{"reporting_entity_name":"Centene Management Company LLC","reporting_entity_type":"Third Party Administrator","version":"2.0.0","last_updated_on":"2026-10-27","out_of_network":[{"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":52758.64,"providers":[{"billed_charge":251600.00,"npi":[1234567893]}]}]}]},{"name":"Proprietary Laboratory Analysis (PLA)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0345U","description":"Proprietary Laboratory Analysis (PLA)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4809.92,"providers":[{"billed_charge":22000.00,"npi":[1234567893]}]}]}]},{"name":"MyProstateScore 2.0 (MPS 2.0)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0403U","description":"MyProstateScore 2.0 (MPS 2.0)","allowed_amounts":[{"tin":{"type":"ein","value":"474172816"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4560.00,"providers":[{"billed_charge":11940.00,"npi":[1467073460]}]}]}]},{"name":"Cologuard Plus test by Exact Sciences Laboratories LLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0464U","description":"Cologuard Plus test by Exact Sciences Laboratories LLC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1304591.68,"providers":[{"billed_charge":1741160.00,"npi":[1234567893]}]}]}]},{"name":"Caris Assure(Caris MPI Inc.).","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0485U","description":"Caris Assure(Caris MPI Inc.).","allowed_amounts":[{"tin":{"type":"ein","value":"743126687"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70945.83,"providers":[{"billed_charge":966000.00,"npi":[1225872658]}]}]}]},{"name":"Northstar Response test developed by BillionToOne Laboratory","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0486U","description":"Northstar Response test developed by BillionToOne Laboratory","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20322.76,"providers":[{"billed_charge":131540.00,"npi":[1245937325]}]}]}]},{"name":"Proprietary Laboratory Analyses (PLA) code","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0487U","description":"Proprietary Laboratory Analyses (PLA) code","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20551.64,"providers":[{"billed_charge":116784.00,"npi":[1245937325]}]}]}]},{"name":"a specialized, single-gene noninvasive prenatal test (NIPT) that analyzes cell-free fetal DNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0489U","description":"a specialized, single-gene noninvasive prenatal test (NIPT) that analyzes cell-free fetal DNA","allowed_amounts":[{"tin":{"type":"ein","value":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9771.17,"providers":[{"billed_charge":109868.40,"npi":[1598314437]}]}]}]},{"name":"Proprietary Laboratory Analyses (PLA)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0493U","description":"Proprietary Laboratory Analyses (PLA)","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4597.95,"providers":[{"billed_charge":16245.00,"npi":[1234567893]}]}]}]},{"name":"Proprietary Laboratory Analysis (PLA) code for the Guardant Shield test,","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0537U","description":"Proprietary Laboratory Analysis (PLA) code for the Guardant Shield test,","allowed_amounts":[{"tin":{"type":"ein","value":"883933025"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192056.02,"providers":[{"billed_charge":956800.00,"npi":[1538857099]}]}]}]},{"name":"Proprietary Laboratory Analyses (PLA) code for the AlloSure test","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0540U","description":"Proprietary Laboratory Analyses (PLA) code for the AlloSure test","allowed_amounts":[{"tin":{"type":"ein","value":"943316839"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91882.08,"providers":[{"billed_charge":183540.00,"npi":[1689607384]}]}]}]},{"name":"Guardant Reveal,","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0569U","description":"Guardant Reveal,","allowed_amounts":[{"tin":{"type":"ein","value":"454139254"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":50000.00,"providers":[{"billed_charge":125000.00,"npi":[1184045619]}]}]}]},{"name":"Proprietary Laboratory Analyses (PLA) medical code for a breast cancer molecular test","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0630U","description":"Proprietary Laboratory Analyses (PLA) medical code for a breast cancer molecular test","allowed_amounts":[{"tin":{"type":"ein","value":"262136244"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8242.50,"providers":[{"billed_charge":27475.00,"npi":[1821253584]}]}]}]},{"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":144.00,"providers":[{"billed_charge":480.00,"npi":[1215921549]}]}]}]},{"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":"352602200"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1160.00,"providers":[{"billed_charge":5500.00,"npi":[1003305418]}]}]},{"tin":{"type":"ein","value":"237169388"},"service_code":["56"],"billing_class":"institutional","payments":[{"allowed_amount":16100.00,"providers":[{"billed_charge":16100.00,"npi":[1528071214]}]}]},{"tin":{"type":"ein","value":"471323448"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":391140.00,"providers":[{"billed_charge":391140.00,"npi":[1922408517]}]}]},{"tin":{"type":"ein","value":"825128901"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":989375.00,"providers":[{"billed_charge":7748785.00,"npi":[1740771195]}]}]},{"tin":{"type":"ein","value":"852917073"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2678.40,"providers":[{"billed_charge":28200.00,"npi":[1619786290]}]}]}]},{"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":62660.49,"providers":[{"billed_charge":25398.00,"npi":[1184179194]}]},{"allowed_amount":1031125.45,"providers":[{"billed_charge":485258.00,"npi":[1497871628]}]},{"allowed_amount":1192894.75,"providers":[{"billed_charge":407814.00,"npi":[1871619254]}]},{"allowed_amount":685189.08,"providers":[{"billed_charge":230812.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":648802.03,"providers":[{"billed_charge":1053335.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":97431.94,"providers":[{"billed_charge":31620.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":129000.00,"providers":[{"billed_charge":430091.50,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":146287.51,"providers":[{"billed_charge":33400.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":27230.22,"providers":[{"billed_charge":11582.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1480483.53,"providers":[{"billed_charge":284016.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":986904.27,"providers":[{"billed_charge":232903.43,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":815344.99,"providers":[{"billed_charge":344738.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":243349.15,"providers":[{"billed_charge":154095.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1181341.62,"providers":[{"billed_charge":671726.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":485465.99,"providers":[{"billed_charge":258967.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":270690.76,"providers":[{"billed_charge":105360.00,"npi":[1295788735]}]},{"allowed_amount":960315.33,"providers":[{"billed_charge":450166.00,"npi":[1932152337]}]},{"allowed_amount":6158321.99,"providers":[{"billed_charge":2292816.00,"npi":[1730132234]}]},{"allowed_amount":194998.82,"providers":[{"billed_charge":62792.00,"npi":[1982666111]}]},{"allowed_amount":884852.16,"providers":[{"billed_charge":388326.00,"npi":[1740233782]}]},{"allowed_amount":1410438.82,"providers":[{"billed_charge":607028.00,"npi":[1295843787]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":653364.83,"providers":[{"billed_charge":904250.00,"npi":[1679578439]}]}]}]},{"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":25917.48,"providers":[{"billed_charge":11700.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":153507.87,"providers":[{"billed_charge":146751.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":256813.75,"providers":[{"billed_charge":139483.63,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":187014.55,"providers":[{"billed_charge":49920.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1072101.05,"providers":[{"billed_charge":509470.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":614566.59,"providers":[{"billed_charge":658785.00,"npi":[1932123247]}]}]}]},{"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":16185.46,"providers":[{"billed_charge":11160.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":25046.29,"providers":[{"billed_charge":24927.00,"npi":[1932123247]}]}]}]},{"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":"746002164"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":136764.45,"providers":[{"billed_charge":88080.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":120754.21,"providers":[{"billed_charge":40299.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":14879.52,"providers":[{"billed_charge":27088.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":278007.33,"providers":[{"billed_charge":72568.00,"npi":[1730132234]}]},{"allowed_amount":1979343.95,"providers":[{"billed_charge":738293.00,"npi":[1982666111]}]}]}]},{"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":470363.80,"providers":[{"billed_charge":119970.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":59876.18,"providers":[{"billed_charge":47662.53,"npi":[1033120423]}]}]}]},{"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":187000.00,"providers":[{"billed_charge":467500.00,"npi":[1851346407]}]}]},{"tin":{"type":"ein","value":"800176343"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":317873.54,"providers":[{"billed_charge":412800.00,"npi":[1578547667]}]}]},{"tin":{"type":"ein","value":"272849780"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":247000.00,"providers":[{"billed_charge":545600.00,"npi":[1093021719]}]}]},{"tin":{"type":"ein","value":"201021264"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":205000.00,"providers":[{"billed_charge":512500.00,"npi":[1023015120]}]}]},{"tin":{"type":"ein","value":"850520285"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":9000.00,"providers":[{"billed_charge":28916.73,"npi":[1285258640]}]}]},{"tin":{"type":"ein","value":"731726290"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":69000.00,"providers":[{"billed_charge":172500.00,"npi":[1861598633]}]}]},{"tin":{"type":"ein","value":"460826192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":275833.66,"providers":[{"billed_charge":554000.00,"npi":[1689098790]}]}]},{"tin":{"type":"ein","value":"204976326"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":20713.82,"providers":[{"billed_charge":37500.00,"npi":[1205999232]}]}]},{"tin":{"type":"ein","value":"800940225"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":23000.00,"providers":[{"billed_charge":73898.31,"npi":[1215354899]}]}]},{"tin":{"type":"ein","value":"621864265"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":270000.00,"providers":[{"billed_charge":675000.00,"npi":[1598764359]}]}]},{"tin":{"type":"ein","value":"833501385"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":56106.04,"providers":[{"billed_charge":102000.00,"npi":[1033744743]}]}]},{"tin":{"type":"ein","value":"621864266"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":63000.00,"providers":[{"billed_charge":157500.00,"npi":[1730187568]}]}]}]},{"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":"352602200"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":35960.00,"providers":[{"billed_charge":182000.00,"npi":[1003305418]}]}]},{"tin":{"type":"ein","value":"471323448"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":31800.00,"providers":[{"billed_charge":31800.00,"npi":[1922408517]}]}]},{"tin":{"type":"ein","value":"825128901"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":13125.00,"providers":[{"billed_charge":109095.00,"npi":[1740771195]}]}]},{"tin":{"type":"ein","value":"852917073"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":2232.00,"providers":[{"billed_charge":27000.00,"npi":[1619786290]}]}]}]},{"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":"412931896"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1273.23,"providers":[{"billed_charge":4700.00,"npi":[1396737359]}]},{"allowed_amount":14793.72,"providers":[{"billed_charge":70300.00,"npi":[1134129000]}]}]},{"tin":{"type":"ein","value":"261608087"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":6045.00,"providers":[{"billed_charge":10875.00,"npi":[1033261714]}]}]}]},{"name":"NURSERY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"170","description":"NURSERY -GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"750800661"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":40190.50,"providers":[{"billed_charge":30100.00,"npi":[1528027786]}]}]}]},{"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":213000.00,"providers":[{"billed_charge":1183278.26,"npi":[1124796081]}]}]}]},{"name":"NURSERYLEVEL 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":39000.00,"providers":[{"billed_charge":960932.00,"npi":[1124796081]}]}]}]},{"name":"ANESTH, VASCULAR SHUNT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"1844","description":"ANESTHESIA FOR VASCULAR SHUNT, OR SHUNT REVISION, ANY TYPE (EG, DIALYSIS)","allowed_amounts":[{"tin":{"type":"ein","value":"833127681"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":5365.79,"providers":[{"billed_charge":8115.00,"npi":[1306422993]}]}]}]},{"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":25435.73,"providers":[{"billed_charge":16801.02,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":78878.95,"providers":[{"billed_charge":39485.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1908749.38,"providers":[{"billed_charge":1207363.00,"npi":[1730132234]}]},{"allowed_amount":2081946.41,"providers":[{"billed_charge":1522825.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":20134.50,"providers":[{"billed_charge":40427.00,"npi":[1679578439]}]}]}]},{"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":62851.71,"providers":[{"billed_charge":17548.00,"npi":[1083937593]}]}]}]},{"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":"751837454"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":616086.22,"providers":[{"billed_charge":197404.12,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":13022.69,"providers":[{"billed_charge":5682.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":59869.70,"providers":[{"billed_charge":21035.45,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":526360.45,"providers":[{"billed_charge":608836.95,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":93878.76,"providers":[{"billed_charge":12360.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":237446.47,"providers":[{"billed_charge":68028.50,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":325182.70,"providers":[{"billed_charge":118649.53,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":160504.81,"providers":[{"billed_charge":50125.55,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":1350204.25,"providers":[{"billed_charge":1062764.00,"npi":[1982666111]}]},{"allowed_amount":1137620.71,"providers":[{"billed_charge":894300.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":321328.45,"providers":[{"billed_charge":188937.23,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":20465.15,"providers":[{"billed_charge":10754.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":308583.99,"providers":[{"billed_charge":161412.00,"npi":[1033165501]}]}]}]},{"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":"741536936"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":235879.02,"providers":[{"billed_charge":95790.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["21"],"billing_class":"institutional","payments":[{"allowed_amount":92383.40,"providers":[{"billed_charge":70018.00,"npi":[1821011248]}]}]}]},{"name":"PHARMACY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"250","description":"PHARMACY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.48,"providers":[{"billed_charge":9054.25,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.58,"providers":[{"billed_charge":9401.00,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1154.92,"providers":[{"billed_charge":3849.75,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":233328.39,"providers":[{"billed_charge":412228.25,"npi":[1194743013]}]},{"allowed_amount":7445.60,"providers":[{"billed_charge":12837.20,"npi":[1194743013]}]},{"allowed_amount":16836.49,"providers":[{"billed_charge":29028.40,"npi":[1720480627]}]},{"allowed_amount":15394.16,"providers":[{"billed_charge":26541.65,"npi":[1194743013]}]},{"allowed_amount":11856.51,"providers":[{"billed_charge":20442.25,"npi":[1720480627]}]},{"allowed_amount":505.52,"providers":[{"billed_charge":871.60,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"331493792"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.37,"providers":[{"billed_charge":743.42,"npi":[1942022546]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6.90,"providers":[{"billed_charge":65.00,"npi":[1952306672]}]},{"allowed_amount":946.62,"providers":[{"billed_charge":8574.01,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"393782106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":104.80,"providers":[{"billed_charge":29930.26,"npi":[1124983002]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.38,"providers":[{"billed_charge":14473.80,"npi":[1982666111]}]},{"allowed_amount":48.07,"providers":[{"billed_charge":11405.65,"npi":[1932152337]}]},{"allowed_amount":10.69,"providers":[{"billed_charge":78644.66,"npi":[1730132234]}]},{"allowed_amount":6.93,"providers":[{"billed_charge":3502.25,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"932775366"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.52,"providers":[{"billed_charge":14871.71,"npi":[1518822485]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.04,"providers":[{"billed_charge":1442.10,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.91,"providers":[{"billed_charge":1661.50,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":60.61,"providers":[{"billed_charge":3810.62,"npi":[1477643690]}]},{"allowed_amount":71.50,"providers":[{"billed_charge":24062.16,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4.37,"providers":[{"billed_charge":2539.81,"npi":[1184262800]}]},{"allowed_amount":69.53,"providers":[{"billed_charge":19347.62,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.20,"providers":[{"billed_charge":149.40,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.54,"providers":[{"billed_charge":13293.26,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"394604245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.37,"providers":[{"billed_charge":9967.76,"npi":[1699649400]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":773.25,"providers":[{"billed_charge":2253.87,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.44,"providers":[{"billed_charge":119102.52,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2570.49,"providers":[{"billed_charge":43668.41,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"393916039"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.53,"providers":[{"billed_charge":2412.29,"npi":[1699653279]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":4295.75,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":591.05,"providers":[{"billed_charge":35323.89,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"992497065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":13491.27,"npi":[1083444780]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":629.16,"providers":[{"billed_charge":64158.43,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.39,"providers":[{"billed_charge":21964.26,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.90,"providers":[{"billed_charge":25287.00,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.18,"providers":[{"billed_charge":20188.44,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":63.09,"providers":[{"billed_charge":88347.85,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"823953636"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.70,"providers":[{"billed_charge":238.91,"npi":[1184132524]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":875.37,"providers":[{"billed_charge":926.15,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.79,"providers":[{"billed_charge":294.80,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1100.71,"providers":[{"billed_charge":7020.58,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"393793693"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.58,"providers":[{"billed_charge":14147.10,"npi":[1205791183]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":847.42,"providers":[{"billed_charge":120147.50,"npi":[1679557888]}]},{"allowed_amount":464.96,"providers":[{"billed_charge":13137.00,"npi":[1598749707]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":415.52,"providers":[{"billed_charge":135803.27,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2395.80,"providers":[{"billed_charge":48498.86,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.49,"providers":[{"billed_charge":7327.76,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"232973511"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.90,"providers":[{"billed_charge":3.00,"npi":[1417947490]}]}]},{"tin":{"type":"ein","value":"751302152"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.39,"providers":[{"billed_charge":45.46,"npi":[1700991700]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1687.11,"providers":[{"billed_charge":189406.19,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":244.91,"providers":[{"billed_charge":49137.40,"npi":[1679976120]}]},{"allowed_amount":2.73,"providers":[{"billed_charge":2901.04,"npi":[1023963774]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.79,"providers":[{"billed_charge":16874.19,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":534.94,"providers":[{"billed_charge":1479.76,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.39,"providers":[{"billed_charge":15514.14,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.46,"providers":[{"billed_charge":9446.94,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.49,"providers":[{"billed_charge":25.54,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.90,"providers":[{"billed_charge":265.72,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2542.14,"providers":[{"billed_charge":115062.19,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25.39,"providers":[{"billed_charge":28667.13,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":471.88,"providers":[{"billed_charge":11373.58,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.87,"providers":[{"billed_charge":17516.21,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":10910.47,"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":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":36.30,"providers":[{"billed_charge":10403.41,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.92,"providers":[{"billed_charge":3511.68,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.05,"providers":[{"billed_charge":1265.04,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39.73,"providers":[{"billed_charge":53508.46,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.68,"providers":[{"billed_charge":1522.94,"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":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.59,"providers":[{"billed_charge":22727.30,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"392717734"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.67,"providers":[{"billed_charge":7791.73,"npi":[1093604662]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.44,"providers":[{"billed_charge":81774.43,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34.19,"providers":[{"billed_charge":95090.11,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.52,"providers":[{"billed_charge":13729.47,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.98,"providers":[{"billed_charge":15053.11,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1058.36,"providers":[{"billed_charge":6949.25,"npi":[1275592131]}]},{"allowed_amount":3.00,"providers":[{"billed_charge":44.25,"npi":[1073294740]}]},{"allowed_amount":257.88,"providers":[{"billed_charge":8522.25,"npi":[1033165501]}]},{"allowed_amount":9852.29,"providers":[{"billed_charge":22194.75,"npi":[1689629941]}]},{"allowed_amount":31.93,"providers":[{"billed_charge":6932.50,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.66,"providers":[{"billed_charge":5868.42,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.45,"providers":[{"billed_charge":5637.01,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"992545052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.09,"providers":[{"billed_charge":10598.00,"npi":[1619760907]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.51,"providers":[{"billed_charge":790.99,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25.21,"providers":[{"billed_charge":29778.50,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31.81,"providers":[{"billed_charge":47791.14,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.07,"providers":[{"billed_charge":16006.09,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"333807317"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.04,"providers":[{"billed_charge":17042.09,"npi":[1083586747]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.96,"providers":[{"billed_charge":8164.29,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.90,"providers":[{"billed_charge":16802.09,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":155.21,"providers":[{"billed_charge":14171.00,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.50,"providers":[{"billed_charge":7304.73,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.58,"providers":[{"billed_charge":4147.62,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"923637942"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.72,"providers":[{"billed_charge":2390.04,"npi":[1679263883]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.73,"providers":[{"billed_charge":24285.22,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.38,"providers":[{"billed_charge":43909.89,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"995017291"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.59,"providers":[{"billed_charge":8734.23,"npi":[1851112098]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":232.36,"providers":[{"billed_charge":497929.57,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"333466645"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.88,"providers":[{"billed_charge":2265.79,"npi":[1639975758]}]}]},{"tin":{"type":"ein","value":"413311187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.86,"providers":[{"billed_charge":5260.96,"npi":[1346194396]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.64,"providers":[{"billed_charge":6353.82,"npi":[1912677295]}]}]}]},{"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":"750800628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":612.42,"providers":[{"billed_charge":1055.90,"npi":[1194743013]}]}]}]},{"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":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.09,"providers":[{"billed_charge":552.31,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":110.47,"providers":[{"billed_charge":189352.57,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":175.41,"providers":[{"billed_charge":310350.38,"npi":[1265124986]}]}]}]},{"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"],"billing_class":"institutional","payments":[{"allowed_amount":88.80,"providers":[{"billed_charge":335035.00,"npi":[1083937593]}]},{"allowed_amount":147.50,"providers":[{"billed_charge":110626.70,"npi":[1184179194]}]},{"allowed_amount":9.42,"providers":[{"billed_charge":71131.20,"npi":[1629828405]}]},{"allowed_amount":23.16,"providers":[{"billed_charge":270660.50,"npi":[1871619254]}]},{"allowed_amount":50.08,"providers":[{"billed_charge":184885.50,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2.55,"providers":[{"billed_charge":5419.50,"npi":[1891789772]}]},{"allowed_amount":80.22,"providers":[{"billed_charge":221986.33,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43.87,"providers":[{"billed_charge":165898.