":4324.45,"providers":[{"billed_charge":11180.00,"npi":[1346614039]}]},{"allowed_amount":9465.39,"providers":[{"billed_charge":24596.00,"npi":[1740332287]}]},{"allowed_amount":5606.66,"providers":[{"billed_charge":14534.00,"npi":[1457797029,1588618904]}]},{"allowed_amount":8903.02,"providers":[{"billed_charge":23478.00,"npi":[1114030848]}]},{"allowed_amount":8630.75,"providers":[{"billed_charge":22360.00,"npi":[1518311380]}]},{"allowed_amount":4747.82,"providers":[{"billed_charge":12298.00,"npi":[1326367657]}]},{"allowed_amount":3453.51,"providers":[{"billed_charge":8944.00,"npi":[1114119880]}]},{"allowed_amount":5159.09,"providers":[{"billed_charge":13350.00,"npi":[1093248205]},{"billed_charge":13416.00,"npi":[1235525312]}]},{"allowed_amount":3441.41,"providers":[{"billed_charge":8944.00,"npi":[1588007991,1508027020,1417149592]}]},{"allowed_amount":7640.51,"providers":[{"billed_charge":20124.00,"npi":[1275648271]}]},{"allowed_amount":5171.19,"providers":[{"billed_charge":13416.00,"npi":[1831533827]}]},{"allowed_amount":429.42,"providers":[{"billed_charge":1085.00,"npi":[1376748947]},{"billed_charge":1118.00,"npi":[1144753757,1568639508,1609819119,1154369601]}]},{"allowed_amount":3434.71,"providers":[{"billed_charge":8911.00,"npi":[1164622007]}]},{"allowed_amount":2133.25,"providers":[{"billed_charge":5590.00,"npi":[1265488233]}]},{"allowed_amount":5937.33,"providers":[{"billed_charge":15652.00,"npi":[1255702692]}]},{"allowed_amount":2165.25,"providers":[{"billed_charge":5590.00,"npi":[1881129419]}]},{"allowed_amount":2147.10,"providers":[{"billed_charge":5590.00,"npi":[1477969905]}]},{"allowed_amount":2139.85,"providers":[{"billed_charge":5557.00,"npi":[1396165502]}]},{"allowed_amount":2126.00,"providers":[{"billed_charge":5590.00,"npi":[1386853539]}]},{"allowed_amount":8171.08,"providers":[{"billed_charge":21242.00,"npi":[1922462928]}]},{"allowed_amount":4729.67,"providers":[{"billed_charge":12298.00,"npi":[1467714741]}]},{"allowed_amount":2568.72,"providers":[{"billed_charge":6708.00,"npi":[1568789147]}]},{"allowed_amount":7735.61,"providers":[{"billed_charge":20124.00,"npi":[1023415932]}]},{"allowed_amount":5588.51,"providers":[{"billed_charge":14534.00,"npi":[1982805321]}]},{"allowed_amount":3870.83,"providers":[{"billed_charge":10062.00,"npi":[1538692520]}]},{"allowed_amount":1288.26,"providers":[{"billed_charge":3255.00,"npi":[1629063409]},{"billed_charge":3354.00,"npi":[1821435744,1487910154,1043891583,1760062434,1568882108]}]},{"allowed_amount":9894.81,"providers":[{"billed_charge":25714.00,"npi":[1689873234]}]},{"allowed_amount":4306.30,"providers":[{"billed_charge":11180.00,"npi":[1275912537,1497042048]}]},{"allowed_amount":19348.10,"providers":[{"billed_charge":50310.00,"npi":[1902067622]}]},{"allowed_amount":17219.15,"providers":[{"billed_charge":44720.00,"npi":[1932142445]}]},{"allowed_amount":5153.04,"providers":[{"billed_charge":13416.00,"npi":[1700079985]}]},{"allowed_amount":2998.69,"providers":[{"billed_charge":7760.00,"npi":[1578042735]}]},{"allowed_amount":7193.89,"providers":[{"billed_charge":19006.00,"npi":[1922084144]}]},{"allowed_amount":16108.81,"providers":[{"billed_charge":42484.00,"npi":[1538189980]}]},{"allowed_amount":858.84,"providers":[{"billed_charge":2170.00,"npi":[1245693175]}]},{"allowed_amount":10759.70,"providers":[{"billed_charge":27950.00,"npi":[1093908998]}]}]},{"tin":{"type":"ein","value":"320326595"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1033.29,"providers":[{"billed_charge":3210.57,"npi":[1164409355]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":446.98,"providers":[{"billed_charge":956.16,"npi":[1780106922]}]},{"allowed_amount":110.88,"providers":[{"billed_charge":239.04,"npi":[1538671912]}]},{"allowed_amount":430.64,"providers":[{"billed_charge":956.16,"npi":[1568023810]}]}]},{"tin":{"type":"ein","value":"931525992"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":456.72,"providers":[{"billed_charge":5974.56,"npi":[1871110627]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":103.86,"providers":[{"billed_charge":285.00,"npi":[1831474972,1275813362]}]},{"allowed_amount":1210.66,"providers":[{"billed_charge":3135.00,"npi":[1336516459]}]},{"allowed_amount":120.91,"providers":[{"billed_charge":285.00,"npi":[1114014883]}]},{"allowed_amount":1240.13,"providers":[{"billed_charge":3015.00,"npi":[1760069090]}]},{"allowed_amount":1382.72,"providers":[{"billed_charge":3420.00,"npi":[1639577919]}]},{"allowed_amount":386.63,"providers":[{"billed_charge":1005.00,"npi":[1205127305]}]},{"allowed_amount":99.11,"providers":[{"billed_charge":285.00,"npi":[1619106994]}]},{"allowed_amount":483.64,"providers":[{"billed_charge":1140.00,"npi":[1841676145]}]},{"allowed_amount":2928.90,"providers":[{"billed_charge":7370.00,"npi":[1427409424]}]},{"allowed_amount":548.94,"providers":[{"billed_charge":1340.00,"npi":[1669058368]}]},{"allowed_amount":891.99,"providers":[{"billed_charge":2565.00,"npi":[1467923771]}]},{"allowed_amount":1261.81,"providers":[{"billed_charge":3135.00,"npi":[1801575352]}]},{"allowed_amount":3688.87,"providers":[{"billed_charge":10545.00,"npi":[1588118194]}]},{"allowed_amount":569.00,"providers":[{"billed_charge":1340.00,"npi":[1740628825]}]},{"allowed_amount":975.69,"providers":[{"billed_charge":2345.00,"npi":[1720282452]}]},{"allowed_amount":413.34,"providers":[{"billed_charge":1005.00,"npi":[1184252033]}]}]},{"tin":{"type":"ein","value":"841832545"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":921.37,"providers":[{"billed_charge":14847.00,"npi":[1740474337]}]},{"allowed_amount":1479.38,"providers":[{"billed_charge":25452.00,"npi":[1942688841,1467632372]}]},{"allowed_amount":499.44,"providers":[{"billed_charge":8484.00,"npi":[1598911281]}]},{"allowed_amount":366.57,"providers":[{"billed_charge":6363.00,"npi":[1144487109]}]},{"allowed_amount":1651.59,"providers":[{"billed_charge":27573.00,"npi":[1093334401]}]},{"allowed_amount":114.18,"providers":[{"billed_charge":2121.00,"npi":[1528563848]}]},{"allowed_amount":1536.20,"providers":[{"billed_charge":25452.00,"npi":[1043847569,1851746630]}]},{"allowed_amount":1220.07,"providers":[{"billed_charge":19089.00,"npi":[1962990408]}]},{"allowed_amount":384.05,"providers":[{"billed_charge":6363.00,"npi":[1295077832]}]},{"allowed_amount":767.06,"providers":[{"billed_charge":14847.00,"npi":[1962995431,1902014772]}]},{"allowed_amount":415.44,"providers":[{"billed_charge":8484.00,"npi":[1386457067]}]},{"allowed_amount":1444.39,"providers":[{"billed_charge":23331.00,"npi":[1417189184]}]},{"allowed_amount":3993.77,"providers":[{"billed_charge":65751.00,"npi":[1174545461]}]},{"allowed_amount":998.88,"providers":[{"billed_charge":16968.00,"npi":[1881074581]}]},{"allowed_amount":115.39,"providers":[{"billed_charge":2121.00,"npi":[1023303419]}]},{"allowed_amount":1670.53,"providers":[{"billed_charge":27573.00,"npi":[1922494905]}]},{"allowed_amount":1804.86,"providers":[{"billed_charge":29694.00,"npi":[1588855282]}]},{"allowed_amount":652.88,"providers":[{"billed_charge":12726.00,"npi":[1386050284]}]},{"allowed_amount":264.44,"providers":[{"billed_charge":4242.00,"npi":[1437129079]}]},{"allowed_amount":2111.40,"providers":[{"billed_charge":33936.00,"npi":[1073905097]}]},{"allowed_amount":569.00,"providers":[{"billed_charge":8484.00,"npi":[1164802252]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":365.11,"providers":[{"billed_charge":2829.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"263933920"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1190.03,"providers":[{"billed_charge":9297.00,"npi":[1740568708]}]},{"allowed_amount":480.50,"providers":[{"billed_charge":4132.00,"npi":[1396807491]}]},{"allowed_amount":1229.66,"providers":[{"billed_charge":10330.00,"npi":[1598023749]}]},{"allowed_amount":249.72,"providers":[{"billed_charge":2066.00,"npi":[1144684168,1649290370]}]},{"allowed_amount":1267.54,"providers":[{"billed_charge":10330.00,"npi":[1346533833]}]}]},{"tin":{"type":"ein","value":"452317041"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":232.94,"providers":[{"billed_charge":1844.00,"npi":[1922062355,1386887966,1457970766]}]},{"allowed_amount":4658.80,"providers":[{"billed_charge":36880.00,"npi":[1548840051]}]},{"allowed_amount":6871.73,"providers":[{"billed_charge":54398.00,"npi":[1568082501,1487073680]}]},{"allowed_amount":465.88,"providers":[{"billed_charge":3688.00,"npi":[1184074932]}]},{"allowed_amount":2329.40,"providers":[{"billed_charge":18440.00,"npi":[1609370394,1144457276]}]},{"allowed_amount":4077.03,"providers":[{"billed_charge":32270.00,"npi":[1477057123]}]},{"allowed_amount":4076.45,"providers":[{"billed_charge":32270.00,"npi":[1447510805,1801472253]}]},{"allowed_amount":4601.01,"providers":[{"billed_charge":35958.00,"npi":[1740869270]}]},{"allowed_amount":1164.70,"providers":[{"billed_charge":9220.00,"npi":[1790072445]}]}]},{"tin":{"type":"ein","value":"463902289"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":4743.37,"providers":[{"billed_charge":32235.00,"npi":[1639494412]}]},{"allowed_amount":671.13,"providers":[{"billed_charge":4605.00,"npi":[1649408691]}]},{"allowed_amount":651.07,"providers":[{"billed_charge":4605.00,"npi":[1649345273]}]},{"allowed_amount":2765.86,"providers":[{"billed_charge":20262.00,"npi":[1144326570]}]},{"allowed_amount":406.69,"providers":[{"billed_charge":2763.00,"npi":[1811221211,1801039078]}]},{"allowed_amount":895.45,"providers":[{"billed_charge":6447.00,"npi":[1285715581]}]},{"allowed_amount":1901.31,"providers":[{"billed_charge":13815.00,"npi":[1790783694]}]},{"allowed_amount":1444.39,"providers":[{"billed_charge":10131.00,"npi":[1841441334]}]},{"allowed_amount":637.47,"providers":[{"billed_charge":4605.00,"npi":[1619989415]}]},{"allowed_amount":1326.11,"providers":[{"billed_charge":10131.00,"npi":[1316964877]}]},{"allowed_amount":1193.21,"providers":[{"billed_charge":8289.00,"npi":[1205152220]}]},{"allowed_amount":1993.33,"providers":[{"billed_charge":13815.00,"npi":[1790075943]}]},{"allowed_amount":264.44,"providers":[{"billed_charge":1842.00,"npi":[1982998308]}]},{"allowed_amount":1342.26,"providers":[{"billed_charge":9210.00,"npi":[1982862496,1265499909]}]},{"allowed_amount":805.46,"providers":[{"billed_charge":5526.00,"npi":[1700107166]}]},{"allowed_amount":813.38,"providers":[{"billed_charge":5526.00,"npi":[1063447415]}]},{"allowed_amount":2016.70,"providers":[{"billed_charge":14736.00,"npi":[1235367368]}]},{"allowed_amount":2257.77,"providers":[{"billed_charge":15657.00,"npi":[1083907166]}]},{"allowed_amount":499.44,"providers":[{"billed_charge":3684.00,"npi":[1831400035]}]},{"allowed_amount":2412.16,"providers":[{"billed_charge":16578.00,"npi":[1326465246]}]},{"allowed_amount":284.50,"providers":[{"billed_charge":1842.00,"npi":[1700044211]}]},{"allowed_amount":122.19,"providers":[{"billed_charge":921.00,"npi":[1962723288,1548670326,1144488685]}]},{"allowed_amount":1484.51,"providers":[{"billed_charge":10131.00,"npi":[1326149931]}]},{"allowed_amount":142.25,"providers":[{"billed_charge":921.00,"npi":[1487888939,1699705129,1255317525]}]},{"allowed_amount":2993.30,"providers":[{"billed_charge":20262.00,"npi":[1629381538]}]},{"allowed_amount":1586.64,"providers":[{"billed_charge":11052.00,"npi":[1952798126]}]},{"allowed_amount":5786.82,"providers":[{"billed_charge":35919.00,"npi":[1548222193]}]},{"allowed_amount":371.91,"providers":[{"billed_charge":2763.00,"npi":[1508880071]}]},{"allowed_amount":786.52,"providers":[{"billed_charge":5526.00,"npi":[1225086606]}]}]},{"tin":{"type":"ein","value":"201909363"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":803.67,"providers":[{"billed_charge":7854.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"204362558"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":902.43,"providers":[{"billed_charge":11501.00,"npi":[1265844401]}]}]},{"tin":{"type":"ein","value":"752684562"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1990.44,"providers":[{"billed_charge":7182.00,"npi":[1245219757]}]},{"allowed_amount":9619.19,"providers":[{"billed_charge":28728.00,"npi":[1245617075]}]},{"allowed_amount":1369.44,"providers":[{"billed_charge":4455.00,"npi":[1184920787]}]},{"allowed_amount":8932.45,"providers":[{"billed_charge":26676.00,"npi":[1700327962]}]},{"allowed_amount":4453.61,"providers":[{"billed_charge":30780.00,"npi":[1245559210]}]},{"allowed_amount":10649.30,"providers":[{"billed_charge":31806.00,"npi":[1518386887]}]},{"allowed_amount":9498.24,"providers":[{"billed_charge":28728.00,"npi":[1841605482]}]},{"allowed_amount":5090.26,"providers":[{"billed_charge":15390.00,"npi":[1023436821]}]},{"allowed_amount":9276.24,"providers":[{"billed_charge":27702.00,"npi":[1285211227]}]},{"allowed_amount":23363.44,"providers":[{"billed_charge":69768.00,"npi":[1386175826]}]},{"allowed_amount":5496.44,"providers":[{"billed_charge":16416.00,"npi":[1255869939]}]},{"allowed_amount":1030.74,"providers":[{"billed_charge":3078.00,"npi":[1013545458,1346443132]}]},{"allowed_amount":8589.50,"providers":[{"billed_charge":25650.00,"npi":[1679559454]}]},{"allowed_amount":24737.76,"providers":[{"billed_charge":73872.00,"npi":[1699093534]}]},{"allowed_amount":18314.20,"providers":[{"billed_charge":55404.00,"npi":[1164785440]}]},{"allowed_amount":2404.64,"providers":[{"billed_charge":7182.00,"npi":[1790355527]}]},{"allowed_amount":4122.96,"providers":[{"billed_charge":12312.00,"npi":[1043538481,1912261124]}]},{"allowed_amount":8500.22,"providers":[{"billed_charge":26676.00,"npi":[1932185402]}]},{"allowed_amount":6106.36,"providers":[{"billed_charge":18468.00,"npi":[1669885679]}]},{"allowed_amount":9827.18,"providers":[{"billed_charge":29754.00,"npi":[1457581589]}]},{"allowed_amount":5757.90,"providers":[{"billed_charge":17442.00,"npi":[1609401843]}]},{"allowed_amount":1016.10,"providers":[{"billed_charge":3078.00,"npi":[1427462704]}]},{"allowed_amount":6861.84,"providers":[{"billed_charge":20520.00,"npi":[1780996488]}]},{"allowed_amount":9275.82,"providers":[{"billed_charge":27702.00,"npi":[1124302179]}]},{"allowed_amount":13399.62,"providers":[{"billed_charge":40014.00,"npi":[1003027947]}]},{"allowed_amount":4403.10,"providers":[{"billed_charge":13338.00,"npi":[1063455905]}]},{"allowed_amount":8477.26,"providers":[{"billed_charge":25650.00,"npi":[1790030906]}]},{"allowed_amount":10499.70,"providers":[{"billed_charge":31806.00,"npi":[1235484437]}]},{"allowed_amount":6871.60,"providers":[{"billed_charge":20520.00,"npi":[1609452135]}]},{"allowed_amount":9963.82,"providers":[{"billed_charge":29754.00,"npi":[1427445873]}]},{"allowed_amount":16835.00,"providers":[{"billed_charge":50274.00,"npi":[1598143828]}]},{"allowed_amount":9566.56,"providers":[{"billed_charge":28728.00,"npi":[1396163457]}]},{"allowed_amount":4390.99,"providers":[{"billed_charge":14364.00,"npi":[1780203133]}]},{"allowed_amount":15117.10,"providers":[{"billed_charge":45144.00,"npi":[1811242498]}]},{"allowed_amount":5153.70,"providers":[{"billed_charge":15390.00,"npi":[1740269257,1982091864,1740507649]}]},{"allowed_amount":9963.19,"providers":[{"billed_charge":29754.00,"npi":[1144759598]}]},{"allowed_amount":4298.11,"providers":[{"billed_charge":13338.00,"npi":[1114503778]}]},{"allowed_amount":5840.44,"providers":[{"billed_charge":17442.00,"npi":[1730500547]}]},{"allowed_amount":2748.43,"providers":[{"billed_charge":8208.00,"npi":[1780970954]}]},{"allowed_amount":677.40,"providers":[{"billed_charge":2052.00,"npi":[1891845681]}]},{"allowed_amount":12712.04,"providers":[{"billed_charge":37962.00,"npi":[1437735883]}]},{"allowed_amount":11177.10,"providers":[{"billed_charge":33858.00,"npi":[1699876458]}]},{"allowed_amount":6788.64,"providers":[{"billed_charge":20520.00,"npi":[1477139079]}]},{"allowed_amount":13930.62,"providers":[{"billed_charge":42066.00,"npi":[1568022374]}]},{"allowed_amount":17179.00,"providers":[{"billed_charge":51300.00,"npi":[1033565890]}]},{"allowed_amount":15799.80,"providers":[{"billed_charge":47196.00,"npi":[1427345073]}]},{"allowed_amount":4271.91,"providers":[{"billed_charge":18468.00,"npi":[1144809112]}]},{"allowed_amount":7902.34,"providers":[{"billed_charge":23598.00,"npi":[1538796677]}]},{"allowed_amount":16723.18,"providers":[{"billed_charge":50274.00,"npi":[1326525502]}]},{"allowed_amount":11854.50,"providers":[{"billed_charge":35910.00,"npi":[1275519902]}]},{"allowed_amount":19927.22,"providers":[{"billed_charge":59508.00,"npi":[1639631690]}]},{"allowed_amount":13398.78,"providers":[{"billed_charge":40014.00,"npi":[1467682526]}]},{"allowed_amount":13007.24,"providers":[{"billed_charge":38988.00,"npi":[1396123477]}]},{"allowed_amount":11681.72,"providers":[{"billed_charge":34884.00,"npi":[1427510999,1699033043]}]},{"allowed_amount":18553.32,"providers":[{"billed_charge":55404.00,"npi":[1194091462]}]},{"allowed_amount":22332.70,"providers":[{"billed_charge":66690.00,"npi":[1124657861]}]},{"allowed_amount":19927.64,"providers":[{"billed_charge":59508.00,"npi":[1811526510]}]},{"allowed_amount":14086.78,"providers":[{"billed_charge":42066.00,"npi":[1003293036]}]},{"allowed_amount":4809.70,"providers":[{"billed_charge":14364.00,"npi":[1992097406]}]},{"allowed_amount":5497.28,"providers":[{"billed_charge":16416.00,"npi":[1821074006]}]},{"allowed_amount":6866.72,"providers":[{"billed_charge":20520.00,"npi":[1699193771]}]},{"allowed_amount":3435.80,"providers":[{"billed_charge":10260.00,"npi":[1255917811]}]},{"allowed_amount":3092.22,"providers":[{"billed_charge":9234.00,"npi":[1740266642]}]},{"allowed_amount":9618.98,"providers":[{"billed_charge":28728.00,"npi":[1972124022]}]},{"allowed_amount":41573.18,"providers":[{"billed_charge":124146.00,"npi":[1750692000]}]},{"allowed_amount":4790.60,"providers":[{"billed_charge":14364.00,"npi":[1669886883]}]},{"allowed_amount":6435.30,"providers":[{"billed_charge":19494.00,"npi":[1497731566]}]}]},{"tin":{"type":"ein","value":"852464463"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1142.88,"providers":[{"billed_charge":17337.60,"npi":[1235459769]}]},{"allowed_amount":561.08,"providers":[{"billed_charge":8668.80,"npi":[1851321582]}]},{"allowed_amount":1951.90,"providers":[{"billed_charge":30340.80,"npi":[1922595727]}]},{"allowed_amount":2276.00,"providers":[{"billed_charge":34675.20,"npi":[1992764419]}]},{"allowed_amount":1150.80,"providers":[{"billed_charge":17337.60,"npi":[1922208776]}]},{"allowed_amount":3010.31,"providers":[{"billed_charge":45511.20,"npi":[1144473570]}]},{"allowed_amount":402.99,"providers":[{"billed_charge":6501.60,"npi":[1700171014]}]}]},{"tin":{"type":"ein","value":"823656564"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":134.33,"providers":[{"billed_charge":2392.00,"npi":[1033611512]}]},{"allowed_amount":1114.27,"providers":[{"billed_charge":21528.00,"npi":[1801060553]}]},{"allowed_amount":518.38,"providers":[{"billed_charge":9568.00,"npi":[1639583321]}]},{"allowed_amount":249.72,"providers":[{"billed_charge":4784.00,"npi":[1831619709,1720039811]}]}]},{"tin":{"type":"ein","value":"842988873"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1574.08,"providers":[{"billed_charge":24036.00,"npi":[1932789732]}]},{"allowed_amount":787.04,"providers":[{"billed_charge":12018.00,"npi":[1063438174]}]}]},{"tin":{"type":"ein","value":"921774385"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":537.32,"providers":[{"billed_charge":4016.00,"npi":[1194162180]}]}]},{"tin":{"type":"ein","value":"810872075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1377.76,"providers":[{"billed_charge":7968.00,"npi":[1174533855]}]},{"allowed_amount":3142.80,"providers":[{"billed_charge":17928.00,"npi":[1760922025]}]},{"allowed_amount":1017.82,"providers":[{"billed_charge":7968.00,"npi":[1821211988]}]},{"allowed_amount":174.71,"providers":[{"billed_charge":996.00,"npi":[1710326681]}]},{"allowed_amount":344.44,"providers":[{"billed_charge":1992.00,"npi":[1457518839]}]},{"allowed_amount":593.52,"providers":[{"billed_charge":3984.00,"npi":[1811152416]}]},{"allowed_amount":349.42,"providers":[{"billed_charge":1992.00,"npi":[1407266646]}]},{"allowed_amount":768.10,"providers":[{"billed_charge":5976.00,"npi":[1942202858]}]},{"allowed_amount":2445.83,"providers":[{"billed_charge":13944.00,"npi":[1245736917]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":16089.73,"providers":[{"billed_charge":70391.11,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"932446901"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2238.90,"providers":[{"billed_charge":9858.00,"npi":[1043604358]}]}]},{"tin":{"type":"ein","value":"464198668"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":268.66,"providers":[{"billed_charge":4123.62,"npi":[1629418025]}]}]},{"tin":{"type":"ein","value":"831661941"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3817.28,"providers":[{"billed_charge":8775.00,"npi":[1477169027]}]},{"allowed_amount":2542.87,"providers":[{"billed_charge":5850.00,"npi":[1063817435]}]},{"allowed_amount":422.82,"providers":[{"billed_charge":975.00,"npi":[1720019623]}]},{"allowed_amount":2965.69,"providers":[{"billed_charge":6825.00,"npi":[1245503903]}]},{"allowed_amount":6782.97,"providers":[{"billed_charge":15600.00,"npi":[1770963571]}]},{"allowed_amount":845.64,"providers":[{"billed_charge":1950.00,"npi":[1912480591]}]},{"allowed_amount":9736.76,"providers":[{"billed_charge":22425.00,"npi":[1083097786]}]},{"allowed_amount":2114.10,"providers":[{"billed_charge":4875.00,"npi":[1386058733]}]},{"allowed_amount":1274.41,"providers":[{"billed_charge":2925.00,"npi":[1659338887]}]}]},{"tin":{"type":"ein","value":"742801425"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":757.76,"providers":[{"billed_charge":3881.80,"npi":[1972943231]}]}]},{"tin":{"type":"ein","value":"752159087"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":115.39,"providers":[{"billed_charge":1091.00,"npi":[1821046855]}]}]},{"tin":{"type":"ein","value":"920750962"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":548.94,"providers":[{"billed_charge":2999.12,"npi":[1003856972]}]}]},{"tin":{"type":"ein","value":"271112877"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":384.05,"providers":[{"billed_charge":3423.00,"npi":[1841795283]}]},{"allowed_amount":134.33,"providers":[{"billed_charge":1141.00,"npi":[1710516471]}]},{"allowed_amount":1248.60,"providers":[{"billed_charge":11410.00,"npi":[1700167897]}]}]},{"tin":{"type":"ein","value":"742501542"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":345.68,"providers":[{"billed_charge":2911.35,"npi":[1598325649]}]},{"allowed_amount":483.09,"providers":[{"billed_charge":2911.35,"npi":[1811026214,1366961724,1891156550]}]},{"allowed_amount":378.88,"providers":[{"billed_charge":1940.90,"npi":[1154694529]}]},{"allowed_amount":3381.63,"providers":[{"billed_charge":20379.45,"npi":[1972735223]}]},{"allowed_amount":5493.76,"providers":[{"billed_charge":28157.60,"npi":[1851582464]}]},{"allowed_amount":161.03,"providers":[{"billed_charge":970.45,"npi":[1437637386]}]},{"allowed_amount":966.18,"providers":[{"billed_charge":5822.70,"npi":[1770897191]}]}]},{"tin":{"type":"ein","value":"332012020"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1191.58,"providers":[{"billed_charge":10406.88,"npi":[1073247946]}]},{"allowed_amount":787.04,"providers":[{"billed_charge":5676.48,"npi":[1124047410]}]},{"allowed_amount":326.44,"providers":[{"billed_charge":2838.24,"npi":[1053670349,1710534607]}]},{"allowed_amount":134.33,"providers":[{"billed_charge":946.08,"npi":[1386823995]}]},{"allowed_amount":1746.38,"providers":[{"billed_charge":15137.28,"npi":[1023055845]}]},{"allowed_amount":310.34,"providers":[{"billed_charge":2838.24,"npi":[1881984029]}]},{"allowed_amount":1403.84,"providers":[{"billed_charge":12299.04,"npi":[1861204885]}]},{"allowed_amount":268.66,"providers":[{"billed_charge":1892.16,"npi":[1215324140]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":426.75,"providers":[{"billed_charge":2346.00,"npi":[1457448151]}]},{"allowed_amount":671.13,"providers":[{"billed_charge":3910.00,"npi":[1538486451,1568882355,1174058366,1154578052]}]},{"allowed_amount":1152.15,"providers":[{"billed_charge":7038.00,"npi":[1831418292]}]},{"allowed_amount":794.89,"providers":[{"billed_charge":4692.00,"npi":[1740501634]}]},{"allowed_amount":1213.93,"providers":[{"billed_charge":7038.00,"npi":[1750669925]}]},{"allowed_amount":230.20,"providers":[{"billed_charge":1564.00,"npi":[1154680973]}]},{"allowed_amount":1831.02,"providers":[{"billed_charge":10948.00,"npi":[1467682617]}]},{"allowed_amount":406.69,"providers":[{"billed_charge":2346.00,"npi":[1508420282]}]},{"allowed_amount":798.66,"providers":[{"billed_charge":4692.00,"npi":[1942645932]}]},{"allowed_amount":384.05,"providers":[{"billed_charge":2346.00,"npi":[1518100064]}]},{"allowed_amount":631.01,"providers":[{"billed_charge":3910.00,"npi":[1083000111]}]},{"allowed_amount":875.39,"providers":[{"billed_charge":5474.00,"npi":[1962797795]}]},{"allowed_amount":1018.50,"providers":[{"billed_charge":6256.00,"npi":[1336568203]}]},{"allowed_amount":1037.70,"providers":[{"billed_charge":6256.00,"npi":[1346419488,1992125728]}]},{"allowed_amount":691.19,"providers":[{"billed_charge":3910.00,"npi":[1730574625]}]},{"allowed_amount":471.57,"providers":[{"billed_charge":3128.00,"npi":[1740624204]}]},{"allowed_amount":528.88,"providers":[{"billed_charge":3128.00,"npi":[1194080507,1881919793]}]},{"allowed_amount":1606.70,"providers":[{"billed_charge":9384.00,"npi":[1760879829]}]},{"allowed_amount":678.38,"providers":[{"billed_charge":3910.00,"npi":[1548495286]}]},{"allowed_amount":264.44,"providers":[{"billed_charge":1564.00,"npi":[1770872921,1407155252]}]},{"allowed_amount":1342.26,"providers":[{"billed_charge":7820.00,"npi":[1710328232]}]},{"allowed_amount":975.69,"providers":[{"billed_charge":5474.00,"npi":[1902052038]}]},{"allowed_amount":1159.89,"providers":[{"billed_charge":7038.00,"npi":[1891149951,1538489851]}]},{"allowed_amount":813.38,"providers":[{"billed_charge":4692.00,"npi":[1245593573]}]},{"allowed_amount":1945.28,"providers":[{"billed_charge":12512.00,"npi":[1255542197]}]},{"allowed_amount":4028.61,"providers":[{"billed_charge":24242.00,"npi":[1821330044]}]},{"allowed_amount":833.44,"providers":[{"billed_charge":4692.00,"npi":[1518193408]}]},{"allowed_amount":499.44,"providers":[{"billed_charge":3128.00,"npi":[1518903640,1588197131,1558704098]}]},{"allowed_amount":1770.94,"providers":[{"billed_charge":10166.00,"npi":[1932545183]}]},{"allowed_amount":2400.75,"providers":[{"billed_charge":14858.00,"npi":[1770813610]}]},{"allowed_amount":366.57,"providers":[{"billed_charge":2346.00,"npi":[1316443229]}]},{"allowed_amount":508.82,"providers":[{"billed_charge":3128.00,"npi":[1033567201]}]},{"allowed_amount":1097.88,"providers":[{"billed_charge":6256.00,"npi":[1255837381]}]},{"allowed_amount":2115.52,"providers":[{"billed_charge":12512.00,"npi":[1972520419]}]},{"allowed_amount":756.12,"providers":[{"billed_charge":4692.00,"npi":[1134502008]}]},{"allowed_amount":284.50,"providers":[{"billed_charge":1564.00,"npi":[1659717734,1932125879]}]},{"allowed_amount":122.19,"providers":[{"billed_charge":782.00,"npi":[1306138284,1467822213,1750768438]}]},{"allowed_amount":1200.01,"providers":[{"billed_charge":7038.00,"npi":[1881883080]}]},{"allowed_amount":142.25,"providers":[{"billed_charge":782.00,"npi":[1942415724]}]},{"allowed_amount":955.63,"providers":[{"billed_charge":5474.00,"npi":[1821482357]}]},{"allowed_amount":271.16,"providers":[{"billed_charge":1564.00,"npi":[1902224793]}]},{"allowed_amount":134.33,"providers":[{"billed_charge":782.00,"npi":[1437310562,1932393428]}]},{"allowed_amount":1566.58,"providers":[{"billed_charge":9384.00,"npi":[1326487323]}]},{"allowed_amount":1215.80,"providers":[{"billed_charge":7820.00,"npi":[1033345855]}]},{"allowed_amount":569.00,"providers":[{"billed_charge":3128.00,"npi":[1669828935,1912004797]}]},{"allowed_amount":935.57,"providers":[{"billed_charge":5474.00,"npi":[1164876298]}]}]},{"tin":{"type":"ein","value":"208747581"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2215.40,"providers":[{"billed_charge":24909.00,"npi":[1265060537]}]},{"allowed_amount":1282.60,"providers":[{"billed_charge":14421.00,"npi":[1639675655]}]}]},{"tin":{"type":"ein","value":"922417967"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1094.22,"providers":[{"billed_charge":2034.00,"npi":[1689000465]}]},{"allowed_amount":4012.14,"providers":[{"billed_charge":7458.00,"npi":[1760199467,1689089674]}]},