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.03,"providers":[{"billed_charge":6.50,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":0.57,"providers":[{"billed_charge":5.41,"npi":[1952306672]}]},{"allowed_amount":197.10,"providers":[{"billed_charge":1790.95,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.72,"providers":[{"billed_charge":13072.99,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.58,"providers":[{"billed_charge":54682.50,"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":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1138.43,"providers":[{"billed_charge":11796.16,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6966.56,"providers":[{"billed_charge":65316.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":793.10,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11625.70,"providers":[{"billed_charge":64945.76,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"465557331"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":970.37,"providers":[{"billed_charge":8038.93,"npi":[1194125146]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20400.54,"providers":[{"billed_charge":77792.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":526.74,"providers":[{"billed_charge":6555.49,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"331493792"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7556.85,"providers":[{"billed_charge":94028.84,"npi":[1942022546]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8141.85,"providers":[{"billed_charge":44059.87,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"393782106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6214.78,"providers":[{"billed_charge":122108.25,"npi":[1124983002]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2568.31,"providers":[{"billed_charge":6952.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"932775366"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3140.26,"providers":[{"billed_charge":50337.75,"npi":[1518822485]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":898.47,"providers":[{"billed_charge":6837.03,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":212.63,"providers":[{"billed_charge":3994.00,"npi":[1548226988]}]},{"allowed_amount":42593.94,"providers":[{"billed_charge":198415.21,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1832.97,"providers":[{"billed_charge":13217.00,"npi":[1477643690]}]},{"allowed_amount":16844.24,"providers":[{"billed_charge":197026.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4670.24,"providers":[{"billed_charge":85620.23,"npi":[1780436287]}]},{"allowed_amount":2377.47,"providers":[{"billed_charge":20717.01,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":119711.44,"providers":[{"billed_charge":207603.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":71078.06,"providers":[{"billed_charge":305932.86,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":533.12,"providers":[{"billed_charge":2028.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":914.30,"providers":[{"billed_charge":68560.36,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1736.15,"providers":[{"billed_charge":13109.00,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1036.72,"providers":[{"billed_charge":29880.00,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5729.10,"providers":[{"billed_charge":34549.01,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30731.71,"providers":[{"billed_charge":196684.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"393916039"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":434.04,"providers":[{"billed_charge":3201.32,"npi":[1699653279]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2679.77,"providers":[{"billed_charge":15900.15,"npi":[1407344880]}]},{"allowed_amount":15059.84,"providers":[{"billed_charge":33564.52,"npi":[1407010622]}]},{"allowed_amount":11805.71,"providers":[{"billed_charge":29182.32,"npi":[1619308319]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":85.19,"providers":[{"billed_charge":6219.25,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"741385192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1104.58,"providers":[{"billed_charge":5005.00,"npi":[1972581940]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":301.34,"providers":[{"billed_charge":5772.00,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2333.29,"providers":[{"billed_charge":15893.46,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12020.38,"providers":[{"billed_charge":129311.86,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5146.56,"providers":[{"billed_charge":18788.50,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18464.56,"providers":[{"billed_charge":215417.80,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2524.56,"providers":[{"billed_charge":22600.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34935.60,"providers":[{"billed_charge":131485.39,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":669.03,"providers":[{"billed_charge":3783.63,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3477.85,"providers":[{"billed_charge":25767.16,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3189.60,"providers":[{"billed_charge":8843.00,"npi":[1003192311]}]},{"allowed_amount":273.26,"providers":[{"billed_charge":556.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3931.22,"providers":[{"billed_charge":27712.08,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13135.47,"providers":[{"billed_charge":312315.75,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1009.82,"providers":[{"billed_charge":40571.10,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":457.15,"providers":[{"billed_charge":35211.44,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2941.84,"providers":[{"billed_charge":31505.00,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3789.06,"providers":[{"billed_charge":57761.06,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12428.68,"providers":[{"billed_charge":147100.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4442.36,"providers":[{"billed_charge":34925.41,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":221.14,"providers":[{"billed_charge":29410.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":557.79,"providers":[{"billed_charge":55964.39,"npi":[1801826839]}]},{"allowed_amount":658.43,"providers":[{"billed_charge":1507.89,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":241223.91,"providers":[{"billed_charge":642567.54,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4105.81,"providers":[{"billed_charge":7984.52,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"331929227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1285.68,"providers":[{"billed_charge":1920.05,"npi":[1144112129]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":602.68,"providers":[{"billed_charge":10342.31,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":241.54,"providers":[{"billed_charge":31370.97,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4544.95,"providers":[{"billed_charge":9671.17,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9114.79,"providers":[{"billed_charge":81982.67,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31122.98,"providers":[{"billed_charge":356759.48,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3773.34,"providers":[{"billed_charge":37565.46,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9584.77,"providers":[{"billed_charge":98101.00,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":398.10,"providers":[{"billed_charge":4439.90,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22284.12,"providers":[{"billed_charge":158173.95,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"333466645"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":957.51,"npi":[1639975758]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3384.84,"providers":[{"billed_charge":19654.03,"npi":[1912677295]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":31119.43,"providers":[{"billed_charge":155620.00,"npi":[1629828405]}]},{"allowed_amount":100015.51,"providers":[{"billed_charge":459711.00,"npi":[1083937593]}]},{"allowed_amount":76366.25,"providers":[{"billed_charge":454565.00,"npi":[1871619254]}]},{"allowed_amount":234.05,"providers":[{"billed_charge":2440.00,"npi":[1083937593]}]},{"allowed_amount":36928.70,"providers":[{"billed_charge":273645.00,"npi":[1184179194]}]},{"allowed_amount":50422.31,"providers":[{"billed_charge":232655.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1662.52,"providers":[{"billed_charge":22891.80,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18612.52,"providers":[{"billed_charge":216571.46,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34929.56,"providers":[{"billed_charge":98558.00,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":321197.80,"providers":[{"billed_charge":887859.40,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1302.12,"providers":[{"billed_charge":9175.14,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":5851.04,"providers":[{"billed_charge":10088.00,"npi":[1194743013]}]},{"allowed_amount":9062.50,"providers":[{"billed_charge":15625.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":871.94,"providers":[{"billed_charge":6401.95,"npi":[1477516466]}]},{"allowed_amount":1170.86,"providers":[{"billed_charge":136935.22,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"992545052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2314.48,"providers":[{"billed_charge":18990.00,"npi":[1619760907]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17505.60,"providers":[{"billed_charge":43625.37,"npi":[1679903967]}]},{"allowed_amount":9342.32,"providers":[{"billed_charge":23116.15,"npi":[1831629526]}]},{"allowed_amount":11523.03,"providers":[{"billed_charge":31776.19,"npi":[1598196206]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7056.29,"providers":[{"billed_charge":79075.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":107186.44,"providers":[{"billed_charge":644985.00,"npi":[1982666111]}]},{"allowed_amount":1129.79,"providers":[{"billed_charge":17862.00,"npi":[1730132234]}]},{"allowed_amount":458540.62,"providers":[{"billed_charge":3075667.25,"npi":[1730132234]}]},{"allowed_amount":137261.79,"providers":[{"billed_charge":849559.00,"npi":[1295843787]}]},{"allowed_amount":89277.90,"providers":[{"billed_charge":550478.50,"npi":[1740233782]}]},{"allowed_amount":2225.32,"providers":[{"billed_charge":10611.25,"npi":[1740233782]}]},{"allowed_amount":1204.69,"providers":[{"billed_charge":13775.00,"npi":[1982666111]}]},{"allowed_amount":230.30,"providers":[{"billed_charge":5932.50,"npi":[1932152337]}]},{"allowed_amount":56675.53,"providers":[{"billed_charge":420292.75,"npi":[1295788735]}]},{"allowed_amount":107276.32,"providers":[{"billed_charge":735883.25,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":375.12,"providers":[{"billed_charge":9360.25,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3170.98,"providers":[{"billed_charge":17943.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":617.96,"providers":[{"billed_charge":920.60,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1625.04,"providers":[{"billed_charge":7741.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"851984103"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":132.70,"providers":[{"billed_charge":3393.91,"npi":[1376151365]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":1500.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":58726.51,"providers":[{"billed_charge":224130.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81346.03,"providers":[{"billed_charge":462809.09,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":463.53,"providers":[{"billed_charge":652.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2435.60,"providers":[{"billed_charge":16722.50,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1559.41,"providers":[{"billed_charge":11577.50,"npi":[1124796081]}]},{"allowed_amount":10292.07,"providers":[{"billed_charge":38289.90,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1507.08,"providers":[{"billed_charge":51048.00,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"392717734"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":500.39,"providers":[{"billed_charge":3836.48,"npi":[1093604662]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6612.85,"providers":[{"billed_charge":82293.75,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4835.21,"providers":[{"billed_charge":40965.07,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3507.64,"providers":[{"billed_charge":27831.70,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2139.21,"providers":[{"billed_charge":18197.22,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"882898646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1694.91,"providers":[{"billed_charge":24182.35,"npi":[1699406173]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2001.55,"providers":[{"billed_charge":33608.16,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1108.99,"providers":[{"billed_charge":1200.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88019.64,"providers":[{"billed_charge":654623.21,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"814974144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":624.76,"providers":[{"billed_charge":1242.84,"npi":[1982113601]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99898.07,"providers":[{"billed_charge":924246.88,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8614.41,"providers":[{"billed_charge":77443.80,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7797.13,"providers":[{"billed_charge":26934.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":938.26,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12233.24,"providers":[{"billed_charge":30088.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"393793693"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3743.24,"providers":[{"billed_charge":48963.00,"npi":[1205791183]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":60674.88,"providers":[{"billed_charge":220871.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3972.70,"providers":[{"billed_charge":33800.58,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4145.68,"providers":[{"billed_charge":46484.46,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1368.45,"providers":[{"billed_charge":11058.75,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1868.85,"providers":[{"billed_charge":10662.48,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2277.67,"providers":[{"billed_charge":84486.00,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":199.05,"providers":[{"billed_charge":1969.79,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15022.92,"providers":[{"billed_charge":267543.37,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10069.31,"providers":[{"billed_charge":52595.52,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":221.14,"providers":[{"billed_charge":2810.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":872.84,"providers":[{"billed_charge":5330.63,"npi":[1023963774]}]},{"allowed_amount":36629.79,"providers":[{"billed_charge":298236.84,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4212.64,"providers":[{"billed_charge":49740.50,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4206.79,"providers":[{"billed_charge":11479.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20146.02,"providers":[{"billed_charge":112317.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2103.84,"providers":[{"billed_charge":27010.00,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2506.87,"providers":[{"billed_charge":33129.00,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5644.44,"providers":[{"billed_charge":109218.63,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":75474.10,"providers":[{"billed_charge":467325.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10206.14,"providers":[{"billed_charge":98017.40,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":603.85,"providers":[{"billed_charge":10622.78,"npi":[1124305065]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1868.86,"providers":[{"billed_charge":26673.31,"npi":[1770214256]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4935.93,"providers":[{"billed_charge":66879.15,"npi":[1285252593]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4744.03,"providers":[{"billed_charge":50265.00,"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":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4641.41,"providers":[{"billed_charge":29523.50,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1205.36,"providers":[{"billed_charge":6481.36,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3068.67,"providers":[{"billed_charge":28433.00,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"333807317"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1103.06,"providers":[{"billed_charge":5032.64,"npi":[1083586747]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3599.48,"providers":[{"billed_charge":21151.96,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1036.72,"providers":[{"billed_charge":3684.81,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1537.11,"providers":[{"billed_charge":6133.29,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5938.25,"providers":[{"billed_charge":31553.24,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":904.02,"providers":[{"billed_charge":2731.83,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":703.98,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20686.37,"providers":[{"billed_charge":117584.17,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":735.38,"providers":[{"billed_charge":3334.00,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6245.18,"providers":[{"billed_charge":27505.22,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1802.50,"providers":[{"billed_charge":16034.22,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4437.14,"providers":[{"billed_charge":24679.87,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4779.95,"providers":[{"billed_charge":32327.40,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":633.08,"providers":[{"billed_charge":6254.31,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2236.53,"providers":[{"billed_charge":13135.42,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14613.40,"providers":[{"billed_charge":128269.34,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":46591.04,"providers":[{"billed_charge":250585.70,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1000.78,"providers":[{"billed_charge":6173.70,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2206.14,"providers":[{"billed_charge":14287.61,"npi":[1619567021]}]}]}]},{"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":"331929227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":816.80,"providers":[{"billed_charge":3378.45,"npi":[1144112129]}]}]}]},{"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":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101.09,"providers":[{"billed_charge":7833.88,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":147.79,"providers":[{"billed_charge":3629.84,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59.78,"providers":[{"billed_charge":2904.49,"npi":[1679976120]}]}]}]},{"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":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":658.97,"providers":[{"billed_charge":1789.78,"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":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81.50,"providers":[{"billed_charge":513.93,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.98,"providers":[{"billed_charge":3823.08,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33.53,"providers":[{"billed_charge":90.78,"npi":[1114435260]}]}]}]},{"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":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":391.76,"providers":[{"billed_charge":87.00,"npi":[1336172105]}]}]}]},{"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":37.76,"providers":[{"billed_charge":406.09,"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":429.90,"providers":[{"billed_charge":36107.51,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["19"],"billing_class":"institutional","payments":[{"allowed_amount":28.02,"providers":[{"billed_charge":126.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"411592761"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.90,"providers":[{"billed_charge":100.00,"npi":[1356309322]}]}]},{"tin":{"type":"ein","value":"465557331"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":427.90,"providers":[{"billed_charge":39909.79,"npi":[1194125146]}]}]},{"tin":{"type":"ein","value":"470484764"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":338.14,"providers":[{"billed_charge":1407.00,"npi":[1508941097]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1719.70,"providers":[{"billed_charge":359016.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":20.16,"providers":[{"billed_charge":251053.00,"npi":[1275592131]}]},{"allowed_amount":6.72,"providers":[{"billed_charge":28719.00,"npi":[1073294740]}]},{"allowed_amount":20.74,"providers":[{"billed_charge":328034.00,"npi":[1033165501]}]},{"allowed_amount":13.05,"providers":[{"billed_charge":1749.00,"npi":[1568818417]}]},{"allowed_amount":14.60,"providers":[{"billed_charge":300988.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"760698013"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":394.32,"providers":[{"billed_charge":419.00,"npi":[1780786699]}]}]},{"tin":{"type":"ein","value":"331493792"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2781.35,"providers":[{"billed_charge":88122.30,"npi":[1942022546]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":246.00,"providers":[{"billed_charge":161132.93,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"844755191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111.34,"providers":[{"billed_charge":20409.00,"npi":[1437750163]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":35891.71,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":8990.59,"providers":[{"billed_charge":52451.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":133.00,"providers":[{"billed_charge":1106.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":797.81,"providers":[{"billed_charge":22999.00,"npi":[1205900370]}]},{"allowed_amount":6276.03,"providers":[{"billed_charge":1054528.