{"allowed_amount":1438.65,"providers":[{"billed_charge":2712.00,"npi":[1225618457]}]},{"allowed_amount":14084.89,"providers":[{"billed_charge":27120.00,"npi":[1477319192]}]},{"allowed_amount":3087.88,"providers":[{"billed_charge":12204.00,"npi":[1053393983]}]},{"allowed_amount":26990.76,"providers":[{"billed_charge":50172.00,"npi":[1992557177]}]},{"allowed_amount":10942.20,"providers":[{"billed_charge":20340.00,"npi":[1497523302]}]},{"allowed_amount":3282.66,"providers":[{"billed_charge":6102.00,"npi":[1578022778]}]},{"allowed_amount":7033.92,"providers":[{"billed_charge":13560.00,"npi":[1679202188]}]},{"allowed_amount":8019.97,"providers":[{"billed_charge":16272.00,"npi":[1568027613]}]}]},{"tin":{"type":"ein","value":"932457529"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":749.16,"providers":[{"billed_charge":13800.00,"npi":[1942227574]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6148.17,"providers":[{"billed_charge":88515.00,"npi":[1043455348]}]},{"allowed_amount":688.86,"providers":[{"billed_charge":8430.00,"npi":[1588646145]}]},{"allowed_amount":2049.39,"providers":[{"billed_charge":29505.00,"npi":[1922200807]}]},{"allowed_amount":114.81,"providers":[{"billed_charge":1405.00,"npi":[1770565673]}]},{"allowed_amount":229.62,"providers":[{"billed_charge":2810.00,"npi":[1578129847]}]},{"allowed_amount":4098.78,"providers":[{"billed_charge":59010.00,"npi":[1083822100]}]},{"allowed_amount":1722.15,"providers":[{"billed_charge":21075.00,"npi":[1447232194]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3635.32,"providers":[{"billed_charge":33514.00,"npi":[1366070864]}]},{"allowed_amount":838.92,"providers":[{"billed_charge":7734.00,"npi":[1437612314,1811121080]}]},{"allowed_amount":475.36,"providers":[{"billed_charge":5156.00,"npi":[1275176984]}]},{"allowed_amount":978.74,"providers":[{"billed_charge":9023.00,"npi":[1770044588]}]},{"allowed_amount":118.84,"providers":[{"billed_charge":1289.00,"npi":[1245956499,1942610290]}]},{"allowed_amount":279.64,"providers":[{"billed_charge":2578.00,"npi":[1669935052,1992969711,1447457163]}]},{"allowed_amount":2796.40,"providers":[{"billed_charge":25780.00,"npi":[1679109615]}]},{"allowed_amount":1243.18,"providers":[{"billed_charge":11601.00,"npi":[1831115922]}]},{"allowed_amount":559.28,"providers":[{"billed_charge":5156.00,"npi":[1427410240,1083140594]}]},{"allowed_amount":1817.66,"providers":[{"billed_charge":16757.00,"npi":[1518223049]}]},{"allowed_amount":419.46,"providers":[{"billed_charge":3867.00,"npi":[1679503361,1851929004]}]}]},{"tin":{"type":"ein","value":"272955668"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":833.44,"providers":[{"billed_charge":23700.00,"npi":[1093732620]}]}]},{"tin":{"type":"ein","value":"993064915"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":725.46,"providers":[{"billed_charge":6738.00,"npi":[1477944718]}]},{"allowed_amount":1375.34,"providers":[{"billed_charge":13476.00,"npi":[1578320339]}]}]},{"tin":{"type":"ein","value":"461415202"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3441.41,"providers":[{"billed_charge":8944.00,"npi":[1144635905]}]},{"allowed_amount":4723.62,"providers":[{"billed_charge":12298.00,"npi":[1497198360]}]},{"allowed_amount":2153.15,"providers":[{"billed_charge":5590.00,"npi":[1962187187]}]},{"allowed_amount":1288.26,"providers":[{"billed_charge":3354.00,"npi":[1043859242]}]},{"allowed_amount":8189.23,"providers":[{"billed_charge":21242.00,"npi":[1588716393]}]}]},{"tin":{"type":"ein","value":"474649080"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2610.84,"providers":[{"billed_charge":28261.80,"npi":[1588849475]}]},{"allowed_amount":1401.87,"providers":[{"billed_charge":15543.99,"npi":[1114069895,1720067432]}]},{"allowed_amount":499.44,"providers":[{"billed_charge":5652.36,"npi":[1790866242]}]},{"allowed_amount":2207.85,"providers":[{"billed_charge":24022.53,"npi":[1588825301]}]},{"allowed_amount":8121.87,"providers":[{"billed_charge":89024.67,"npi":[1235118951]}]},{"allowed_amount":2035.64,"providers":[{"billed_charge":22609.44,"npi":[1326400714]}]},{"allowed_amount":3955.89,"providers":[{"billed_charge":43805.79,"npi":[1669460192]}]},{"allowed_amount":1305.42,"providers":[{"billed_charge":14130.90,"npi":[1326280058]}]},{"allowed_amount":787.04,"providers":[{"billed_charge":8478.54,"npi":[1275066854]}]},{"allowed_amount":1939.19,"providers":[{"billed_charge":21196.35,"npi":[1417167982]}]},{"allowed_amount":998.88,"providers":[{"billed_charge":11304.72,"npi":[1992952089]}]},{"allowed_amount":134.33,"providers":[{"billed_charge":1413.09,"npi":[1679746473]}]},{"allowed_amount":2860.56,"providers":[{"billed_charge":31087.98,"npi":[1578852877]}]},{"allowed_amount":768.10,"providers":[{"billed_charge":8478.54,"npi":[1255658027]}]}]},{"tin":{"type":"ein","value":"992248967"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":134.33,"providers":[{"billed_charge":2588.00,"npi":[1467637462]}]}]},{"tin":{"type":"ein","value":"883330119"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":426.75,"providers":[{"billed_charge":7453.24,"npi":[1306125521]}]}]},{"tin":{"type":"ein","value":"923905364"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":277.83,"providers":[{"billed_charge":4600.00,"npi":[1811248545]}]}]},{"tin":{"type":"ein","value":"752562784"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8474.25,"providers":[{"billed_charge":20420.00,"npi":[1013958487]}]},{"allowed_amount":2959.74,"providers":[{"billed_charge":6825.00,"npi":[1750635835]}]},{"allowed_amount":5931.38,"providers":[{"billed_charge":13650.00,"npi":[1881644938]}]},{"allowed_amount":6342.30,"providers":[{"billed_charge":14625.00,"npi":[1891443305]}]},{"allowed_amount":3823.23,"providers":[{"billed_charge":8775.00,"npi":[1053989210]}]},{"allowed_amount":5937.33,"providers":[{"billed_charge":13650.00,"npi":[1598135832]}]},{"allowed_amount":5502.61,"providers":[{"billed_charge":13273.00,"npi":[1598328858]}]},{"allowed_amount":13119.32,"providers":[{"billed_charge":30225.00,"npi":[1932197662]}]},{"allowed_amount":845.64,"providers":[{"billed_charge":1950.00,"npi":[1215138086]}]},{"allowed_amount":9313.94,"providers":[{"billed_charge":21450.00,"npi":[1669441671]}]},{"allowed_amount":1268.46,"providers":[{"billed_charge":3573.00,"npi":[1568728103]}]},{"allowed_amount":18222.91,"providers":[{"billed_charge":41925.00,"npi":[1568178903]}]},{"allowed_amount":7622.66,"providers":[{"billed_charge":17550.00,"npi":[1407813108]}]},{"allowed_amount":2548.82,"providers":[{"billed_charge":5850.00,"npi":[1710556725]}]},{"allowed_amount":8051.43,"providers":[{"billed_charge":18525.00,"npi":[1497736375]}]},{"allowed_amount":3811.33,"providers":[{"billed_charge":8775.00,"npi":[1750517926]}]},{"allowed_amount":422.82,"providers":[{"billed_charge":975.00,"npi":[1467653865,1699050963]}]},{"allowed_amount":5520.46,"providers":[{"billed_charge":13273.00,"npi":[1952404261]}]},{"allowed_amount":5925.43,"providers":[{"billed_charge":13650.00,"npi":[1871583880]}]},{"allowed_amount":14405.63,"providers":[{"billed_charge":33150.00,"npi":[1467018887]}]},{"allowed_amount":6777.02,"providers":[{"billed_charge":15600.00,"npi":[1205452828]}]},{"allowed_amount":2965.69,"providers":[{"billed_charge":6825.00,"npi":[1093755621,1083839393,1093522278,1619454394]}]},{"allowed_amount":1691.28,"providers":[{"billed_charge":3900.00,"npi":[1326068370]}]},{"allowed_amount":4240.10,"providers":[{"billed_charge":9750.00,"npi":[1538112024]}]},{"allowed_amount":7616.71,"providers":[{"billed_charge":17550.00,"npi":[1437719283,1821016189]},{"billed_charge":18378.00,"npi":[1235196502]}]},{"allowed_amount":851.59,"providers":[{"billed_charge":2382.00,"npi":[1013357920]},{"billed_charge":1950.00,"npi":[1104662956]}]},{"allowed_amount":2536.92,"providers":[{"billed_charge":5850.00,"npi":[1861434771,1972178333,1396480026,1811951676]}]},{"allowed_amount":2971.64,"providers":[{"billed_charge":6825.00,"npi":[1750657938]}]},{"allowed_amount":4662.92,"providers":[{"billed_charge":10725.00,"npi":[1538549175,1083909857]}]},{"allowed_amount":5085.74,"providers":[{"billed_charge":11700.00,"npi":[1285637843]},{"billed_charge":12252.00,"npi":[1679033476]}]},{"allowed_amount":4651.02,"providers":[{"billed_charge":10725.00,"npi":[1740475516]}]},{"allowed_amount":2120.05,"providers":[{"billed_charge":4875.00,"npi":[1942231550]}]},{"allowed_amount":15691.94,"providers":[{"billed_charge":36075.00,"npi":[1528683554]}]},{"allowed_amount":1697.23,"providers":[{"billed_charge":4084.00,"npi":[1477963452]},{"billed_charge":3900.00,"npi":[1346316411,1497100804]}]}]},{"tin":{"type":"ein","value":"823121065"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":402.99,"providers":[{"billed_charge":4929.00,"npi":[1700462678]}]}]},{"tin":{"type":"ein","value":"270316031"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":717.32,"providers":[{"billed_charge":3186.00,"npi":[1336527761]}]}]}]},{"name":"EMERGENCY DEPT VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES THESE 3 KE","allowed_amounts":[{"tin":{"type":"ein","value":"752737522"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":18164.98,"providers":[{"billed_charge":47096.00,"npi":[1164622007]}]},{"allowed_amount":8128.07,"providers":[{"billed_charge":21112.00,"npi":[1235525312]}]},{"allowed_amount":20663.22,"providers":[{"billed_charge":53592.00,"npi":[1528594942]}]},{"allowed_amount":4380.71,"providers":[{"billed_charge":11368.00,"npi":[1881058733,1346477767,1841600681]}]},{"allowed_amount":11892.55,"providers":[{"billed_charge":30856.00,"npi":[1932142445]}]},{"allowed_amount":9403.56,"providers":[{"billed_charge":24360.00,"npi":[1477916443]}]},{"allowed_amount":10010.54,"providers":[{"billed_charge":25984.00,"npi":[1275912537,1396062097]}]},{"allowed_amount":2461.24,"providers":[{"billed_charge":6496.00,"npi":[1750761193,1053617571,1831273432]}]},{"allowed_amount":3756.15,"providers":[{"billed_charge":9462.00,"npi":[1871538645]}]},{"allowed_amount":24393.00,"providers":[{"billed_charge":63336.00,"npi":[1922462928]}]},{"allowed_amount":2515.82,"providers":[{"billed_charge":6496.00,"npi":[1114119880,1891743860]}]},{"allowed_amount":6905.32,"providers":[{"billed_charge":17864.00,"npi":[1982805321]}]},{"allowed_amount":3746.90,"providers":[{"billed_charge":9744.00,"npi":[1760869952]}]},{"allowed_amount":23125.72,"providers":[{"billed_charge":60088.00,"npi":[1487910154]}]},{"allowed_amount":6179.11,"providers":[{"billed_charge":16240.00,"npi":[1811937493]}]},{"allowed_amount":2498.24,"providers":[{"billed_charge":6496.00,"npi":[1346614039,1740332287,1497042048,1609496306]}]},{"allowed_amount":13588.84,"providers":[{"billed_charge":35728.00,"npi":[1114030848]}]},{"allowed_amount":4389.50,"providers":[{"billed_charge":11368.00,"npi":[1518311380]},{"billed_charge":11086.00,"npi":[1376748947]}]},{"allowed_amount":11084.25,"providers":[{"billed_charge":29232.00,"npi":[1922084144]}]},{"allowed_amount":1230.62,"providers":[{"billed_charge":3248.00,"npi":[1952669756]}]},{"allowed_amount":624.56,"providers":[{"billed_charge":1624.00,"npi":[1457453912,1508031204,1922560382]}]},{"allowed_amount":5629.83,"providers":[{"billed_charge":14616.00,"npi":[1326367657,1962750646]},{"billed_charge":14428.00,"npi":[1326677147]}]},{"allowed_amount":13142.13,"providers":[{"billed_charge":34104.00,"npi":[1649512419]}]},{"allowed_amount":9385.98,"providers":[{"billed_charge":24360.00,"npi":[1588618904]}]},{"allowed_amount":3764.94,"providers":[{"billed_charge":9744.00,"npi":[1033159736]}]},{"allowed_amount":15444.60,"providers":[{"billed_charge":40600.00,"npi":[1386853539]}]},{"allowed_amount":16043.15,"providers":[{"billed_charge":42224.00,"npi":[1235369398]}]},{"allowed_amount":9992.96,"providers":[{"billed_charge":25984.00,"npi":[1043891583]}]},{"allowed_amount":11320.61,"providers":[{"billed_charge":29232.00,"npi":[1720549272]}]},{"allowed_amount":1248.66,"providers":[{"billed_charge":3248.00,"npi":[1700447323]}]},{"allowed_amount":8119.28,"providers":[{"billed_charge":21112.00,"npi":[1144616004]}]},{"allowed_amount":3076.55,"providers":[{"billed_charge":8120.00,"npi":[1255702692]}]},{"allowed_amount":5621.04,"providers":[{"billed_charge":14616.00,"npi":[1467494344,1871099978]}]},{"allowed_amount":14400.04,"providers":[{"billed_charge":37352.00,"npi":[1508027020]}]},{"allowed_amount":22554.48,"providers":[{"billed_charge":58464.00,"npi":[1538692520]}]},{"allowed_amount":3122.80,"providers":[{"billed_charge":8120.00,"npi":[1245764315]}]},{"allowed_amount":30066.78,"providers":[{"billed_charge":77952.00,"npi":[1407803125]}]},{"allowed_amount":27559.75,"providers":[{"billed_charge":71456.00,"npi":[1902067622]}]},{"allowed_amount":6254.39,"providers":[{"billed_charge":16240.00,"npi":[1245489715]}]},{"allowed_amount":7494.72,"providers":[{"billed_charge":19488.00,"npi":[1467714741]}]},{"allowed_amount":2507.03,"providers":[{"billed_charge":6449.00,"npi":[1962842732]}]},{"allowed_amount":12526.36,"providers":[{"billed_charge":32480.00,"npi":[1376512921]}]},{"allowed_amount":11268.45,"providers":[{"billed_charge":29232.00,"npi":[1720344161]}]},{"allowed_amount":24401.79,"providers":[{"billed_charge":63336.00,"npi":[1154369601]}]},{"allowed_amount":22510.07,"providers":[{"billed_charge":58464.00,"npi":[1700079985]}]},{"allowed_amount":22528.11,"providers":[{"billed_charge":58464.00,"npi":[1578069605]}]},{"allowed_amount":16630.71,"providers":[{"billed_charge":43848.00,"npi":[1538189980]}]},{"allowed_amount":4362.67,"providers":[{"billed_charge":11368.00,"npi":[1144753757]}]},{"allowed_amount":6263.18,"providers":[{"billed_charge":16240.00,"npi":[1457797029]},{"billed_charge":16193.00,"npi":[1093248205]}]},{"allowed_amount":12499.99,"providers":[{"billed_charge":32480.00,"npi":[1588007991]}]},{"allowed_amount":6896.53,"providers":[{"billed_charge":17864.00,"npi":[1831533827]}]},{"allowed_amount":4977.40,"providers":[{"billed_charge":12851.00,"npi":[1174985147]}]},{"allowed_amount":16247.35,"providers":[{"billed_charge":42224.00,"npi":[1649451725]}]},{"allowed_amount":4996.48,"providers":[{"billed_charge":12992.00,"npi":[1366880015]}]},{"allowed_amount":3709.20,"providers":[{"billed_charge":9744.00,"npi":[1730122219]}]},{"allowed_amount":6280.76,"providers":[{"billed_charge":16240.00,"npi":[1861513830]}]},{"allowed_amount":5022.85,"providers":[{"billed_charge":12992.00,"npi":[1821435744]}]},{"allowed_amount":5638.62,"providers":[{"billed_charge":14616.00,"npi":[1215970132]}]},{"allowed_amount":21903.55,"providers":[{"billed_charge":56840.00,"npi":[1801242151]}]},{"allowed_amount":11910.59,"providers":[{"billed_charge":30856.00,"npi":[1578042735]}]},{"allowed_amount":4976.24,"providers":[{"billed_charge":12992.00,"npi":[1265488233]}]},{"allowed_amount":3747.36,"providers":[{"billed_charge":9697.00,"npi":[1679712533]}]},{"allowed_amount":9870.97,"providers":[{"billed_charge":25984.00,"npi":[1740713122]}]},{"allowed_amount":25017.56,"providers":[{"billed_charge":64960.00,"npi":[1417149592]}]},{"allowed_amount":14426.41,"providers":[{"billed_charge":37352.00,"npi":[1144583774]}]},{"allowed_amount":12489.70,"providers":[{"billed_charge":32480.00,"npi":[1750875209]}]},{"allowed_amount":4371.92,"providers":[{"billed_charge":11368.00,"npi":[1316923030]}]},{"allowed_amount":7503.51,"providers":[{"billed_charge":19488.00,"npi":[1689873234]}]},{"allowed_amount":10028.12,"providers":[{"billed_charge":25984.00,"npi":[1477969905]}]},{"allowed_amount":10001.75,"providers":[{"billed_charge":25984.00,"npi":[1659662674]}]},{"allowed_amount":1249.12,"providers":[{"billed_charge":3248.00,"npi":[1962866723,1447516968]}]},{"allowed_amount":1873.68,"providers":[{"billed_charge":4731.00,"npi":[1629063409]},{"billed_charge":4872.00,"npi":[1760062434,1043391022]}]},{"allowed_amount":6298.34,"providers":[{"billed_charge":16240.00,"npi":[1245737188]}]},{"allowed_amount":3131.59,"providers":[{"billed_charge":8120.00,"npi":[1063072304]}]},{"allowed_amount":15648.24,"providers":[{"billed_charge":40506.00,"npi":[1104270016]}]},{"allowed_amount":1882.47,"providers":[{"billed_charge":4872.00,"npi":[1609819119]}]}]},{"tin":{"type":"ein","value":"742708142"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6044.94,"providers":[{"billed_charge":31510.38,"npi":[1821617093]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":583.97,"providers":[{"billed_charge":1458.00,"npi":[1194285569]}]},{"allowed_amount":3252.56,"providers":[{"billed_charge":8262.00,"npi":[1932662814]}]},{"allowed_amount":5860.82,"providers":[{"billed_charge":15066.00,"npi":[1821228982]}]},{"allowed_amount":2373.40,"providers":[{"billed_charge":6318.00,"npi":[1932330909]}]},{"allowed_amount":6846.27,"providers":[{"billed_charge":17010.00,"npi":[1932738606]}]},{"allowed_amount":796.57,"providers":[{"billed_charge":1944.00,"npi":[1144782863]}]}]},{"tin":{"type":"ein","value":"841832545"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2255.64,"providers":[{"billed_charge":36876.00,"npi":[1336721885]}]},{"allowed_amount":2145.72,"providers":[{"billed_charge":36876.00,"npi":[1922494905]}]},{"allowed_amount":5625.36,"providers":[{"billed_charge":92190.00,"npi":[1972183325]}]},{"allowed_amount":1471.96,"providers":[{"billed_charge":24584.00,"npi":[1700464351]}]},{"allowed_amount":3314.76,"providers":[{"billed_charge":55314.00,"npi":[1295077832]}]},{"allowed_amount":1253.96,"providers":[{"billed_charge":21511.00,"npi":[1164983219]}]},{"allowed_amount":1683.12,"providers":[{"billed_charge":27657.00,"npi":[1578588984]}]},{"allowed_amount":1467.13,"providers":[{"billed_charge":27657.00,"npi":[1083949812]}]},{"allowed_amount":1075.04,"providers":[{"billed_charge":21511.00,"npi":[1215308143]}]},{"allowed_amount":757.97,"providers":[{"billed_charge":15365.00,"npi":[1710799705]}]},{"allowed_amount":1947.76,"providers":[{"billed_charge":30730.00,"npi":[1205363488]}]},{"allowed_amount":734.61,"providers":[{"billed_charge":15365.00,"npi":[1528563848]}]},{"allowed_amount":1299.39,"providers":[{"billed_charge":21511.00,"npi":[1336224617]}]},{"allowed_amount":3399.68,"providers":[{"billed_charge":58387.00,"npi":[1871121574]}]},{"allowed_amount":354.62,"providers":[{"billed_charge":6146.00,"npi":[1548751977]}]},{"allowed_amount":7576.24,"providers":[{"billed_charge":125993.00,"npi":[1598911281]}]},{"allowed_amount":3456.54,"providers":[{"billed_charge":67606.00,"npi":[1164996492]}]},{"allowed_amount":165.61,"providers":[{"billed_charge":3073.00,"npi":[1386050284]}]},{"allowed_amount":1865.96,"providers":[{"billed_charge":30730.00,"npi":[1073905097]}]},{"allowed_amount":1770.45,"providers":[{"billed_charge":27657.00,"npi":[1255561437]}]},{"allowed_amount":1562.66,"providers":[{"billed_charge":30730.00,"npi":[1902014772]}]},{"allowed_amount":2867.64,"providers":[{"billed_charge":46095.00,"npi":[1740474337]}]},{"allowed_amount":3480.17,"providers":[{"billed_charge":58387.00,"npi":[1588125595]}]},{"allowed_amount":7743.60,"providers":[{"billed_charge":129066.00,"npi":[1467632372]}]},{"allowed_amount":4818.52,"providers":[{"billed_charge":79898.00,"npi":[1174545461]}]},{"allowed_amount":1505.81,"providers":[{"billed_charge":24584.00,"npi":[1497333736]}]},{"allowed_amount":2037.74,"providers":[{"billed_charge":33803.00,"npi":[1629260187]}]},{"allowed_amount":150.71,"providers":[{"billed_charge":3073.00,"npi":[1649663295]}]},{"allowed_amount":1151.35,"providers":[{"billed_charge":18438.00,"npi":[1215255633]}]},{"allowed_amount":2012.77,"providers":[{"billed_charge":39949.00,"npi":[1013121565]}]},{"allowed_amount":619.26,"providers":[{"billed_charge":9219.00,"npi":[1013537489]}]},{"allowed_amount":383.73,"providers":[{"billed_charge":6146.00,"npi":[1619043858]}]},{"allowed_amount":2617.84,"providers":[{"billed_charge":43022.00,"npi":[1093334401]}]},{"allowed_amount":2228.16,"providers":[{"billed_charge":36876.00,"npi":[1053844555]}]},{"allowed_amount":644.60,"providers":[{"billed_charge":12292.00,"npi":[1003096959]}]},{"allowed_amount":1838.48,"providers":[{"billed_charge":30730.00,"npi":[1881074581]}]},{"allowed_amount":3704.44,"providers":[{"billed_charge":61460.00,"npi":[1043847569]}]},{"allowed_amount":1704.91,"providers":[{"billed_charge":33803.00,"npi":[1164771002]}]},{"allowed_amount":2332.69,"providers":[{"billed_charge":43022.00,"npi":[1386457067]}]},{"allowed_amount":1180.30,"providers":[{"billed_charge":18438.00,"npi":[1124316989]}]},{"allowed_amount":1826.55,"providers":[{"billed_charge":30730.00,"npi":[1043296692]}]},{"allowed_amount":2730.24,"providers":[{"billed_charge":46095.00,"npi":[1356877526]}]},{"allowed_amount":2183.29,"providers":[{"billed_charge":33803.00,"npi":[1043881915]}]},{"allowed_amount":206.42,"providers":[{"billed_charge":3073.00,"npi":[1790314920]}]},{"allowed_amount":2143.24,"providers":[{"billed_charge":33803.00,"npi":[1588855282]}]}]},{"tin":{"type":"ein","value":"263933920"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2922.60,"providers":[{"billed_charge":22860.00,"npi":[1699417451]}]},{"allowed_amount":2982.52,"providers":[{"billed_charge":25908.00,"npi":[1598023749]}]},{"allowed_amount":891.76,"providers":[{"billed_charge":7620.00,"npi":[1912945460]}]},{"allowed_amount":3147.40,"providers":[{"billed_charge":25908.00,"npi":[1144684168]}]},{"allowed_amount":751.88,"providers":[{"billed_charge":6096.00,"npi":[1598393340]}]},{"allowed_amount":194.84,"providers":[{"billed_charge":1524.00,"npi":[1083933873]}]},{"allowed_amount":2480.44,"providers":[{"billed_charge":21336.00,"npi":[1396807491]}]},{"allowed_amount":3259.80,"providers":[{"billed_charge":27432.00,"npi":[1952756546]}]},{"allowed_amount":919.24,"providers":[{"billed_charge":7620.00,"npi":[1063693125]}]},{"allowed_amount":5265.64,"providers":[{"billed_charge":44196.00,"npi":[1346533833]}]},{"allowed_amount":167.36,"providers":[{"billed_charge":1524.00,"npi":[1336159599]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2153.37,"providers":[{"billed_charge":12294.00,"npi":[1801384615]}]},{"allowed_amount":7438.84,"providers":[{"billed_charge":56006.00,"npi":[1255781498]}]},{"allowed_amount":4793.52,"providers":[{"billed_charge":36882.00,"npi":[1316567480]}]},{"allowed_amount":3220.85,"providers":[{"billed_charge":28686.00,"npi":[1609277292]}]},{"allowed_amount":389.68,"providers":[{"billed_charge":2732.00,"npi":[1568951259]}]},{"allowed_amount":8736.16,"providers":[{"billed_charge":57372.00,"npi":[1952374373]}]}]},{"tin":{"type":"ein","value":"452317041"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":5572.38,"providers":[{"billed_charge":45012.00,"npi":[1457970766]}]},{"allowed_amount":3714.92,"providers":[{"billed_charge":30008.00,"npi":[1922062355]}]},{"allowed_amount":13567.90,"providers":[{"billed_charge":109120.00,"npi":[1548840051]}]},{"allowed_amount":3546.90,"providers":[{"billed_charge":28644.00,"npi":[1437738382]}]},{"allowed_amount":8641.41,"providers":[{"billed_charge":69564.00,"npi":[1477057123]}]},{"allowed_amount":5741.24,"providers":[{"billed_charge":46376.00,"npi":[1609370394]}]},{"allowed_amount":2701.76,"providers":[{"billed_charge":21824.00,"npi":[1790072445]}]},{"allowed_amount":14271.64,"providers":[{"billed_charge":113212.00,"npi":[1740869270]}]},{"allowed_amount":1519.74,"providers":[{"billed_charge":12276.00,"npi":[1932780426]}]},{"allowed_amount":24822.42,"providers":[{"billed_charge":200508.00,"npi":[1487073680]}]},{"allowed_amount":2026.32,"providers":[{"billed_charge":16368.00,"npi":[1023540135,1730383316]}]},{"allowed_amount":4728.08,"providers":[{"billed_charge":38192.00,"npi":[1386887966]}]},{"allowed_amount":3883.78,"providers":[{"billed_charge":31372.00,"npi":[1184074932]}]},{"allowed_amount":8443.00,"providers":[{"billed_charge":68200.00,"npi":[1144457276]}]},{"allowed_amount":33357.47,"providers":[{"billed_charge":267344.00,"npi":[1568082501]}]},{"allowed_amount":15028.54,"providers":[{"billed_charge":121396.00,"npi":[1447510805]}]},{"allowed_amount":15025.84,"providers":[{"billed_charge":121396.00,"npi":[1801472253]}]}]},{"tin":{"type":"ein","value":"463902289"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1260.33,"providers":[{"billed_charge":9492.00,"npi":[1962723288]}]},{"allowed_amount":344.67,"providers":[{"billed_charge":2712.00,"npi":[1811221211]}]},{"allowed_amount":561.04,"providers":[{"billed_charge":4068.00,"npi":[1225086606]}]},{"allowed_amount":177.31,"providers":[{"billed_charge":1356.00,"npi":[1629381538]}]},{"allowed_amount":2319.91,"providers":[{"billed_charge":16272.00,"npi":[1649408691]}]},{"allowed_amount":194.84,"providers":[{"billed_charge":1356.00,"npi":[1316964877]}]},{"allowed_amount":383.73,"providers":[{"billed_charge":2712.00,"npi":[1790075943]}]},{"allowed_amount":2360.60,"providers":[{"billed_charge":16272.00,"npi":[1548670326]}]},{"allowed_amount":796.57,"providers":[{"billed_charge":5424.00,"npi":[1477561199]}]},{"allowed_amount":206.42,"providers":[{"billed_charge":1356.00,"npi":[1982998308]}]},{"allowed_amount":1328.50,"providers":[{"billed_charge":9492.00,"npi":[1265499909]}]},{"allowed_amount":2244.16,"providers":[{"billed_charge":16272.00,"npi":[1841441334]}]}]},{"tin":{"type":"ein","value":"201909363"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6994.26,"providers":[{"billed_charge":75180.