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":127.19,"providers":[{"billed_charge":29584.38,"npi":[1780436287]}]},{"allowed_amount":339.17,"providers":[{"billed_charge":36221.04,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":239.04,"providers":[{"billed_charge":1721.47,"npi":[1629089966]}]},{"allowed_amount":8127.70,"providers":[{"billed_charge":29376.18,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70.80,"providers":[{"billed_charge":34919.99,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24.10,"providers":[{"billed_charge":12946.75,"npi":[1164526786]}]},{"allowed_amount":62.34,"providers":[{"billed_charge":43343.25,"npi":[1578780870]}]},{"allowed_amount":31.79,"providers":[{"billed_charge":36619.25,"npi":[1093810327]}]},{"allowed_amount":440.91,"providers":[{"billed_charge":4773.25,"npi":[1619726064]}]}]},{"tin":{"type":"ein","value":"741303720"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6.33,"providers":[{"billed_charge":65.00,"npi":[1093744187]}]},{"allowed_amount":80.83,"providers":[{"billed_charge":28767.99,"npi":[1093744187]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1352.61,"providers":[{"billed_charge":52160.61,"npi":[1619308319]}]},{"allowed_amount":25.35,"providers":[{"billed_charge":7316.75,"npi":[1043641749]}]},{"allowed_amount":987.19,"providers":[{"billed_charge":46617.34,"npi":[1407344880]}]},{"allowed_amount":1101.07,"providers":[{"billed_charge":82701.96,"npi":[1407010622]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":59.17,"providers":[{"billed_charge":19122.23,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"393916039"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":15978.10,"npi":[1699653279]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":192.55,"providers":[{"billed_charge":26088.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35.14,"providers":[{"billed_charge":8471.25,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"871585575"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111.34,"providers":[{"billed_charge":28944.44,"npi":[1619549474]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1069.08,"providers":[{"billed_charge":134659.80,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"752796815"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.74,"providers":[{"billed_charge":14915.00,"npi":[1295736734]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":501.72,"providers":[{"billed_charge":152627.90,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"934242663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":65.01,"providers":[{"billed_charge":28654.81,"npi":[1740054436]}]}]},{"tin":{"type":"ein","value":"852007987"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":124.50,"providers":[{"billed_charge":18788.64,"npi":[1144838947]}]}]},{"tin":{"type":"ein","value":"394168906"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":12839.24,"npi":[1578436101]}]}]},{"tin":{"type":"ein","value":"412455167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":319.39,"providers":[{"billed_charge":9859.43,"npi":[1346105699]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112.10,"providers":[{"billed_charge":193832.18,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"475625607"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":215.92,"providers":[{"billed_charge":886.00,"npi":[1013382860]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":76175.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":587.85,"providers":[{"billed_charge":93335.19,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":570.52,"providers":[{"billed_charge":12865.87,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":583.00,"providers":[{"billed_charge":167127.46,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":212.00,"providers":[{"billed_charge":5662.00,"npi":[1003192311]}]},{"allowed_amount":20.53,"providers":[{"billed_charge":101.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1036.50,"providers":[{"billed_charge":179070.21,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":399.48,"providers":[{"billed_charge":206985.27,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":1400.43,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.19,"providers":[{"billed_charge":66745.20,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"751300105"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6436.09,"providers":[{"billed_charge":6445.27,"npi":[1679560866]}]},{"allowed_amount":207.93,"providers":[{"billed_charge":268.60,"npi":[1679560866]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123.70,"providers":[{"billed_charge":66133.95,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":581.40,"providers":[{"billed_charge":235375.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.35,"providers":[{"billed_charge":316.67,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10391.50,"providers":[{"billed_charge":170726.00,"npi":[1679557888]}]},{"allowed_amount":778.77,"providers":[{"billed_charge":5815.00,"npi":[1598749707]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3686.61,"providers":[{"billed_charge":883973.00,"npi":[1679578439]}]},{"allowed_amount":6.61,"providers":[{"billed_charge":9944.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.86,"providers":[{"billed_charge":59038.25,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":373709.09,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":330.96,"providers":[{"billed_charge":5845.28,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"331929227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":49.43,"providers":[{"billed_charge":23693.56,"npi":[1144112129]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":19.90,"providers":[{"billed_charge":407.22,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":25564.84,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":8820.51,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":224.71,"providers":[{"billed_charge":299249.66,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":430.00,"providers":[{"billed_charge":102395.63,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":80.30,"providers":[{"billed_charge":55275.06,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":397.76,"providers":[{"billed_charge":185308.14,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":142.34,"providers":[{"billed_charge":567.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"510570864"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1839.90,"providers":[{"billed_charge":51633.00,"npi":[1255579389]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":766.61,"providers":[{"billed_charge":269189.16,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":534.60,"providers":[{"billed_charge":1191.54,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":373.86,"providers":[{"billed_charge":653.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39.72,"providers":[{"billed_charge":8333.67,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":338.05,"providers":[{"billed_charge":66042.26,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1307.35,"providers":[{"billed_charge":45937.00,"npi":[1689641680]}]},{"allowed_amount":395.06,"providers":[{"billed_charge":8433.00,"npi":[1447228747]}]},{"allowed_amount":382.36,"providers":[{"billed_charge":9629.00,"npi":[1093783391]}]},{"allowed_amount":95.59,"providers":[{"billed_charge":5145.00,"npi":[1003885641]}]}]},{"tin":{"type":"ein","value":"474866295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77.48,"providers":[{"billed_charge":5096.42,"npi":[1992172019]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":890.28,"providers":[{"billed_charge":3323.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":7835.10,"providers":[{"billed_charge":13985.80,"npi":[1194743013]}]},{"allowed_amount":2665.68,"providers":[{"billed_charge":4596.00,"npi":[1194743013]}]},{"allowed_amount":501.12,"providers":[{"billed_charge":864.00,"npi":[1194743013]}]},{"allowed_amount":129.92,"providers":[{"billed_charge":224.00,"npi":[1720480627]}]},{"allowed_amount":1055.60,"providers":[{"billed_charge":1820.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":54.24,"providers":[{"billed_charge":38090.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":118.16,"providers":[{"billed_charge":3509.80,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1646.40,"providers":[{"billed_charge":50265.18,"npi":[1831629526]}]},{"allowed_amount":305.91,"providers":[{"billed_charge":24114.17,"npi":[1689002651]}]},{"allowed_amount":2372.30,"providers":[{"billed_charge":76757.63,"npi":[1598196206]}]},{"allowed_amount":2905.90,"providers":[{"billed_charge":116595.42,"npi":[1679903967]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":252.18,"providers":[{"billed_charge":128178.06,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3069.75,"providers":[{"billed_charge":12263.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":8872.29,"providers":[{"billed_charge":81463.00,"npi":[1952306672]}]},{"allowed_amount":5.25,"providers":[{"billed_charge":49.00,"npi":[1831070507]}]},{"allowed_amount":206.98,"providers":[{"billed_charge":25601.00,"npi":[1831070507]}]},{"allowed_amount":267.74,"providers":[{"billed_charge":2969.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":373.00,"providers":[{"billed_charge":141175.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":869.63,"providers":[{"billed_charge":87935.25,"npi":[1982666111]}]},{"allowed_amount":573.31,"providers":[{"billed_charge":155362.25,"npi":[1730132234]}]},{"allowed_amount":212.80,"providers":[{"billed_charge":866.00,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3535.99,"providers":[{"billed_charge":6481.09,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"352644167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":4235.23,"npi":[1801364450]}]}]},{"tin":{"type":"ein","value":"720502505"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":520.21,"providers":[{"billed_charge":1007.00,"npi":[1811973100]}]}]},{"tin":{"type":"ein","value":"392419127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":7750.00,"npi":[1023988417]}]}]},{"tin":{"type":"ein","value":"851929979"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109.20,"providers":[{"billed_charge":13938.18,"npi":[1851180400]}]}]},{"tin":{"type":"ein","value":"453528692"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":2175.00,"npi":[1013355387]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":792.46,"providers":[{"billed_charge":3645.38,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"821550918"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":407.83,"providers":[{"billed_charge":484.68,"npi":[1730183658]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":96.95,"providers":[{"billed_charge":16600.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":304.15,"providers":[{"billed_charge":553.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"410991680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1283.57,"providers":[{"billed_charge":3418.00,"npi":[1013994359]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1667.12,"providers":[{"billed_charge":22558.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"881716225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":479.52,"providers":[{"billed_charge":89693.43,"npi":[1053175794]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.86,"providers":[{"billed_charge":186369.42,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":568.52,"providers":[{"billed_charge":169830.00,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"470796875"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1436.82,"providers":[{"billed_charge":2053.00,"npi":[1285676544]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":295.89,"providers":[{"billed_charge":100669.82,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.00,"providers":[{"billed_charge":23589.52,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"882898646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.26,"providers":[{"billed_charge":31571.96,"npi":[1699406173]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3035.82,"providers":[{"billed_charge":3719.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":233.77,"providers":[{"billed_charge":43832.85,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8164.52,"providers":[{"billed_charge":2344228.57,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":9564.10,"providers":[{"billed_charge":14714.00,"npi":[1598744856]}]},{"allowed_amount":33345.65,"providers":[{"billed_charge":51301.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.09,"providers":[{"billed_charge":730.84,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"814974144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":224.92,"providers":[{"billed_charge":14168.15,"npi":[1982113601]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19547.14,"providers":[{"billed_charge":4216150.35,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"201729674"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":439.22,"providers":[{"billed_charge":651.00,"npi":[1053360651]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":95.03,"providers":[{"billed_charge":264.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"866007596"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10165.84,"providers":[{"billed_charge":14475.00,"npi":[1194706655]}]}]},{"tin":{"type":"ein","value":"756003896"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":152.45,"providers":[{"billed_charge":677.00,"npi":[1275581852]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":293.95,"providers":[{"billed_charge":127217.95,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"472166397"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":46675.00,"npi":[1093191397]}]}]},{"tin":{"type":"ein","value":"452662980"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2161.90,"providers":[{"billed_charge":3326.00,"npi":[1154618742]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1471.92,"providers":[{"billed_charge":221593.00,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.03,"providers":[{"billed_charge":147044.51,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7563.26,"providers":[{"billed_charge":614024.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.87,"providers":[{"billed_charge":32574.53,"npi":[1023963774]}]},{"allowed_amount":604.19,"providers":[{"billed_charge":593791.27,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8065.70,"providers":[{"billed_charge":21978.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.61,"providers":[{"billed_charge":981.00,"npi":[1821004151]}]},{"allowed_amount":474.45,"providers":[{"billed_charge":7744.00,"npi":[1447883301]}]},{"allowed_amount":385.10,"providers":[{"billed_charge":12997.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"464084062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106.00,"providers":[{"billed_charge":23057.50,"npi":[1669872610]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2404.93,"providers":[{"billed_charge":7240.30,"npi":[1962497800]}]},{"allowed_amount":68.98,"providers":[{"billed_charge":357.21,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":221.44,"providers":[{"billed_charge":41627.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"856003005"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":97.66,"providers":[{"billed_charge":177.40,"npi":[1689747552]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1438.92,"providers":[{"billed_charge":2178.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"934370183"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":159.00,"providers":[{"billed_charge":4896.00,"npi":[1538934864]}]}]},{"tin":{"type":"ein","value":"620123940"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":974.46,"providers":[{"billed_charge":5140.00,"npi":[1578527172]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":54139.92,"npi":[1285252593]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":237.80,"providers":[{"billed_charge":66999.36,"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":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.50,"providers":[{"billed_charge":59062.92,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"922719659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111.34,"providers":[{"billed_charge":13839.00,"npi":[1386325801]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","19"],"billing_class":"institutional","payments":[{"allowed_amount":127.43,"providers":[{"billed_charge":1056.00,"npi":[1992753222]}]},{"allowed_amount":7.56,"providers":[{"billed_charge":53.00,"npi":[1992753222]}]},{"allowed_amount":823.44,"providers":[{"billed_charge":388518.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":32254.80,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88.50,"providers":[{"billed_charge":195706.87,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"262037695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1853.16,"providers":[{"billed_charge":8370.00,"npi":[1992799050]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":54.24,"providers":[{"billed_charge":70422.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":251.90,"providers":[{"billed_charge":340586.00,"npi":[1033165501]}]},{"allowed_amount":14.21,"providers":[{"billed_charge":699.00,"npi":[1568818417]}]},{"allowed_amount":22.50,"providers":[{"billed_charge":26667.00,"npi":[1568818417]}]},{"allowed_amount":366.40,"providers":[{"billed_charge":244731.00,"npi":[1689629941]}]},{"allowed_amount":45.80,"providers":[{"billed_charge":33885.00,"npi":[1073294740]}]},{"allowed_amount":160.30,"providers":[{"billed_charge":343206.00,"npi":[1275592131]}]},{"allowed_amount":75.26,"providers":[{"billed_charge":361644.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":120184.50,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":568.50,"providers":[{"billed_charge":57643.60,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43.31,"providers":[{"billed_charge":25941.42,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"760698013"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2147.39,"providers":[{"billed_charge":2435.00,"npi":[1780786699]}]}]},{"tin":{"type":"ein","value":"580566200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":306.50,"providers":[{"billed_charge":620.00,"npi":[1144203563]}]}]},{"tin":{"type":"ein","value":"730700090"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":195.25,"providers":[{"billed_charge":496.00,"npi":[1144228487]}]}]},{"tin":{"type":"ein","value":"331493792"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":555.35,"providers":[{"billed_charge":167277.73,"npi":[1942022546]}]}]},{"tin":{"type":"ein","value":"393782106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1581.60,"providers":[{"billed_charge":164810.93,"npi":[1124983002]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14.06,"providers":[{"billed_charge":5107.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"932775366"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":663.66,"providers":[{"billed_charge":80534.20,"npi":[1518822485]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3112.01,"providers":[{"billed_charge":6087.00,"npi":[1477643690]}]},{"allowed_amount":5.93,"providers":[{"billed_charge":16199.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":145.04,"providers":[{"billed_charge":56372.00,"npi":[1548226988]}]},{"allowed_amount":13.39,"providers":[{"billed_charge":1495.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":78.31,"providers":[{"billed_charge":314.00,"npi":[1225038938]}]},{"allowed_amount":523.64,"providers":[{"billed_charge":1675.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109.92,"providers":[{"billed_charge":39720.92,"npi":[1457820995]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":601.38,"providers":[{"billed_charge":71233.00,"npi":[1205900370]}]},{"allowed_amount":83.85,"providers":[{"billed_charge":10900.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":121.38,"providers":[{"billed_charge":26380.00,"npi":[1174582050]}]},{"allowed_amount":7.86,"providers":[{"billed_charge":1398.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":370.35,"providers":[{"billed_charge":326933.73,"npi":[1629089966]}]},{"allowed_amount":1746.41,"providers":[{"billed_charge":33227.68,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"731008550"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":688.28,"providers":[{"billed_charge":1808.75,"npi":[1851396394]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":143.95,"providers":[{"billed_charge":107810.68,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":20.09,"providers":[{"billed_charge":1643.86,"npi":[1184262800]}]},{"allowed_amount":468.08,"providers":[{"billed_charge":135413.78,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":55.00,"npi":[1821087164]}]},{"allowed_amount":40.00,"providers":[{"billed_charge":17585.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":822.21,"providers":[{"billed_charge":75664.00,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":463.84,"providers":[{"billed_charge":71496.00,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.15,"providers":[{"billed_charge":3627.13,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":51.98,"providers":[{"billed_charge":30412.53,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"922974728"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":117.80,"providers":[{"billed_charge":9555.46,"npi":[1568143089]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70.74,"providers":[{"billed_charge":65300.86,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":65.88,"providers":[{"billed_charge":152690.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":646.17,"providers":[{"billed_charge":187044.50,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":212.00,"providers":[{"billed_charge":31903.00,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"621762526"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2385.33,"providers":[{"billed_charge":2735.00,"npi":[1790722346]}]}]},{"tin":{"type":"ein","value":"382800065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":52.85,"providers":[{"billed_charge":98.00,"npi":[1871672618]}]}]},{"tin":{"type":"ein","value":"741718215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1128.87,"providers":[{"billed_charge":1442.00,"npi":[1699772541]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":484.40,"providers":[{"billed_charge":200228.24,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":94.40,"providers":[{"billed_charge":90609.33,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":44.21,"providers":[{"billed_charge":517.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3454.50,"providers":[{"billed_charge":482868.07,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":123.17,"providers":[{"billed_charge":90808.07,"npi":[1265772362]}]},{"allowed_amount":94.50,"providers":[{"billed_charge":3539.64,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":263.82,"providers":[{"billed_charge":180833.20,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"720708111"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":343.02,"providers":[{"billed_charge":981.00,"npi":[1447230388]}]}]},{"tin":{"type":"ein","value":"300885567"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":291.43,"providers":[{"billed_charge":830.31,"npi":[1154795581]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":155.55,"providers":[{"billed_charge":827717.50,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.50,"providers":[{"billed_charge":111393.15,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.78,"providers":[{"billed_charge":63434.00,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26.78,"providers":[{"billed_charge":252230.00,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86.37,"providers":[{"billed_charge":47138.30,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"334202263"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":5681.33,"npi":[1366246324]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":23826.13,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"821883948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2182.14,"providers":[{"billed_charge":19758.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"331929227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31.45,"providers":[{"billed_charge":6496.44,"npi":[1144112129]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":104.34,"providers":[{"billed_charge":261436.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":248.47,"providers":[{"billed_charge":278717.49,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34.64,"providers":[{"billed_charge":94203.00,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":198.09,"providers":[{"billed_charge":63890.50,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":100059.61,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":115.15,"providers":[{"billed_charge":134473.27,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41.30,"providers":[{"billed_charge":41746.92,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":92526.17,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"822174187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88.50,"providers":[{"billed_charge":33203.82,"npi":[1811475346]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":505.50,"providers":[{"billed_charge":1631569.00,"npi":[1871619254]}]},{"allowed_amount":424.62,"providers":[{"billed_charge":1079970.00,"npi":[1497871628]}]},{"allowed_amount":49.82,"providers":[{"billed_charge":16485.00,"npi":[1083937593]}]},{"allowed_amount":311.97,"providers":[{"billed_charge":1607144.00,"npi":[1083937593]}]},{"allowed_amount":60.66,"providers":[{"billed_charge":422854.00,"npi":[1629828405]}]},{"allowed_amount":202.20,"providers":[{"billed_charge":698082.