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"204362558"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":557.04,"providers":[{"billed_charge":7269.00,"npi":[1265844401]}]}]},{"tin":{"type":"ein","value":"752684562"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6351.15,"providers":[{"billed_charge":22740.00,"npi":[1396346730]}]},{"allowed_amount":32378.45,"providers":[{"billed_charge":98540.00,"npi":[1386175826]}]},{"allowed_amount":423.41,"providers":[{"billed_charge":1516.00,"npi":[1124855648]}]},{"allowed_amount":32377.75,"providers":[{"billed_charge":98540.00,"npi":[1639631690]}]},{"allowed_amount":17932.68,"providers":[{"billed_charge":54576.00,"npi":[1427510999]}]},{"allowed_amount":23412.11,"providers":[{"billed_charge":71252.00,"npi":[1467682526]}]},{"allowed_amount":4421.25,"providers":[{"billed_charge":13644.00,"npi":[1477139079]}]},{"allowed_amount":12951.03,"providers":[{"billed_charge":39416.00,"npi":[1285211227]}]},{"allowed_amount":2117.05,"providers":[{"billed_charge":7580.00,"npi":[1467165795,1003209925]}]},{"allowed_amount":12453.25,"providers":[{"billed_charge":37900.00,"npi":[1427345073,1740266642]}]},{"allowed_amount":3486.91,"providers":[{"billed_charge":10612.00,"npi":[1013545458]}]},{"allowed_amount":14445.77,"providers":[{"billed_charge":43964.00,"npi":[1699033043]}]},{"allowed_amount":9825.00,"providers":[{"billed_charge":30320.00,"npi":[1932185402]}]},{"allowed_amount":32876.23,"providers":[{"billed_charge":100056.00,"npi":[1811242498]}]},{"allowed_amount":15442.03,"providers":[{"billed_charge":46996.00,"npi":[1679559454]}]},{"allowed_amount":2456.25,"providers":[{"billed_charge":7580.00,"npi":[1790030906,1932133527]}]},{"allowed_amount":15940.16,"providers":[{"billed_charge":48512.00,"npi":[1609452135]}]},{"allowed_amount":4469.41,"providers":[{"billed_charge":13644.00,"npi":[1669886883]}]},{"allowed_amount":996.26,"providers":[{"billed_charge":3032.00,"npi":[1780996488,1336722339]}]},{"allowed_amount":13947.64,"providers":[{"billed_charge":42448.00,"npi":[1740269257,1598143828,1114503778]}]},{"allowed_amount":10087.45,"providers":[{"billed_charge":69736.00,"npi":[1245559210]}]},{"allowed_amount":9962.60,"providers":[{"billed_charge":30320.00,"npi":[1982091864]}]},{"allowed_amount":12786.26,"providers":[{"billed_charge":39416.00,"npi":[1841605482]}]},{"allowed_amount":2963.87,"providers":[{"billed_charge":10612.00,"npi":[1346496387,1912603572]}]},{"allowed_amount":3387.28,"providers":[{"billed_charge":12128.00,"npi":[1952639205]}]},{"allowed_amount":10814.38,"providers":[{"billed_charge":33352.00,"npi":[1568022374]}]},{"allowed_amount":13947.29,"providers":[{"billed_charge":42448.00,"npi":[1437735883]}]},{"allowed_amount":846.82,"providers":[{"billed_charge":3032.00,"npi":[1609535129]}]},{"allowed_amount":2922.92,"providers":[{"billed_charge":10612.00,"npi":[1972211787]}]},{"allowed_amount":19427.07,"providers":[{"billed_charge":59124.00,"npi":[1194091462]}]},{"allowed_amount":6475.69,"providers":[{"billed_charge":19708.00,"npi":[1780970954]}]},{"allowed_amount":2961.26,"providers":[{"billed_charge":9096.00,"npi":[1396163457]}]},{"allowed_amount":26400.89,"providers":[{"billed_charge":80348.00,"npi":[1124657861]}]},{"allowed_amount":5504.33,"providers":[{"billed_charge":19708.00,"npi":[1386002855]}]},{"allowed_amount":19172.51,"providers":[{"billed_charge":59124.00,"npi":[1164785440]}]},{"allowed_amount":7970.08,"providers":[{"billed_charge":24256.00,"npi":[1245617075]}]},{"allowed_amount":2988.78,"providers":[{"billed_charge":9096.00,"npi":[1992097406]}]},{"allowed_amount":5977.56,"providers":[{"billed_charge":18192.00,"npi":[1699193771]}]},{"allowed_amount":3438.75,"providers":[{"billed_charge":10612.00,"npi":[1275519902]}]},{"allowed_amount":5403.75,"providers":[{"billed_charge":16676.00,"npi":[1235484437]}]},{"allowed_amount":19925.20,"providers":[{"billed_charge":60640.00,"npi":[1033565890,1699093534]}]},{"allowed_amount":15228.75,"providers":[{"billed_charge":46996.00,"npi":[1699876458]}]},{"allowed_amount":5479.08,"providers":[{"billed_charge":16676.00,"npi":[1790355527,1144759598]}]},{"allowed_amount":491.25,"providers":[{"billed_charge":1516.00,"npi":[1699355214,1497731566,1609401843]}]},{"allowed_amount":4483.17,"providers":[{"billed_charge":13644.00,"npi":[1003293036,1255869939]}]},{"allowed_amount":8351.25,"providers":[{"billed_charge":25772.00,"npi":[1457581589]}]},{"allowed_amount":39352.27,"providers":[{"billed_charge":119764.00,"npi":[1750692000]}]},{"allowed_amount":16936.42,"providers":[{"billed_charge":51544.00,"npi":[1124302179,1972124022]}]},{"allowed_amount":6461.58,"providers":[{"billed_charge":19708.00,"npi":[1780203133]}]},{"allowed_amount":8467.86,"providers":[{"billed_charge":25772.00,"npi":[1730500547]}]},{"allowed_amount":9464.47,"providers":[{"billed_charge":28804.00,"npi":[1538796677]}]},{"allowed_amount":4435.01,"providers":[{"billed_charge":13644.00,"npi":[1326525502]}]},{"allowed_amount":10460.03,"providers":[{"billed_charge":31836.00,"npi":[1700327962]}]},{"allowed_amount":6377.95,"providers":[{"billed_charge":24256.00,"npi":[1144809112]}]},{"allowed_amount":4234.10,"providers":[{"billed_charge":15160.00,"npi":[1710368873]}]},{"allowed_amount":29389.67,"providers":[{"billed_charge":89444.00,"npi":[1811526510]}]},{"allowed_amount":8371.89,"providers":[{"billed_charge":25772.00,"npi":[1669885679]}]},{"allowed_amount":1992.52,"providers":[{"billed_charge":6064.00,"npi":[1043538481,1003027947]}]},{"allowed_amount":4981.30,"providers":[{"billed_charge":15160.00,"npi":[1912261124]}]},{"allowed_amount":15366.35,"providers":[{"billed_charge":46996.00,"npi":[1396123477]}]},{"allowed_amount":15939.81,"providers":[{"billed_charge":48512.00,"npi":[1518386887]}]}]},{"tin":{"type":"ein","value":"823656564"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":946.72,"providers":[{"billed_charge":17610.00,"npi":[1801060553]}]},{"allowed_amount":1671.12,"providers":[{"billed_charge":31698.00,"npi":[1033611512]}]},{"allowed_amount":194.84,"providers":[{"billed_charge":3522.00,"npi":[1720039811]}]},{"allowed_amount":1726.08,"providers":[{"billed_charge":31698.00,"npi":[1740522861]}]},{"allowed_amount":2840.16,"providers":[{"billed_charge":52830.00,"npi":[1851886113]}]}]},{"tin":{"type":"ein","value":"842988873"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3007.52,"providers":[{"billed_charge":46448.00,"npi":[1063438174]}]},{"allowed_amount":779.36,"providers":[{"billed_charge":11612.00,"npi":[1932789732]}]},{"allowed_amount":751.88,"providers":[{"billed_charge":11612.00,"npi":[1477596872]}]}]},{"tin":{"type":"ein","value":"921774385"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":557.04,"providers":[{"billed_charge":4395.00,"npi":[1194162180]}]}]},{"tin":{"type":"ein","value":"810872075"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":253.29,"providers":[{"billed_charge":1486.00,"npi":[1528170081,1992094247]}]},{"allowed_amount":2026.32,"providers":[{"billed_charge":11888.00,"npi":[1639673056]}]},{"allowed_amount":5572.38,"providers":[{"billed_charge":32692.00,"npi":[1407233265]}]},{"allowed_amount":395.14,"providers":[{"billed_charge":2972.00,"npi":[1790880672]}]},{"allowed_amount":759.87,"providers":[{"billed_charge":4458.00,"npi":[1467771204]}]},{"allowed_amount":3799.17,"providers":[{"billed_charge":22290.00,"npi":[1245736917,1689917601]}]},{"allowed_amount":1013.16,"providers":[{"billed_charge":5944.00,"npi":[1205281425,1407266646]}]},{"allowed_amount":506.58,"providers":[{"billed_charge":2972.00,"npi":[1861856999]}]},{"allowed_amount":4305.93,"providers":[{"billed_charge":25262.00,"npi":[1205156601]}]},{"allowed_amount":5319.09,"providers":[{"billed_charge":31206.00,"npi":[1043623911]}]},{"allowed_amount":11651.34,"providers":[{"billed_charge":68356.00,"npi":[1710326681]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":29377.17,"providers":[{"billed_charge":133759.88,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"465400615"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":751.88,"providers":[{"billed_charge":6524.00,"npi":[1144200890]}]}]},{"tin":{"type":"ein","value":"932446901"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1623.63,"providers":[{"billed_charge":7269.00,"npi":[1790078145]}]}]},{"tin":{"type":"ein","value":"831661941"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8640.35,"providers":[{"billed_charge":19810.00,"npi":[1659338887]}]},{"allowed_amount":1230.62,"providers":[{"billed_charge":2830.00,"npi":[1720019623]}]},{"allowed_amount":1854.60,"providers":[{"billed_charge":4245.00,"npi":[1083097786]}]},{"allowed_amount":1845.93,"providers":[{"billed_charge":4245.00,"npi":[1548886708]}]},{"allowed_amount":7401.06,"providers":[{"billed_charge":16980.00,"npi":[1386058733]}]}]},{"tin":{"type":"ein","value":"273472500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3789.36,"providers":[{"billed_charge":50883.00,"npi":[1104867415]}]}]},{"tin":{"type":"ein","value":"752159087"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":751.88,"providers":[{"billed_charge":6328.00,"npi":[1366063265]}]}]},{"tin":{"type":"ein","value":"271112877"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2145.72,"providers":[{"billed_charge":20040.00,"npi":[1710516471]}]},{"allowed_amount":2757.72,"providers":[{"billed_charge":25050.00,"npi":[1447646351]}]},{"allowed_amount":2088.28,"providers":[{"billed_charge":18370.00,"npi":[1700167897]}]},{"allowed_amount":1253.96,"providers":[{"billed_charge":11690.00,"npi":[1396515011]}]},{"allowed_amount":3731.92,"providers":[{"billed_charge":33400.00,"npi":[1841795283]}]},{"allowed_amount":828.05,"providers":[{"billed_charge":8350.00,"npi":[1790160596]}]}]},{"tin":{"type":"ein","value":"261973804"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":389.68,"providers":[{"billed_charge":4846.00,"npi":[1295301760]}]}]},{"tin":{"type":"ein","value":"742501542"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2747.70,"providers":[{"billed_charge":14322.90,"npi":[1154694529]}]},{"allowed_amount":1923.39,"providers":[{"billed_charge":10026.03,"npi":[1952839086]}]},{"allowed_amount":6319.71,"providers":[{"billed_charge":32942.67,"npi":[1851582464]}]},{"allowed_amount":677.09,"providers":[{"billed_charge":5729.16,"npi":[1740678036]}]},{"allowed_amount":2198.16,"providers":[{"billed_charge":11458.32,"npi":[1093976342]}]},{"allowed_amount":751.88,"providers":[{"billed_charge":5729.16,"npi":[1154383669]}]},{"allowed_amount":5495.40,"providers":[{"billed_charge":28645.80,"npi":[1790899953]}]},{"allowed_amount":3022.47,"providers":[{"billed_charge":15755.19,"npi":[1144617960,1306157334]}]},{"allowed_amount":3269.70,"providers":[{"billed_charge":20052.06,"npi":[1518499672]}]},{"allowed_amount":3846.78,"providers":[{"billed_charge":20052.06,"npi":[1124412267]}]},{"allowed_amount":1648.62,"providers":[{"billed_charge":8593.74,"npi":[1922654557,1730321860]}]},{"allowed_amount":274.77,"providers":[{"billed_charge":1432.29,"npi":[1326360223,1679154967,1952807729,1235690496,1942627575,1952805483,1740806157]}]},{"allowed_amount":467.10,"providers":[{"billed_charge":2864.58,"npi":[1205067048]}]},{"allowed_amount":2569.05,"providers":[{"billed_charge":15755.19,"npi":[1649886995,1427685932]}]},{"allowed_amount":1893.44,"providers":[{"billed_charge":14322.90,"npi":[1124523121]}]},{"allowed_amount":1401.30,"providers":[{"billed_charge":8593.74,"npi":[1437637386]}]},{"allowed_amount":1373.85,"providers":[{"billed_charge":7161.45,"npi":[1538722913,1174152433]}]},{"allowed_amount":824.31,"providers":[{"billed_charge":4296.87,"npi":[1467895086,1427685726,1346821741]}]},{"allowed_amount":549.54,"providers":[{"billed_charge":2864.58,"npi":[1063677490,1548609365,1427687334]}]},{"allowed_amount":3572.01,"providers":[{"billed_charge":18172.48,"npi":[1306061262]}]}]},{"tin":{"type":"ein","value":"332012020"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1561.20,"providers":[{"billed_charge":12330.00,"npi":[1255473625]}]},{"allowed_amount":7049.16,"providers":[{"billed_charge":53430.00,"npi":[1841451259]}]},{"allowed_amount":1059.12,"providers":[{"billed_charge":8220.00,"npi":[1417488297]}]},{"allowed_amount":3899.28,"providers":[{"billed_charge":28770.00,"npi":[1902427073]}]},{"allowed_amount":4039.16,"providers":[{"billed_charge":30140.00,"npi":[1427256619]}]},{"allowed_amount":2012.77,"providers":[{"billed_charge":17810.00,"npi":[1073247946]}]},{"allowed_amount":1086.60,"providers":[{"billed_charge":8220.00,"npi":[1871568352]}]},{"allowed_amount":2480.44,"providers":[{"billed_charge":19180.00,"npi":[1942697149]}]},{"allowed_amount":3859.93,"providers":[{"billed_charge":34250.00,"npi":[1861204885]}]},{"allowed_amount":557.04,"providers":[{"billed_charge":4110.00,"npi":[1215324140]}]}]},{"tin":{"type":"ein","value":"882958926"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2331.42,"providers":[{"billed_charge":17934.00,"npi":[1891716460]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":4006.42,"providers":[{"billed_charge":23856.00,"npi":[1750768438]}]},{"allowed_amount":2837.17,"providers":[{"billed_charge":18176.00,"npi":[1467914796]}]},{"allowed_amount":5429.70,"providers":[{"billed_charge":31808.00,"npi":[1568882355]}]},{"allowed_amount":1308.92,"providers":[{"billed_charge":7952.00,"npi":[1689036832]}]},{"allowed_amount":6572.50,"providers":[{"billed_charge":38624.00,"npi":[1316443229]}]},{"allowed_amount":3287.01,"providers":[{"billed_charge":20448.00,"npi":[1306138284]}]},{"allowed_amount":4043.72,"providers":[{"billed_charge":23856.00,"npi":[1972520419,1922637842]}]},{"allowed_amount":4427.45,"providers":[{"billed_charge":26128.00,"npi":[1942415724]}]},{"allowed_amount":12424.72,"providers":[{"billed_charge":77248.00,"npi":[1932393428]}]},{"allowed_amount":354.62,"providers":[{"billed_charge":2272.00,"npi":[1184982043]}]},{"allowed_amount":2955.04,"providers":[{"billed_charge":19312.00,"npi":[1619089158]}]},{"allowed_amount":874.23,"providers":[{"billed_charge":5680.00,"npi":[1780932384]}]},{"allowed_amount":767.46,"providers":[{"billed_charge":4544.00,"npi":[1558523159]}]},{"allowed_amount":14960.17,"providers":[{"billed_charge":86336.00,"npi":[1659717734]}]},{"allowed_amount":7407.31,"providers":[{"billed_charge":43168.00,"npi":[1063856235]}]},{"allowed_amount":12573.11,"providers":[{"billed_charge":73840.00,"npi":[1992125728]}]},{"allowed_amount":5458.31,"providers":[{"billed_charge":31808.00,"npi":[1932545183]}]},{"allowed_amount":724.40,"providers":[{"billed_charge":4544.00,"npi":[1518903640]}]},{"allowed_amount":4903.44,"providers":[{"billed_charge":30672.00,"npi":[1750798351]}]},{"allowed_amount":2281.45,"providers":[{"billed_charge":14768.00,"npi":[1659668465]}]},{"allowed_amount":1209.41,"providers":[{"billed_charge":6816.00,"npi":[1396095774]}]},{"allowed_amount":3651.96,"providers":[{"billed_charge":23856.00,"npi":[1700232055]}]},{"allowed_amount":4279.25,"providers":[{"billed_charge":24992.00,"npi":[1184902611]}]},{"allowed_amount":10363.92,"providers":[{"billed_charge":64752.00,"npi":[1912268582]}]},{"allowed_amount":1151.19,"providers":[{"billed_charge":6816.00,"npi":[1205135019]}]},{"allowed_amount":5905.12,"providers":[{"billed_charge":36352.00,"npi":[1376886317]}]},{"allowed_amount":3305.37,"providers":[{"billed_charge":19312.00,"npi":[1346419488]}]},{"allowed_amount":3659.99,"providers":[{"billed_charge":21584.00,"npi":[1700266376,1164650958]}]},{"allowed_amount":3412.15,"providers":[{"billed_charge":21584.00,"npi":[1255542197]}]},{"allowed_amount":3701.96,"providers":[{"billed_charge":21584.00,"npi":[1346982444]}]},{"allowed_amount":2275.45,"providers":[{"billed_charge":13632.00,"npi":[1104264316]}]},{"allowed_amount":14788.16,"providers":[{"billed_charge":87472.00,"npi":[1083000111]}]},{"allowed_amount":7290.87,"providers":[{"billed_charge":43168.00,"npi":[1326487323]}]},{"allowed_amount":5430.44,"providers":[{"billed_charge":31808.00,"npi":[1891149951]}]},{"allowed_amount":4223.68,"providers":[{"billed_charge":26128.00,"npi":[1770872921]}]},{"allowed_amount":2957.94,"providers":[{"billed_charge":18176.00,"npi":[1528327012]}]},{"allowed_amount":9796.08,"providers":[{"billed_charge":62480.00,"npi":[1154680973]}]},{"allowed_amount":2173.20,"providers":[{"billed_charge":13632.00,"npi":[1750658704]}]},{"allowed_amount":3766.42,"providers":[{"billed_charge":22720.00,"npi":[1245764661]}]},{"allowed_amount":6242.32,"providers":[{"billed_charge":39760.00,"npi":[1740623024]}]},{"allowed_amount":15404.76,"providers":[{"billed_charge":95424.00,"npi":[1437310562]}]},{"allowed_amount":3128.06,"providers":[{"billed_charge":18176.00,"npi":[1538184999]}]},{"allowed_amount":2657.00,"providers":[{"billed_charge":15904.00,"npi":[1740429208]}]},{"allowed_amount":6462.54,"providers":[{"billed_charge":37488.00,"npi":[1205062262]}]},{"allowed_amount":9080.00,"providers":[{"billed_charge":55664.00,"npi":[1568849412]}]},{"allowed_amount":7746.08,"providers":[{"billed_charge":48848.00,"npi":[1720279748]}]},{"allowed_amount":4426.57,"providers":[{"billed_charge":26128.00,"npi":[1316352628]}]},{"allowed_amount":9619.71,"providers":[{"billed_charge":55664.00,"npi":[1881883080]}]},{"allowed_amount":4898.51,"providers":[{"billed_charge":28400.00,"npi":[1245812486]}]},{"allowed_amount":3474.86,"providers":[{"billed_charge":20448.00,"npi":[1033567201]}]},{"allowed_amount":1770.45,"providers":[{"billed_charge":10224.00,"npi":[1033555842]}]},{"allowed_amount":8944.88,"providers":[{"billed_charge":53392.00,"npi":[1942610431]}]},{"allowed_amount":3484.30,"providers":[{"billed_charge":21584.00,"npi":[1134502008]}]},{"allowed_amount":5710.28,"providers":[{"billed_charge":35216.00,"npi":[1275973927]}]},{"allowed_amount":13517.88,"providers":[{"billed_charge":79520.00,"npi":[1821330044]}]},{"allowed_amount":7104.12,"providers":[{"billed_charge":44304.00,"npi":[1831418292]}]},{"allowed_amount":14811.97,"providers":[{"billed_charge":85200.00,"npi":[1760879829]}]},{"allowed_amount":4308.36,"providers":[{"billed_charge":24992.00,"npi":[1720321508]}]},{"allowed_amount":1448.80,"providers":[{"billed_charge":9088.00,"npi":[1033596689]}]},{"allowed_amount":7555.51,"providers":[{"billed_charge":44304.00,"npi":[1245460443]}]},{"allowed_amount":5098.28,"providers":[{"billed_charge":31808.00,"npi":[1558704098]}]},{"allowed_amount":2799.81,"providers":[{"billed_charge":17040.00,"npi":[1740624204]}]},{"allowed_amount":1593.14,"providers":[{"billed_charge":9088.00,"npi":[1407155252]}]},{"allowed_amount":5250.73,"providers":[{"billed_charge":31808.00,"npi":[1619363413]}]},{"allowed_amount":8029.22,"providers":[{"billed_charge":47712.00,"npi":[1538489851]}]},{"allowed_amount":1380.35,"providers":[{"billed_charge":9088.00,"npi":[1144507633]}]},{"allowed_amount":3214.79,"providers":[{"billed_charge":20448.00,"npi":[1942865852]}]},{"allowed_amount":3075.66,"providers":[{"billed_charge":19312.00,"npi":[1740501634]}]},{"allowed_amount":8116.55,"providers":[{"billed_charge":47712.00,"npi":[1902052038]}]},{"allowed_amount":6799.36,"providers":[{"billed_charge":43168.00,"npi":[1619224383]}]},{"allowed_amount":1002.99,"providers":[{"billed_charge":5680.00,"npi":[1619313608]}]},{"allowed_amount":206.42,"providers":[{"billed_charge":1136.00,"npi":[1467614925,1124289053]}]},{"allowed_amount":3689.10,"providers":[{"billed_charge":21584.00,"npi":[1508420282]}]},{"allowed_amount":9209.52,"providers":[{"billed_charge":54528.00,"npi":[1164876298]}]},{"allowed_amount":2454.94,"providers":[{"billed_charge":14768.00,"npi":[1245678556]}]},{"allowed_amount":4485.67,"providers":[{"billed_charge":26128.00,"npi":[1154647113]}]},{"allowed_amount":4162.81,"providers":[{"billed_charge":24992.00,"npi":[1417216052]}]},{"allowed_amount":4546.54,"providers":[{"billed_charge":27264.00,"npi":[1194080507]}]},{"allowed_amount":561.04,"providers":[{"billed_charge":3408.00,"npi":[1568876928,1932125879]}]},{"allowed_amount":3011.62,"providers":[{"billed_charge":18176.00,"npi":[1255837381]}]},{"allowed_amount":5046.71,"providers":[{"billed_charge":29536.00,"npi":[1750669925]}]},{"allowed_amount":3956.72,"providers":[{"billed_charge":24992.00,"npi":[1780027565]}]},{"allowed_amount":6239.84,"providers":[{"billed_charge":38624.00,"npi":[1568710770]}]},{"allowed_amount":6267.32,"providers":[{"billed_charge":38624.00,"npi":[1922360916]}]},{"allowed_amount":3982.85,"providers":[{"billed_charge":22720.00,"npi":[1821482357]}]},{"allowed_amount":3661.06,"providers":[{"billed_charge":22720.00,"npi":[1013365295]}]},{"allowed_amount":5785.06,"providers":[{"billed_charge":34080.00,"npi":[1710328232]}]},{"allowed_amount":7939.24,"providers":[{"billed_charge":46576.00,"npi":[1396189536]}]},{"allowed_amount":711.42,"providers":[{"billed_charge":4544.00,"npi":[1760972541]}]},{"allowed_amount":7409.96,"providers":[{"billed_charge":44304.00,"npi":[1245593573]}]},{"allowed_amount":8355.60,"providers":[{"billed_charge":51120.00,"npi":[1447278288]}]},{"allowed_amount":2567.02,"providers":[{"billed_charge":14768.00,"npi":[1144630971]}]},{"allowed_amount":4133.00,"providers":[{"billed_charge":23856.00,"npi":[1942645932]}]},{"allowed_amount":904.08,"providers":[{"billed_charge":5680.00,"npi":[1982998308]}]},{"allowed_amount":5372.22,"providers":[{"billed_charge":31808.00,"npi":[1467822213]}]},{"allowed_amount":4721.20,"providers":[{"billed_charge":27264.00,"npi":[1114211620]}]},{"allowed_amount":11657.45,"providers":[{"billed_charge":68160.00,"npi":[1467682617]}]},{"allowed_amount":3657.34,"providers":[{"billed_charge":20448.00,"npi":[1780028324]}]},{"allowed_amount":1622.25,"providers":[{"billed_charge":9088.00,"npi":[1457448151]}]},{"allowed_amount":4031.58,"providers":[{"billed_charge":24992.00,"npi":[1891182168]}]},{"allowed_amount":8532.04,"providers":[{"billed_charge":51120.00,"npi":[1912004797]}]},{"allowed_amount":5711.65,"providers":[{"billed_charge":35216.00,"npi":[1548495286]}]},{"allowed_amount":4779.42,"providers":[{"billed_charge":27264.00,"npi":[1073861233]}]},{"allowed_amount":8885.16,"providers":[{"billed_charge":54528.00,"npi":[1770813610]}]},{"allowed_amount":167.36,"providers":[{"billed_charge":1136.00,"npi":[1972952927]}]},{"allowed_amount":3288.23,"providers":[{"billed_charge":19312.00,"npi":[1336568203]}]},{"allowed_amount":1933.35,"providers":[{"billed_charge":12496.00,"npi":[1316380132]}]},{"allowed_amount":12514.89,"providers":[{"billed_charge":73840.00,"npi":[1881155679]}]},{"allowed_amount":9177.88,"providers":[{"billed_charge":59072.00,"npi":[1033345855]}]},{"allowed_amount":1357.61,"providers":[{"billed_charge":7952.00,"npi":[1275766040,1891114948]}]},{"allowed_amount":2452.96,"providers":[{"billed_charge":15904.00,"npi":[1023438264]}]},{"allowed_amount":5134.04,"providers":[{"billed_charge":29536.00,"npi":[1174058366]}]},{"allowed_amount":5933.26,"providers":[{"billed_charge":35216.00,"npi":[1497074991]}]},{"allowed_amount":4483.65,"providers":[{"billed_charge":27264.00,"npi":[1659729333]}]},{"allowed_amount":1499.44,"providers":[{"billed_charge":9088.00,"npi":[1700203270]}]},{"allowed_amount":6668.96,"providers":[{"billed_charge":38624.00,"npi":[1518193408]}]},{"allowed_amount":1617.86,"providers":[{"billed_charge":10224.00,"npi":[1205853892]}]},{"allowed_amount":2892.53,"providers":[{"billed_charge":17040.00,"npi":[1881974202]}]},{"allowed_amount":940.77,"providers":[{"billed_charge":5680.00,"npi":[1386674778]}]},{"allowed_amount":1226.48,"providers":[{"billed_charge":7952.00,"npi":[1689203937]}]},{"allowed_amount":6491.65,"providers":[{"billed_charge":37488.00,"npi":[1669797619]}]},{"allowed_amount":2679.16,"providers":[{"billed_charge":15904.00,"npi":[1508253881]}]},{"allowed_amount":4373.88,"providers":[{"billed_charge":27264.00,"npi":[1548687080]}]},{"allowed_amount":4633.87,"providers":[{"billed_charge":27264.00,"npi":[1962797795]}]},{"allowed_amount":8275.64,"providers":[{"billed_charge":52256.00,"npi":[1598119869]}]},{"allowed_amount":12308.47,"providers":[{"billed_charge":72704.00,"npi":[1730574625]}]},{"allowed_amount":709.24,"providers":[{"billed_charge":4544.00,"npi":[1679688048]}]},{"allowed_amount":2033.32,"providers":[{"billed_charge":12496.00,"npi":[1679987267]}]},{"allowed_amount":2108.73,"providers":[{"billed_charge":13632.00,"npi":[1902224793]}]},{"allowed_amount":8291.21,"providers":[{"billed_charge":47712.00,"npi":[1154578052]}]},{"allowed_amount":8078.32,"providers":[{"billed_charge":49984.00,"npi":[1588197131]}]},{"allowed_amount":3622.00,"providers":[{"billed_charge":22720.00,"npi":[1285954677]}]},{"allowed_amount":2921.64,"providers":[{"billed_charge":17040.00,"npi":[1407016405]}]},{"allowed_amount":1487.86,"providers":[{"billed_charge":9088.00,"npi":[1164926143]}]},{"allowed_amount":9029.56,"providers":[{"billed_charge":52256.00,"npi":[1669828935]}]},{"allowed_amount":3996.72,"providers":[{"billed_charge":27264.00,"npi":[1679917470]}]},{"allowed_amount":8443.00,"providers":[{"billed_charge":53392.00,"npi":[1942280102]}]},{"allowed_amount":3509.60,"providers":[{"billed_charge":21584.00,"npi":[1518100064]}]},{"allowed_amount":14375.32,"providers":[{"billed_charge":85200.00,"npi":[1881919793]}]},{"allowed_amount":6756.29,"providers":[{"billed_charge":38624.00,"npi":[1538486451]}]}]},{"tin":{"type":"ein","value":"853082840"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":546.21,"providers":[{"billed_charge":1518.00,"npi":[1417995291]}]}]},{"tin":{"type":"ein","value":"208747581"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8628.50,"providers":[{"billed_charge":95150.00,"npi":[1265060537]}]},{"allowed_amount":7765.65,"providers":[{"billed_charge":85635.00,"npi":[1639675655]}]}]},{"tin":{"type":"ein","value":"472785231"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1245.16,"providers":[{"billed_charge":3144.00,"npi":[1477509677]}]}]},{"tin":{"type":"ein","value":"922417967"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":7410.06,"providers":[{"billed_charge":13776.00,"npi":[1689000465]}]},{"allowed_amount":4763.61,"providers":[{"billed_charge":8856.00,"npi":[1225618457]}]},{"allowed_amount":9148.64,"providers":[{"billed_charge":17712.00,"npi":[1679202188]}]},{"allowed_amount":21412.41,"providers":[{"billed_charge":44280.00,"npi":[1598226896]}]},{"allowed_amount":3139.79,"providers":[{"billed_charge":6888.00,"npi":[1568027613]}]},{"allowed_amount":3382.16,"providers":[{"billed_charge":6888.00,"npi":[1497523302]}]},{"allowed_amount":10440.24,"providers":[{"billed_charge":20664.00,"npi":[1578022778]}]},{"allowed_amount":3705.03,"providers":[{"billed_charge":6888.00,"npi":[1992557177]}]},{"allowed_amount":2587.86,"providers":[{"billed_charge":10824.00,"npi":[1053393983]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1623.12,"providers":[{"billed_charge":15656.00,"npi":[1770044588,1447457163]}]},{"allowed_amount":1014.45,"providers":[{"billed_charge":9785.00,"npi":[1629361514,1629311352,1932729050]}]},{"allowed_amount":3246.24,"providers":[{"billed_charge":31312.00,"npi":[1679503361]}]},{"allowed_amount":5072.25,"providers":[{"billed_charge":48925.00,"npi":[1851929004]}]},{"allowed_amount":944.77,"providers":[{"billed_charge":9785.00,"npi":[1669052833]}]},{"allowed_amount":811.56,"providers":[{"billed_charge":7828.00,"npi":[1033564075,1518223049]}]},{"allowed_amount":3043.35,"providers":[{"billed_charge":29355.00,"npi":[1558940346]}]},{"allowed_amount":405.78,"providers":[{"billed_charge":3914.00,"npi":[1205275534,1588906762]}]},{"allowed_amount":3854.91,"providers":[{"billed_charge":37183.00,"npi":[1366070864]}]},{"allowed_amount":2840.46,"providers":[{"billed_charge":27398.00,"npi":[1194388413]}]},{"allowed_amount":608.67,"providers":[{"billed_charge":5871.00,"npi":[1679688048]}]},{"allowed_amount":3652.02,"providers":[{"billed_charge":35226.00,"npi":[1679109615]}]},{"allowed_amount":202.89,"providers":[{"billed_charge":1957.00,"npi":[1346701844,1457746950,1083140594]}]},{"allowed_amount":2434.68,"providers":[{"billed_charge":23484.00,"npi":[1831115922]}]},{"allowed_amount":2231.79,"providers":[{"billed_charge":21527.00,"npi":[1093276685]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":9159.15,"providers":[{"billed_charge":111980.00,"npi":[1447232194]}]},{"allowed_amount":19317.48,"providers":[{"billed_charge":236176.00,"npi":[1578129847]}]},{"allowed_amount":8326.50,"providers":[{"billed_charge":101800.00,"npi":[1770565673]}]},{"allowed_amount":5945.10,"providers":[{"billed_charge":85512.00,"npi":[1083822100]}]},{"allowed_amount":6794.40,"providers":[{"billed_charge":97728.00,"npi":[1922200807]}]},{"allowed_amount":5237.35,"providers":[{"billed_charge":75332.00,"npi":[1043455348]}]},{"allowed_amount":8493.03,"providers":[{"billed_charge":103836.00,"npi":[1588646145]}]}]},{"tin":{"type":"ein","value":"461415202"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3747.36,"providers":[{"billed_charge":9744.00,"npi":[1497198360]}]},{"allowed_amount":10626.31,"providers":[{"billed_charge":27608.00,"npi":[1912952227]}]},{"allowed_amount":6271.97,"providers":[{"billed_charge":16240.00,"npi":[1144635905]}]},{"allowed_amount":4371.92,"providers":[{"billed_charge":11368.00,"npi":[1750672655]}]},{"allowed_amount":624.56,"providers":[{"billed_charge":1624.00,"npi":[1205967569]}]},{"allowed_amount":13775.48,"providers":[{"billed_charge":35728.00,"npi":[1922367531]}]}]},{"tin":{"type":"ein","value":"993064915"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":929.01,"providers":[{"billed_charge":9786.00,"npi":[1710483490]}]},{"allowed_amount":526.38,"providers":[{"billed_charge":4893.00,"npi":[1477944718]}]},{"allowed_amount":4970.07,"providers":[{"billed_charge":48930.00,"npi":[1578320339]}]},{"allowed_amount":9503.27,"providers":[{"billed_charge":79919.00,"npi":[1649759655]}]},{"allowed_amount":177.31,"providers":[{"billed_charge":1631.00,"npi":[1326667205]}]},{"allowed_amount":4263.97,"providers":[{"billed_charge":34251.00,"npi":[1467193003]}]},{"allowed_amount":825.68,"providers":[{"billed_charge":6524.00,"npi":[1902488943]}]},{"allowed_amount":1304.68,"providers":[{"billed_charge":13048.00,"npi":[1871123018]}]}]},{"tin":{"type":"ein","value":"472071789"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1753.56,"providers":[{"billed_charge":21807.00,"npi":[1295301760]}]}]},{"tin":{"type":"ein","value":"752562784"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":22220.52,"providers":[{"billed_charge":50940.00,"npi":[1477081297]}]},{"allowed_amount":13545.49,"providers":[{"billed_charge":31130.00,"npi":[1871583880]}]},{"allowed_amount":615.31,"providers":[{"billed_charge":1415.00,"npi":[1780726273,1427253830,1700288149]}]},{"allowed_amount":8007.70,"providers":[{"billed_charge":19279.00,"npi":[1477963452]}]},{"allowed_amount":1854.60,"providers":[{"billed_charge":4245.00,"npi":[1497736375]}]},{"allowed_amount":10494.95,"providers":[{"billed_charge":24055.00,"npi":[1093755621]}]},{"allowed_amount":19750.61,"providers":[{"billed_charge":47456.00,"npi":[1235196502]}]},{"allowed_amount":623.98,"providers":[{"billed_charge":1483.00,"npi":[1679033476]}]},{"allowed_amount":23459.81,"providers":[{"billed_charge":53770.00,"npi":[1205452828]}]},{"allowed_amount":12340.88,"providers":[{"billed_charge":35320.00,"npi":[1013357920]}]},{"allowed_amount":8623.01,"providers":[{"billed_charge":19810.00,"npi":[1821016189]}]},{"allowed_amount":10486.28,"providers":[{"billed_charge":24055.00,"npi":[1881644938]}]},{"allowed_amount":5537.79,"providers":[{"billed_charge":12735.00,"npi":[1942231550]}]},{"allowed_amount":14802.12,"providers":[{"billed_charge":33960.00,"npi":[1528683554]}]},{"allowed_amount":12964.86,"providers":[{"billed_charge":29715.00,"npi":[1538549175]}]},{"allowed_amount":6170.44,"providers":[{"billed_charge":17660.00,"npi":[1568728103]}]},{"allowed_amount":10477.61,"providers":[{"billed_charge":24055.00,"npi":[1184827834]}]},{"allowed_amount":9246.99,"providers":[{"billed_charge":21225.00,"npi":[1558301879]}]},{"allowed_amount":19109.29,"providers":[{"billed_charge":43865.00,"npi":[1083909857]}]},{"allowed_amount":6179.11,"providers":[{"billed_charge":14150.00,"npi":[1467018887]}]},{"allowed_amount":18502.65,"providers":[{"billed_charge":42450.00,"npi":[1700095700]}]},{"allowed_amount":10468.94,"providers":[{"billed_charge":25211.00,"npi":[1598328858]}]},{"allowed_amount":4931.15,"providers":[{"billed_charge":11320.00,"npi":[1568178903]}]},{"allowed_amount":1230.62,"providers":[{"billed_charge":2830.00,"npi":[1740475516,1386030393,1093153645,1396480026]}]},{"allowed_amount":6161.77,"providers":[{"billed_charge":14150.00,"npi":[1972178333,1245526508,1407813108]}]},{"allowed_amount":22792.48,"providers":[{"billed_charge":52355.00,"npi":[1750635835]}]},{"allowed_amount":11127.60,"providers":[{"billed_charge":25470.00,"npi":[1023165982]}]},{"allowed_amount":27116.99,"providers":[{"billed_charge":62260.00,"npi":[1932197662]}]},{"allowed_amount":16015.40,"providers":[{"billed_charge":38558.00,"npi":[1952404261]}]},{"allowed_amount":16006.73,"providers":[{"billed_charge":36790.00,"npi":[1750517926]}]},{"allowed_amount":5701.66,"providers":[{"billed_charge":14150.00,"npi":[1326215476]}]},{"allowed_amount":3691.86,"providers":[{"billed_charge":8490.00,"npi":[1053989210,1760011738]}]},{"allowed_amount":14169.47,"providers":[{"billed_charge":32545.00,"npi":[1346316411]}]},{"allowed_amount":4315.84,"providers":[{"billed_charge":9905.00,"npi":[1568875151]}]},{"allowed_amount":18044.24,"providers":[{"billed_charge":42450.00,"npi":[1467653865]}]},{"allowed_amount":11708.23,"providers":[{"billed_charge":26885.00,"npi":[1437719283]}]},{"allowed_amount":1845.93,"providers":[{"billed_charge":4245.00,"npi":[1467081323]}]},{"allowed_amount":14178.14,"providers":[{"billed_charge":32545.00,"npi":[1497100804]}]},{"allowed_amount":1863.27,"providers":[{"billed_charge":4245.00,"npi":[1144843970]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":11657.10,"providers":[{"billed_charge":35700.00,"npi":[1295756955]}]}]}]},{"name":"CRITICAL CARE, FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99291","description":"CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJURED PATIENT; FIRST","allowed_amounts":[{"tin":{"type":"ein","value":"611620203"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":621.93,"providers":[{"billed_charge":6636.00,"npi":[1881030450]}]}]},{"tin":{"type":"ein","value":"301327396"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":829.24,"providers":[{"billed_charge":1324.16,"npi":[1346683984]}]}]},{"tin":{"type":"ein","value":"833838272"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4975.44,"providers":[{"billed_charge":13800.00,"npi":[1790133049]}]},{"allowed_amount":199.02,"providers":[{"billed_charge":575.00,"npi":[1073967592]}]},{"allowed_amount":1451.17,"providers":[{"billed_charge":4025.00,"npi":[1366881393]}]},{"allowed_amount":4768.13,"providers":[{"billed_charge":13225.00,"npi":[1124285697]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":399.32,"providers":[{"billed_charge":840.92,"npi":[1376576132]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2264.24,"providers":[{"billed_charge":12727.00,"npi":[1073810990]}]},{"allowed_amount":823.36,"providers":[{"billed_charge":4628.00,"npi":[1861074619]}]}]},{"tin":{"type":"ein","value":"760567380"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6625.32,"providers":[{"billed_charge":17515.00,"npi":[1275728529]}]},{"allowed_amount":2778.36,"providers":[{"billed_charge":7345.00,"npi":[1871531590]}]}]},{"tin":{"type":"ein","value":"271072321"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4904.75,"providers":[{"billed_charge":22575.00,"npi":[1659445906]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1243.86,"providers":[{"billed_charge":3528.00,"npi":[1699034678]}]}]},{"tin":{"type":"ein","value":"841832545"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1083.09,"providers":[{"billed_charge":17440.00,"npi":[1972183325]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1793.01,"providers":[{"billed_charge":13224.00,"npi":[1255781498]}]}]},{"tin":{"type":"ein","value":"923083345"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2865.98,"providers":[{"billed_charge":9736.00,"npi":[1457856809]}]},{"allowed_amount":1795.24,"providers":[{"billed_charge":4868.00,"npi":[1700208980]}]}]},{"tin":{"type":"ein","value":"832447367"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.31,"providers":[{"billed_charge":641.16,"npi":[1114921905]}]}]},{"tin":{"type":"ein","value":"452317041"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1475.87,"providers":[{"billed_charge":12285.00,"npi":[1548840051]}]},{"allowed_amount":1235.04,"providers":[{"billed_charge":10530.00,"npi":[1144457276]}]},{"allowed_amount":4153.85,"providers":[{"billed_charge":35100.00,"npi":[1568082501]}]},{"allowed_amount":4940.16,"providers":[{"billed_charge":42120.00,"npi":[1447510805]}]},{"allowed_amount":10497.84,"providers":[{"billed_charge":89505.00,"npi":[1487073680]}]},{"allowed_amount":6381.04,"providers":[{"billed_charge":54405.00,"npi":[1801472253]}]},{"allowed_amount":823.36,"providers":[{"billed_charge":7020.00,"npi":[1740869270]}]}]},{"tin":{"type":"ein","value":"261498683"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5258.76,"providers":[{"billed_charge":13416.00,"npi":[1588079529]}]}]},{"tin":{"type":"ein","value":"853333490"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1243.86,"providers":[{"billed_charge":4140.00,"npi":[1427260132]}]}]},{"tin":{"type":"ein","value":"752684562"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":18216.60,"providers":[{"billed_charge":52620.00,"npi":[1679559454]}]},{"allowed_amount":1214.44,"providers":[{"billed_charge":3508.00,"npi":[1396123477]}]}]},{"tin":{"type":"ein","value":"992442600"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4701.41,"providers":[{"billed_charge":9673.25,"npi":[1730209719]}]}]},{"tin":{"type":"ein","value":"760671736"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2695.03,"providers":[{"billed_charge":8965.45,"npi":[1134305253]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":196.19,"providers":[{"billed_charge":680.00,"npi":[1669889291,1952663916]}]},{"allowed_amount":3727.61,"providers":[{"billed_charge":12920.00,"npi":[1841547759]}]}]},{"tin":{"type":"ein","value":"205768117"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2280.41,"providers":[{"billed_charge":12727.00,"npi":[1457333775]}]}]},{"tin":{"type":"ein","value":"760646261"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":583.50,"providers":[{"billed_charge":1275.00,"npi":[1417956111]}]},{"allowed_amount":972.50,"providers":[{"billed_charge":2125.00,"npi":[1023017613]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":8258.58,"providers":[{"billed_charge":21692.00,"npi":[1234567893]}]},{"allowed_amount":473.28,"providers":[{"billed_charge":6240.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"931606104"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2192.79,"providers":[{"billed_charge":5660.60,"npi":[1649434804]}]}]},{"tin":{"type":"ein","value":"460510254"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":196.19,"providers":[{"billed_charge":376.00,"npi":[1124433644]}]},{"allowed_amount":10005.69,"providers":[{"billed_charge":19176.00,"npi":[1558716167]}]},{"allowed_amount":392.38,"providers":[{"billed_charge":752.00,"npi":[1528092723]}]},{"allowed_amount":1656.48,"providers":[{"billed_charge":2632.00,"npi":[1831544675]}]},{"allowed_amount":236.64,"providers":[{"billed_charge":376.00,"npi":[1124433644]}]},{"allowed_amount":30998.02,"providers":[{"billed_charge":59408.00,"npi":[1831544675]}]},{"allowed_amount":879.82,"providers":[{"billed_charge":1504.00,"npi":[1558716167]}]}]},{"tin":{"type":"ein","value":"810917577"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":392.38,"providers":[{"billed_charge":800.00,"npi":[1609019710]}]}]},{"tin":{"type":"ein","value":"760385980"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2550.47,"providers":[{"billed_charge":5759.00,"npi":[1861873846]}]}]},{"tin":{"type":"ein","value":"300520570"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":6426.61,"providers":[{"billed_charge":20836.65,"npi":[1477790095]}]},{"allowed_amount":2280.41,"providers":[{"billed_charge":7393.65,"npi":[1417137894]}]},{"allowed_amount":500.10,"providers":[{"billed_charge":1344.30,"npi":[1003090952]}]},{"allowed_amount":829.24,"providers":[{"billed_charge":2688.60,"npi":[1003090952]}]},{"allowed_amount":1036.55,"providers":[{"billed_charge":3360.75,"npi":[1598018772]}]}]},{"tin":{"type":"ein","value":"471728945"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5865.54,"providers":[{"billed_charge":22794.00,"npi":[1770849820]}]},{"allowed_amount":606.78,"providers":[{"billed_charge":2358.00,"npi":[1447396015]}]},{"allowed_amount":24675.72,"providers":[{"billed_charge":95892.00,"npi":[1497890198,1508271404]}]},{"allowed_amount":18203.40,"providers":[{"billed_charge":70740.00,"npi":[1104003607]}]},{"allowed_amount":16585.32,"providers":[{"billed_charge":64452.00,"npi":[1326425182]}]},{"allowed_amount":24473.46,"providers":[{"billed_charge":95106.00,"npi":[1568625432]}]}]},{"tin":{"type":"ein","value":"742501542"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1001.19,"providers":[{"billed_charge":5542.11,"npi":[1851582464]}]}]},{"tin":{"type":"ein","value":"200167479"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1684.98,"providers":[{"billed_charge":15484.00,"npi":[1720510571]}]}]},{"tin":{"type":"ein","value":"332012020"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2909.47,"providers":[{"billed_charge":28502.24,"npi":[1427256619]}]}]},{"tin":{"type":"ein","value":"751604753"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":199.66,"providers":[{"billed_charge":420.00,"npi":[1619051778]}]},{"allowed_amount":1397.62,"providers":[{"billed_charge":2940.00,"npi":[1245764026]}]}]},{"tin":{"type":"ein","value":"882958926"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1213.56,"providers":[{"billed_charge":9300.00,"npi":[1891716460]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3468.67,"providers":[{"billed_charge":21825.00,"npi":[1760879829]}]},{"allowed_amount":250.05,"providers":[{"billed_charge":1455.00,"npi":[1821330044,1992125728]}]}]},{"tin":{"type":"ein","value":"932594175"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":784.76,"providers":[{"billed_charge":4820.00,"npi":[1467773978]}]},{"allowed_amount":19030.43,"providers":[{"billed_charge":116885.00,"npi":[1508399437]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1028.50,"providers":[{"billed_charge":4860.00,"npi":[1114389830]}]},{"allowed_amount":4731.10,"providers":[{"billed_charge":22356.00,"npi":[1184864902]}]}]},{"tin":{"type":"ein","value":"384109786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":491.56,"providers":[{"billed_charge":4424.00,"npi":[1912131053,1821449307,1275944902]}]},{"allowed_amount":3440.92,"providers":[{"billed_charge":30968.00,"npi":[1841672540]}]},{"allowed_amount":983.12,"providers":[{"billed_charge":8848.00,"npi":[1528409968,1285096404]}]},{"allowed_amount":245.78,"providers":[{"billed_charge":2212.00,"npi":[1841443108]}]},{"allowed_amount":2212.02,"providers":[{"billed_charge":19908.00,"npi":[1003098310]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":3686.70,"providers":[{"billed_charge":33180.00,"npi":[1992148654]}]},{"allowed_amount":1228.90,"providers":[{"billed_charge":11060.00,"npi":[1568636025]}]},{"allowed_amount":245.78,"providers":[{"billed_charge":2212.00,"npi":[1487005583,1073803599]}]}]},{"tin":{"type":"ein","value":"830476355"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5689.51,"providers":[{"billed_charge":10150.00,"npi":[1346277043]}]}]},{"tin":{"type":"ein","value":"900624186"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3842.94,"providers":[{"billed_charge":14250.00,"npi":[1497741037]}]}]},{"tin":{"type":"ein","value":"320558440"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1346.43,"providers":[{"billed_charge":3651.00,"npi":[1851886576]}]}]},{"tin":{"type":"ein","value":"455423722"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2957.27,"providers":[{"billed_charge":7686.00,"npi":[1336637552]}]},{"allowed_amount":9433.16,"providers":[{"billed_charge":24156.00,"npi":[1770863615]}]}]},{"tin":{"type":"ein","value":"852906340"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.31,"providers":[{"billed_charge":300.00,"npi":[1639154883]}]}]},{"tin":{"type":"ein","value":"932683132"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":31280.16,"providers":[{"billed_charge":72768.00,"npi":[1790195378]}]}]},{"tin":{"type":"ein","value":"993064915"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":714.89,"providers":[{"billed_charge":6255.00,"npi":[1649759655]}]}]},{"tin":{"type":"ein","value":"471001250"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":15926.32,"providers":[{"billed_charge":36765.96,"npi":[1053810127]}]}]},{"tin":{"type":"ein","value":"882982605"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2831.64,"providers":[{"billed_charge":10108.00,"npi":[1912147927]}]}]}]},{"name":"CRITICAL CARE ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99292","description":"CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL OR CRITICALLY INJURED PATIENT; EACH A","allowed_amounts":[{"tin":{"type":"ein","value":"460510254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":294.30,"providers":[{"billed_charge":546.00,"npi":[1831544675]}]}]},{"tin":{"type":"ein","value":"832447367"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":207.05,"providers":[{"billed_charge":640.38,"npi":[1114921905]}]}]}]},{"name":"NURSING FAC CARE SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQ","allowed_amounts":[{"tin":{"type":"ein","value":"263264819"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":2051.05,"providers":[{"billed_charge":3300.00,"npi":[1437157419]}]}]},{"tin":{"type":"ein","value":"203988983"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":474.24,"providers":[{"billed_charge":1443.00,"npi":[1063413482]}]}]}]},{"name":"NURSING FAC CARE SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99308","description":"SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQ","allowed_amounts":[{"tin":{"type":"ein","value":"862643604"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":1669.36,"providers":[{"billed_charge":5936.00,"npi":[1962025866]}]}]},{"tin":{"type":"ein","value":"383870044"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":2140.95,"providers":[{"billed_charge":5075.00,"npi":[1356038673]}]}]},{"tin":{"type":"ein","value":"472590836"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":1132.78,"providers":[{"billed_charge":4446.00,"npi":[1255911517]}]}]},{"tin":{"type":"ein","value":"830463233"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":641.97,"providers":[{"billed_charge":900.00,"npi":[1457322752]}]}]},{"tin":{"type":"ein","value":"992289454"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":121.26,"providers":[{"billed_charge":367.70,"npi":[1265659247]}]},{"allowed_amount":179.09,"providers":[{"billed_charge":541.60,"npi":[1265659247]}]}]},{"tin":{"type":"ein","value":"831983413"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":775.06,"providers":[{"billed_charge":1820.00,"npi":[1760795132]}]},{"allowed_amount":655.82,"providers":[{"billed_charge":1540.00,"npi":[1760795132]}]}]},{"tin":{"type":"ein","value":"450774945"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":59.62,"providers":[{"billed_charge":100.00,"npi":[1023315934]}]}]}]},{"name":"NURSING FAC CARE SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQ","allowed_amounts":[{"tin":{"type":"ein","value":"833973422"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":2564.42,"providers":[{"billed_charge":4872.00,"npi":[1255092938]}]}]},{"tin":{"type":"ein","value":"831713398"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":405.80,"providers":[{"billed_charge":1073.16,"npi":[1194012161]}]}]},{"tin":{"type":"ein","value":"455567952"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":208.70,"providers":[{"billed_charge":724.00,"npi":[1316250707]}]}]},{"tin":{"type":"ein","value":"824684335"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":1384.48,"providers":[{"billed_charge":4464.00,"npi":[1528772894]}]}]},{"tin":{"type":"ein","value":"272022354"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":103.65,"providers":[{"billed_charge":214.00,"npi":[1508962606]}]},{"allowed_amount":83.93,"providers":[{"billed_charge":214.00,"npi":[1932649761]}]},{"allowed_amount":440.50,"providers":[{"billed_charge":1070.00,"npi":[1083191977]}]},{"allowed_amount":310.95,"providers":[{"billed_charge":642.00,"npi":[1255686895]}]},{"allowed_amount":518.25,"providers":[{"billed_charge":1070.00,"npi":[1780198044]}]},{"allowed_amount":207.30,"providers":[{"billed_charge":428.00,"npi":[1508962606]}]},{"allowed_amount":167.86,"providers":[{"billed_charge":428.00,"npi":[1932649761]}]},{"allowed_amount":264.30,"providers":[{"billed_charge":642.00,"npi":[1497213052]}]},{"allowed_amount":829.20,"providers":[{"billed_charge":1712.00,"npi":[1649948852]}]},{"allowed_amount":2694.90,"providers":[{"billed_charge":5564.00,"npi":[1255686895]}]},{"allowed_amount":621.90,"providers":[{"billed_charge":1284.00,"npi":[1780198044]}]},{"allowed_amount":2378.70,"providers":[{"billed_charge":5778.00,"npi":[1528526795]}]},{"allowed_amount":352.40,"providers":[{"billed_charge":856.00,"npi":[1144767096,1871017582]}]},{"allowed_amount":1140.15,"providers":[{"billed_charge":2354.00,"npi":[1649948852]}]},{"allowed_amount":176.20,"providers":[{"billed_charge":428.00,"npi":[1306552476]}]},{"allowed_amount":88.10,"providers":[{"billed_charge":214.00,"npi":[1497213052,1083191977]}]},{"allowed_amount":2995.40,"providers":[{"billed_charge":7276.00,"npi":[1528526795]}]},{"allowed_amount":881.00,"providers":[{"billed_charge":2140.00,"npi":[1871017582]}]},{"allowed_amount":1673.90,"providers":[{"billed_charge":4066.00,"npi":[1306552476]}]}]},{"tin":{"type":"ein","value":"845000210"},"service_code":["32"],"billing_class":"professional","payments":[{"allowed_amount":6014.40,"providers":[{"billed_charge":36733.90,"npi":[1437631900]}]},{"allowed_amount":969.10,"providers":[{"billed_charge":5772.47,"npi":[1316712227]}]},{"allowed_amount":1032.48,"providers":[{"billed_charge":6297.24,"npi":[1023711751]}]},{"allowed_amount":268.80,"providers":[{"billed_charge":1574.31,"npi":[1245616895]}]},{"allowed_amount":627.20,"providers":[{"billed_charge":3673.39,"npi":[1881360345]}]}]},{"tin":{"type":"ein","value":"471039380"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":518.25,"providers":[{"billed_charge":850.00,"npi":[1578520953]}]}]},{"tin":{"type":"ein","value":"462193615"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":449.85,"providers":[{"billed_charge":875.00,"npi":[1396305843]}]},{"allowed_amount":251.79,"providers":[{"billed_charge":525.00,"npi":[1578198701]}]},{"allowed_amount":173.06,"providers":[{"billed_charge":350.00,"npi":[1578198701]}]}]},{"tin":{"type":"ein","value":"814329341"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":631.51,"providers":[{"billed_charge":1575.00,"npi":[1689135923]}]}]},{"tin":{"type":"ein","value":"450774945"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":173.06,"providers":[{"billed_charge":250.00,"npi":[1023315934]}]}]},{"tin":{"type":"ein","value":"851248990"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":610.80,"providers":[{"billed_charge":1500.00,"npi":[1801091384]}]}]}]},{"name":"NURSING FAC CARE SUBSEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99310","description":"SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQ","allowed_amounts":[{"tin":{"type":"ein","value":"814005993"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":123.43,"providers":[{"billed_charge":250.00,"npi":[1699200337]}]}]}]},{"name":"HOME VISIT EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99349","description":"HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF","allowed_amounts":[{"tin":{"type":"ein","value":"464725163"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2961.19,"providers":[{"billed_charge":4350.29,"npi":[1942535828]}]}]}]},{"name":"HOME VISIT EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99350","description":"HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF","allowed_amounts":[{"tin":{"type":"ein","value":"464725163"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3707.00,"providers":[{"billed_charge":4875.25,"npi":[1942535828]}]}]}]},{"name":"PREV VISIT NEW AGE 5-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99383","description":"INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE AND","allowed_amounts":[{"tin":{"type":"ein","value":"473975088"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":762.40,"providers":[{"billed_charge":1440.00,"npi":[1497225478]}]}]}]},{"name":"PREV VISIT NEW AGE 12-17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99384","description":"INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE AND","allowed_amounts":[{"tin":{"type":"ein","value":"473975088"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":214.34,"providers":[{"billed_charge":440.00,"npi":[1497225478]}]}]}]},{"name":"PREV VISIT NEW AGE 18-39","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99385","description":"INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE AND","allowed_amounts":[{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":109.58,"providers":[{"billed_charge":365.00,"npi":[1538526702]}]}]}]},{"name":"PREV VISIT NEW AGE 40-64","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99386","description":"INITIAL COMPREHENSIVE PREVENTIVE MEDICINE EVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE AND","allowed_amounts":[{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":631.00,"providers":[{"billed_charge":2090.00,"npi":[1538526702]}]}]}]},{"name":"PREV VISIT EST AGE 1-4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99392","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE","allowed_amounts":[{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":589.92,"providers":[{"billed_charge":960.00,"npi":[1265546287]}]}]}]},{"name":"PREV VISIT EST AGE 5-11","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99393","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE","allowed_amounts":[{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":983.20,"providers":[{"billed_charge":1800.00,"npi":[1265546287]}]}]}]},{"name":"PREV VISIT EST AGE 18-39","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99395","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE","allowed_amounts":[{"tin":{"type":"ein","value":"760537608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3098.76,"providers":[{"billed_charge":4900.00,"npi":[1770583411]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2545.41,"providers":[{"billed_charge":4500.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":553.35,"providers":[{"billed_charge":1040.00,"npi":[1831383355]}]}]}]},{"name":"PREV VISIT EST AGE 40-64","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99396","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE","allowed_amounts":[{"tin":{"type":"ein","value":"760537608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1294.26,"providers":[{"billed_charge":1925.00,"npi":[1770583411]}]}]},{"tin":{"type":"ein","value":"760622487"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":505.20,"providers":[{"billed_charge":1280.00,"npi":[1174104582]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10471.74,"providers":[{"billed_charge":16040.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":660.00,"providers":[{"billed_charge":2200.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"760622208"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":411.80,"providers":[{"billed_charge":1517.00,"npi":[1609603836]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6706.62,"providers":[{"billed_charge":12597.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":1100.11,"providers":[{"billed_charge":1210.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":941.28,"providers":[{"billed_charge":1800.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"760458535"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1566.00,"providers":[{"billed_charge":2610.00,"npi":[1841828548]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":210.32,"providers":[{"billed_charge":702.00,"npi":[1538526702]}]}]}]},{"name":"PER PM REEVAL EST PAT 65+ YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99397","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE","allowed_amounts":[{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":253.40,"providers":[{"billed_charge":360.00,"npi":[1639511397]}]}]}]},{"name":"BEHAV CHNG SMOKING 3-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99406","description":"SMOKING AND TOBACCO USE CESSATION COUNSELING VISIT; INTERMEDIATE, GREATER THAN 3 MINUTES UP TO 10 MI","allowed_amounts":[{"tin":{"type":"ein","value":"751532100"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.90,"providers":[{"billed_charge":157.00,"npi":[1285399147]}]}]}]},{"name":"BEHAV CHNG SMOKING > 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99407","description":"SMOKING AND TOBACCO USE CESSATION COUNSELING VISIT; INTENSIVE, GREATER THAN 10 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":465.20,"providers":[{"billed_charge":960.00,"npi":[1740512649]}]}]}]},{"name":"PROLNG OFF/OP E/M EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99417","description":"PROLONGED OFFICE/OUTPATIENT E/M SVC EA 15 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"463951057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":350.31,"providers":[{"billed_charge":1152.00,"npi":[1144330762]}]}]},{"tin":{"type":"ein","value":"760285577"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":458.85,"providers":[{"billed_charge":3000.00,"npi":[1871605998]}]}]}]},{"name":"Under Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99418","description":"Under Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service","allowed_amounts":[{"tin":{"type":"ein","value":"202971454"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":36.07,"providers":[{"billed_charge":45.00,"npi":[1497719306]}]}]},{"tin":{"type":"ein","value":"832447367"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1047.16,"providers":[{"billed_charge":3360.00,"npi":[1114921905]}]}]},{"tin":{"type":"ein","value":"852464463"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":362.88,"providers":[{"billed_charge":786.80,"npi":[1922595727]}]},{"allowed_amount":536.93,"providers":[{"billed_charge":1180.20,"npi":[1144473570]}]},{"allowed_amount":181.44,"providers":[{"billed_charge":393.40,"npi":[1992764419]}]}]}]},{"name":"CHRNC CARE MGMT SVC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99439","description":"CHRONIC CARE MANAGEMENT SERVICES EA ADDL 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"874664294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":848.09,"providers":[{"billed_charge":2704.08,"npi":[1619129624]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":357.12,"providers":[{"billed_charge":600.00,"npi":[1144275355]}]}]}]},{"name":"NTRPROF PH1/NTRNET/EHR 5/>","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99451","description":"NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN","allowed_amounts":[{"tin":{"type":"ein","value":"208164988"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":724.40,"providers":[{"billed_charge":1000.00,"npi":[1689164949]}]},{"allowed_amount":207.76,"providers":[{"billed_charge":300.00,"npi":[1851779326]}]}]}]},{"name":"REM PHYSIOL MNTR 20 MIN MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99457","description":"REMOTE PHYSIOLOGIC MONITORING 20 MIN+ PER MONTH","allowed_amounts":[{"tin":{"type":"ein","value":"874664294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":138.93,"providers":[{"billed_charge":468.00,"npi":[1619129624]}]}]}]},{"name":"NEONATE CRIT CARE SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBSEQUENT INPATIENT NEONATAL CRITICAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITICA","allowed_amounts":[{"tin":{"type":"ein","value":"650578395"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16053.95,"providers":[{"billed_charge":40645.00,"npi":[1578891719]}]}]},{"tin":{"type":"ein","value":"650603121"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6686.29,"providers":[{"billed_charge":54929.00,"npi":[1346212990]}]},{"allowed_amount":351.91,"providers":[{"billed_charge":2891.00,"npi":[1356571418]}]}]}]},{"name":"PED CRITICAL CARE SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSEQUENT INPATIENT PEDIATRIC CRITICAL CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITIC","allowed_amounts":[{"tin":{"type":"ein","value":"650578395"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1512.88,"providers":[{"billed_charge":3760.00,"npi":[1467764167,1073876793]}]}]}]},{"name":"CARE MGMT SVC BHVL HLTH COND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99484","description":"CARE MANAGEMENT SERVICES FOR BEHAVIORAL HEALTH CONDITIONS, AT LEAST 20 MINUTES OF CLINICAL STAFF TIM","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1760.18,"providers":[{"billed_charge":2890.