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":489.12,"providers":[{"billed_charge":10545.00,"npi":[1356960132]}]},{"allowed_amount":40.20,"providers":[{"billed_charge":105854.01,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.57,"providers":[{"billed_charge":138839.62,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":158.40,"providers":[{"billed_charge":290.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":71918.97,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18.21,"providers":[{"billed_charge":63248.00,"npi":[1003885641]}]},{"allowed_amount":36.42,"providers":[{"billed_charge":119958.00,"npi":[1093783391]},{"billed_charge":308952.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":854.17,"providers":[{"billed_charge":3112.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"832804506"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":8248.53,"npi":[1174089866]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":170.00,"providers":[{"billed_charge":272436.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":27537.24,"providers":[{"billed_charge":47478.00,"npi":[1194743013]}]},{"allowed_amount":19787.86,"providers":[{"billed_charge":34117.00,"npi":[1720480627]}]},{"allowed_amount":29777.20,"providers":[{"billed_charge":51340.00,"npi":[1194743013]}]},{"allowed_amount":502.86,"providers":[{"billed_charge":867.00,"npi":[1720480627]}]},{"allowed_amount":138165.28,"providers":[{"billed_charge":249856.00,"npi":[1194743013]}]},{"allowed_amount":550.42,"providers":[{"billed_charge":949.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.24,"providers":[{"billed_charge":61136.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":368.25,"providers":[{"billed_charge":245666.74,"npi":[1477516466]}]},{"allowed_amount":362.73,"providers":[{"billed_charge":7588.65,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.79,"providers":[{"billed_charge":5326.46,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1237.89,"providers":[{"billed_charge":1239169.25,"npi":[1295843787]}]},{"allowed_amount":6.29,"providers":[{"billed_charge":2291.50,"npi":[1295788735]}]},{"allowed_amount":554.35,"providers":[{"billed_charge":450655.00,"npi":[1295788735]}]},{"allowed_amount":1009.71,"providers":[{"billed_charge":867445.00,"npi":[1932152337]}]},{"allowed_amount":5493.48,"providers":[{"billed_charge":4148973.50,"npi":[1730132234]}]},{"allowed_amount":12.58,"providers":[{"billed_charge":12451.25,"npi":[1932152337]}]},{"allowed_amount":100.16,"providers":[{"billed_charge":11506.25,"npi":[1740233782]}]},{"allowed_amount":395.93,"providers":[{"billed_charge":656602.50,"npi":[1740233782]}]},{"allowed_amount":75.46,"providers":[{"billed_charge":12974.50,"npi":[1982666111]}]},{"allowed_amount":7420.30,"providers":[{"billed_charge":16534.25,"npi":[1730132234]}]},{"allowed_amount":844.05,"providers":[{"billed_charge":1027501.75,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":352.66,"providers":[{"billed_charge":462415.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47.20,"providers":[{"billed_charge":55362.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":581.34,"providers":[{"billed_charge":21937.89,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.60,"providers":[{"billed_charge":35053.00,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":97.71,"providers":[{"billed_charge":18185.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2486.17,"providers":[{"billed_charge":12438.27,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2633.93,"providers":[{"billed_charge":6091.22,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"742730328"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":31.13,"providers":[{"billed_charge":21494.70,"npi":[1124074273]}]}]},{"tin":{"type":"ein","value":"621801359"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.42,"providers":[{"billed_charge":174611.12,"npi":[1174576698]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3966.05,"providers":[{"billed_charge":7211.00,"npi":[1548387418]}]},{"allowed_amount":363.96,"providers":[{"billed_charge":884733.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"995017291"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":25728.67,"npi":[1851112098]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":241.90,"providers":[{"billed_charge":879921.77,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.90,"providers":[{"billed_charge":462937.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1092.92,"providers":[{"billed_charge":1424.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":1896.74,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112.10,"providers":[{"billed_charge":134703.86,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"992497065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.47,"providers":[{"billed_charge":20051.19,"npi":[1083444780]}]}]},{"tin":{"type":"ein","value":"412101361"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28.79,"providers":[{"billed_charge":8276.11,"npi":[1962504340]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3.93,"providers":[{"billed_charge":10953.75,"npi":[1548286172]}]},{"allowed_amount":1026.09,"providers":[{"billed_charge":54220.37,"npi":[1548286172]}]},{"allowed_amount":593.58,"providers":[{"billed_charge":108645.14,"npi":[1124796081]}]},{"allowed_amount":190.06,"providers":[{"billed_charge":269477.92,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"392717734"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":81326.23,"npi":[1093604662]}]}]},{"tin":{"type":"ein","value":"590657322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":774.41,"providers":[{"billed_charge":2238.00,"npi":[1700979465]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":388.80,"providers":[{"billed_charge":138108.05,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"823934511"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.74,"providers":[{"billed_charge":4248.00,"npi":[1417465824]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29.50,"providers":[{"billed_charge":62681.90,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"390806181"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":484.71,"providers":[{"billed_charge":895.00,"npi":[1861447179]}]}]},{"tin":{"type":"ein","value":"823953636"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":351.31,"providers":[{"billed_charge":2826.77,"npi":[1184132524]}]}]},{"tin":{"type":"ein","value":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":61361.08,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6502.96,"providers":[{"billed_charge":7042.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43.69,"providers":[{"billed_charge":45105.97,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38.21,"providers":[{"billed_charge":27022.28,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":54280.17,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9.71,"providers":[{"billed_charge":108.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":82.60,"providers":[{"billed_charge":75369.29,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34.81,"providers":[{"billed_charge":38170.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"393793693"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":421.76,"providers":[{"billed_charge":65791.67,"npi":[1205791183]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":194.65,"providers":[{"billed_charge":98536.53,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"364015560"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":346.25,"providers":[{"billed_charge":837.00,"npi":[1376521575]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":792.70,"providers":[{"billed_charge":2142.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"812098192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123.13,"providers":[{"billed_charge":7817.00,"npi":[1649722463]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":187.54,"providers":[{"billed_charge":2958.00,"npi":[1932123247]}]},{"allowed_amount":639.56,"providers":[{"billed_charge":778248.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":80.34,"providers":[{"billed_charge":229974.50,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":212.40,"providers":[{"billed_charge":162809.59,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.10,"providers":[{"billed_charge":54795.80,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":206.20,"providers":[{"billed_charge":72101.05,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25.16,"providers":[{"billed_charge":10023.75,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":19998.26,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":648.70,"providers":[{"billed_charge":620907.54,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"621752111"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":297.90,"providers":[{"billed_charge":2941.00,"npi":[1215981303]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41.30,"providers":[{"billed_charge":110684.01,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.56,"providers":[{"billed_charge":14774.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":825.01,"providers":[{"billed_charge":105570.99,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210.87,"providers":[{"billed_charge":429716.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":212.00,"providers":[{"billed_charge":35875.00,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.62,"providers":[{"billed_charge":40834.00,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"440661018"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":372.13,"providers":[{"billed_charge":523.00,"npi":[1467595793]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":234.43,"providers":[{"billed_charge":152828.72,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":598.00,"providers":[{"billed_charge":61316.00,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"923637942"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":34194.86,"npi":[1679263883]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":704.95,"providers":[{"billed_charge":1493948.00,"npi":[1891789772]}]},{"allowed_amount":40.17,"providers":[{"billed_charge":43116.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2483.02,"providers":[{"billed_charge":7476.14,"npi":[1962497800]}]},{"allowed_amount":116.87,"providers":[{"billed_charge":759.86,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":45075.03,"npi":[1124305065]}]},{"allowed_amount":82.16,"providers":[{"billed_charge":38636.66,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":401.97,"providers":[{"billed_charge":539.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.80,"providers":[{"billed_charge":44388.18,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"413311187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.90,"providers":[{"billed_charge":10092.85,"npi":[1346194396]}]}]},{"tin":{"type":"ein","value":"314394942"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":113.27,"providers":[{"billed_charge":184.00,"npi":[1255377149]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":400.50,"providers":[{"billed_charge":119316.05,"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106.40,"providers":[{"billed_charge":19913.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99.31,"providers":[{"billed_charge":2251.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":112.69,"providers":[{"billed_charge":4839.91,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","19"],"billing_class":"institutional","payments":[{"allowed_amount":508.92,"providers":[{"billed_charge":27552.00,"npi":[1992753222]}]},{"allowed_amount":82.41,"providers":[{"billed_charge":1054.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":9.07,"providers":[{"billed_charge":249.04,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.45,"providers":[{"billed_charge":7381.81,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22.64,"providers":[{"billed_charge":5320.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":60.45,"providers":[{"billed_charge":8365.48,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":24.90,"providers":[{"billed_charge":4138.32,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":836.79,"providers":[{"billed_charge":15118.78,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":240.12,"providers":[{"billed_charge":414.00,"npi":[1194743013]}]},{"allowed_amount":11194.00,"providers":[{"billed_charge":19300.00,"npi":[1194743013]}]},{"allowed_amount":694.84,"providers":[{"billed_charge":1198.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37.65,"providers":[{"billed_charge":7535.77,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"742730328"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":73.41,"providers":[{"billed_charge":18834.83,"npi":[1124074273]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":54.80,"providers":[{"billed_charge":1468.21,"npi":[1477516466]}]},{"allowed_amount":60.22,"providers":[{"billed_charge":12972.18,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.87,"providers":[{"billed_charge":3111.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":601.03,"providers":[{"billed_charge":19481.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":472.93,"providers":[{"billed_charge":9990.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":253.00,"providers":[{"billed_charge":460.00,"npi":[1548387418]}]},{"allowed_amount":79.51,"providers":[{"billed_charge":14580.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":966.75,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":189.45,"providers":[{"billed_charge":26846.75,"npi":[1730132234]}]},{"allowed_amount":21.18,"providers":[{"billed_charge":2707.75,"npi":[1740233782]}]},{"allowed_amount":69.68,"providers":[{"billed_charge":15669.75,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":994.52,"providers":[{"billed_charge":107027.00,"npi":[1932123247]}]},{"allowed_amount":36.96,"providers":[{"billed_charge":353.00,"npi":[1932123247]}]}]}]},{"name":"LAB/HEMATOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"305","description":"LABORATORY - HEMATOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"821883948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.78,"providers":[{"billed_charge":107.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":38.85,"providers":[{"billed_charge":2619.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":15.54,"providers":[{"billed_charge":2916.58,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":91.38,"providers":[{"billed_charge":16847.75,"npi":[1124796081]}]},{"allowed_amount":20.08,"providers":[{"billed_charge":3408.60,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["19"],"billing_class":"institutional","payments":[{"allowed_amount":11.66,"providers":[{"billed_charge":139.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":215.63,"providers":[{"billed_charge":8741.48,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":183.83,"providers":[{"billed_charge":10119.06,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":582.85,"providers":[{"billed_charge":2755.84,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19.23,"providers":[{"billed_charge":17158.38,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":84.09,"providers":[{"billed_charge":312.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17.70,"providers":[{"billed_charge":7980.00,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.28,"providers":[{"billed_charge":300.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":18.07,"providers":[{"billed_charge":630.06,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":614.51,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":1898.34,"providers":[{"billed_charge":3273.00,"npi":[1720480627]}]},{"allowed_amount":4453.82,"providers":[{"billed_charge":7679.00,"npi":[1720480627]}]},{"allowed_amount":10220.18,"providers":[{"billed_charge":17621.00,"npi":[1194743013]}]},{"allowed_amount":11479.94,"providers":[{"billed_charge":19793.00,"npi":[1194743013]}]},{"allowed_amount":12723.46,"providers":[{"billed_charge":21937.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":42.75,"providers":[{"billed_charge":1648.53,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":593.76,"providers":[{"billed_charge":1787.66,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":505.45,"providers":[{"billed_charge":919.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.29,"providers":[{"billed_charge":4354.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":7.77,"providers":[{"billed_charge":262.00,"npi":[1932123247]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12491.46,"providers":[{"billed_charge":206648.00,"npi":[1083937593]}]},{"allowed_amount":7968.69,"providers":[{"billed_charge":139506.00,"npi":[1497871628]},{"billed_charge":183614.00,"npi":[1871619254]}]},{"allowed_amount":2369.07,"providers":[{"billed_charge":47496.00,"npi":[1629828405]}]},{"allowed_amount":3876.66,"providers":[{"billed_charge":95845.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1497.65,"providers":[{"billed_charge":53338.94,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":86.32,"providers":[{"billed_charge":1349.31,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23","19"],"billing_class":"institutional","payments":[{"allowed_amount":36.12,"providers":[{"billed_charge":279.00,"npi":[1992753222]}]},{"allowed_amount":6016.83,"providers":[{"billed_charge":111888.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5035.00,"providers":[{"billed_charge":20303.17,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8771.95,"providers":[{"billed_charge":306070.60,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3423.20,"providers":[{"billed_charge":77034.97,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":923.58,"providers":[{"billed_charge":18109.25,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":118.09,"providers":[{"billed_charge":190.00,"npi":[1568818417]}]},{"allowed_amount":11794.94,"providers":[{"billed_charge":71300.00,"npi":[1275592131]}]},{"allowed_amount":120.20,"providers":[{"billed_charge":190.00,"npi":[1033165501]}]},{"allowed_amount":8213.89,"providers":[{"billed_charge":88310.00,"npi":[1033165501]}]},{"allowed_amount":6097.50,"providers":[{"billed_charge":69036.00,"npi":[1528027786]}]},{"allowed_amount":5365.80,"providers":[{"billed_charge":35725.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2064.62,"providers":[{"billed_charge":28009.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":4207.90,"providers":[{"billed_charge":7255.00,"npi":[1194743013]}]},{"allowed_amount":11228.80,"providers":[{"billed_charge":19360.00,"npi":[1194743013]}]},{"allowed_amount":12732.74,"providers":[{"billed_charge":21953.00,"npi":[1720480627]}]},{"allowed_amount":588.70,"providers":[{"billed_charge":1015.00,"npi":[1720480627]}]},{"allowed_amount":13612.02,"providers":[{"billed_charge":23469.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":613.63,"providers":[{"billed_charge":3881.13,"npi":[1477516466]}]},{"allowed_amount":1088.96,"providers":[{"billed_charge":33218.08,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19291.70,"providers":[{"billed_charge":74082.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1888.30,"providers":[{"billed_charge":57893.00,"npi":[1740233782]}]},{"allowed_amount":2545.10,"providers":[{"billed_charge":72251.25,"npi":[1932152337]}]},{"allowed_amount":4116.13,"providers":[{"billed_charge":100183.25,"npi":[1982666111]}]},{"allowed_amount":6157.50,"providers":[{"billed_charge":167577.75,"npi":[1295843787]}]},{"allowed_amount":82.10,"providers":[{"billed_charge":197.75,"npi":[1740233782]}]},{"allowed_amount":14860.10,"providers":[{"billed_charge":426021.75,"npi":[1730132234]}]},{"allowed_amount":1477.80,"providers":[{"billed_charge":63372.50,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":908.82,"providers":[{"billed_charge":1683.00,"npi":[1477643690]}]},{"allowed_amount":8088.52,"providers":[{"billed_charge":98727.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4953.51,"providers":[{"billed_charge":32866.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77.48,"providers":[{"billed_charge":3055.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":138.47,"providers":[{"billed_charge":2246.12,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3679.80,"providers":[{"billed_charge":21709.17,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2003.36,"providers":[{"billed_charge":22852.72,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":867.08,"providers":[{"billed_charge":31731.44,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"621801359"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":256.15,"providers":[{"billed_charge":26142.12,"npi":[1174576698]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1403.44,"providers":[{"billed_charge":31414.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7968.69,"providers":[{"billed_charge":112080.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"995017291"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1069.75,"providers":[{"billed_charge":30531.38,"npi":[1851112098]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1027.18,"providers":[{"billed_charge":30713.00,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":95.40,"providers":[{"billed_charge":5043.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68677.95,"providers":[{"billed_charge":2180085.59,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2897.80,"providers":[{"billed_charge":84788.87,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":115.48,"providers":[{"billed_charge":4705.80,"npi":[1548286172]}]},{"allowed_amount":19975.39,"providers":[{"billed_charge":490004.08,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"392717734"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1965.27,"providers":[{"billed_charge":49502.58,"npi":[1093604662]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3137.86,"providers":[{"billed_charge":36159.46,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2567.40,"providers":[{"billed_charge":72753.61,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":861.85,"providers":[{"billed_charge":15362.85,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2961.89,"providers":[{"billed_charge":55547.36,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88.25,"providers":[{"billed_charge":3355.05,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1030.27,"providers":[{"billed_charge":3347.21,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9199.50,"providers":[{"billed_charge":29570.35,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":924.00,"providers":[{"billed_charge":16768.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2822.22,"providers":[{"billed_charge":9121.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6439.65,"providers":[{"billed_charge":33054.23,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5623.13,"providers":[{"billed_charge":127387.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1283.70,"providers":[{"billed_charge":28055.43,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7702.20,"providers":[{"billed_charge":253997.92,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":820.53,"providers":[{"billed_charge":4342.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6560.98,"providers":[{"billed_charge":33567.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":7005.20,"providers":[{"billed_charge":117859.00,"npi":[1932123247]}]},{"allowed_amount":24.80,"providers":[{"billed_charge":778.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1026.20,"providers":[{"billed_charge":16161.00,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1226.60,"providers":[{"billed_charge":5307.07,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2589.94,"providers":[{"billed_charge":27441.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4279.00,"providers":[{"billed_charge":146196.07,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3710.00,"providers":[{"billed_charge":15115.66,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12899.82,"providers":[{"billed_charge":52670.75,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":316.32,"providers":[{"billed_charge":3645.15,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1141.04,"providers":[{"billed_charge":8601.50,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4033.32,"providers":[{"billed_charge":54122.71,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1839.90,"providers":[{"billed_charge":8098.05,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8424.36,"providers":[{"billed_charge":154276.18,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":608.44,"providers":[{"billed_charge":11585.03,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2369.07,"providers":[{"billed_charge":43130.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4820.39,"providers":[{"billed_charge":31252.84,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"923637942"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":159.00,"providers":[{"billed_charge":4210.97,"npi":[1679263883]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7107.21,"providers":[{"billed_charge":182370.