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"450774945"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":207.90,"providers":[{"billed_charge":337.82,"npi":[1023315934]}]}]}]},{"name":"CHRON CARE MGMT SRVC 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99490","description":"CHRONIC CARE MANAGEMENT SERVICES, AT LEAST 20 MINUTES OF CLINICAL STAFF TIME DIRECTED BY A PHYSICIAN","allowed_amounts":[{"tin":{"type":"ein","value":"874664294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1296.24,"providers":[{"billed_charge":4137.54,"npi":[1619129624]}]}]},{"tin":{"type":"ein","value":"270653014"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":1208.42,"providers":[{"billed_charge":2969.07,"npi":[1518567353]}]},{"allowed_amount":1155.88,"providers":[{"billed_charge":2839.98,"npi":[1063000909]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7365.00,"providers":[{"billed_charge":9375.00,"npi":[1144275355]}]}]}]},{"name":"TRANS CARE MGMT 7 DAY DISCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99496","description":"TRANSITIONAL CARE MANAGEMENT SERVICES W THE FOLLOWING REQUIRED ELEMENTS: COMMUNICATION (DIRECT CONTA","allowed_amounts":[{"tin":{"type":"ein","value":"464725163"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2587.40,"providers":[{"billed_charge":3740.17,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":7930.20,"providers":[{"billed_charge":9750.00,"npi":[1144275355]}]},{"allowed_amount":179.06,"providers":[{"billed_charge":325.00,"npi":[1144275355]}]}]}]},{"name":"ADVNCD CARE PLAN 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99497","description":"ADV CARE PLANNING INCL THE EXPLANATION AND DISCUSSION OF ADV DIRECTIVES SUCH AS STANDARD FORMS (W CO","allowed_amounts":[{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":704.50,"providers":[{"billed_charge":1454.80,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"852464463"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":602.33,"providers":[{"billed_charge":8598.45,"npi":[1629418025]}]}]}]},{"name":"HOME INFUSION/VISIT, 2 HRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99601","description":"HOME INFUSION/SPECIALTY DRUG ADMINISTRATION, PER VISIT (UP TO 2 HOURS);","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12","10"],"billing_class":"professional","payments":[{"allowed_amount":190.00,"providers":[{"billed_charge":720.00,"npi":[1234567893]}]},{"allowed_amount":12855.00,"providers":[{"billed_charge":50880.00,"npi":[1234567893]}]}]}]},{"name":"PT CONVENCE/OTH","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"999","description":"PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS","allowed_amounts":[{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":120.54,"providers":[{"billed_charge":21407.16,"npi":[1639663370]}]}]}]},{"name":"BLS ROUTINE DISPOSABLE SUPPL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0382","description":"BLS ROUTINE DISPOSABLE SUPPLIES","allowed_amounts":[{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":104200.00,"providers":[{"billed_charge":104200.00,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1000.00,"providers":[{"billed_charge":1000.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1257.52,"providers":[{"billed_charge":1257.52,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12000.00,"providers":[{"billed_charge":12000.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"756001144"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1364.36,"providers":[{"billed_charge":1364.36,"npi":[1528239027]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2100.00,"providers":[{"billed_charge":2100.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2000.00,"npi":[1831155647]}]}]}]},{"name":"ALS ROUTNE DISPSABLE SUPPLS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","allowed_amounts":[{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":232440.00,"providers":[{"billed_charge":232440.00,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"800685304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12592.72,"providers":[{"billed_charge":12592.72,"npi":[1457716037]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":18000.00,"providers":[{"billed_charge":18000.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746027491"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11624.34,"providers":[{"billed_charge":12828.90,"npi":[1447674825]}]}]},{"tin":{"type":"ein","value":"751288684"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10800.00,"providers":[{"billed_charge":10800.00,"npi":[1538179288]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8475.39,"providers":[{"billed_charge":8475.39,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4800.00,"providers":[{"billed_charge":4800.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"760426477"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9330.84,"providers":[{"billed_charge":9330.84,"npi":[1821036831]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8490.00,"providers":[{"billed_charge":8490.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28000.00,"providers":[{"billed_charge":28000.00,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"741738475"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3600.00,"providers":[{"billed_charge":3600.00,"npi":[1710261573]}]}]}]},{"name":"AMB OXYGEN&O2 SPL LIFE SUSTA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0422","description":"AMBULANCE (ALS OR BLS) OXYGEN AND OXYGEN SUPPLIES, LIFE SUSTAINING SITUATION","allowed_amounts":[{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":21460.00,"providers":[{"billed_charge":21460.00,"npi":[1710981774]}]}]}]},{"name":"GRND MLGE PER STATUTE MILE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0425","description":"GROUND MILEAGE, PER STATUTE MILE","allowed_amounts":[{"tin":{"type":"ein","value":"721572180"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3831.32,"providers":[{"billed_charge":3915.00,"npi":[1881979748]}]}]},{"tin":{"type":"ein","value":"201718923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":892.13,"providers":[{"billed_charge":1087.80,"npi":[1578584124]}]}]},{"tin":{"type":"ein","value":"825198494"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":124972.50,"providers":[{"billed_charge":124972.50,"npi":[1518451749]}]}]},{"tin":{"type":"ein","value":"522124245"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1296.00,"providers":[{"billed_charge":1296.00,"npi":[1316986201]}]}]},{"tin":{"type":"ein","value":"746001923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3376.86,"providers":[{"billed_charge":3376.86,"npi":[1245338433]}]}]},{"tin":{"type":"ein","value":"202950769"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":27944.00,"providers":[{"billed_charge":27944.00,"npi":[1700801693]}]}]},{"tin":{"type":"ein","value":"270035649"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4079.48,"providers":[{"billed_charge":4140.00,"npi":[1902566300]}]}]},{"tin":{"type":"ein","value":"731038915"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":950.00,"providers":[{"billed_charge":950.00,"npi":[1457378150]}]}]},{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":420061.15,"providers":[{"billed_charge":421949.18,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"756004644"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":864.00,"providers":[{"billed_charge":864.00,"npi":[1891716452]}]}]},{"tin":{"type":"ein","value":"751708500"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1190.80,"providers":[{"billed_charge":1231.44,"npi":[1326174426]}]}]},{"tin":{"type":"ein","value":"746001490"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3373.19,"providers":[{"billed_charge":3394.71,"npi":[1730186636]}]}]},{"tin":{"type":"ein","value":"934900709"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2003.00,"providers":[{"billed_charge":2003.00,"npi":[1063276582]}]}]},{"tin":{"type":"ein","value":"202307134"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1599.40,"providers":[{"billed_charge":13078.00,"npi":[1114087715]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7900.96,"providers":[{"billed_charge":7902.10,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"756000608"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":830.00,"providers":[{"billed_charge":830.00,"npi":[1356324446]}]}]},{"tin":{"type":"ein","value":"454891186"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5138.40,"providers":[{"billed_charge":5138.40,"npi":[1043586647]}]}]},{"tin":{"type":"ein","value":"272612460"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12504.00,"providers":[{"billed_charge":12504.00,"npi":[1164854733]}]}]},{"tin":{"type":"ein","value":"923266410"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2229.60,"providers":[{"billed_charge":2229.60,"npi":[1326734229]}]}]},{"tin":{"type":"ein","value":"473442335"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2002.40,"providers":[{"billed_charge":2002.40,"npi":[1316301054]}]}]},{"tin":{"type":"ein","value":"756001812"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":48.00,"npi":[1578565917]}]}]},{"tin":{"type":"ein","value":"751570670"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":375.00,"providers":[{"billed_charge":375.00,"npi":[1699811034]}]}]},{"tin":{"type":"ein","value":"756000602"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1242.00,"providers":[{"billed_charge":1242.00,"npi":[1134263908]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4800.00,"providers":[{"billed_charge":4800.00,"npi":[1174620546]}]}]},{"tin":{"type":"ein","value":"261296735"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":32422.02,"providers":[{"billed_charge":45725.40,"npi":[1235307752]}]}]},{"tin":{"type":"ein","value":"853395488"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3110.40,"providers":[{"billed_charge":3110.40,"npi":[1598353708]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24856.42,"providers":[{"billed_charge":24856.42,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"237246983"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3288.00,"providers":[{"billed_charge":3288.00,"npi":[1184644098]}]}]},{"tin":{"type":"ein","value":"742049756"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1318.00,"providers":[{"billed_charge":1318.00,"npi":[1396825410]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11642.80,"providers":[{"billed_charge":11642.80,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"760517401"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2004.00,"providers":[{"billed_charge":2004.00,"npi":[1205899374]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":953518.92,"providers":[{"billed_charge":1988273.93,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"742391176"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5457.90,"providers":[{"billed_charge":5457.90,"npi":[1760850648]}]}]},{"tin":{"type":"ein","value":"274539737"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8448.00,"providers":[{"billed_charge":8448.00,"npi":[1295014140]}]}]},{"tin":{"type":"ein","value":"746027491"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6740.77,"providers":[{"billed_charge":7497.70,"npi":[1447674825]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8926.74,"providers":[{"billed_charge":8926.74,"npi":[1417456583]}]}]},{"tin":{"type":"ein","value":"320264034"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":26139.47,"providers":[{"billed_charge":73907.50,"npi":[1669624730]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20853.00,"providers":[{"billed_charge":20853.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"756001144"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47225.36,"providers":[{"billed_charge":47225.36,"npi":[1528239027]}]}]},{"tin":{"type":"ein","value":"752970180"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2993.43,"providers":[{"billed_charge":3027.00,"npi":[1346207966]}]}]},{"tin":{"type":"ein","value":"364742317"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":518.40,"providers":[{"billed_charge":518.40,"npi":[1144652512]}]}]},{"tin":{"type":"ein","value":"726000137"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":364.00,"providers":[{"billed_charge":364.00,"npi":[1760408926]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":158006.00,"providers":[{"billed_charge":158006.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8674.56,"providers":[{"billed_charge":8776.55,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"756005194"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3056.00,"providers":[{"billed_charge":3056.00,"npi":[1265570295]}]}]},{"tin":{"type":"ein","value":"262742199"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3462.40,"providers":[{"billed_charge":3462.40,"npi":[1265662829]}]}]},{"tin":{"type":"ein","value":"743023503"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28275.00,"providers":[{"billed_charge":28275.00,"npi":[1831207919]}]}]},{"tin":{"type":"ein","value":"275497125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6188.00,"providers":[{"billed_charge":6188.00,"npi":[1114319332]}]}]},{"tin":{"type":"ein","value":"260316725"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7206.27,"providers":[{"billed_charge":11328.00,"npi":[1114199320]}]}]},{"tin":{"type":"ein","value":"746026374"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":96.00,"providers":[{"billed_charge":96.00,"npi":[1265520217]}]}]},{"tin":{"type":"ein","value":"756002888"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6613.62,"providers":[{"billed_charge":6613.62,"npi":[1003067513]}]}]},{"tin":{"type":"ein","value":"720701964"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20453.42,"providers":[{"billed_charge":24406.58,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7032.00,"providers":[{"billed_charge":7032.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3150.00,"providers":[{"billed_charge":3150.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8833.44,"providers":[{"billed_charge":9360.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"205829641"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28827.00,"providers":[{"billed_charge":28827.00,"npi":[1447436613]}]}]},{"tin":{"type":"ein","value":"741402838"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":36.00,"providers":[{"billed_charge":36.00,"npi":[1407941479]}]}]},{"tin":{"type":"ein","value":"746000728"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2677.50,"providers":[{"billed_charge":2677.50,"npi":[1225010291]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":14128.00,"providers":[{"billed_charge":14128.00,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8097.44,"providers":[{"billed_charge":8108.10,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"751166224"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1472.00,"providers":[{"billed_charge":1472.00,"npi":[1932156403]}]}]},{"tin":{"type":"ein","value":"611511551"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3476.00,"providers":[{"billed_charge":3476.00,"npi":[1235213786]}]}]},{"tin":{"type":"ein","value":"421728305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":14510.00,"providers":[{"billed_charge":14510.00,"npi":[1760604649]}]}]},{"tin":{"type":"ein","value":"451837687"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":253.55,"providers":[{"billed_charge":265.97,"npi":[1316229677]}]}]},{"tin":{"type":"ein","value":"300662178"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5676.00,"providers":[{"billed_charge":5676.00,"npi":[1932471075]}]}]},{"tin":{"type":"ein","value":"200253831"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10560.01,"providers":[{"billed_charge":10755.00,"npi":[1669462982]}]}]},{"tin":{"type":"ein","value":"746002070"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":471.60,"providers":[{"billed_charge":471.60,"npi":[1053377713]}]}]},{"tin":{"type":"ein","value":"751288684"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5267.50,"providers":[{"billed_charge":5267.50,"npi":[1538179288]}]}]},{"tin":{"type":"ein","value":"921690554"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":26659.20,"providers":[{"billed_charge":26659.20,"npi":[1538872239]}]}]},{"tin":{"type":"ein","value":"263835980"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6578.25,"providers":[{"billed_charge":6578.25,"npi":[1023255874]}]}]},{"tin":{"type":"ein","value":"453584448"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5540.00,"providers":[{"billed_charge":5540.00,"npi":[1679832125]}]}]},{"tin":{"type":"ein","value":"756000513"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2246.73,"providers":[{"billed_charge":2284.50,"npi":[1053340737]}]}]},{"tin":{"type":"ein","value":"271466450"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":64.84,"providers":[{"billed_charge":155.90,"npi":[1881915155]}]}]},{"tin":{"type":"ein","value":"756001203"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1197.60,"providers":[{"billed_charge":1197.60,"npi":[1891700753]}]}]},{"tin":{"type":"ein","value":"270955008"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43181.60,"providers":[{"billed_charge":43181.60,"npi":[1164707444]}]}]},{"tin":{"type":"ein","value":"756000478"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1755.00,"providers":[{"billed_charge":1755.00,"npi":[1033240718]}]}]},{"tin":{"type":"ein","value":"203948307"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":112848.63,"providers":[{"billed_charge":114340.61,"npi":[1376644609]}]}]},{"tin":{"type":"ein","value":"756000594"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1060.00,"providers":[{"billed_charge":1060.00,"npi":[1598781742]}]}]},{"tin":{"type":"ein","value":"202884246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":120.00,"npi":[1255431169]}]}]},{"tin":{"type":"ein","value":"746000574"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":21390.76,"providers":[{"billed_charge":21391.14,"npi":[1972609337]}]}]},{"tin":{"type":"ein","value":"746001420"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1745.75,"providers":[{"billed_charge":1745.75,"npi":[1710064100]}]}]},{"tin":{"type":"ein","value":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":82017.82,"providers":[{"billed_charge":82221.05,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":143963.52,"providers":[{"billed_charge":193900.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"742145984"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":900.00,"providers":[{"billed_charge":900.00,"npi":[1780698183]}]}]},{"tin":{"type":"ein","value":"453570166"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":32036.48,"providers":[{"billed_charge":37352.00,"npi":[1366719932]}]}]},{"tin":{"type":"ein","value":"746001602"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8048.04,"providers":[{"billed_charge":9380.00,"npi":[1588747331]}]}]},{"tin":{"type":"ein","value":"756000514"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8046.81,"providers":[{"billed_charge":8046.81,"npi":[1275548182]}]}]},{"tin":{"type":"ein","value":"260368797"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5968.80,"providers":[{"billed_charge":5968.80,"npi":[1326217738]}]}]},{"tin":{"type":"ein","value":"746003078"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":72240.00,"providers":[{"billed_charge":72240.00,"npi":[1023124328]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":640690.45,"providers":[{"billed_charge":642301.80,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47817.66,"providers":[{"billed_charge":48338.55,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"710739237"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7122.48,"providers":[{"billed_charge":7602.50,"npi":[1649200890]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":74426.98,"providers":[{"billed_charge":74426.98,"npi":[1639103864]}]},{"allowed_amount":29523.98,"providers":[{"billed_charge":33761.97,"npi":[1194750802]}]},{"allowed_amount":72701.13,"providers":[{"billed_charge":80742.20,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"746003635"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":565.95,"providers":[{"billed_charge":567.00,"npi":[1760589493]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7590.00,"providers":[{"billed_charge":7590.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"452538975"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6150.00,"providers":[{"billed_charge":6150.00,"npi":[1083912554]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":125804.51,"providers":[{"billed_charge":134921.63,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":116951.47,"providers":[{"billed_charge":116980.30,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8046.00,"providers":[{"billed_charge":8046.00,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"743015865"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":23592.00,"providers":[{"billed_charge":23592.00,"npi":[1780398644]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29764.55,"providers":[{"billed_charge":29802.00,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"756000640"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":634.50,"providers":[{"billed_charge":634.50,"npi":[1982742698]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":17999.44,"providers":[{"billed_charge":19570.32,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"746000749"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":855.00,"providers":[{"billed_charge":855.00,"npi":[1306909395]}]}]},{"tin":{"type":"ein","value":"756000648"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":90.00,"providers":[{"billed_charge":90.00,"npi":[1457499212]}]}]},{"tin":{"type":"ein","value":"746001715"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":347.76,"providers":[{"billed_charge":672.00,"npi":[1902368871]}]}]},{"tin":{"type":"ein","value":"760521530"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":15422.40,"providers":[{"billed_charge":15422.40,"npi":[1801864368]}]}]},{"tin":{"type":"ein","value":"751962356"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":504.05,"providers":[{"billed_charge":616.00,"npi":[1861477762]}]}]},{"tin":{"type":"ein","value":"273061469"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6511.20,"providers":[{"billed_charge":6511.20,"npi":[1669756904]}]}]},{"tin":{"type":"ein","value":"453837763"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":80668.50,"providers":[{"billed_charge":80668.50,"npi":[1528335478]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":442739.86,"providers":[{"billed_charge":442745.91,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"800685304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40077.72,"providers":[{"billed_charge":40077.72,"npi":[1457716037]}]},{"allowed_amount":3788.64,"providers":[{"billed_charge":3788.64,"npi":[1013301647]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":70007.50,"providers":[{"billed_charge":70007.50,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"933583304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4544.00,"providers":[{"billed_charge":4544.00,"npi":[1386416212]}]}]},{"tin":{"type":"ein","value":"742028156"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5280.51,"providers":[{"billed_charge":5280.51,"npi":[1588734594]}]}]},{"tin":{"type":"ein","value":"746000874"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3866.50,"providers":[{"billed_charge":3866.50,"npi":[1093706269]}]}]},{"tin":{"type":"ein","value":"932146476"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6040.19,"providers":[{"billed_charge":6042.10,"npi":[1679328520]}]}]},{"tin":{"type":"ein","value":"756000531"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1125.00,"providers":[{"billed_charge":1125.00,"npi":[1538207642]}]}]},{"tin":{"type":"ein","value":"746028909"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5304.00,"providers":[{"billed_charge":5304.00,"npi":[1720008659]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1040.82,"providers":[{"billed_charge":5180.00,"npi":[1215064506]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":18096.00,"providers":[{"billed_charge":18096.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19491.00,"providers":[{"billed_charge":19491.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"462829506"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24748.00,"providers":[{"billed_charge":24748.00,"npi":[1619393436]}]}]},{"tin":{"type":"ein","value":"208993021"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3264.23,"providers":[{"billed_charge":8966.00,"npi":[1760662274]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16918.00,"providers":[{"billed_charge":16940.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16423.48,"providers":[{"billed_charge":16725.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"261789627"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":35655.26,"providers":[{"billed_charge":53910.00,"npi":[1093988784]}]}]},{"tin":{"type":"ein","value":"454344292"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3048.00,"providers":[{"billed_charge":3048.00,"npi":[1447512637]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":17860.50,"providers":[{"billed_charge":17860.50,"npi":[1437254471]}]},{"allowed_amount":26496.00,"providers":[{"billed_charge":26496.00,"npi":[1235248089]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":75367.60,"providers":[{"billed_charge":75367.60,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":787459.11,"providers":[{"billed_charge":926713.85,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"746000422"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3200.00,"providers":[{"billed_charge":3200.00,"npi":[1982661666]}]}]},{"tin":{"type":"ein","value":"756000546"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":558.93,"providers":[{"billed_charge":864.00,"npi":[1790790947]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6312.00,"providers":[{"billed_charge":6312.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22607.12,"providers":[{"billed_charge":22855.00,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"900672645"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2529.02,"providers":[{"billed_charge":4172.00,"npi":[1063792638]}]}]},{"tin":{"type":"ein","value":"746000544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4178.40,"providers":[{"billed_charge":4178.40,"npi":[1295759942]}]}]},{"tin":{"type":"ein","value":"741818451"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5442.18,"providers":[{"billed_charge":5634.00,"npi":[1053317347]}]}]},{"tin":{"type":"ein","value":"746000660"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":744.00,"providers":[{"billed_charge":744.00,"npi":[1811041023]}]}]},{"tin":{"type":"ein","value":"746002441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8240.00,"providers":[{"billed_charge":8240.00,"npi":[1336169192]}]}]},{"tin":{"type":"ein","value":"746000408"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8702.40,"providers":[{"billed_charge":8702.40,"npi":[1811075807]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16580.70,"providers":[{"billed_charge":19224.