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":77.95,"providers":[{"billed_charge":234.71,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2781.35,"providers":[{"billed_charge":84988.22,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1060.00,"providers":[{"billed_charge":45960.13,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":919.95,"providers":[{"billed_charge":8189.75,"npi":[1124305065]}]}]},{"tin":{"type":"ein","value":"333466645"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53.00,"providers":[{"billed_charge":1527.22,"npi":[1639975758]}]}]},{"tin":{"type":"ein","value":"413311187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":213.95,"providers":[{"billed_charge":6186.26,"npi":[1346194396]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":427.90,"providers":[{"billed_charge":10860.51,"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":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":1466.24,"providers":[{"billed_charge":2528.00,"npi":[1194743013]}]},{"allowed_amount":3412.72,"providers":[{"billed_charge":5884.00,"npi":[1720480627]}]},{"allowed_amount":117.16,"providers":[{"billed_charge":202.00,"npi":[1720480627]}]},{"allowed_amount":3620.36,"providers":[{"billed_charge":6242.00,"npi":[1194743013]}]},{"allowed_amount":4433.52,"providers":[{"billed_charge":7644.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":2184.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":41.57,"providers":[{"billed_charge":8768.98,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":23.88,"providers":[{"billed_charge":1814.78,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":133.79,"providers":[{"billed_charge":5072.97,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.06,"providers":[{"billed_charge":896.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2.25,"providers":[{"billed_charge":132.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48.00,"providers":[{"billed_charge":130.00,"npi":[1114435260]}]}]}]},{"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":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":1723.76,"providers":[{"billed_charge":2972.00,"npi":[1194743013]}]},{"allowed_amount":1798.58,"providers":[{"billed_charge":3101.00,"npi":[1194743013]}]},{"allowed_amount":991.80,"providers":[{"billed_charge":1710.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":541.06,"providers":[{"billed_charge":382.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":67.25,"providers":[{"billed_charge":2561.31,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13620.34,"providers":[{"billed_charge":7417.15,"npi":[1891882833]}]}]}]},{"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":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5169.78,"providers":[{"billed_charge":24061.00,"npi":[1871619254]}]},{"allowed_amount":2197.64,"providers":[{"billed_charge":8645.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2308.40,"providers":[{"billed_charge":3980.00,"npi":[1194743013]}]},{"allowed_amount":461.68,"providers":[{"billed_charge":796.00,"npi":[1194743013,1720480627]}]},{"allowed_amount":923.36,"providers":[{"billed_charge":1592.00,"npi":[1194743013]}]},{"allowed_amount":21237.28,"providers":[{"billed_charge":36616.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":296.46,"providers":[{"billed_charge":1601.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":366.17,"providers":[{"billed_charge":11540.59,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2689.09,"providers":[{"billed_charge":26718.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5051.49,"providers":[{"billed_charge":28940.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81.54,"providers":[{"billed_charge":480.00,"npi":[1750932117]}]}]}]},{"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":573.31,"providers":[{"billed_charge":753.00,"npi":[1730132234]}]}]}]},{"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":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1045.56,"providers":[{"billed_charge":9118.25,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":157.81,"providers":[{"billed_charge":132799.50,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":394.70,"providers":[{"billed_charge":2043.90,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":239.63,"providers":[{"billed_charge":99776.87,"npi":[1124796081]}]},{"allowed_amount":620.84,"providers":[{"billed_charge":49073.03,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17383.89,"providers":[{"billed_charge":124626.73,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":148.12,"providers":[{"billed_charge":10528.31,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4705.02,"providers":[{"billed_charge":33434.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":238.92,"providers":[{"billed_charge":42426.18,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9386.37,"providers":[{"billed_charge":83550.00,"npi":[1689629941]}]},{"allowed_amount":8776.25,"providers":[{"billed_charge":89357.00,"npi":[1528027786]}]},{"allowed_amount":147.12,"providers":[{"billed_charge":1250.00,"npi":[1568818417]}]},{"allowed_amount":10710.00,"providers":[{"billed_charge":119569.00,"npi":[1275592131]}]},{"allowed_amount":10115.00,"providers":[{"billed_charge":81795.00,"npi":[1033165501]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2905.36,"providers":[{"billed_charge":114050.97,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":118.23,"providers":[{"billed_charge":167550.43,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6611.24,"providers":[{"billed_charge":55741.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":16933.10,"providers":[{"billed_charge":29195.00,"npi":[1194743013]}]},{"allowed_amount":30849.62,"providers":[{"billed_charge":62604.00,"npi":[1194743013]}]},{"allowed_amount":3582.66,"providers":[{"billed_charge":6177.00,"npi":[1194743013]}]},{"allowed_amount":24721.34,"providers":[{"billed_charge":42623.00,"npi":[1720480627]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":704.64,"providers":[{"billed_charge":14216.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":359.52,"providers":[{"billed_charge":76716.30,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1597.12,"providers":[{"billed_charge":31831.17,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.94,"providers":[{"billed_charge":4100.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1507.60,"providers":[{"billed_charge":13650.00,"npi":[1952306672]}]},{"allowed_amount":72.85,"providers":[{"billed_charge":686.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":100.91,"providers":[{"billed_charge":410303.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"202848116"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":173.98,"providers":[{"billed_charge":1534.50,"npi":[1629138029]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":139.18,"providers":[{"billed_charge":1037.50,"npi":[1740233782]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24047.88,"providers":[{"billed_charge":165431.75,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":369.87,"providers":[{"billed_charge":12205.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":874.20,"providers":[{"billed_charge":7562.75,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12213.45,"providers":[{"billed_charge":265036.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12198.20,"providers":[{"billed_charge":89093.50,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":871.30,"providers":[{"billed_charge":6356.75,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5567.36,"providers":[{"billed_charge":49345.00,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3897.97,"providers":[{"billed_charge":84998.00,"npi":[1477643690]}]},{"allowed_amount":1184.76,"providers":[{"billed_charge":3774.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":86.99,"providers":[{"billed_charge":347.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":86.99,"providers":[{"billed_charge":799.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15164.67,"providers":[{"billed_charge":126280.39,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":5099.83,"providers":[{"billed_charge":45037.08,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":428.46,"providers":[{"billed_charge":2432.79,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10281.34,"providers":[{"billed_charge":79855.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":448.86,"providers":[{"billed_charge":5073.71,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":782.98,"providers":[{"billed_charge":81517.51,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2087.76,"providers":[{"billed_charge":16149.25,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12032.51,"providers":[{"billed_charge":219698.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":521.94,"providers":[{"billed_charge":5930.75,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86.99,"providers":[{"billed_charge":13743.67,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":193.78,"providers":[{"billed_charge":7242.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":296.24,"providers":[{"billed_charge":21442.90,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5240.22,"providers":[{"billed_charge":48402.75,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":469.76,"providers":[{"billed_charge":12638.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3039.16,"providers":[{"billed_charge":59712.39,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19485.76,"providers":[{"billed_charge":171692.75,"npi":[1336172105]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10902.05,"providers":[{"billed_charge":207720.00,"npi":[1497871628]}]},{"allowed_amount":20884.65,"providers":[{"billed_charge":378734.00,"npi":[1083937593]}]},{"allowed_amount":2772.00,"providers":[{"billed_charge":42735.00,"npi":[1629828405]}]},{"allowed_amount":5779.40,"providers":[{"billed_charge":119542.00,"npi":[1184179194]}]},{"allowed_amount":16944.15,"providers":[{"billed_charge":297112.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"510570864"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1100.22,"providers":[{"billed_charge":1290.00,"npi":[1255579389]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101.41,"providers":[{"billed_charge":2685.09,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2339.34,"providers":[{"billed_charge":20434.16,"npi":[1124796081]}]},{"allowed_amount":437.10,"providers":[{"billed_charge":6742.50,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1398.72,"providers":[{"billed_charge":5627.16,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16441.74,"providers":[{"billed_charge":61428.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":246.58,"providers":[{"billed_charge":3375.24,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6543.55,"providers":[{"billed_charge":27562.88,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2604.54,"providers":[{"billed_charge":21762.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9370.04,"providers":[{"billed_charge":154263.62,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16150.99,"providers":[{"billed_charge":259263.84,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4039.74,"providers":[{"billed_charge":18427.41,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17393.79,"providers":[{"billed_charge":41823.35,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10623.02,"providers":[{"billed_charge":49731.51,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1056.96,"providers":[{"billed_charge":6328.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1049.10,"providers":[{"billed_charge":3371.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8977.44,"providers":[{"billed_charge":22196.38,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14732.86,"providers":[{"billed_charge":165614.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":13778.82,"providers":[{"billed_charge":139393.25,"npi":[1740233782]}]},{"allowed_amount":20877.01,"providers":[{"billed_charge":198670.75,"npi":[1982666111]}]},{"allowed_amount":8350.80,"providers":[{"billed_charge":81325.00,"npi":[1295788735]}]},{"allowed_amount":139.18,"providers":[{"billed_charge":1164.00,"npi":[1932152337]}]},{"allowed_amount":85317.34,"providers":[{"billed_charge":819147.25,"npi":[1730132234]}]},{"allowed_amount":29610.55,"providers":[{"billed_charge":260127.00,"npi":[1295843787]}]},{"allowed_amount":15448.98,"providers":[{"billed_charge":160156.50,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3053.44,"providers":[{"billed_charge":17255.73,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19583.31,"providers":[{"billed_charge":101857.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1870.30,"providers":[{"billed_charge":7327.28,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4991.30,"providers":[{"billed_charge":15877.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":216.79,"providers":[{"billed_charge":8299.30,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37828.80,"providers":[{"billed_charge":111630.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1002.30,"providers":[{"billed_charge":6394.69,"npi":[1629089966]}]},{"allowed_amount":13028.72,"providers":[{"billed_charge":73309.62,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3784.21,"providers":[{"billed_charge":9730.00,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9164.47,"providers":[{"billed_charge":22107.10,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1726.06,"providers":[{"billed_charge":41760.00,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2847.68,"providers":[{"billed_charge":24926.60,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3559.27,"providers":[{"billed_charge":10044.92,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2342.51,"providers":[{"billed_charge":39214.50,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4597.25,"providers":[{"billed_charge":79375.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":7780.24,"providers":[{"billed_charge":32930.80,"npi":[1891882833]}]},{"allowed_amount":86.99,"providers":[{"billed_charge":591.61,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":156.58,"providers":[{"billed_charge":807.00,"npi":[1619115383]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11660.55,"providers":[{"billed_charge":30339.27,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18148.59,"providers":[{"billed_charge":301676.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":608.93,"providers":[{"billed_charge":5142.74,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4044.60,"providers":[{"billed_charge":25360.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":616.45,"providers":[{"billed_charge":6215.48,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9588.55,"providers":[{"billed_charge":90600.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3740.60,"providers":[{"billed_charge":10200.40,"npi":[1124305065]}]},{"allowed_amount":477.30,"providers":[{"billed_charge":1114.89,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5301.47,"providers":[{"billed_charge":119820.00,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":264.00,"providers":[{"billed_charge":2214.24,"npi":[1346753118]}]}]}]},{"name":"CHEMOTHERP-IV","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"335","description":"RADIOLOGY--THERAPEUTIC - CHEMOTHERAPY--IV","allowed_amounts":[{"tin":{"type":"ein","value":"750800628"},"service_code":["22","21"],"billing_class":"institutional","payments":[{"allowed_amount":8914.60,"providers":[{"billed_charge":15370.00,"npi":[1194743013]}]},{"allowed_amount":1299.20,"providers":[{"billed_charge":2240.00,"npi":[1194743013]}]}]}]},{"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":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1624.54,"providers":[{"billed_charge":19443.70,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8099.05,"providers":[{"billed_charge":232149.49,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6480.70,"providers":[{"billed_charge":69412.70,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8057.36,"providers":[{"billed_charge":164940.79,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13737.16,"providers":[{"billed_charge":336672.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3132.16,"providers":[{"billed_charge":178427.91,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13635.20,"providers":[{"billed_charge":178939.50,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40697.15,"providers":[{"billed_charge":927526.00,"npi":[1033165501]}]},{"allowed_amount":40749.52,"providers":[{"billed_charge":972600.00,"npi":[1528027786]}]},{"allowed_amount":40872.94,"providers":[{"billed_charge":822315.00,"npi":[1689629941]}]},{"allowed_amount":2153.22,"providers":[{"billed_charge":61903.00,"npi":[1568818417]}]},{"allowed_amount":32470.57,"providers":[{"billed_charge":707789.00,"npi":[1275592131]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23342.80,"providers":[{"billed_charge":284721.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":4402.78,"providers":[{"billed_charge":7591.00,"npi":[1194743013]}]},{"allowed_amount":7348.60,"providers":[{"billed_charge":12670.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13765.56,"providers":[{"billed_charge":79920.51,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2165.34,"providers":[{"billed_charge":140880.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1879.99,"providers":[{"billed_charge":17581.63,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4455.59,"providers":[{"billed_charge":126202.00,"npi":[1821011248]}]},{"allowed_amount":104.51,"providers":[{"billed_charge":3762.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8763.08,"providers":[{"billed_charge":317000.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3445.51,"providers":[{"billed_charge":19115.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":533.52,"providers":[{"billed_charge":35243.00,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22562.73,"providers":[{"billed_charge":204650.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70447.82,"providers":[{"billed_charge":832654.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2062.54,"providers":[{"billed_charge":44295.75,"npi":[1982666111]}]},{"allowed_amount":4150.45,"providers":[{"billed_charge":96047.25,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1719.73,"providers":[{"billed_charge":28307.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2663.22,"providers":[{"billed_charge":29212.75,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":54510.55,"providers":[{"billed_charge":2241979.00,"npi":[1679578439]}]},{"allowed_amount":384.35,"providers":[{"billed_charge":28419.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29129.09,"providers":[{"billed_charge":353654.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1141.76,"providers":[{"billed_charge":16762.75,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41960.70,"providers":[{"billed_charge":499221.75,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2315.03,"providers":[{"billed_charge":70136.36,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23300.54,"providers":[{"billed_charge":119742.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3282.58,"providers":[{"billed_charge":49671.85,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4087.78,"providers":[{"billed_charge":125100.25,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25494.98,"providers":[{"billed_charge":288011.25,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8534.16,"providers":[{"billed_charge":104728.00,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8287.08,"providers":[{"billed_charge":300399.31,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":382.68,"providers":[{"billed_charge":7545.00,"npi":[1124092036]}]},{"allowed_amount":39920.39,"providers":[{"billed_charge":764100.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13668.91,"providers":[{"billed_charge":379133.85,"npi":[1679976120]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4079.92,"providers":[{"billed_charge":148717.48,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16785.54,"providers":[{"billed_charge":374039.35,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8118.14,"providers":[{"billed_charge":169746.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2607.10,"providers":[{"billed_charge":98757.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18892.80,"providers":[{"billed_charge":246903.00,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":148.12,"providers":[{"billed_charge":4882.66,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2983.66,"providers":[{"billed_charge":159748.72,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6743.09,"providers":[{"billed_charge":164520.90,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":65848.24,"providers":[{"billed_charge":748374.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2011.29,"providers":[{"billed_charge":61770.55,"npi":[1467930420]}]}]}]},{"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":3844.96,"providers":[{"billed_charge":37141.00,"npi":[1629828405]}]},{"allowed_amount":1123.05,"providers":[{"billed_charge":13440.00,"npi":[1184179194]}]},{"allowed_amount":8792.76,"providers":[{"billed_charge":94080.00,"npi":[1497871628]}]},{"allowed_amount":10481.07,"providers":[{"billed_charge":143102.00,"npi":[1871619254]}]},{"allowed_amount":19595.13,"providers":[{"billed_charge":181115.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":709.71,"providers":[{"billed_charge":46412.80,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6425.60,"providers":[{"billed_charge":86152.39,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29803.58,"providers":[{"billed_charge":606489.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1304.96,"providers":[{"billed_charge":22446.72,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1697.74,"providers":[{"billed_charge":28534.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2088.97,"providers":[{"billed_charge":56972.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1481.20,"providers":[{"billed_charge":204353.19,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4843.05,"providers":[{"billed_charge":284569.34,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6192.42,"providers":[{"billed_charge":60801.35,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5158.34,"providers":[{"billed_charge":107813.75,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9453.54,"providers":[{"billed_charge":260888.56,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7784.55,"providers":[{"billed_charge":150803.40,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4175.08,"providers":[{"billed_charge":103254.05,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210.07,"providers":[{"billed_charge":1847.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14712.38,"providers":[{"billed_charge":90017.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":124639.68,"providers":[{"billed_charge":1689427.00,"npi":[1730132234]}]},{"allowed_amount":32062.07,"providers":[{"billed_charge":438853.75,"npi":[1295843787]}]},{"allowed_amount":18309.54,"providers":[{"billed_charge":231282.00,"npi":[1295788735]}]},{"allowed_amount":35896.73,"providers":[{"billed_charge":486817.50,"npi":[1932152337]}]},{"allowed_amount":44813.63,"providers":[{"billed_charge":475522.00,"npi":[1982666111]}]},{"allowed_amount":167.22,"providers":[{"billed_charge":3209.00,"npi":[1740233782]}]},{"allowed_amount":24140.60,"providers":[{"billed_charge":326206.50,"npi":[1740233782]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10763.64,"providers":[{"billed_charge":255500.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2778.24,"providers":[{"billed_charge":88496.08,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33509.36,"providers":[{"billed_charge":147728.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5144.76,"providers":[{"billed_charge":125429.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8273.82,"providers":[{"billed_charge":176989.75,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6977.69,"providers":[{"billed_charge":79171.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":524.64,"providers":[{"billed_charge":17484.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1082.23,"providers":[{"billed_charge":22460.00,"npi":[1205900370]}]},{"allowed_amount":180806.54,"providers":[{"billed_charge":668061.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9967.92,"providers":[{"billed_charge":116022.19,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":854.32,"providers":[{"billed_charge":6276.06,"npi":[1629089966]}]},{"allowed_amount":10644.44,"providers":[{"billed_charge":165150.52,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2425.42,"providers":[{"billed_charge":82025.01,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1551.32,"providers":[{"billed_charge":12652.95,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":592.48,"providers":[{"billed_charge":23040.00,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4333.26,"providers":[{"billed_charge":100308.50,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2076.35,"providers":[{"billed_charge":49693.94,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":2837.81,"providers":[{"billed_charge":69336.07,"npi":[1891882833]}]},{"allowed_amount":104.51,"providers":[{"billed_charge":2758.19,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6392.92,"providers":[{"billed_charge":150546.70,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14230.00,"providers":[{"billed_charge":115500.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4528.30,"providers":[{"billed_charge":86406.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8738.79,"providers":[{"billed_charge":106363.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1840.05,"providers":[{"billed_charge":44589.25,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1974.36,"providers":[{"billed_charge":51089.88,"npi":[1124305065]}]},{"allowed_amount":2272.59,"providers":[{"billed_charge":16274.37,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8398.30,"providers":[{"billed_charge":289353.78,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10920.66,"providers":[{"billed_charge":376101.25,"npi":[1336172105]}]}]}]},{"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":42279.26,"providers":[{"billed_charge":649643.00,"npi":[1497871628]}]},{"allowed_amount":95542.33,"providers":[{"billed_charge":1266597.00,"npi":[1083937593]}]},{"allowed_amount":76316.71,"providers":[{"billed_charge":1068845.00,"npi":[1871619254]}]},{"allowed_amount":21038.53,"providers":[{"billed_charge":271911.00,"npi":[1629828405]}]},{"allowed_amount":30492.58,"providers":[{"billed_charge":445945.00,"npi":[1184179194]}]},{"allowed_amount":86.99,"providers":[{"billed_charge":379.00,"npi":[1184179194]}]},{"allowed_amount":104.51,"providers":[{"billed_charge":2376.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":15943.84,"providers":[{"billed_charge":252316.01,"npi":[1356960132]}]},{"allowed_amount":910.96,"providers":[{"billed_charge":12808.60,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22","23","20"],"billing_class":"institutional","payments":[{"allowed_amount":50589.27,"providers":[{"billed_charge":711045.00,"npi":[1992753222]}]},{"allowed_amount":523.11,"providers":[{"billed_charge":2704.00,"npi":[1992753222]}]},{"allowed_amount":156.77,"providers":[{"billed_charge":2474.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":41414.92,"providers":[{"billed_charge":506020.82,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3485.34,"providers":[{"billed_charge":78805.52,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8258.74,"providers":[{"billed_charge":412584.00,"npi":[1689641680]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":988.50,"providers":[{"billed_charge":109630.00,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23510.01,"providers":[{"billed_charge":457467.00,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1346.95,"providers":[{"billed_charge":16243.17,"npi":[1679903967]}]},{"allowed_amount":4272.04,"providers":[{"billed_charge":38503.39,"npi":[1598196206]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1262.61,"providers":[{"billed_charge":30797.30,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":50507.51,"providers":[{"billed_charge":1809807.75,"npi":[1982666111]}]},{"allowed_amount":557.98,"providers":[{"billed_charge":5212.25,"npi":[1740233782]}]},{"allowed_amount":561.06,"providers":[{"billed_charge":10822.75,"npi":[1730132234]}]},{"allowed_amount":65437.25,"providers":[{"billed_charge":1658100.50,"npi":[1295843787]}]},{"allowed_amount":227575.80,"providers":[{"billed_charge":6615613.50,"npi":[1730132234]}]},{"allowed_amount":34453.92,"providers":[{"billed_charge":994354.00,"npi":[1740233782]}]},{"allowed_amount":30055.04,"providers":[{"billed_charge":909024.25,"npi":[1295788735]}]},{"allowed_amount":54461.79,"providers":[{"billed_charge":1925259.75,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2526.16,"providers":[{"billed_charge":81274.00,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1491.84,"providers":[{"billed_charge":81923.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6922.43,"providers":[{"billed_charge":116783.00,"npi":[1205900370]}]},{"allowed_amount":67062.52,"providers":[{"billed_charge":1399290.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1175.05,"providers":[{"billed_charge":17436.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6232.55,"providers":[{"billed_charge":123877.67,"npi":[1629089966]}]},{"allowed_amount":26795.65,"providers":[{"billed_charge":588648.83,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13242.83,"providers":[{"billed_charge":155559.35,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17792.86,"providers":[{"billed_charge":291451.05,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3146.90,"providers":[{"billed_charge":113418.00,"npi":[1407191984]}]},{"allowed_amount":172.53,"providers":[{"billed_charge":6902.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":40956.34,"providers":[{"billed_charge":679950.00,"npi":[1548387418]}]},{"allowed_amount":325.70,"providers":[{"billed_charge":8648.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42946.19,"providers":[{"billed_charge":1350088.20,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1470.02,"providers":[{"billed_charge":82620.75,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15335.08,"providers":[{"billed_charge":342512.68,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1242.89,"providers":[{"billed_charge":37720.78,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":799.64,"providers":[{"billed_charge":39704.19,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1631.78,"providers":[{"billed_charge":25102.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45579.68,"providers":[{"billed_charge":364842.54,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23933.78,"providers":[{"billed_charge":1199243.04,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37170.49,"providers":[{"billed_charge":1794096.35,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9682.12,"providers":[{"billed_charge":170721.68,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1499.58,"providers":[{"billed_charge":39027.88,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29338.51,"providers":[{"billed_charge":480200.88,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24491.42,"providers":[{"billed_charge":350152.22,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40189.57,"providers":[{"billed_charge":407666.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":702.48,"providers":[{"billed_charge":15922.75,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":30043.55,"providers":[{"billed_charge":654356.00,"npi":[1932123247]}]},{"allowed_amount":104.51,"providers":[{"billed_charge":4075.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4921.57,"providers":[{"billed_charge":151741.29,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9022.86,"providers":[{"billed_charge":137175.84,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29333.69,"providers":[{"billed_charge":434161.82,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8401.94,"providers":[{"billed_charge":468170.84,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12497.79,"providers":[{"billed_charge":169217.30,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":494.25,"providers":[{"billed_charge":19728.83,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29678.47,"providers":[{"billed_charge":428257.44,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15667.53,"providers":[{"billed_charge":239058.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3633.00,"providers":[{"billed_charge":10062.00,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25474.52,"providers":[{"billed_charge":359268.65,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57431.15,"providers":[{"billed_charge":890077.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14572.78,"providers":[{"billed_charge":527755.10,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11527.67,"providers":[{"billed_charge":195411.55,"npi":[1124305065]}]},{"allowed_amount":2980.83,"providers":[{"billed_charge":57340.97,"npi":[1851108765]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18250.82,"providers":[{"billed_charge":28178.00,"npi":[1871619254]}]},{"allowed_amount":27860.31,"providers":[{"billed_charge":64608.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":41165.59,"providers":[{"billed_charge":84765.00,"npi":[1477643690]}]},{"allowed_amount":22065.89,"providers":[{"billed_charge":49310.17,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":24792.70,"providers":[{"billed_charge":60670.00,"npi":[1205900370]}]},{"allowed_amount":244444.37,"providers":[{"billed_charge":283302.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":117248.00,"providers":[{"billed_charge":276609.91,"npi":[1124796081]}]},{"allowed_amount":377782.07,"providers":[{"billed_charge":1502179.73,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":322553.62,"providers":[{"billed_charge":1639986.67,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53253.73,"providers":[{"billed_charge":114222.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"263044485"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":58165.74,"providers":[{"billed_charge":634713.11,"npi":[1316505043]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37754.88,"providers":[{"billed_charge":126269.87,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23785.46,"providers":[{"billed_charge":42815.82,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20789.02,"providers":[{"billed_charge":35194.50,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":50732.29,"providers":[{"billed_charge":139885.00,"npi":[1982666111]}]},{"allowed_amount":22438.30,"providers":[{"billed_charge":42069.00,"npi":[1730132234]}]},{"allowed_amount":44239.91,"providers":[{"billed_charge":103432.00,"npi":[1295843787]}]},{"allowed_amount":21980.20,"providers":[{"billed_charge":34014.75,"npi":[1932152337]}]},{"allowed_amount":138421.13,"providers":[{"billed_charge":495156.75,"npi":[1982666111]}]},{"allowed_amount":32308.73,"providers":[{"billed_charge":49939.75,"npi":[1932152337]}]},{"allowed_amount":271124.67,"providers":[{"billed_charge":496353.50,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":53466.10,"providers":[{"billed_charge":27985.55,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":83712.46,"providers":[{"billed_charge":102163.16,"npi":[1932123247]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1065.50,"providers":[{"billed_charge":2067.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":18552.10,"providers":[{"billed_charge":26677.00,"npi":[1205900370]}]},{"allowed_amount":2557.64,"providers":[{"billed_charge":11669.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":19024.70,"providers":[{"billed_charge":56373.11,"npi":[1629089966]}]}]}]},{"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":381.64,"providers":[{"billed_charge":4954.38,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":438.98,"providers":[{"billed_charge":1692.00,"npi":[1942526447]}]},{"allowed_amount":14164.83,"providers":[{"billed_charge":54954.00,"npi":[1942526447]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":247.51,"providers":[{"billed_charge":1060.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1176.84,"providers":[{"billed_charge":1260.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":333.48,"providers":[{"billed_charge":3360.00,"npi":[1659984441]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.10,"providers":[{"billed_charge":450.00,"npi":[1891855656]}]}]},{"tin":{"type":"ein","value":"841777691"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.64,"providers":[{"billed_charge":180.00,"npi":[1659859759]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1922.42,"providers":[{"billed_charge":7110.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":191.47,"providers":[{"billed_charge":1147.32,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1069.43,"providers":[{"billed_charge":5725.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["81","31"],"billing_class":"professional","payments":[{"allowed_amount":31.99,"providers":[{"billed_charge":126.00,"npi":[1639791007]}]},{"allowed_amount":110.68,"providers":[{"billed_charge":432.00,"npi":[1639791007]}]}]},{"tin":{"type":"ein","value":"854247861"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.34,"providers":[{"billed_charge":30.00,"npi":[1093144560]}]}]},{"tin":{"type":"ein","value":"742966092"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.67,"providers":[{"billed_charge":28.00,"npi":[1497716401]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","81","32"],"billing_class":"professional","payments":[{"allowed_amount":4.67,"providers":[{"billed_charge":18.00,"npi":[1234567893]}]},{"allowed_amount":81284.59,"providers":[{"billed_charge":452836.12,"npi":[1234567893]}]},{"allowed_amount":11.91,"providers":[{"billed_charge":75.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":242.17,"providers":[{"billed_charge":1830.00,"npi":[1417426842]}]},{"allowed_amount":134.98,"providers":[{"billed_charge":1020.00,"npi":[1528517521]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["12","81"],"billing_class":"professional","payments":[{"allowed_amount":110.06,"providers":[{"billed_charge":336.00,"npi":[1487429874]}]},{"allowed_amount":4.67,"providers":[{"billed_charge":12.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760430777"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.67,"providers":[{"billed_charge":15.00,"npi":[1780730606]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.73,"providers":[{"billed_charge":75.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"994843175"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":896.00,"npi":[1992003552]}]}]},{"tin":{"type":"ein","value":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":79.40,"providers":[{"billed_charge":200.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":320.04,"providers":[{"billed_charge":1050.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"851746454"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.16,"providers":[{"billed_charge":875.00,"npi":[1154917896]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":394.64,"providers":[{"billed_charge":1305.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11","12"],"billing_class":"professional","payments":[{"allowed_amount":27.79,"providers":[{"billed_charge":105.07,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":92.28,"providers":[{"billed_charge":125.00,"npi":[1578897765]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2820.68,"providers":[{"billed_charge":4530.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":102.74,"providers":[{"billed_charge":110.00,"npi":[1629099221]}]}]}]},{"name":"ANESTHESIA","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"370","description":"ANESTHESIA - GENERAL CLASSIFICATIION","allowed_amounts":[{"tin":{"type":"ein","value":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2651.94,"providers":[{"billed_charge":23275.00,"npi":[1477643690]}]}]}]},{"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":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1214.56,"providers":[{"billed_charge":2448.00,"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":277.84,"providers":[{"billed_charge":3008.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":882.14,"providers":[{"billed_charge":2032.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2649.60,"providers":[{"billed_charge":30672.50,"npi":[1730132234]}]},{"allowed_amount":294.40,"providers":[{"billed_charge":2110.25,"npi":[1295843787]}]},{"allowed_amount":883.20,"providers":[{"billed_charge":3517.25,"npi":[1982666111]}]}]}]},{"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":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3329.65,"providers":[{"billed_charge":3297.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3528.10,"providers":[{"billed_charge":7529.75,"npi":[1730132234]}]},{"allowed_amount":705.62,"providers":[{"billed_charge":695.50,"npi":[1295843787]}]},{"allowed_amount":1411.24,"providers":[{"billed_charge":5830.50,"npi":[1982666111]}]}]}]},{"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":3520.00,"providers":[{"billed_charge":23663.55,"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12624.80,"providers":[{"billed_charge":433213.00,"npi":[1083937593]}]},{"allowed_amount":10859.53,"providers":[{"billed_charge":371379.00,"npi":[1871619254]}]},{"allowed_amount":2446.06,"providers":[{"billed_charge":132360.00,"npi":[1497871628]}]},{"allowed_amount":792.90,"providers":[{"billed_charge":31036.00,"npi":[1629828405]}]},{"allowed_amount":946.86,"providers":[{"billed_charge":47332.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1218.10,"providers":[{"billed_charge":32856.32,"npi":[1124796081]}]},{"allowed_amount":2145.29,"providers":[{"billed_charge":58235.30,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":420.08,"providers":[{"billed_charge":5136.17,"npi":[1356960132]}]},{"allowed_amount":210.04,"providers":[{"billed_charge":3161.60,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8674.49,"providers":[{"billed_charge":79540.90,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8740.80,"providers":[{"billed_charge":44448.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1256.16,"providers":[{"billed_charge":16695.81,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":418.72,"providers":[{"billed_charge":6520.50,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1250.97,"providers":[{"billed_charge":19572.00,"npi":[1033165501]}]},{"allowed_amount":3395.49,"providers":[{"billed_charge":29334.00,"npi":[1528027786]}]},{"allowed_amount":3306.14,"providers":[{"billed_charge":38911.00,"npi":[1275592131]}]},{"allowed_amount":2259.91,"providers":[{"billed_charge":20446.00,"npi":[1689629941]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":114.17,"providers":[{"billed_charge":3446.68,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":148.12,"providers":[{"billed_charge":3643.34,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1971.62,"providers":[{"billed_charge":44260.00,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2299.22,"providers":[{"billed_charge":20196.50,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4108.02,"providers":[{"billed_charge":26350.12,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":4325.06,"providers":[{"billed_charge":7457.00,"npi":[1720480627]}]},{"allowed_amount":6354.48,"providers":[{"billed_charge":10956.00,"npi":[1194743013]}]},{"allowed_amount":3572.22,"providers":[{"billed_charge":6159.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1438.08,"providers":[{"billed_charge":32278.36,"npi":[1477516466]}]},{"allowed_amount":104.51,"providers":[{"billed_charge":1105.65,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":423.27,"providers":[{"billed_charge":3129.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1123.50,"providers":[{"billed_charge":6476.97,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1697.22,"providers":[{"billed_charge":74706.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9211.84,"providers":[{"billed_charge":62738.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4985.48,"providers":[{"billed_charge":178040.50,"npi":[1982666111]}]},{"allowed_amount":24915.78,"providers":[{"billed_charge":748057.75,"npi":[1730132234]}]},{"allowed_amount":6521.58,"providers":[{"billed_charge":172125.00,"npi":[1295843787]}]},{"allowed_amount":5351.04,"providers":[{"billed_charge":138872.25,"npi":[1740233782]},{"billed_charge":177014.75,"npi":[1932152337]}]},{"allowed_amount":3177.18,"providers":[{"billed_charge":93515.75,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2690.08,"providers":[{"billed_charge":53064.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6657.35,"providers":[{"billed_charge":69471.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3768.48,"providers":[{"billed_charge":28945.75,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3409.95,"providers":[{"billed_charge":21704.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":157.81,"providers":[{"billed_charge":2713.00,"npi":[1477643690]}]},{"allowed_amount":4331.85,"providers":[{"billed_charge":53370.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1104.67,"providers":[{"billed_charge":7682.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14489.16,"providers":[{"billed_charge":127931.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3295.67,"providers":[{"billed_charge":38602.71,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":13232.81,"providers":[{"billed_charge":101914.07,"npi":[1629089966]}]},{"allowed_amount":3177.18,"providers":[{"billed_charge":35625.82,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":439.01,"providers":[{"billed_charge":5968.03,"npi":[1184262800]}]},{"allowed_amount":1567.70,"providers":[{"billed_charge":7264.00,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5168.10,"providers":[{"billed_charge":34635.77,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1046.80,"providers":[{"billed_charge":8586.00,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1321.75,"providers":[{"billed_charge":28275.93,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":978.21,"providers":[{"billed_charge":17056.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1078.56,"providers":[{"billed_charge":12336.43,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":473.43,"providers":[{"billed_charge":17642.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10069.69,"providers":[{"billed_charge":80504.78,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4024.15,"providers":[{"billed_charge":154332.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":398.60,"providers":[{"billed_charge":2137.86,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":867.73,"providers":[{"billed_charge":43609.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3077.29,"providers":[{"billed_charge":60296.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":570.63,"providers":[{"billed_charge":5392.00,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5425.32,"providers":[{"billed_charge":139621.59,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3866.87,"providers":[{"billed_charge":26749.50,"npi":[1336172105]}]}]}]},{"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":16942.21,"providers":[{"billed_charge":108412.29,"npi":[1629089966]}]}]}]},{"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":325.93,"providers":[{"billed_charge":8372.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":527.92,"providers":[{"billed_charge":224.00,"npi":[1124796081]}]}]}]},{"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":2487.05,"providers":[{"billed_charge":11098.00,"npi":[1952538431]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":226.04,"providers":[{"billed_charge":2240.72,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":675.62,"providers":[{"billed_charge":5323.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":91.19,"providers":[{"billed_charge":5253.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":46788.22,"providers":[{"billed_charge":327953.33,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":40.35,"providers":[{"billed_charge":2349.25,"npi":[1295843787]}]},{"allowed_amount":147.93,"providers":[{"billed_charge":8356.75,"npi":[1982666111]}]},{"allowed_amount":113.37,"providers":[{"billed_charge":5310.50,"npi":[1932152337]}]},{"allowed_amount":74.37,"providers":[{"billed_charge":15634.50,"npi":[1730132234]}]},{"allowed_amount":35.86,"providers":[{"billed_charge":294.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"274586141"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":21295.67,"providers":[{"billed_charge":41355.11,"npi":[1538465901]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":164.18,"providers":[{"billed_charge":622.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":116.79,"providers":[{"billed_charge":2556.00,"npi":[1932123247]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1012.00,"providers":[{"billed_charge":5538.00,"npi":[1871619254]}]},{"allowed_amount":844.09,"providers":[{"billed_charge":4782.00,"npi":[1497871628]}]},{"allowed_amount":261.64,"providers":[{"billed_charge":1342.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":226.54,"providers":[{"billed_charge":796.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2320.20,"providers":[{"billed_charge":5042.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6263.57,"providers":[{"billed_charge":22722.20,"npi":[1629089966]}]},{"allowed_amount":423.32,"providers":[{"billed_charge":1662.60,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"274586141"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3337.08,"providers":[{"billed_charge":4631.98,"npi":[1538465901]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":167.75,"providers":[{"billed_charge":927.00,"npi":[1033165501]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":372.47,"providers":[{"billed_charge":790.94,"npi":[1447250253]}]},{"allowed_amount":161.55,"providers":[{"billed_charge":395.47,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":73.61,"providers":[{"billed_charge":576.10,"npi":[1477516466]}]},{"allowed_amount":834.90,"providers":[{"billed_charge":3485.64,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1273.64,"providers":[{"billed_charge":7135.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":234.88,"providers":[{"billed_charge":906.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":750.36,"providers":[{"billed_charge":2782.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":72.72,"providers":[{"billed_charge":599.