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"760330195"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8609.30,"providers":[{"billed_charge":8667.00,"npi":[1881662344]}]}]},{"tin":{"type":"ein","value":"746000889"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6500.00,"providers":[{"billed_charge":6500.00,"npi":[1225006786]}]}]},{"tin":{"type":"ein","value":"756000669"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4031.10,"providers":[{"billed_charge":4031.10,"npi":[1801816749]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":180150.35,"providers":[{"billed_charge":182679.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"450526937"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1335.31,"providers":[{"billed_charge":1335.31,"npi":[1467105619]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":194380.77,"providers":[{"billed_charge":194380.77,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"760693285"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7471.50,"providers":[{"billed_charge":7494.00,"npi":[1265400733]}]}]},{"tin":{"type":"ein","value":"741738475"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9650.80,"providers":[{"billed_charge":9650.80,"npi":[1710261573]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":318796.76,"providers":[{"billed_charge":318890.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"741862375"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":69.00,"providers":[{"billed_charge":69.00,"npi":[1043239296]}]}]},{"tin":{"type":"ein","value":"201891818"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22957.44,"providers":[{"billed_charge":29336.00,"npi":[1285650846]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":111788.69,"providers":[{"billed_charge":111972.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"752152933"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":36.80,"providers":[{"billed_charge":36.80,"npi":[1467740704]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":807002.42,"providers":[{"billed_charge":1112869.86,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"746002557"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7377.60,"providers":[{"billed_charge":7377.60,"npi":[1114057742]}]}]},{"tin":{"type":"ein","value":"760426477"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13756.28,"providers":[{"billed_charge":13757.34,"npi":[1821036831]}]}]},{"tin":{"type":"ein","value":"746000534"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1691.00,"providers":[{"billed_charge":1691.00,"npi":[1891728465]}]}]},{"tin":{"type":"ein","value":"900512607"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1848.00,"providers":[{"billed_charge":1848.00,"npi":[1598083321]}]}]}]},{"name":"AMB SVC ALS NON ER TRSPRT L1","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0426","description":"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NONEMERGENCY TRANSPORT, LEVEL 1 (ALS 1)","allowed_amounts":[{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":106250.00,"providers":[{"billed_charge":106250.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":225145.44,"providers":[{"billed_charge":239485.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3345.63,"providers":[{"billed_charge":3651.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30798.80,"providers":[{"billed_charge":53152.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":18139.68,"providers":[{"billed_charge":21250.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4268.16,"providers":[{"billed_charge":6443.04,"npi":[1639103864]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":17072.64,"providers":[{"billed_charge":17600.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2680.66,"providers":[{"billed_charge":3509.00,"npi":[1083744940]}]}]}]},{"name":"AMB SVC ALS ER TRNSPRT LVL1","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0427","description":"AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS 1 - EMERGENCY)","allowed_amounts":[{"tin":{"type":"ein","value":"721572180"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12325.95,"providers":[{"billed_charge":27160.16,"npi":[1881979748]}]}]},{"tin":{"type":"ein","value":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":264555.00,"providers":[{"billed_charge":264555.00,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":123603.20,"providers":[{"billed_charge":147000.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"453570166"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6824.24,"providers":[{"billed_charge":8400.00,"npi":[1366719932]}]}]},{"tin":{"type":"ein","value":"756000514"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":71148.21,"providers":[{"billed_charge":71148.21,"npi":[1275548182]}]}]},{"tin":{"type":"ein","value":"202950769"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":54738.56,"providers":[{"billed_charge":95126.44,"npi":[1700801693]}]}]},{"tin":{"type":"ein","value":"270035649"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8804.25,"providers":[{"billed_charge":19090.41,"npi":[1902566300]}]}]},{"tin":{"type":"ein","value":"731038915"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6500.00,"providers":[{"billed_charge":6500.00,"npi":[1457378150]}]}]},{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2585219.91,"providers":[{"billed_charge":2585219.91,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"746003078"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":144809.04,"providers":[{"billed_charge":152700.00,"npi":[1023124328]}]}]},{"tin":{"type":"ein","value":"756004644"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6400.00,"providers":[{"billed_charge":6400.00,"npi":[1891716452]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1410436.02,"providers":[{"billed_charge":1690585.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":498281.98,"providers":[{"billed_charge":499094.50,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":235285.69,"providers":[{"billed_charge":235728.41,"npi":[1194750802]}]},{"allowed_amount":706445.25,"providers":[{"billed_charge":707650.51,"npi":[1639103864]}]},{"allowed_amount":617705.01,"providers":[{"billed_charge":690290.88,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19600.00,"providers":[{"billed_charge":19600.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1189848.10,"providers":[{"billed_charge":1282678.56,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":45050.00,"providers":[{"billed_charge":45050.00,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":119244.04,"providers":[{"billed_charge":151569.00,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"743015865"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24000.00,"providers":[{"billed_charge":24000.00,"npi":[1780398644]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":406102.53,"providers":[{"billed_charge":406191.00,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":93996.00,"providers":[{"billed_charge":94320.00,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"756000608"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6750.00,"providers":[{"billed_charge":6750.00,"npi":[1356324446]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4737.00,"providers":[{"billed_charge":4737.00,"npi":[1174620546]}]}]},{"tin":{"type":"ein","value":"760521530"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43927.26,"providers":[{"billed_charge":45292.00,"npi":[1801864368]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":260729.95,"providers":[{"billed_charge":262142.59,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2928884.80,"providers":[{"billed_charge":2928884.80,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"742391176"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":59868.90,"providers":[{"billed_charge":64552.00,"npi":[1760850648]}]}]},{"tin":{"type":"ein","value":"800685304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6700.38,"providers":[{"billed_charge":6700.38,"npi":[1013301647]}]},{"allowed_amount":59206.79,"providers":[{"billed_charge":60254.62,"npi":[1457716037]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":15205.59,"providers":[{"billed_charge":20237.40,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":864909.90,"providers":[{"billed_charge":1492677.00,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"746027491"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":46586.50,"providers":[{"billed_charge":51042.60,"npi":[1447674825]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22039.88,"providers":[{"billed_charge":28411.24,"npi":[1417456583]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":75472.00,"providers":[{"billed_charge":75472.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"742028156"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8470.00,"providers":[{"billed_charge":8470.00,"npi":[1588734594]}]}]},{"tin":{"type":"ein","value":"756000531"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5542.46,"providers":[{"billed_charge":5865.00,"npi":[1538207642]}]}]},{"tin":{"type":"ein","value":"746028909"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43200.00,"providers":[{"billed_charge":43200.00,"npi":[1720008659]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":372746.00,"providers":[{"billed_charge":372746.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":71867.34,"providers":[{"billed_charge":73575.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":123550.00,"providers":[{"billed_charge":123550.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":144779.66,"providers":[{"billed_charge":145169.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":77477.40,"providers":[{"billed_charge":105410.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":52735.14,"providers":[{"billed_charge":52735.14,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"756005194"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22538.55,"providers":[{"billed_charge":23770.00,"npi":[1265570295]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":736.08,"providers":[{"billed_charge":736.08,"npi":[1235248089]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":447452.00,"providers":[{"billed_charge":449235.00,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":937678.05,"providers":[{"billed_charge":1165500.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"756002888"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8025.15,"providers":[{"billed_charge":8025.15,"npi":[1003067513]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20800.00,"providers":[{"billed_charge":20800.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"720701964"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":23908.77,"providers":[{"billed_charge":28341.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"741818451"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33385.85,"providers":[{"billed_charge":48551.36,"npi":[1053317347]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40815.00,"providers":[{"billed_charge":40815.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":210600.00,"providers":[{"billed_charge":210600.00,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":34500.00,"providers":[{"billed_charge":34500.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"746002441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":97807.50,"providers":[{"billed_charge":123225.00,"npi":[1336169192]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24217.90,"providers":[{"billed_charge":25780.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"746000408"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1700.00,"providers":[{"billed_charge":1700.00,"npi":[1811075807]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":119749.50,"providers":[{"billed_charge":142400.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":215416.35,"providers":[{"billed_charge":222845.01,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":32250.00,"providers":[{"billed_charge":32250.00,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"760330195"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33456.15,"providers":[{"billed_charge":73016.58,"npi":[1881662344]}]}]},{"tin":{"type":"ein","value":"421728305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11942.42,"providers":[{"billed_charge":13825.00,"npi":[1760604649]}]}]},{"tin":{"type":"ein","value":"756000669"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6858.68,"providers":[{"billed_charge":7285.00,"npi":[1801816749]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":866718.63,"providers":[{"billed_charge":1026000.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"450526937"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1760.85,"providers":[{"billed_charge":3000.00,"npi":[1467105619]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":867109.80,"providers":[{"billed_charge":867109.80,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"760693285"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":60909.86,"providers":[{"billed_charge":85302.54,"npi":[1265400733]}]}]},{"tin":{"type":"ein","value":"741738475"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13000.00,"providers":[{"billed_charge":13000.00,"npi":[1710261573]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":799200.00,"providers":[{"billed_charge":799200.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":163020.00,"providers":[{"billed_charge":163020.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"751288684"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":36800.00,"providers":[{"billed_charge":36800.00,"npi":[1538179288]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":768940.32,"providers":[{"billed_charge":970967.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"746002557"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24382.25,"providers":[{"billed_charge":24382.25,"npi":[1114057742]}]}]},{"tin":{"type":"ein","value":"760426477"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":32074.50,"providers":[{"billed_charge":32074.50,"npi":[1821036831]}]}]},{"tin":{"type":"ein","value":"756000513"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9405.00,"providers":[{"billed_charge":9405.00,"npi":[1053340737]}]}]},{"tin":{"type":"ein","value":"746000534"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13041.00,"providers":[{"billed_charge":16330.00,"npi":[1891728465]}]}]},{"tin":{"type":"ein","value":"756000478"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7917.75,"providers":[{"billed_charge":11900.00,"npi":[1033240718]}]}]},{"tin":{"type":"ein","value":"203948307"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":566896.63,"providers":[{"billed_charge":797273.75,"npi":[1376644609]}]}]},{"tin":{"type":"ein","value":"756000594"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7793.52,"providers":[{"billed_charge":13430.00,"npi":[1598781742]}]}]},{"tin":{"type":"ein","value":"746000574"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":306364.88,"providers":[{"billed_charge":306373.20,"npi":[1972609337]}]}]},{"tin":{"type":"ein","value":"746001420"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20989.43,"providers":[{"billed_charge":24910.60,"npi":[1710064100]}]}]}]},{"name":"AMB SERVICE BLS NONEMERG TRA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0428","description":"AMBULANCE SERVICE, BASIC LIFE SUPPORT, NONEMERGENCY TRANSPORT, (BLS)","allowed_amounts":[{"tin":{"type":"ein","value":"364742317"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5335.20,"providers":[{"billed_charge":9000.00,"npi":[1144652512]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":86713.85,"providers":[{"billed_charge":103400.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"825198494"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":370200.00,"providers":[{"billed_charge":370200.00,"npi":[1518451749]}]}]},{"tin":{"type":"ein","value":"462829506"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":311394.72,"providers":[{"billed_charge":504000.00,"npi":[1619393436]}]}]},{"tin":{"type":"ein","value":"261789627"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24897.60,"providers":[{"billed_charge":47600.00,"npi":[1093988784]}]}]},{"tin":{"type":"ein","value":"262742199"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29632.02,"providers":[{"billed_charge":49500.00,"npi":[1265662829]}]}]},{"tin":{"type":"ein","value":"260368797"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":57798.00,"providers":[{"billed_charge":97500.00,"npi":[1326217738]}]}]},{"tin":{"type":"ein","value":"454344292"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":52825.89,"providers":[{"billed_charge":102600.00,"npi":[1447512637]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":36846.94,"providers":[{"billed_charge":41533.00,"npi":[1437254471]}]},{"allowed_amount":23889.39,"providers":[{"billed_charge":23889.39,"npi":[1235248089]}]}]},{"tin":{"type":"ein","value":"743023503"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":77360.40,"providers":[{"billed_charge":82650.00,"npi":[1831207919]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":125219.22,"providers":[{"billed_charge":125800.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"275497125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":108482.40,"providers":[{"billed_charge":183000.00,"npi":[1114319332]}]}]},{"tin":{"type":"ein","value":"260316725"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":52133.62,"providers":[{"billed_charge":523500.00,"npi":[1114199320]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2667.60,"providers":[{"billed_charge":3275.27,"npi":[1639103864]}]},{"allowed_amount":38356.71,"providers":[{"billed_charge":42600.22,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":153831.60,"providers":[{"billed_charge":207413.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"452538975"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10670.40,"providers":[{"billed_charge":18000.00,"npi":[1083912554]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4533.32,"providers":[{"billed_charge":5980.00,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"900672645"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10605.98,"providers":[{"billed_charge":102700.00,"npi":[1063792638]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24383.65,"providers":[{"billed_charge":25315.99,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"454891186"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":115596.00,"providers":[{"billed_charge":195000.00,"npi":[1043586647]}]}]},{"tin":{"type":"ein","value":"205829641"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":155610.00,"providers":[{"billed_charge":262500.00,"npi":[1447436613]}]}]},{"tin":{"type":"ein","value":"272612460"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":138935.62,"providers":[{"billed_charge":140575.00,"npi":[1164854733]}]}]},{"tin":{"type":"ein","value":"923266410"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29343.60,"providers":[{"billed_charge":49500.00,"npi":[1326734229]}]}]},{"tin":{"type":"ein","value":"611511551"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":25022.79,"providers":[{"billed_charge":54000.00,"npi":[1235213786]}]}]},{"tin":{"type":"ein","value":"473442335"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":45411.73,"providers":[{"billed_charge":73500.00,"npi":[1316301054]}]}]},{"tin":{"type":"ein","value":"300662178"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":26950.00,"providers":[{"billed_charge":26950.00,"npi":[1932471075]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":109371.60,"providers":[{"billed_charge":110700.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"261296735"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43558.19,"providers":[{"billed_charge":70500.00,"npi":[1235307752]}]}]},{"tin":{"type":"ein","value":"853395488"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33789.60,"providers":[{"billed_charge":57000.00,"npi":[1598353708]}]}]},{"tin":{"type":"ein","value":"273061469"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4446.00,"providers":[{"billed_charge":7500.00,"npi":[1669756904]}]}]},{"tin":{"type":"ein","value":"200253831"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":38924.34,"providers":[{"billed_charge":84000.00,"npi":[1669462982]}]}]},{"tin":{"type":"ein","value":"237246983"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2774.46,"providers":[{"billed_charge":4200.00,"npi":[1184644098]}]}]},{"tin":{"type":"ein","value":"760517401"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6300.00,"providers":[{"billed_charge":6300.00,"npi":[1205899374]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":84474.00,"providers":[{"billed_charge":142500.00,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"453837763"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":228600.00,"providers":[{"billed_charge":228600.00,"npi":[1528335478]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":320758.42,"providers":[{"billed_charge":322290.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"201891818"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16681.86,"providers":[{"billed_charge":55800.00,"npi":[1285650846]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":198328.78,"providers":[{"billed_charge":544163.00,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":41792.40,"providers":[{"billed_charge":82720.00,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":256500.00,"providers":[{"billed_charge":256500.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"274539737"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":191841.39,"providers":[{"billed_charge":310500.00,"npi":[1295014140]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":390907.85,"providers":[{"billed_charge":609370.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"921690554"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":87141.60,"providers":[{"billed_charge":147000.00,"npi":[1538872239]}]}]},{"tin":{"type":"ein","value":"453584448"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":66727.44,"providers":[{"billed_charge":108000.00,"npi":[1679832125]}]}]},{"tin":{"type":"ein","value":"320264034"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":83409.30,"providers":[{"billed_charge":135000.00,"npi":[1669624730]}]}]},{"tin":{"type":"ein","value":"270955008"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":508622.40,"providers":[{"billed_charge":858000.00,"npi":[1164707444]}]}]},{"tin":{"type":"ein","value":"900512607"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5560.62,"providers":[{"billed_charge":6600.00,"npi":[1598083321]}]}]},{"tin":{"type":"ein","value":"932146476"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":68756.46,"providers":[{"billed_charge":73605.90,"npi":[1679328520]}]}]}]},{"name":"AMB SERVICE BLS EMERGENCY TR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0429","description":"AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS, EMERGENCY)","allowed_amounts":[{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29739.40,"providers":[{"billed_charge":32000.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":234000.00,"providers":[{"billed_charge":234000.00,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9839.00,"providers":[{"billed_charge":9839.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6508.89,"providers":[{"billed_charge":6825.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30800.00,"providers":[{"billed_charge":30800.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"208993021"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1024.32,"providers":[{"billed_charge":6000.00,"npi":[1760662274]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":128596.68,"providers":[{"billed_charge":128910.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"756000514"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":49672.46,"providers":[{"billed_charge":50022.89,"npi":[1275548182]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10833.41,"providers":[{"billed_charge":10833.41,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13345.29,"providers":[{"billed_charge":16000.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1747002.17,"providers":[{"billed_charge":1750715.00,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":15408.50,"providers":[{"billed_charge":15408.50,"npi":[1235248089]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":159348.00,"providers":[{"billed_charge":224000.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":131970.09,"providers":[{"billed_charge":137975.00,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":266156.30,"providers":[{"billed_charge":267164.00,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30063.58,"providers":[{"billed_charge":30063.58,"npi":[1639103864]}]},{"allowed_amount":96853.54,"providers":[{"billed_charge":107851.04,"npi":[1881628014]}]},{"allowed_amount":32762.94,"providers":[{"billed_charge":32762.94,"npi":[1194750802]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":264631.50,"providers":[{"billed_charge":279000.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":62000.00,"providers":[{"billed_charge":62000.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":205110.06,"providers":[{"billed_charge":220787.01,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1133.33,"providers":[{"billed_charge":1495.00,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8400.00,"providers":[{"billed_charge":8400.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":26000.00,"providers":[{"billed_charge":26000.00,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19875.00,"providers":[{"billed_charge":19875.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"741818451"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1479.73,"providers":[{"billed_charge":1660.00,"npi":[1053317347]}]}]},{"tin":{"type":"ein","value":"720701964"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1339.00,"providers":[{"billed_charge":1548.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1400.00,"providers":[{"billed_charge":1400.00,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":55186.00,"providers":[{"billed_charge":55186.00,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"746002441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":14904.00,"providers":[{"billed_charge":17585.00,"npi":[1336169192]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13200.00,"providers":[{"billed_charge":13200.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10486.58,"providers":[{"billed_charge":10799.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12000.00,"providers":[{"billed_charge":12000.00,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19354.50,"providers":[{"billed_charge":23800.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":281260.81,"providers":[{"billed_charge":317677.06,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40150.00,"providers":[{"billed_charge":40150.00,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"756000669"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28812.83,"providers":[{"billed_charge":29123.00,"npi":[1801816749]}]}]},{"tin":{"type":"ein","value":"746000889"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":57753.00,"providers":[{"billed_charge":63550.00,"npi":[1225006786]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":165039.00,"providers":[{"billed_charge":174000.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":136584.24,"providers":[{"billed_charge":136584.24,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":37117.60,"providers":[{"billed_charge":37117.60,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2845.50,"providers":[{"billed_charge":3000.00,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":178995.00,"providers":[{"billed_charge":178995.