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":627.72,"providers":[{"billed_charge":3457.00,"npi":[1740233782]}]},{"allowed_amount":6011.56,"providers":[{"billed_charge":41665.00,"npi":[1730132234]}]},{"allowed_amount":999.03,"providers":[{"billed_charge":8050.00,"npi":[1295843787]}]},{"allowed_amount":270.55,"providers":[{"billed_charge":1902.50,"npi":[1295788735]}]},{"allowed_amount":1724.02,"providers":[{"billed_charge":14146.00,"npi":[1982666111]}]},{"allowed_amount":120.30,"providers":[{"billed_charge":982.00,"npi":[1982666111]}]},{"allowed_amount":397.53,"providers":[{"billed_charge":2530.50,"npi":[1730132234]}]},{"allowed_amount":2941.06,"providers":[{"billed_charge":20629.00,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":540.40,"providers":[{"billed_charge":645.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99.30,"providers":[{"billed_charge":732.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":630.58,"providers":[{"billed_charge":2265.00,"npi":[1932123247]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":760.50,"providers":[{"billed_charge":4482.00,"npi":[1871619254]}]},{"allowed_amount":296.02,"providers":[{"billed_charge":1430.00,"npi":[1497871628]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":292.33,"providers":[{"billed_charge":2166.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":304.20,"providers":[{"billed_charge":1600.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":156.83,"providers":[{"billed_charge":783.49,"npi":[1629089966]}]},{"allowed_amount":4378.38,"providers":[{"billed_charge":26336.22,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":760.50,"providers":[{"billed_charge":2280.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":129.07,"providers":[{"billed_charge":984.50,"npi":[1295843787]}]},{"allowed_amount":115.90,"providers":[{"billed_charge":1210.00,"npi":[1932152337]}]},{"allowed_amount":78.86,"providers":[{"billed_charge":5102.50,"npi":[1982666111]}]},{"allowed_amount":38.51,"providers":[{"billed_charge":130.00,"npi":[1982666111]}]},{"allowed_amount":115.53,"providers":[{"billed_charge":6321.00,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"274586141"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2351.17,"providers":[{"billed_charge":4819.89,"npi":[1538465901]}]}]}]},{"name":"OCCUP THERP/HOUR","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"432","description":"OCCUPATIONAL THERAPY - HOURLY CHARGE","allowed_amounts":[{"tin":{"type":"ein","value":"825360836"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":1140.00,"providers":[{"billed_charge":2376.32,"npi":[1598254989]}]}]}]},{"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":"751837454"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":216.63,"providers":[{"billed_charge":447.07,"npi":[1447250253]}]},{"allowed_amount":433.26,"providers":[{"billed_charge":912.02,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":98.02,"providers":[{"billed_charge":656.59,"npi":[1477516466]}]},{"allowed_amount":1011.54,"providers":[{"billed_charge":3863.79,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":455.49,"providers":[{"billed_charge":1294.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2433.60,"providers":[{"billed_charge":4304.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":120.56,"providers":[{"billed_charge":453.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1450.53,"providers":[{"billed_charge":9522.25,"npi":[1295843787]}]},{"allowed_amount":6061.57,"providers":[{"billed_charge":38084.00,"npi":[1730132234]}]},{"allowed_amount":2195.11,"providers":[{"billed_charge":15480.25,"npi":[1982666111]}]},{"allowed_amount":483.51,"providers":[{"billed_charge":2944.75,"npi":[1730132234]}]},{"allowed_amount":161.17,"providers":[{"billed_charge":1061.00,"npi":[1982666111]}]},{"allowed_amount":1568.30,"providers":[{"billed_charge":10359.00,"npi":[1932152337]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":401.08,"providers":[{"billed_charge":655.00,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101.94,"providers":[{"billed_charge":694.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":366.76,"providers":[{"billed_charge":910.00,"npi":[1932123247]}]}]}]},{"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":"263286977"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":500.00,"providers":[{"billed_charge":875.00,"npi":[1326297441]}]}]}]},{"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":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":142.26,"providers":[{"billed_charge":729.23,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":272.06,"providers":[{"billed_charge":5783.00,"npi":[1730132234]}]}]}]},{"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":"871142127"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32860.85,"providers":[{"billed_charge":131246.00,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"852489965"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29630.72,"providers":[{"billed_charge":96102.24,"npi":[1619588613]}]}]},{"tin":{"type":"ein","value":"871224784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":591.14,"providers":[{"billed_charge":4957.82,"npi":[1003489212]}]}]},{"tin":{"type":"ein","value":"933189938"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14345.51,"providers":[{"billed_charge":132958.92,"npi":[1083488829]}]}]},{"tin":{"type":"ein","value":"465557331"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8132.13,"providers":[{"billed_charge":38066.31,"npi":[1194125146]}]}]},{"tin":{"type":"ein","value":"262037695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18257.85,"providers":[{"billed_charge":51365.00,"npi":[1992799050]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":264761.87,"providers":[{"billed_charge":869989.00,"npi":[1689629941]}]},{"allowed_amount":10216.00,"providers":[{"billed_charge":40345.00,"npi":[1487271375]}]},{"allowed_amount":329067.13,"providers":[{"billed_charge":1116091.00,"npi":[1033165501]}]},{"allowed_amount":36948.55,"providers":[{"billed_charge":121627.00,"npi":[1073294740]}]},{"allowed_amount":58324.14,"providers":[{"billed_charge":100426.00,"npi":[1568818417]}]},{"allowed_amount":329478.06,"providers":[{"billed_charge":1040539.00,"npi":[1275592131]}]},{"allowed_amount":362712.39,"providers":[{"billed_charge":1058806.00,"npi":[1528027786]}]}]},{"tin":{"type":"ein","value":"922766125"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1821.57,"providers":[{"billed_charge":17993.32,"npi":[1255012779]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":98383.77,"providers":[{"billed_charge":1049199.85,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"331493792"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57763.83,"providers":[{"billed_charge":238518.77,"npi":[1942022546]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32304.34,"providers":[{"billed_charge":215739.80,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"393782106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":67078.27,"providers":[{"billed_charge":609377.60,"npi":[1124983002]}]}]},{"tin":{"type":"ein","value":"932775366"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22364.43,"providers":[{"billed_charge":209301.28,"npi":[1518822485]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26297.31,"providers":[{"billed_charge":189533.07,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1156166.32,"providers":[{"billed_charge":1639903.17,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"731008550"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2837.02,"providers":[{"billed_charge":7503.00,"npi":[1851396394]}]}]},{"tin":{"type":"ein","value":"752682017"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8053.04,"providers":[{"billed_charge":34439.00,"npi":[1114998911]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":367209.31,"providers":[{"billed_charge":697436.18,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"922466057"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26907.39,"providers":[{"billed_charge":185354.00,"npi":[1659057081]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23631.84,"providers":[{"billed_charge":239407.23,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21237.77,"providers":[{"billed_charge":90896.50,"npi":[1578780870]}]},{"allowed_amount":4881.73,"providers":[{"billed_charge":21975.00,"npi":[1164526786]}]},{"allowed_amount":33174.16,"providers":[{"billed_charge":122962.75,"npi":[1093810327]}]},{"allowed_amount":1661.58,"providers":[{"billed_charge":5226.75,"npi":[1447355771]}]},{"allowed_amount":16177.35,"providers":[{"billed_charge":81006.00,"npi":[1124137054]}]},{"allowed_amount":36123.53,"providers":[{"billed_charge":184556.75,"npi":[1619115383]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":112153.20,"providers":[{"billed_charge":575046.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"832040784"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3586.02,"providers":[{"billed_charge":40553.32,"npi":[1366917528]}]}]},{"tin":{"type":"ein","value":"871585575"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5858.76,"providers":[{"billed_charge":62386.41,"npi":[1619549474]}]}]},{"tin":{"type":"ein","value":"752796815"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1594.95,"providers":[{"billed_charge":10010.00,"npi":[1295736734]}]}]},{"tin":{"type":"ein","value":"824314476"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68697.89,"providers":[{"billed_charge":590710.34,"npi":[1467930420]}]}]},{"tin":{"type":"ein","value":"934242663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20482.66,"providers":[{"billed_charge":197746.51,"npi":[1740054436]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27646.22,"providers":[{"billed_charge":39579.38,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"394168906"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1305.87,"providers":[{"billed_charge":7781.95,"npi":[1578436101]}]}]},{"tin":{"type":"ein","value":"852007987"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7906.36,"providers":[{"billed_charge":126028.48,"npi":[1144838947]}]}]},{"tin":{"type":"ein","value":"831872200"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":102399.81,"providers":[{"billed_charge":915914.72,"npi":[1194290106]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10856.81,"providers":[{"billed_charge":135000.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"814584169"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":56189.57,"providers":[{"billed_charge":391798.28,"npi":[1376064295]}]}]},{"tin":{"type":"ein","value":"843073061"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":238324.18,"providers":[{"billed_charge":1449437.68,"npi":[1750932117]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33427.76,"providers":[{"billed_charge":88073.00,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45685.86,"providers":[{"billed_charge":413217.45,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":147283.08,"providers":[{"billed_charge":394541.66,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":534817.38,"providers":[{"billed_charge":1196392.88,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"383813467"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32861.59,"providers":[{"billed_charge":47690.00,"npi":[1497053912]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26625.72,"providers":[{"billed_charge":414501.41,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"752559845"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8310.19,"providers":[{"billed_charge":21345.00,"npi":[1497606438]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45063.00,"providers":[{"billed_charge":125581.00,"npi":[1598749707]}]},{"allowed_amount":447544.00,"providers":[{"billed_charge":2543266.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"933488698"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86694.08,"providers":[{"billed_charge":441193.37,"npi":[1740042175]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79763.60,"providers":[{"billed_charge":144340.75,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"992069011"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2369.23,"providers":[{"billed_charge":20623.00,"npi":[1477303105]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":485866.66,"providers":[{"billed_charge":3709688.80,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13710.40,"providers":[{"billed_charge":109137.27,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"821883948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4217.02,"providers":[{"billed_charge":79715.00,"npi":[1649794157]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":154341.04,"providers":[{"billed_charge":1002503.66,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123456.86,"providers":[{"billed_charge":202981.00,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"882221512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21209.09,"providers":[{"billed_charge":83081.53,"npi":[1598497638]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":36273.94,"providers":[{"billed_charge":72526.00,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6372.34,"providers":[{"billed_charge":28685.04,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"621789402"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6195.72,"providers":[{"billed_charge":30303.51,"npi":[1700805678]}]}]},{"tin":{"type":"ein","value":"852382362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":70568.71,"providers":[{"billed_charge":252906.11,"npi":[1538854872]}]}]},{"tin":{"type":"ein","value":"831871919"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":143135.52,"providers":[{"billed_charge":1245825.35,"npi":[1558836569]}]}]},{"tin":{"type":"ein","value":"811988087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":55417.01,"providers":[{"billed_charge":471741.72,"npi":[1073058939]}]}]},{"tin":{"type":"ein","value":"931585055"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4181.26,"providers":[{"billed_charge":44066.63,"npi":[1073297875]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":129454.32,"providers":[{"billed_charge":595975.00,"npi":[1629828405]}]},{"allowed_amount":639321.24,"providers":[{"billed_charge":2648652.00,"npi":[1083937593]}]},{"allowed_amount":362744.09,"providers":[{"billed_charge":1425921.00,"npi":[1497871628]}]},{"allowed_amount":589612.18,"providers":[{"billed_charge":2477419.00,"npi":[1871619254]}]},{"allowed_amount":216784.89,"providers":[{"billed_charge":753206.00,"npi":[1184179194]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13747.85,"providers":[{"billed_charge":208641.81,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"510570864"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":62166.51,"providers":[{"billed_charge":244726.00,"npi":[1255579389]}]}]},{"tin":{"type":"ein","value":"461852177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":128678.37,"providers":[{"billed_charge":397653.10,"npi":[1205263423]}]}]},{"tin":{"type":"ein","value":"822437084"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1975.52,"providers":[{"billed_charge":7750.00,"npi":[1205342755]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":425.68,"providers":[{"billed_charge":2268.80,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"824884205"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47965.37,"providers":[{"billed_charge":305430.03,"npi":[1295223477]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":99962.02,"providers":[{"billed_charge":687428.00,"npi":[1689641680]}]},{"allowed_amount":19030.16,"providers":[{"billed_charge":106363.00,"npi":[1003885641]}]},{"allowed_amount":32498.12,"providers":[{"billed_charge":171527.00,"npi":[1093783391]}]},{"allowed_amount":15600.32,"providers":[{"billed_charge":141860.00,"npi":[1447228747]}]}]},{"tin":{"type":"ein","value":"832804506"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17012.73,"providers":[{"billed_charge":128508.58,"npi":[1174089866]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":24184.84,"providers":[{"billed_charge":41698.00,"npi":[1194743013]}]},{"allowed_amount":4533.28,"providers":[{"billed_charge":7816.00,"npi":[1720480627]}]},{"allowed_amount":227688.86,"providers":[{"billed_charge":392567.00,"npi":[1720480627]}]},{"allowed_amount":203939.60,"providers":[{"billed_charge":351620.00,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45265.53,"providers":[{"billed_charge":222628.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":363831.14,"providers":[{"billed_charge":967614.14,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":26790.43,"providers":[{"billed_charge":242411.80,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7325.87,"providers":[{"billed_charge":40332.00,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4137.51,"providers":[{"billed_charge":20817.00,"npi":[1942294939]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43720.89,"providers":[{"billed_charge":528250.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"992078911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":90904.24,"providers":[{"billed_charge":659781.00,"npi":[1770333403]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9827.32,"providers":[{"billed_charge":29492.00,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11744.32,"providers":[{"billed_charge":32546.00,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"851929979"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7179.86,"providers":[{"billed_charge":65214.42,"npi":[1851180400]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17752.70,"providers":[{"billed_charge":87231.81,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"621801359"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20633.39,"providers":[{"billed_charge":236204.71,"npi":[1174576698]}]}]},{"tin":{"type":"ein","value":"995017291"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14967.41,"providers":[{"billed_charge":67607.91,"npi":[1851112098]}]}]},{"tin":{"type":"ein","value":"852713042"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":648267.00,"providers":[{"billed_charge":3084972.16,"npi":[1376141556]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8035.23,"providers":[{"billed_charge":18488.95,"npi":[1548286172]}]},{"allowed_amount":212586.27,"providers":[{"billed_charge":1090956.08,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"392717734"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35568.53,"providers":[{"billed_charge":239033.18,"npi":[1093604662]}]}]},{"tin":{"type":"ein","value":"463017479"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68642.16,"providers":[{"billed_charge":408582.32,"npi":[1538508635]}]}]},{"tin":{"type":"ein","value":"992762070"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34123.67,"providers":[{"billed_charge":225194.74,"npi":[1124865126]}]}]},{"tin":{"type":"ein","value":"853503076"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14779.96,"providers":[{"billed_charge":105170.38,"npi":[1124623889]}]}]},{"tin":{"type":"ein","value":"333069853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":300426.17,"providers":[{"billed_charge":1806741.45,"npi":[1629882402]}]}]},{"tin":{"type":"ein","value":"994033449"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34258.58,"providers":[{"billed_charge":193597.01,"npi":[1902644263]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":46528.12,"providers":[{"billed_charge":74770.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":107220.24,"providers":[{"billed_charge":199298.15,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48286.69,"providers":[{"billed_charge":347670.00,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"393793693"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35185.01,"providers":[{"billed_charge":276065.32,"npi":[1205791183]}]}]},{"tin":{"type":"ein","value":"751584559"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2084.63,"providers":[{"billed_charge":6918.00,"npi":[1255325817]}]}]},{"tin":{"type":"ein","value":"414431549"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2592.86,"providers":[{"billed_charge":20821.95,"npi":[1902751811]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106718.07,"providers":[{"billed_charge":415606.70,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":78212.16,"providers":[{"billed_charge":157521.25,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":994.66,"providers":[{"billed_charge":6302.00,"npi":[1467442418]}]}]},{"tin":{"type":"ein","value":"832040998"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5912.89,"providers":[{"billed_charge":60819.96,"npi":[1083189245]}]}]},{"tin":{"type":"ein","value":"751977850"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12279.74,"providers":[{"billed_charge":22204.25,"npi":[1396778064]}]}]},{"tin":{"type":"ein","value":"412716907"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2344.89,"providers":[{"billed_charge":27795.16,"npi":[1437095320]}]}]},{"tin":{"type":"ein","value":"473344271"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":42029.40,"providers":[{"billed_charge":245428.30,"npi":[1003280629]}]}]},{"tin":{"type":"ein","value":"920937062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27539.59,"providers":[{"billed_charge":107452.99,"npi":[1558056895]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":361975.08,"providers":[{"billed_charge":3908523.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"994033554"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109611.45,"providers":[{"billed_charge":683389.78,"npi":[1912745274]}]}]},{"tin":{"type":"ein","value":"464901030"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":209531.75,"providers":[{"billed_charge":905625.87,"npi":[1679976120]}]},{"allowed_amount":2246.17,"providers":[{"billed_charge":14268.13,"npi":[1023963774]}]}]},{"tin":{"type":"ein","value":"320579508"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20731.70,"providers":[{"billed_charge":215315.88,"npi":[1790250959]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":129893.62,"providers":[{"billed_charge":554381.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37223.78,"providers":[{"billed_charge":101733.04,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":521913.96,"providers":[{"billed_charge":1061981.81,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":456750.64,"providers":[{"billed_charge":1954852.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30146.54,"providers":[{"billed_charge":90767.15,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"990418594"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":34553.57,"providers":[{"billed_charge":289106.73,"npi":[1174385439]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":147151.87,"providers":[{"billed_charge":317503.85,"npi":[1124305065]}]},{"allowed_amount":104339.56,"providers":[{"billed_charge":223783.36,"npi":[1851108765]}]}]},{"tin":{"type":"ein","value":"752771437"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8171.34,"providers":[{"billed_charge":16205.00,"npi":[1457382798]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":385.79,"providers":[{"billed_charge":441.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"413311187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3706.66,"providers":[{"billed_charge":21591.68,"npi":[1346194396]}]}]},{"tin":{"type":"ein","value":"882923822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8890.02,"providers":[{"billed_charge":138286.00,"npi":[1770214256]}]}]},{"tin":{"type":"ein","value":"832041052"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20060.85,"providers":[{"billed_charge":203664.16,"npi":[1255806410]}]}]},{"tin":{"type":"ein","value":"208737126"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":57019.57,"providers":[{"billed_charge":197544.07,"npi":[1104086941]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":778079.71,"providers":[{"billed_charge":1505100.25,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"882501936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":101226.61,"providers":[{"billed_charge":502485.48,"npi":[1750013769]}]}]},{"tin":{"type":"ein","value":"824785286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":150740.76,"providers":[{"billed_charge":1014812.00,"npi":[1699244624]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15933.43,"providers":[{"billed_charge":125360.00,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":160901.70,"providers":[{"billed_charge":299424.00,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":37356.67,"providers":[{"billed_charge":123196.54,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10189.16,"providers":[{"billed_charge":54092.00,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"931592669"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15784.74,"providers":[{"billed_charge":151218.29,"npi":[1639853443]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6262.65,"providers":[{"billed_charge":47032.00,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"844755191"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13607.20,"providers":[{"billed_charge":50452.00,"npi":[1437750163]}]}]},{"tin":{"type":"ein","value":"760431829"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":591.14,"providers":[{"billed_charge":4416.00,"npi":[1104199017]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":323861.36,"providers":[{"billed_charge":1513016.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":210765.76,"providers":[{"billed_charge":1233805.