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6919029.65,"providers":[{"billed_charge":6919029.65,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5691.00,"providers":[{"billed_charge":7480.00,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":804226.21,"providers":[{"billed_charge":1489776.00,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"933583304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9959.25,"providers":[{"billed_charge":10500.00,"npi":[1386416212]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":553699.28,"providers":[{"billed_charge":813786.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":202810.00,"providers":[{"billed_charge":202810.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"746000574"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":196339.50,"providers":[{"billed_charge":198455.25,"npi":[1972609337]}]}]}]},{"name":"ADVNCED LIFE SUPPORT LEVEL 2","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0433","description":"ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)","allowed_amounts":[{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":51765.00,"providers":[{"billed_charge":51765.00,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":97375.00,"providers":[{"billed_charge":97375.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9664.56,"providers":[{"billed_charge":9664.56,"npi":[1639103864]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20705.30,"providers":[{"billed_charge":20705.30,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16553.02,"providers":[{"billed_charge":16553.02,"npi":[1437218062]}]}]}]},{"name":"SPECIALTY CARE TRANSPORT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0434","description":"SPECIALTY CARE TRANSPORT (SCT)","allowed_amounts":[{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":71247.97,"providers":[{"billed_charge":104596.00,"npi":[1750676870]}]}]}]},{"name":"AMB RSPN&TREATMENT NO TRNSPT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A0998","description":"AMBULANCE RESPONSE AND TREATMENT, NO TRANSPORT","allowed_amounts":[{"tin":{"type":"ein","value":"752234266"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43500.00,"providers":[{"billed_charge":43500.00,"npi":[1710981774]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11117.12,"providers":[{"billed_charge":11117.12,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":836.92,"providers":[{"billed_charge":2092.23,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8616.00,"providers":[{"billed_charge":8616.00,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1510.40,"providers":[{"billed_charge":3776.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"760521530"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":160.00,"providers":[{"billed_charge":400.00,"npi":[1801864368]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1536.00,"providers":[{"billed_charge":3840.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1850.00,"providers":[{"billed_charge":4625.00,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":303.00,"providers":[{"billed_charge":757.50,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1364.48,"providers":[{"billed_charge":3411.20,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"746000574"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1462.60,"providers":[{"billed_charge":3656.50,"npi":[1972609337]}]}]}]},{"name":"INFUS SPL EXT RX INFUS PUMP","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4222","description":"INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4257.00,"providers":[{"billed_charge":7260.00,"npi":[1790730596]}]}]}]},{"name":"SPLY ALW NONIMPL CGM 1 MO SP=1 UOS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM 1 MO SPLY= 1 UOS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":27207.24,"providers":[{"billed_charge":106578.31,"npi":[1234567893]}]}]}]},{"name":"ALCOHOL WIPES PER BOX","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4245","description":"ALCOHOL WIPES, PER BOX","allowed_amounts":[{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.16,"providers":[{"billed_charge":55.00,"npi":[1164442778]}]}]}]},{"name":"Disposable collection and storage bag for breast milk, any size, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4287","description":"Disposable collection and storage bag for breast milk, any size, any type, each","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13530.00,"providers":[{"billed_charge":32472.00,"npi":[1234567893]}]}]}]},{"name":"SKN BARRIER; SOLID 4X4/EQUVA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4362","description":"SKIN BARRIER; SOLID, 4 X 4 OR EQUIVALENT; EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":93.60,"providers":[{"billed_charge":360.00,"npi":[1234567893]}]}]}]},{"name":"OST SKN BARRIER 4X4 EXT W/O","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4385","description":"OSTOMY SKIN BARRIER, SOLID 4 X 4 OR EQUIVALENT, EXTENDED WEAR, WITHOUT BUILT-IN CONVEXITY, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":668.56,"providers":[{"billed_charge":2299.20,"npi":[1234567893]}]}]}]},{"name":"OSTOMY DEODORANT W/WO LUB PE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4394","description":"OSTOMY DEODORANT, WITH OR WITHOUT LUBRICANT, FOR USE IN OSTOMY POUCH, PER FL OZ","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":193.56,"providers":[{"billed_charge":772.48,"npi":[1234567893]}]}]}]},{"name":"ADHESIVE REMOVER, WIPES, ANY","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4456","description":"ADHESIVE REMOVER, WIPES, ANY TYPE, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":17.50,"providers":[{"billed_charge":125.00,"npi":[1234567893]}]}]}]},{"name":"INCONTNCE GARMENT ANY TYPE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4520","description":"INCONTINENCE GARMENT, ANY TYPE, (E.G., BRIEF, DIAPER), EACH","allowed_amounts":[{"tin":{"type":"ein","value":"202087851"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2475.56,"providers":[{"billed_charge":6184.82,"npi":[1972583078]}]}]}]},{"name":"DISPOSABLE UNDERPADS ALL SIZ","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4554","description":"DISPOSABLE UNDERPADS, ALL SIZES","allowed_amounts":[{"tin":{"type":"ein","value":"202087851"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1136.15,"providers":[{"billed_charge":1139.40,"npi":[1972583078]}]}]}]},{"name":"TUBING W/INTGR HEAT ELEM W/P","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4604","description":"TUBING WITH INTEGRATED HEATING ELEMENT FOR USE WITH POSITIVE AIRWAY PRESSURE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":375.56,"providers":[{"billed_charge":1406.08,"npi":[1234567893]}]}]}]},{"name":"SKIN BARRIER WIPES OR SWABS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A5120","description":"SKIN BARRIER, WIPES OR SWABS, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":39.85,"providers":[{"billed_charge":239.88,"npi":[1234567893]}]}]}]},{"name":"FOAM DRESS 16 SQ/< W/ADHES B","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6212","description":"FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ IN OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1628.40,"providers":[{"billed_charge":2990.00,"npi":[1234567893]}]}]}]},{"name":"HYDROGEL DRESS 16 SQ/< W/ADH","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6245","description":"HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ IN OR LESS, WITH ANY SIZE ADHESIVE BORDER, E","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":274.32,"providers":[{"billed_charge":909.00,"npi":[1234567893]}]}]}]},{"name":"SKN SEALNT PROTCT MOISTURZR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6250","description":"SKIN SEALANTS, PROTECTANTS, MOISTURIZERS, OINTMENTS, ANY TYPE, ANY SIZE","allowed_amounts":[{"tin":{"type":"ein","value":"202087851"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":29.06,"providers":[{"billed_charge":72.76,"npi":[1972583078]}]}]}]},{"name":"SELF-ADHERENT BANDGE WDTH","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6453","description":"SELF-ADHERENT BANDAGE, ELASTIC, NONKNITTED/NONWOVEN, WIDTH LESS THAN 3 IN, PER YD","allowed_amounts":[{"tin":{"type":"ein","value":"463847386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":27.28,"providers":[{"billed_charge":440.00,"npi":[1164442778]}]}]}]},{"name":"GRADIENT COMPRS STK BK 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6530","description":"GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MM HG, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":4488.05,"providers":[{"billed_charge":6265.12,"npi":[1234567893]}]}]}]},{"name":"HEADGEAR USED W/POS ARWAY PR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7035","description":"HEADGEAR USED WITH POSITIVE AIRWAY PRESSURE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":70.52,"providers":[{"billed_charge":318.98,"npi":[1234567893]}]}]}]},{"name":"FLTR DISPBL W/POS ARWAY PRSS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7038","description":"FILTER, DISPOSABLE, USED WITH POSITIVE AIRWAY PRESSURE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":151.52,"providers":[{"billed_charge":541.32,"npi":[1234567893]}]}]}]},{"name":"WATR CHAMB HUMDIFIR USED W/P","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7046","description":"WATER CHAMBER FOR HUMIDIFIER, USED WITH POSITIVE AIRWAY PRESSURE DEVICE, REPLACEMENT, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11.36,"providers":[{"billed_charge":80.32,"npi":[1234567893]}]}]}]},{"name":"SENSOR; INVSV INTRSTL GLU MO","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A9276","description":"SENSOR; INVASIVE (E.G., SUBCUTANEOUS), DISPOSABLE, FOR USE WITH INTERSTITIAL CONTINUOUS GLUCOSE MONI","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":14627.20,"providers":[{"billed_charge":24474.72,"npi":[1234567893]}]}]}]},{"name":"HYG I/DVC DISPBL/NON-DISPBL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A9286","description":"HYGIENIC ITEM OR DEVICE, DISPOSABLE OR NON-DISPOSABLE, ANY TYPE, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"202087851"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":13.20,"providers":[{"billed_charge":33.00,"npi":[1972583078]}]}]}]},{"name":"INJ GADOTERATE MEGLMNE 0.1ML","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A9575","description":"INJECTION, GADOTERATE MEGLUMINE, 0.1 ML","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":81.00,"providers":[{"billed_charge":900.00,"npi":[1124391198]}]}]}]},{"name":"INJ GADOLINIUM MR CONTRAST N","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A9579","description":"INJECTION, GADOLINIUM-BASED MAGNETIC RESONANCE CONTRAST AGENT, NOT OTHERWISE SPECIFIED (NOS), PER ML","allowed_amounts":[{"tin":{"type":"ein","value":"760677442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":138.09,"providers":[{"billed_charge":2604.00,"npi":[1518960269]}]}]}]},{"name":"PARNTRAL NUT;AMINOACID&CARB","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"B4189","description":"PARENTERAL NUTRITION SOLUTION: COMPOUNDED AMINO ACID AND CARBOHYDRATES W ELECTROLYTES, TRACE ELEMENT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["65"],"billing_class":"professional","payments":[{"allowed_amount":735.03,"providers":[{"billed_charge":1399.20,"npi":[1234567893]}]}]}]},{"name":"PARNTRAL NUT;AMINOACID&CARB","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"B4193","description":"PARENTERAL NUTRITION SOLUTION: COMPOUNDED AMINO ACID AND CARBOHYDRATES W ELECTROLYTES, TRACE ELEMENT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["65"],"billing_class":"professional","payments":[{"allowed_amount":17095.32,"providers":[{"billed_charge":33561.00,"npi":[1234567893]}]}]}]},{"name":"PARNTRAL NUTRIT SPL KIT; PRE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"B4220","description":"PARENTERAL NUTRITION SUPPLY KIT; PREMIX, PER DAY","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["65"],"billing_class":"professional","payments":[{"allowed_amount":1202.27,"providers":[{"billed_charge":2374.02,"npi":[1234567893]}]}]}]},{"name":"PARNTRAL NUTRITION ADMIN KIT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"B4224","description":"PARENTERAL NUTRITION ADMINISTRATION KIT, PER DAY","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["65"],"billing_class":"professional","payments":[{"allowed_amount":3170.32,"providers":[{"billed_charge":6072.00,"npi":[1234567893]}]}]}]},{"name":"CRTCHES UNDARM OTH THAN WOOD","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0114","description":"CRUTCHES, UNDERARM, OTHER THAN WOOD, ADJUSTABLE OR FIXED, PAIR, WITH PADS, TIPS, AND HANDGRIPS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1850.92,"providers":[{"billed_charge":2549.76,"npi":[1234567893]}]}]}]},{"name":"WALKER FOLD WHEELED ADJUSTBL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0143","description":"WALKER, FOLDING, WHEELED, ADJUSTABLE OR FIXED HEIGHT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1020.04,"providers":[{"billed_charge":1939.00,"npi":[1234567893]}]}]}]},{"name":"HUMDIFIR HEAT USED W/POS ARW","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0562","description":"HUMIDIFIER, HEATED, USED WITH POSITIVE AIRWAY PRESSURE DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":584.29,"providers":[{"billed_charge":1858.98,"npi":[1234567893]}]}]}]},{"name":"BREAST PUMP ELECTRIC ANY TYP","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP, ELECTRIC (AC AND/OR DC), ANY TYPE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":32300.00,"providers":[{"billed_charge":84402.00,"npi":[1234567893]}]}]}]},{"name":"AMB INFUS PUMP 1/MX CHANNL W","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0781","description":"AMBULATORY INFUSION PUMP, SINGLE OR MULTIPLE CHANNELS, ELECTRIC OR BATTERY OPERATED, WITH ADMINISTRA","allowed_amounts":[{"tin":{"type":"ein","value":"943295573"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11042.18,"providers":[{"billed_charge":23265.00,"npi":[1790730596]}]}]}]},{"name":"O2 CONC 85%/>02 CONC PRSC FL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E1390","description":"OXYGEN CONCENTRATOR, SINGLE DELIVERY PORT, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCEN","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":588.00,"providers":[{"billed_charge":4080.94,"npi":[1234567893]}]}]}]},{"name":"PROSTATE CANCER SCREENING","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0103","description":"PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA)","allowed_amounts":[{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.75,"providers":[{"billed_charge":725.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19259.46,"providers":[{"billed_charge":197711.49,"npi":[1234567893]}]}]}]},{"name":"SCR CERV/VAG THIN LAY W/PHYS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0123","description":"SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY RPTNG SYSTEM), COLLECTED IN PRESERVATIVE FLUID, AU","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6781.74,"providers":[{"billed_charge":38619.05,"npi":[1234567893]}]}]}]},{"name":"SCR CERV/VAG THIN LAY PHYS I","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0124","description":"SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY RPTNG SYSTEM), COLLECTED IN PRESERVATIVE FLUID, AU","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13242.84,"providers":[{"billed_charge":48890.31,"npi":[1234567893]}]}]}]},{"name":"Code for Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0136","description":"Code for Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11306.74,"providers":[{"billed_charge":35035.00,"npi":[1144275355]}]}]}]},{"name":"SCR CERV/VAG AUTO&MNL RSCR P","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0145","description":"SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY RPTNG SYSTEM), COLLECTED IN PRESERVATIVE FLUID, AU","allowed_amounts":[{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":368.00,"providers":[{"billed_charge":2233.56,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81861.60,"providers":[{"billed_charge":510425.49,"npi":[1234567893]}]}]}]},{"name":"SRVC PT HOM HLTH/HOSPICE EA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0151","description":"SERVICES PERFORMED BY A QUALIFIED PHYSICAL THERAPIST IN THE HOME HEALTH OR HOSPICE SETTING, EACH 15","allowed_amounts":[{"tin":{"type":"ein","value":"831781222"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":79200.00,"providers":[{"billed_charge":176000.00,"npi":[1639238769]}]}]}]},{"name":"PRVS TST MATL&EQUIP HM INR M","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0249","description":"PROVISION OF TEST MATERIALS AND EQUIPMENT FOR HOME INR MONITORING OF PATIENT WITH EITHER MECHANICAL","allowed_amounts":[{"tin":{"type":"ein","value":"592852900"},"service_code":["12","49"],"billing_class":"professional","payments":[{"allowed_amount":261.88,"providers":[{"billed_charge":560.00,"npi":[1336420140]}]}]}]},{"name":"MED NUT TX; REASSESS W/PT EA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0270","description":"MEDICAL NUTRITION THERAPY; REASSESSMENT AND SUBSEQUENT INTERVENTION(S) FOLLOWING SECOND REFERRAL IN","allowed_amounts":[{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":810.00,"providers":[{"billed_charge":810.00,"npi":[1265546287]}]}]}]},{"name":"DX DIGTL BRST TOMOSYN UNI/BI","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 770","allowed_amounts":[{"tin":{"type":"ein","value":"741597116"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":381.81,"providers":[{"billed_charge":1110.00,"npi":[1669904637]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1914.79,"providers":[{"billed_charge":7519.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2278.50,"providers":[{"billed_charge":11711.00,"npi":[1770936908]}]},{"allowed_amount":891.12,"providers":[{"billed_charge":4780.00,"npi":[1962065573]}]},{"allowed_amount":372.00,"providers":[{"billed_charge":1912.00,"npi":[1164652707]}]},{"allowed_amount":649.12,"providers":[{"billed_charge":3346.00,"npi":[1386629780]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":367.22,"providers":[{"billed_charge":960.00,"npi":[1720069834]}]}]}]},{"name":"E-STIM 1/>NOT WND CARE PART","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0283","description":"ELECTRICAL STIMULATION (UNATTENDED), TO ONE OR MORE AREAS FOR INDICATION(S) OTHER THAN WOUND CARE, A","allowed_amounts":[{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":741.48,"providers":[{"billed_charge":2779.44,"npi":[1487749909]}]}]},{"tin":{"type":"ein","value":"933890725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1777.57,"providers":[{"billed_charge":5243.31,"npi":[1184662926]}]}]}]},{"name":"DIR SNS RN HH/HOSPICE SET EA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0299","description":"DIRECT SKILLED NURSING SERVICES OF A REGISTERED NURSE (RN) IN THE HOME HEALTH OR HOSPICE SETTING, EA","allowed_amounts":[{"tin":{"type":"ein","value":"831781222"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33187.50,"providers":[{"billed_charge":73750.00,"npi":[1639238769]}]}]}]},{"name":"CMPL CBC AUTO&AUTO WBC DIFF","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0306","description":"COMPLETE CBC, AUTOMATED (HGB, HCT, RBC, WBC, WITHOUT PLATELET COUNT) AND AUTOMATED WBC DIFFERENTIAL","allowed_amounts":[{"tin":{"type":"ein","value":"382084239"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.32,"providers":[{"billed_charge":66.08,"npi":[1790721538]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":132.39,"providers":[{"billed_charge":868.17,"npi":[1234567893]}]}]}]},{"name":"COLOREC CA SCR; FOB TST IMMU","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0328","description":"COLORECTAL CANCER SCREENING; FECAL OCCULT BLOOD TEST, IMMUNOASSAY, 1-3 SIMULTANEOUS DETERMINATIONS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14821.92,"providers":[{"billed_charge":131084.89,"npi":[1234567893]}]}]}]},{"name":"ANL WELLNES VST PERSNL PPS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0438","description":"ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), INITIAL VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25332.90,"providers":[{"billed_charge":34830.00,"npi":[1144275355]}]}]}]},{"name":"ANL WELLNESS VST PPS SUB VST","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0439","description":"ANNUAL WELLNESS VISIT, INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS), SUBSEQUENT VISIT","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":65008.81,"providers":[{"billed_charge":92575.00,"npi":[1144275355]}]}]}]},{"name":"ANL ALCHL MISUSE SCREN 15MIM","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING, 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3273.42,"providers":[{"billed_charge":8316.00,"npi":[1144275355]}]}]}]},{"name":"ANL DEPRSSION SCREENG 15 MIN","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0444","description":"ANNUAL DEPRESSION SCREENING, 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4543.00,"providers":[{"billed_charge":17875.00,"npi":[1144275355]}]}]}]},{"name":"ANN F2F INT BEHV TX CV DZ IN","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0446","description":"ANNUAL, FACE-TO-FACE INTENSIVE BEHAVIORAL THERAPY FOR CARDIOVASCULAR DISEASE, INDIVIDUAL, 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5110.96,"providers":[{"billed_charge":7425.00,"npi":[1144275355]}]}]}]},{"name":"FCE-FCE BEHAVRL CNSL OBESITY","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0447","description":"FACE-TO-FACE BEHAVIORAL COUNSELING FOR OBESITY, 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":700.00,"providers":[{"billed_charge":700.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2015.65,"providers":[{"billed_charge":3250.00,"npi":[1144275355]}]}]}]},{"name":"MOLECULAR PATH PROC;PHYS INT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0452","description":"MOLECULAR PATHOLOGY PROCEDURE; PHYSICIAN INTERPRETATION AND REPORT","allowed_amounts":[{"tin":{"type":"ein","value":"760010407"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":221.85,"providers":[{"billed_charge":590.00,"npi":[1275988404]}]},{"allowed_amount":88.74,"providers":[{"billed_charge":236.00,"npi":[1275988404]}]},{"allowed_amount":44.37,"providers":[{"billed_charge":118.00,"npi":[1275988404,1144590423]}]}]}]},{"name":"FQHC VISIT NEW PATIENT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0466","description":"FEDERALLY QUALIFIED HEALTH CENTER (FQHC) VISIT, NEW PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"270653014"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":2570.00,"providers":[{"billed_charge":6425.00,"npi":[1518567353]}]},{"allowed_amount":1237.20,"providers":[{"billed_charge":3093.00,"npi":[1063000909]}]}]}]},{"name":"FQHC VISIT ESTABLISHED PATIE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0467","description":"FEDERALLY QUALIFIED HEALTH CENTER (FQHC) VISIT, ESTABLISHED PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"270653014"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":1153.20,"providers":[{"billed_charge":2883.00,"npi":[1518567353]}]},{"allowed_amount":1449.50,"providers":[{"billed_charge":3791.00,"npi":[1063000909]}]},{"allowed_amount":10321.03,"providers":[{"billed_charge":26607.70,"npi":[1063000909]}]},{"allowed_amount":9408.40,"providers":[{"billed_charge":23521.00,"npi":[1518567353]}]}]}]},{"name":"HEP C ABO SC IND HI RSK&OTH","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0472","description":"HEPATITIS C ANTIBODY SCREENING FOR INDIVIDUAL AT HIGH RISK AND OTHER COVERED INDICATION(S)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18672.26,"providers":[{"billed_charge":89909.36,"npi":[1234567893]}]}]}]},{"name":"HIV ANTIGEN/ANTIBODY, COMBIN","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0475","description":"HIV ANTIGEN/ANTIBODY, COMBINATION ASSAY, SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13994.64,"providers":[{"billed_charge":140053.72,"npi":[1234567893]}]}]}]},{"name":"DR TST DEFIN DR ID M P D 1-7","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0480","description":"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"541882269"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":42394.88,"providers":[{"billed_charge":201000.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"800686939"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":743.86,"providers":[{"billed_charge":1638.00,"npi":[1699045674]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":703.22,"providers":[{"billed_charge":4005.05,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"473204624"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1157.76,"providers":[{"billed_charge":4560.00,"npi":[1902280019]}]},{"allowed_amount":3176.56,"providers":[{"billed_charge":10545.00,"npi":[1629301700]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10886.54,"providers":[{"billed_charge":43483.40,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1058.57,"providers":[{"billed_charge":5513.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"452215107"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.22,"providers":[{"billed_charge":343.39,"npi":[1801226543]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8423.54,"providers":[{"billed_charge":27800.23,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":514.98,"providers":[{"billed_charge":1485.00,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"472177895"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1430.50,"providers":[{"billed_charge":4585.22,"npi":[1477925188]}]}]}]},{"name":"DR TST DEFIN DR ID M P D 8-1","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0481","description":"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"474579289"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":2818.80,"providers":[{"billed_charge":16911.72,"npi":[1720448061]}]},{"allowed_amount":391.50,"providers":[{"billed_charge":2348.85,"npi":[1720448061]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3132.00,"providers":[{"billed_charge":23480.00,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6029.10,"providers":[{"billed_charge":24625.14,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2505.60,"providers":[{"billed_charge":10021.76,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37270.80,"providers":[{"billed_charge":118906.59,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"830973361"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43065.00,"providers":[{"billed_charge":344498.00,"npi":[1447814272]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3661.00,"providers":[{"billed_charge":22400.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"450454268"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5950.42,"providers":[{"billed_charge":14876.24,"npi":[1588004410]}]}]}]},{"name":"DR TST DEFN DR ID M P D 15-2","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0482","description":"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"471670191"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8858.34,"providers":[{"billed_charge":23200.00,"npi":[1912300302]}]}]}]},{"name":"DR TST DEFIN DR ID M P D 22/","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0483","description":"DRUG TEST(S), DEFINITIVE, UTILIZING (1) DRUG IDENTIFICATION METHODS ABLE TO IDENTIFY INDIVIDUAL DRUG","allowed_amounts":[{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3580.34,"providers":[{"billed_charge":14210.00,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"473588569"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":619.77,"providers":[{"billed_charge":2963.04,"npi":[1982091617]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2639.04,"providers":[{"billed_charge":22737.28,"npi":[1234567893]}]}]}]},{"name":"CMP ASMT & C PLN PT RQR CC M","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0506","description":"COMPREHENSIVE ASSESSMENT OF AND CARE PLANNING FOR PATIENTS REQUIRING CHRONIC CARE MANAGEMENT SERVICE","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":531.00,"providers":[{"billed_charge":1125.00,"npi":[1144275355]}]}]}]},{"name":"Code for Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0545","description":"Code for Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)","allowed_amounts":[{"tin":{"type":"ein","value":"453744107"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":591.08,"providers":[{"billed_charge":1858.50,"npi":[1104846922]}]},{"allowed_amount":6966.30,"providers":[{"billed_charge":21903.75,"npi":[1750450342]}]}]},{"tin":{"type":"ein","value":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1017.75,"providers":[{"billed_charge":2070.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":42.93,"providers":[{"billed_charge":450.00,"npi":[1245427020]}]}]},{"tin":{"type":"ein","value":"760681269"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":211.10,"providers":[{"billed_charge":335.00,"npi":[1831621168]}]},{"allowed_amount":2659.86,"providers":[{"billed_charge":4221.00,"npi":[1649591835]}]},{"allowed_amount":422.20,"providers":[{"billed_charge":670.00,"npi":[1861871204]}]},{"allowed_amount":3082.06,"providers":[{"billed_charge":4891.00,"npi":[1154680320]}]}]},{"tin":{"type":"ein","value":"760588954"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":472.23,"providers":[{"billed_charge":1177.00,"npi":[1780622928]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":42.22,"providers":[{"billed_charge":132.75,"npi":[1790936144]}]},{"allowed_amount":3884.24,"providers":[{"billed_charge":12213.00,"npi":[1447699145,1245493360]}]},{"allowed_amount":1671.43,"providers":[{"billed_charge":5177.25,"npi":[1265616858]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":343.44,"providers":[{"billed_charge":770.40,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"760010407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":86.28,"providers":[{"billed_charge":216.00,"npi":[1306251665]}]},{"allowed_amount":172.56,"providers":[{"billed_charge":432.00,"npi":[1932292042]}]},{"allowed_amount":431.40,"providers":[{"billed_charge":1080.00,"npi":[1588723084]}]}]},{"tin":{"type":"ein","value":"752905110"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":333.24,"providers":[{"billed_charge":360.00,"npi":[1003375296]}]},{"allowed_amount":501.74,"providers":[{"billed_charge":540.00,"npi":[1598933558]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":305.34,"providers":[{"billed_charge":1326.00,"npi":[1457379687]}]},{"allowed_amount":407.12,"providers":[{"billed_charge":1768.00,"npi":[1003304395]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":161.45,"providers":[{"billed_charge":161.45,"npi":[1962664979]}]}]},{"tin":{"type":"ein","value":"752712328"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":42.22,"providers":[{"billed_charge":86.40,"npi":[1265407761]}]}]},{"tin":{"type":"ein","value":"460587961"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":263.34,"providers":[{"billed_charge":700.00,"npi":[1265949176]}]}]}]},{"name":"Advanced primary care management services for a patient with one chronic condition","billing_code_type":"HCPCS","billing_code_type_version":"2025","billing_code":"G0556","description":"Advanced primary care management services for a patient with one chronic condition","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":639.18,"providers":[{"billed_charge":1935.00,"npi":[1144275355]}]}]}]},{"name":"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0557","description":"Advanced primary care management services for a patient with multiple (two or more) chronic conditions expected to last at least 12 months","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11","32"],"billing_class":"professional","payments":[{"allowed_amount":47.51,"providers":[{"billed_charge":95.00,"npi":[1144275355]}]},{"allowed_amount":127758.28,"providers":[{"billed_charge":255170.00,"npi":[1144275355]}]},{"allowed_amount":3135.66,"providers":[{"billed_charge":6270.00,"npi":[1639524879]}]}]}]},{"name":"MED ASST TX METHADONE;WEEKLY","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G2067","description":"MEDICATION ASSISSTED TX METHADONE; WEEKLY BUNDLE","allowed_amounts":[{"tin":{"type":"ein","value":"593630442"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":12076.84,"providers":[{"billed_charge":37122.00,"npi":[1861608382]}]}]},{"tin":{"type":"ein","value":"263772808"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":28596.57,"providers":[{"billed_charge":28596.57,"npi":[1477853935]}]}]},{"tin":{"type":"ein","value":"742838631"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":1014.75,"providers":[{"billed_charge":3382.39,"npi":[1952613945]}]}]}]},{"name":"PA;PRD Q PERS DET APPR COMB","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G2077","description":"PA;ASSESS PRD Q PERS DET MOST APPR COMB SRVC&TX","allowed_amounts":[{"tin":{"type":"ein","value":"263772808"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":841.12,"providers":[{"billed_charge":841.12,"npi":[1477853935]}]}]}]},{"name":"TH SUP METHADONE;TO 7 ADD D","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G2078","description":"TAKE HOME SUP METHADONE; UP TO 7 ADD DAY SUP;","allowed_amounts":[{"tin":{"type":"ein","value":"593630442"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":337.04,"providers":[{"billed_charge":1016.00,"npi":[1861608382]}]}]},{"tin":{"type":"ein","value":"263772808"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":1505.60,"providers":[{"billed_charge":1505.60,"npi":[1477853935]}]}]}]},{"name":"VISIT CPLX INHERENT E&M ASSO","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G2211","description":"VISIT CPLX INHERENT E&M ASSOC WITH MED CARE SRVC","allowed_amounts":[{"tin":{"type":"ein","value":"200719874"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":427.00,"providers":[{"billed_charge":700.00,"npi":[1932785854]}]}]},{"tin":{"type":"ein","value":"834439721"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":183.00,"providers":[{"billed_charge":384.00,"npi":[1336600758]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":30.50,"providers":[{"billed_charge":98.00,"npi":[1821671504]}]},{"allowed_amount":45.75,"providers":[{"billed_charge":147.00,"npi":[1821671504]}]}]},{"tin":{"type":"ein","value":"752743893"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":59.49,"providers":[{"billed_charge":133.00,"npi":[1821613514]}]}]},{"tin":{"type":"ein","value":"760568042"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.75,"providers":[{"billed_charge":150.00,"npi":[1154778611]}]}]},{"tin":{"type":"ein","value":"843691341"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.68,"providers":[{"billed_charge":400.00,"npi":[1427780279]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":61.00,"providers":[{"billed_charge":300.00,"npi":[1144275355]}]},{"allowed_amount":37582.71,"providers":[{"billed_charge":184725.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"811830612"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30.50,"providers":[{"billed_charge":32.08,"npi":[1316044050]}]}]},{"tin":{"type":"ein","value":"208439006"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":609.12,"providers":[{"billed_charge":940.00,"npi":[1649648759]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1793.12,"providers":[{"billed_charge":2810.00,"npi":[1477916708]}]}]},{"tin":{"type":"ein","value":"202798379"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":283.74,"providers":[{"billed_charge":861.30,"npi":[1598129702]}]},{"allowed_amount":111.65,"providers":[{"billed_charge":334.95,"npi":[1093212821]}]}]},{"tin":{"type":"ein","value":"752600873"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":366.08,"providers":[{"billed_charge":512.00,"npi":[1295350999]}]}]},{"tin":{"type":"ein","value":"473112502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.18,"providers":[{"billed_charge":98.00,"npi":[1922211697]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":469.84,"providers":[{"billed_charge":1120.00,"npi":[1679953749]}]}]},{"tin":{"type":"ein","value":"921381983"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":198.25,"providers":[{"billed_charge":650.00,"npi":[1619394756]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":2073.60,"providers":[{"billed_charge":8000.00,"npi":[1942947593]}]},{"allowed_amount":246.24,"providers":[{"billed_charge":950.00,"npi":[1184991564]}]},{"allowed_amount":1866.24,"providers":[{"billed_charge":7200.00,"npi":[1184991564]}]},{"allowed_amount":77.76,"providers":[{"billed_charge":300.00,"npi":[1942947593]}]}]},{"tin":{"type":"ein","value":"263275773"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":15.25,"providers":[{"billed_charge":100.00,"npi":[1326509761]}]},{"allowed_amount":747.25,"providers":[{"billed_charge":4900.00,"npi":[1326509761]}]}]}]},{"name":"STEREO X-R GUID LOC TRG VOL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G6002","description":"STEREOSCOPIC X-RAY GUIDANCE FOR LOCALIZATION OF TARGET VOLUME FOR THE DELIVERY OF RADIATION THERAPY","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2354.40,"providers":[{"billed_charge":15288.00,"npi":[1508390816]}]}]}]},{"name":"RT D 3/> S TX AR CSTM BLK;6-","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G6012","description":"RADIATION TRTMNT DELIVERY, 3 OR MORE SEPARATE TRTMNT AREAS, CUST BLOCKING, TANGENTIAL PORTS, WEDGES,","allowed_amounts":[{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5153.22,"providers":[{"billed_charge":12600.00,"npi":[1508390816]}]}]}]},{"name":"INTENS MOD TX DEL 1/MX FLDS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G6015","description":"INTENSITY MODULATED TREATMENT DELIVERY, SINGLE OR MULTIPLE FIELDS/ARCS, VIA NARROW SPATIALLY AND TEM","allowed_amounts":[{"tin":{"type":"ein","value":"752512142"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1324.14,"providers":[{"billed_charge":3585.00,"npi":[1700220183]}]}]},{"tin":{"type":"ein","value":"752131429"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45078.32,"providers":[{"billed_charge":278962.00,"npi":[1508390816]}]}]}]},{"name":"ALCOHL&/RX SRVC; GRP CNSL CL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"H0005","description":"ALCOHOL AND/OR DRUG SERVICES; GROUP COUNSELING BY A CLINICIAN","allowed_amounts":[{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":560.00,"npi":[1316691488]}]},{"allowed_amount":459.00,"providers":[{"billed_charge":2720.00,"npi":[1962056614]}]}]}]},{"name":"ALCOHL&/RX SRVC;METHDONE ADM","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"H0020","description":"ALCOHOL AND/OR DRUG SERVICES; METHADONE ADMINISTRATION AND/OR SERVICE (PROVISION OF THE DRUG BY A LI","allowed_amounts":[{"tin":{"type":"ein","value":"274250532"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":933.30,"providers":[{"billed_charge":1891.56,"npi":[1770781106]}]},{"allowed_amount":53.10,"providers":[{"billed_charge":113.88,"npi":[1083931562]}]}]},{"tin":{"type":"ein","value":"852856491"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43141.00,"providers":[{"billed_charge":64060.00,"npi":[1205582822]}]}]}]},{"name":"ALCOHOL &/OR DRUG SCREENING","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"H0049","description":"ALCOHOL AND/OR DRUG SCREENING","allowed_amounts":[{"tin":{"type":"ein","value":"760537608"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":780.00,"providers":[{"billed_charge":1950.00,"npi":[1770583411]}]}]}]},{"name":"INJ CEFTRIAXONE SODM PER 250","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J0696","description":"INJECTION, CEFTRIAXONE SODIUM, PER 250 MG","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.53,"providers":[{"billed_charge":1445.96,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.15,"providers":[{"billed_charge":300.00,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":27.98,"providers":[{"billed_charge":510.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":11.60,"providers":[{"billed_charge":360.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":794.96,"providers":[{"billed_charge":66124.94,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":129.88,"providers":[{"billed_charge":6750.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":128.70,"providers":[{"billed_charge":21360.00,"npi":[1093920399]}]}]}]},{"name":"njection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J0872","description":"njection, daptomycin (xellia), unrefrigerated, not therapeutically equivalent to j0878 or j0873, 1 mg","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1100.00,"providers":[{"billed_charge":82236.00,"npi":[1234567893]}]}]}]},{"name":"INJECTION DAPTOMYCIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J0878","description":"INJECTION, DAPTOMYCIN, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":810.00,"providers":[{"billed_charge":101028.06,"npi":[1234567893]}]}]}]},{"name":"INJ DEXMETH SODM PHOSHA 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J1100","description":"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13.77,"providers":[{"billed_charge":3780.90,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"271271893"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.42,"providers":[{"billed_charge":960.00,"npi":[1942832191]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":52.32,"providers":[{"billed_charge":1728.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.79,"providers":[{"billed_charge":915.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":8.10,"providers":[{"billed_charge":800.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"813564692"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":4.20,"providers":[{"billed_charge":200.00,"npi":[1972823169]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":10.86,"providers":[{"billed_charge":124.23,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":26.73,"providers":[{"billed_charge":6450.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.13,"providers":[{"billed_charge":220.00,"npi":[1205344561]}]}]}]},{"name":"INJ ERTAPENEM SODIUM 500MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J1335","description":"INJECTION, ERTAPENEM SODIUM, 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1334.52,"providers":[{"billed_charge":39447.01,"npi":[1234567893]}]}]}]},{"name":"INJ KETOROLAC TROMETHAMINE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J1885","description":"INJECTION, KETOROLAC TROMETHAMINE, PER 15 MG","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.05,"providers":[{"billed_charge":1005.00,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.40,"providers":[{"billed_charge":300.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":82.45,"providers":[{"billed_charge":1260.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":38.00,"providers":[{"billed_charge":1500.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12.58,"providers":[{"billed_charge":72.36,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":269.50,"providers":[{"billed_charge":6910.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":32.10,"providers":[{"billed_charge":2325.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"271751857"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.16,"providers":[{"billed_charge":240.00,"npi":[1205344561]}]}]}]},{"name":"INJECTION MEROPENEM 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J2185","description":"INJECTION, MEROPENEM, 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1146.40,"providers":[{"billed_charge":33035.31,"npi":[1234567893]}]}]}]},{"name":"INJ MILRINONE LACTATE 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J2260","description":"INJECTION, MILRINONE LACTATE, 5 MG","allowed_amounts":[{"tin":{"type":"ein","value":"61639157"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":337.23,"providers":[{"billed_charge":12225.71,"npi":[1952429219]}]}]}]},{"name":"INJ PROMETHAZINE HCL UPTO 50","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION, PROMETHAZINE HCL, UP TO 50 MG","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":29.58,"providers":[{"billed_charge":200.00,"npi":[1144275355]}]}]}]},{"name":"Injection, methylprednisolone sodium succinate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J2919","description":"Injection, methylprednisolone sodium succinate, 5 mg","allowed_amounts":[{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":2102.40,"npi":[1114210416]}]}]}]},{"name":"INJ PYRIDOXINE HCL 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J3415","description":"INJECTION, PYRIDOXINE HCL, 100 MG","allowed_amounts":[{"tin":{"type":"ein","value":"815097602"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":348.20,"providers":[{"billed_charge":2380.00,"npi":[1649235490]}]}]}]},{"name":"INJ VIT B-12 CYNOCOBLMN TO","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J3420","description":"INJECTION, VITAMIN B-12 CYANOCOBALAMIN, UP TO 1,000 MCG","allowed_amounts":[{"tin":{"type":"ein","value":"833128725"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":18.88,"providers":[{"billed_charge":415.00,"npi":[1841497393]}]}]},{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":26.94,"providers":[{"billed_charge":390.00,"npi":[1144275355]}]}]}]},{"name":"INFUS NORMAL SALINE SOL 1000","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J7030","description":"INFUSION, NORMAL SALINE SOLUTION, 1,000 CC","allowed_amounts":[{"tin":{"type":"ein","value":"815097602"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":65.79,"providers":[{"billed_charge":700.00,"npi":[1649235490]}]}]}]},{"name":"STANDARD WHEELCHAIR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"K0001","description":"STANDARD WHEELCHAIR","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":791.55,"providers":[{"billed_charge":4122.83,"npi":[1234567893]}]}]}]},{"name":"SACROILIAC ORTHOSIS FLEXIBLE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L0621","description":"SACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDUCES MOTION ABOUT THE SACROILIAC J","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1700.00,"providers":[{"billed_charge":2550.00,"npi":[1234567893]}]}]}]},{"name":"KNEE ORTHOSIS ELASTIC W/JNTS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L1812","description":"KNEE ORTHOSIS, ELASTIC WITH JOINTS, PREFABRICATED, OFF-THE-SHELF","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2453.12,"providers":[{"billed_charge":4290.12,"npi":[1234567893]}]}]}]},{"name":"prefabricated, off-the-shelf knee orthosis (braces) with elastic, condylar pads, joints, and optional patellar control","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L1821","description":"prefabricated, off-the-shelf knee orthosis (braces) with elastic, condylar pads, joints, and optional patellar control","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1526.96,"providers":[{"billed_charge":2240.00,"npi":[1234567893]}]}]}]},{"name":"KNEE ORTHOSIS, IMMOBILIZER","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L1830","description":"KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":291.05,"providers":[{"billed_charge":529.30,"npi":[1234567893]}]}]}]},{"name":"ANK ORTH ANK GAUNTLT/SIM PRE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L1902","description":"ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2862.30,"providers":[{"billed_charge":3477.24,"npi":[1234567893]}]}]}]},{"name":"ADD LW EXT ORTH KNEE CNTRL F","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L2795","description":"ADDITION TO LOWER EXTREMITY ORTHOTIC, KNEE CONTROL, FULL KNEECAP","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1700.39,"providers":[{"billed_charge":2364.86,"npi":[1234567893]}]}]}]},{"name":"SURGICAL BOOT/SHOE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3260","description":"SURGICAL BOOT/SHOE, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":198.00,"providers":[{"billed_charge":330.00,"npi":[1234567893]}]}]}]},{"name":"SHOULDER ORTHOS FIG 8 CANVAS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3660","description":"SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFABRICATED, O","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2429.44,"providers":[{"billed_charge":3894.40,"npi":[1234567893]}]}]}]},{"name":"SHOULDER ORTHOSIS, ACROMIO/C","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3670","description":"SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE), PREFABRICATED, OFF-THE-SHELF","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":597.98,"providers":[{"billed_charge":1053.34,"npi":[1234567893]}]}]}]},{"name":"WHF ORTHO NO JOINTS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3809","description":"WRIST HAND FINGER ORTHOSIS, WITHOUT JOINT(S), PREFABRICATED, OFF-THE-SHELF, ANY TYPE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1108.14,"providers":[{"billed_charge":1188.00,"npi":[1234567893]}]}]}]},{"name":"WRST HND ORTHOS CNTRL COCK-U","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3908","description":"WRIST HAND ORTHOSIS, WRIST EXTENSION CONTROL COCK-UP, NON MOLDED, PREFABRICATED, OFF-THE-SHELF","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3987.94,"providers":[{"billed_charge":6384.60,"npi":[1234567893]}]}]}]},{"name":"UP EXTRM FX ORTHOTIC WRST PR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L3984","description":"UPPER EXTREMITY FRACTURE ORTHOTIC, WRIST, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":800.82,"providers":[{"billed_charge":1222.62,"npi":[1234567893]}]}]}]},{"name":"WALKING BOOT, PNEUMATIC AND/","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"L4361","description":"WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, P","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":26775.26,"providers":[{"billed_charge":42885.12,"npi":[1234567893]}]}]}]},{"name":"TRAVL 1 WAY NEC LAB SPEC; AC","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"P9603","description":"TRAVEL ALLOWANCE, ONE WAY IN CONNECTION W MEDICALLY NECESSARY LABORATORY SPECIMEN COLLECTION DRAWN F","allowed_amounts":[{"tin":{"type":"ein","value":"810740765"},"service_code":["81","32"],"billing_class":"professional","payments":[{"allowed_amount":64.80,"providers":[{"billed_charge":72.00,"npi":[1528514221]}]},{"allowed_amount":427.38,"providers":[{"billed_charge":552.00,"npi":[1528514221]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["13","31"],"billing_class":"professional","payments":[{"allowed_amount":19.58,"providers":[{"billed_charge":26.40,"npi":[1447760814]}]},{"allowed_amount":412.07,"providers":[{"billed_charge":555.60,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":128.49,"providers":[{"billed_charge":159.84,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["12","31"],"billing_class":"professional","payments":[{"allowed_amount":712.56,"providers":[{"billed_charge":2256.00,"npi":[1639791007]}]},{"allowed_amount":37.48,"providers":[{"billed_charge":126.00,"npi":[1639791007]}]}]},{"tin":{"type":"ein","value":"760430777"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":382.90,"providers":[{"billed_charge":488.40,"npi":[1780730606]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["12","13","31","32"],"billing_class":"professional","payments":[{"allowed_amount":50.87,"providers":[{"billed_charge":136.80,"npi":[1558717827]}]},{"allowed_amount":676.52,"providers":[{"billed_charge":1725.60,"npi":[1558717827]}]},{"allowed_amount":69.15,"providers":[{"billed_charge":184.80,"npi":[1558717827]}]},{"allowed_amount":518.77,"providers":[{"billed_charge":1368.00,"npi":[1558717827]}]}]}]},{"name":"TRAVL 1 WAY NEC LAB SPEC; TR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"P9604","description":"TRAVEL ALLOWANCE, ONE WAY IN CONNECTION W MEDICALLY NECESSARY LABORATORY SPECIMEN COLLECTION DRAWN F","allowed_amounts":[{"tin":{"type":"ein","value":"841229620"},"service_code":["32"],"billing_class":"professional","payments":[{"allowed_amount":47.96,"providers":[{"billed_charge":2200.00,"npi":[1093756157]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":14.66,"providers":[{"billed_charge":33.49,"npi":[1639791007]}]}]}]},{"name":"TELEHEALTH ORIG SITE FACILIT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"Q3014","description":"TELEHEALTH ORIGINATING SITE FACILITY FEE","allowed_amounts":[{"tin":{"type":"ein","value":"741659064"},"service_code":["11","12"],"billing_class":"professional","payments":[{"allowed_amount":41.02,"providers":[{"billed_charge":54.00,"npi":[1861915266]}]},{"allowed_amount":820.40,"providers":[{"billed_charge":1107.00,"npi":[1861915266]}]}]},{"tin":{"type":"ein","value":"751442393"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":287.14,"providers":[{"billed_charge":630.00,"npi":[1194777276]}]},{"allowed_amount":100.50,"providers":[{"billed_charge":225.00,"npi":[1740361617]}]},{"allowed_amount":59.48,"providers":[{"billed_charge":135.00,"npi":[1902308620]}]}]}]},{"name":"HIT IMPLANTED PUMP PAIN MGMT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9328","description":"HOME INFUSION THERAPY, IMPLANTED PUMP PAIN MANAGEMENT INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":17712.00,"providers":[{"billed_charge":59040.00,"npi":[1234567893]}]}]}]},{"name":"HT; ENTERAL NUTRIT VIA PUMP;","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9342","description":"HOME THERAPY; ENTERAL NUTRITION VIA PUMP; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, C","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2358.00,"providers":[{"billed_charge":13100.00,"npi":[1234567893]}]}]}]},{"name":"HT; ENTERAL NUTRIT VIA BOLUS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9343","description":"HOME THERAPY; ENTERAL NUTRITION VIA BOLUS; ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES,","allowed_amounts":[{"tin":{"type":"ein","value":"760215922"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":710.00,"providers":[{"billed_charge":15497.17,"npi":[1790734036]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1610.00,"providers":[{"billed_charge":16100.00,"npi":[1234567893]}]}]}]},{"name":"HIT CONT ANTI-EMETIC; PER DI","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9351","description":"HOME INFUSION THERAPY, CONTINUOUS OR INTERMITTENT ANTIEMETIC INFUSION THERAPY; ADMINISTRATIVE SERVIC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":7700.00,"providers":[{"billed_charge":17375.00,"npi":[1234567893]}]}]}]},{"name":"HIT TPN; >1 L BUT NOT > 2 L-","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9366","description":"HOME INFUSION THERAPY, TOTAL PARENTERAL NUTRITION (TPN); MORE THAN 1 LITER BUT NO MORE THAN 2 LITERS","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":8250.00,"providers":[{"billed_charge":36300.00,"npi":[1234567893]}]}]}]},{"name":"LACTATION CLASS NON-PHYS PRO","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9443","description":"LACTATION CLASSES, NONPHYSICIAN PROVIDER, PER SESSION","allowed_amounts":[{"tin":{"type":"ein","value":"850867370"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":2280.00,"providers":[{"billed_charge":5700.00,"npi":[1699369124]}]}]}]},{"name":"HIT ANTIBIOTIC/ANTIFUNGAL; Q","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9500","description":"HOME INFUSION THERAPY, ANTIBIOTIC, ANTIVIRAL, OR ANTIFUNGAL THERAPY; ONCE EVERY 24 HOURS; ADMINISTRA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":33511.25,"providers":[{"billed_charge":189425.00,"npi":[1234567893]}]}]}]},{"name":"HIT ANTIBIOTIC/ANTIFUNGAL; Q","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9501","description":"HOME INFUSION THERAPY, ANTIBIOTIC, ANTIVIRAL, OR ANTIFUNGAL THERAPY; ONCE EVERY 12 HOURS; ADMINISTRA","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":7582.50,"providers":[{"billed_charge":39664.00,"npi":[1234567893]}]}]}]},{"name":"HIT ABX ANTIVIRL/ANTIFUNGAL;","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9502","description":"HOME INFUSION THERAPY, ANTIBIOTIC, ANTIVIRAL, OR ANTIFUNGAL THERAPY; ONCE EVERY 8 HOURS, ADMINISTRAT","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11280.00,"providers":[{"billed_charge":47000.00,"npi":[1234567893]}]}]}]},{"name":"NON-CDC 2019 NOVEL COV RT RT","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"U0002","description":"NON-CDC 2019 NOVEL CORONAVIRUS RT RT-PCR DX","allowed_amounts":[{"tin":{"type":"ein","value":"470874059"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16793.54,"providers":[{"billed_charge":113225.00,"npi":[1144275355]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7005.18,"providers":[{"billed_charge":54600.00,"npi":[1093920399]}]}]}]}]}