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19814.36,"providers":[{"billed_charge":179515.19,"npi":[1457820995]}]},{"allowed_amount":44748.39,"providers":[{"billed_charge":218227.50,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1976.69,"providers":[{"billed_charge":6639.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"333807317"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15390.05,"providers":[{"billed_charge":49630.26,"npi":[1083586747]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1239.92,"providers":[{"billed_charge":3286.00,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":315965.14,"providers":[{"billed_charge":1182365.75,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"843683956"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":143953.64,"providers":[{"billed_charge":402206.18,"npi":[1184262800]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14656.96,"providers":[{"billed_charge":56566.00,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"922950626"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23557.54,"providers":[{"billed_charge":101159.28,"npi":[1992486419]}]}]},{"tin":{"type":"ein","value":"394604245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":14872.13,"providers":[{"billed_charge":109606.34,"npi":[1699649400]}]}]},{"tin":{"type":"ein","value":"852354189"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86871.85,"providers":[{"billed_charge":88791.50,"npi":[1215609896]}]}]},{"tin":{"type":"ein","value":"881723756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":79691.97,"providers":[{"billed_charge":650028.80,"npi":[1689319501]}]}]},{"tin":{"type":"ein","value":"861747068"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10603.50,"providers":[{"billed_charge":82213.41,"npi":[1740950179]}]}]},{"tin":{"type":"ein","value":"752426010"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5498.88,"providers":[{"billed_charge":18949.00,"npi":[1073580726]}]}]},{"tin":{"type":"ein","value":"752051646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45142.56,"providers":[{"billed_charge":375903.94,"npi":[1891765178]}]}]},{"tin":{"type":"ein","value":"741303720"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7177.75,"providers":[{"billed_charge":15441.00,"npi":[1093744187]}]}]},{"tin":{"type":"ein","value":"262978009"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72419.26,"providers":[{"billed_charge":190266.57,"npi":[1407010622]}]},{"allowed_amount":51418.12,"providers":[{"billed_charge":129193.72,"npi":[1619308319]}]},{"allowed_amount":30993.30,"providers":[{"billed_charge":61610.89,"npi":[1407344880]}]}]},{"tin":{"type":"ein","value":"882931023"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11584.11,"providers":[{"billed_charge":179970.73,"npi":[1740911213]}]}]},{"tin":{"type":"ein","value":"813556450"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4059.81,"providers":[{"billed_charge":27099.80,"npi":[1467935866]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13490.17,"providers":[{"billed_charge":165632.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":246943.11,"providers":[{"billed_charge":423947.25,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47636.51,"providers":[{"billed_charge":275459.20,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"203904667"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7118.83,"providers":[{"billed_charge":34423.23,"npi":[1376662296]}]}]},{"tin":{"type":"ein","value":"621762526"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4765.36,"providers":[{"billed_charge":13825.00,"npi":[1790722346]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":213006.32,"providers":[{"billed_charge":588219.80,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":35397.73,"providers":[{"billed_charge":220354.75,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"873083628"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":47271.57,"providers":[{"billed_charge":316326.15,"npi":[1013670132]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":68600.04,"providers":[{"billed_charge":440908.38,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":62597.26,"providers":[{"billed_charge":788050.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"994785659"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1845.65,"providers":[{"billed_charge":6548.62,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":352845.48,"providers":[{"billed_charge":624496.00,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":131647.26,"providers":[{"billed_charge":242631.62,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"334202263"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3926.33,"providers":[{"billed_charge":22718.40,"npi":[1366246324]}]}]},{"tin":{"type":"ein","value":"882394440"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33514.15,"providers":[{"billed_charge":397173.34,"npi":[1396429700]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":359932.60,"providers":[{"billed_charge":1642197.41,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16779.75,"providers":[{"billed_charge":29615.25,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"331929227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10939.08,"providers":[{"billed_charge":34691.88,"npi":[1144112129]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":338527.74,"providers":[{"billed_charge":596324.50,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":38800.46,"providers":[{"billed_charge":154929.84,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":219887.60,"providers":[{"billed_charge":432018.96,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":271619.88,"providers":[{"billed_charge":842608.08,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"921924347"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31931.21,"providers":[{"billed_charge":450410.65,"npi":[1639875750]}]}]},{"tin":{"type":"ein","value":"611780130"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12523.41,"providers":[{"billed_charge":99268.75,"npi":[1356893531]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":24054.44,"providers":[{"billed_charge":207669.76,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"823349983"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":243115.92,"providers":[{"billed_charge":474224.87,"npi":[1346753118]}]}]},{"tin":{"type":"ein","value":"333466645"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5170.63,"providers":[{"billed_charge":39740.91,"npi":[1639975758]}]}]},{"tin":{"type":"ein","value":"822174187"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17209.45,"providers":[{"billed_charge":115743.67,"npi":[1811475346]}]}]},{"tin":{"type":"ein","value":"871528012"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10020.51,"providers":[{"billed_charge":66417.63,"npi":[1912677295]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23482.04,"providers":[{"billed_charge":84572.14,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"364867084"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2283.06,"providers":[{"billed_charge":28665.00,"npi":[1376870840]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":111301.08,"providers":[{"billed_charge":352799.76,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":413449.31,"providers":[{"billed_charge":1936731.30,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"334202404"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":301.34,"providers":[{"billed_charge":601.20,"npi":[1053105619]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":240.23,"providers":[{"billed_charge":453.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":19752.38,"providers":[{"billed_charge":121191.95,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"741698143"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4040.59,"providers":[{"billed_charge":10267.00,"npi":[1124052162]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12637.69,"providers":[{"billed_charge":30904.00,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"332358031"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4387.69,"providers":[{"billed_charge":32786.49,"npi":[1336935345]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":332951.40,"providers":[{"billed_charge":522859.25,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"364755936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":76030.62,"providers":[{"billed_charge":199772.79,"npi":[1598196206]}]},{"allowed_amount":8554.13,"providers":[{"billed_charge":28763.93,"npi":[1689002651]}]},{"allowed_amount":62181.95,"providers":[{"billed_charge":173298.81,"npi":[1679903967]}]},{"allowed_amount":54037.03,"providers":[{"billed_charge":146604.27,"npi":[1831629526]}]}]},{"tin":{"type":"ein","value":"331073948"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4428.77,"providers":[{"billed_charge":12377.92,"npi":[1063411767]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":29126.51,"providers":[{"billed_charge":266258.00,"npi":[1952306672]}]},{"allowed_amount":21300.10,"providers":[{"billed_charge":103618.00,"npi":[1831070507]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":25373.70,"providers":[{"billed_charge":62046.90,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"202848116"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":40707.16,"providers":[{"billed_charge":74275.00,"npi":[1629138029]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":276989.86,"providers":[{"billed_charge":1253898.00,"npi":[1295788735]}]},{"allowed_amount":389032.96,"providers":[{"billed_charge":1884277.25,"npi":[1740233782]}]},{"allowed_amount":2446416.71,"providers":[{"billed_charge":11035737.00,"npi":[1730132234]}]},{"allowed_amount":625578.74,"providers":[{"billed_charge":3225290.75,"npi":[1295843787]}]},{"allowed_amount":514346.84,"providers":[{"billed_charge":2395137.25,"npi":[1932152337]}]},{"allowed_amount":561720.08,"providers":[{"billed_charge":2949063.00,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":652034.68,"providers":[{"billed_charge":1193195.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":48298.08,"providers":[{"billed_charge":107206.53,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"473918725"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2807.09,"providers":[{"billed_charge":20250.00,"npi":[1205212313]}]}]},{"tin":{"type":"ein","value":"334228114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":66.35,"providers":[{"billed_charge":913.51,"npi":[1093506396]}]}]},{"tin":{"type":"ein","value":"923094590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3186.17,"providers":[{"billed_charge":33473.32,"npi":[1477234995]}]}]},{"tin":{"type":"ein","value":"851984103"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7378.31,"providers":[{"billed_charge":133896.12,"npi":[1376151365]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7545.02,"providers":[{"billed_charge":17449.01,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"742730328"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4376.29,"providers":[{"billed_charge":22874.79,"npi":[1659525236]}]},{"allowed_amount":1141.83,"providers":[{"billed_charge":7016.08,"npi":[1124074273]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":385134.67,"providers":[{"billed_charge":1436302.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"752829613"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4940.09,"providers":[{"billed_charge":24870.00,"npi":[1386647717]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":620639.44,"providers":[{"billed_charge":1201438.25,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"334228227"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12349.81,"providers":[{"billed_charge":63141.02,"npi":[1538950837]}]}]},{"tin":{"type":"ein","value":"831617286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61297.67,"providers":[{"billed_charge":709802.17,"npi":[1619567021]}]}]},{"tin":{"type":"ein","value":"992497065"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":17023.81,"providers":[{"billed_charge":132108.30,"npi":[1083444780]}]}]},{"tin":{"type":"ein","value":"412101361"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6697.28,"providers":[{"billed_charge":14849.30,"npi":[1962504340]}]}]},{"tin":{"type":"ein","value":"832041336"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28855.37,"providers":[{"billed_charge":306020.20,"npi":[1245705417]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":80636.10,"providers":[{"billed_charge":672937.95,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11689.86,"providers":[{"billed_charge":185928.39,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"882898646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12003.55,"providers":[{"billed_charge":181549.10,"npi":[1699406173]}]}]},{"tin":{"type":"ein","value":"262294680"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11270.48,"providers":[{"billed_charge":12140.00,"npi":[1164688495]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":585930.13,"providers":[{"billed_charge":3608561.81,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"814974144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10917.25,"providers":[{"billed_charge":55641.30,"npi":[1982113601]}]}]},{"tin":{"type":"ein","value":"883464149"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43431.60,"providers":[{"billed_charge":661948.22,"npi":[1881322469]}]}]},{"tin":{"type":"ein","value":"844983621"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18401.98,"providers":[{"billed_charge":115862.05,"npi":[1780297598]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":93700.86,"providers":[{"billed_charge":193520.00,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":296721.93,"providers":[{"billed_charge":669951.11,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"453780407"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2396.65,"providers":[{"billed_charge":6400.00,"npi":[1407121189]}]}]},{"tin":{"type":"ein","value":"863189225"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22261.24,"providers":[{"billed_charge":128367.84,"npi":[1194484345]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":826740.98,"providers":[{"billed_charge":1809157.00,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"472166397"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7373.30,"providers":[{"billed_charge":91000.00,"npi":[1093191397]}]}]},{"tin":{"type":"ein","value":"872698268"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":106171.06,"providers":[{"billed_charge":617121.67,"npi":[1861163826]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":292710.26,"providers":[{"billed_charge":553849.25,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"934295804"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33932.19,"providers":[{"billed_charge":223821.10,"npi":[1851165013]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":72062.58,"providers":[{"billed_charge":134540.00,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":253936.47,"providers":[{"billed_charge":1283093.03,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2001.98,"providers":[{"billed_charge":6992.31,"npi":[1902366305]}]},{"allowed_amount":22239.57,"providers":[{"billed_charge":82635.72,"npi":[1346729159]}]},{"allowed_amount":3751.91,"providers":[{"billed_charge":13386.50,"npi":[1144781501]}]}]},{"tin":{"type":"ein","value":"460962386"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5717.27,"providers":[{"billed_charge":56133.28,"npi":[1275957508]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1955.26,"providers":[{"billed_charge":10076.00,"npi":[1821004151]}]},{"allowed_amount":30513.13,"providers":[{"billed_charge":209550.00,"npi":[1194787218]}]},{"allowed_amount":6994.09,"providers":[{"billed_charge":56403.00,"npi":[1780867390]}]},{"allowed_amount":39303.99,"providers":[{"billed_charge":250058.00,"npi":[1447883301]}]}]},{"tin":{"type":"ein","value":"922858146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7904.74,"providers":[{"billed_charge":88425.64,"npi":[1184305609]}]}]},{"tin":{"type":"ein","value":"464084062"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1180.33,"providers":[{"billed_charge":4981.44,"npi":[1669872610]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":33734.38,"providers":[{"billed_charge":252061.00,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"621762428"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":626.70,"providers":[{"billed_charge":2345.00,"npi":[1144274226]}]}]},{"tin":{"type":"ein","value":"992496750"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":43450.05,"providers":[{"billed_charge":333666.89,"npi":[1811727514]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16839.19,"providers":[{"billed_charge":255965.54,"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":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3658.33,"providers":[{"billed_charge":3029.00,"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":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":4273.40,"providers":[{"billed_charge":51317.80,"npi":[1124796081]}]}]}]},{"name":"AUDIOLOGY/DX","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"471","description":"AUDIOLOGY - DIAGNOSTIC","allowed_amounts":[{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":783.35,"providers":[{"billed_charge":11909.46,"npi":[1124796081]}]}]}]},{"name":"CARDIOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"480","description":"CARDIOLOGY - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1747.88,"providers":[{"billed_charge":29558.00,"npi":[1730132234]}]},{"allowed_amount":873.94,"providers":[{"billed_charge":41061.25,"npi":[1740233782]},{"billed_charge":5551.00,"npi":[1982666111]},{"billed_charge":36420.00,"npi":[1932152337]},{"billed_charge":5988.00,"npi":[1932152337]},{"billed_charge":28192.00,"npi":[1295843787]}]},{"allowed_amount":9479.71,"providers":[{"billed_charge":359139.50,"npi":[1730132234]}]},{"allowed_amount":9651.43,"providers":[{"billed_charge":52701.25,"npi":[1982666111]}]}]}]},{"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":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":28834.35,"providers":[{"billed_charge":45183.50,"npi":[1730132234]}]}]}]},{"name":"ECHOCARDIOLOGY","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"483","description":"CARDIOLOGY - ECHOCARDIOLOGY","allowed_amounts":[{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1687.17,"providers":[{"billed_charge":9597.67,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2474.34,"providers":[{"billed_charge":86912.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":360.17,"providers":[{"billed_charge":3986.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":746.50,"providers":[{"billed_charge":5309.70,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4056.69,"providers":[{"billed_charge":9410.00,"npi":[1205900370]}]},{"allowed_amount":7923.74,"providers":[{"billed_charge":39610.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8135.51,"providers":[{"billed_charge":75974.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":671.84,"providers":[{"billed_charge":1734.00,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1890.90,"providers":[{"billed_charge":3438.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":994.10,"providers":[{"billed_charge":7857.00,"npi":[1932123247]}]}]}]},{"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":"200270605"},"service_code":["24"],"billing_class":"institutional","payments":[{"allowed_amount":3212.03,"providers":[{"billed_charge":39963.00,"npi":[1952364499]}]}]}]},{"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":"824944510"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":223.74,"providers":[{"billed_charge":1104.00,"npi":[1558898049]}]},{"allowed_amount":74.58,"providers":[{"billed_charge":368.00,"npi":[1558898049]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1068.88,"providers":[{"billed_charge":1054.00,"npi":[1205900370]}]}]}]},{"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":9822.20,"providers":[{"billed_charge":46478.71,"npi":[1548286172]}]},{"allowed_amount":68914.32,"providers":[{"billed_charge":392034.79,"npi":[1124796081]}]}]}]},{"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":7111.61,"providers":[{"billed_charge":14670.30,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":5523.17,"providers":[{"billed_charge":20327.70,"npi":[1821087164]}]}]}]},{"name":"AIR AMBULANCE","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"545","description":"AMBULANCE - AIR AMBULANCE","allowed_amounts":[{"tin":{"type":"ein","value":"741152597"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":92815.91,"providers":[{"billed_charge":204613.25,"npi":[1982666111]}]}]}]},{"name":"SKILLED NURSE/VISIT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"551","description":"SKILLED NURSING - VISIT CHARGE","allowed_amounts":[{"tin":{"type":"ein","value":"272793124"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":2542.50,"providers":[{"billed_charge":11825.00,"npi":[1083934509]}]}]}]},{"name":"FETAL NON-STRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NON-STRESS TEST","allowed_amounts":[{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2643.24,"providers":[{"billed_charge":10208.00,"npi":[1235225087]}]}]}]},{"name":"MRI","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"610","description":"MRI - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":8295.56,"providers":[{"billed_charge":65948.00,"npi":[1205900370]}]},{"allowed_amount":2826.08,"providers":[{"billed_charge":52092.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6969.88,"providers":[{"billed_charge":70867.09,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1223.63,"providers":[{"billed_charge":24359.00,"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":526.60,"providers":[{"billed_charge":20085.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":360.17,"providers":[{"billed_charge":30216.00,"npi":[1205900370]}]},{"allowed_amount":1413.04,"providers":[{"billed_charge":29016.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":360.17,"providers":[{"billed_charge":5342.00,"npi":[1891789772]}]},{"allowed_amount":348.74,"providers":[{"billed_charge":3231.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2883.94,"providers":[{"billed_charge":91001.50,"npi":[1730132234]}]}]}]},{"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":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6900.12,"providers":[{"billed_charge":66965.35,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":842.00,"providers":[{"billed_charge":45690.50,"npi":[1730132234]}]}]}]},{"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":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1497.59,"providers":[{"billed_charge":14788.99,"npi":[1629089966]}]}]}]},{"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":11.33,"providers":[{"billed_charge":1746.10,"npi":[1073183141]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16263.88,"providers":[{"billed_charge":235374.20,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"741386053"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.62,"providers":[{"billed_charge":5675.05,"npi":[1720088123]}]}]},{"tin":{"type":"ein","value":"822913146"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.73,"providers":[{"billed_charge":10481.40,"npi":[1972517365]}]}]},{"tin":{"type":"ein","value":"262037695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.22,"providers":[{"billed_charge":67.41,"npi":[1992799050]}]}]},{"tin":{"type":"ein","value":"451502252"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.32,"providers":[{"billed_charge":22313.27,"npi":[1215296884]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":15901.75,"npi":[1528027786]}]},{"allowed_amount":25.79,"providers":[{"billed_charge":10404.00,"npi":[1689629941]}]},{"allowed_amount":4.26,"providers":[{"billed_charge":12169.15,"npi":[1033165501]}]},{"allowed_amount":135.12,"providers":[{"billed_charge":16408.00,"npi":[1275592131]}]}]},{"tin":{"type":"ein","value":"820641535"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.63,"providers":[{"billed_charge":461687.00,"npi":[1134783913]}]}]},{"tin":{"type":"ein","value":"203749695"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.73,"providers":[{"billed_charge":3410.13,"npi":[1265568638]}]}]},{"tin":{"type":"ein","value":"750755367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.58,"providers":[{"billed_charge":5072.15,"npi":[1396746129]}]}]},{"tin":{"type":"ein","value":"760436439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.82,"providers":[{"billed_charge":14273.90,"npi":[1689650616]}]}]},{"tin":{"type":"ein","value":"931592669"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.02,"providers":[{"billed_charge":5322.48,"npi":[1639853443]}]}]},{"tin":{"type":"ein","value":"751277293"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.72,"providers":[{"billed_charge":1028.19,"npi":[1598750721]}]}]},{"tin":{"type":"ein","value":"851978933"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":110.09,"providers":[{"billed_charge":1303.88,"npi":[1265044333]}]}]},{"tin":{"type":"ein","value":"620479367"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":13.51,"providers":[{"billed_charge":45.04,"npi":[1558365890]}]}]},{"tin":{"type":"ein","value":"746000949"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":26.44,"providers":[{"billed_charge":1458.48,"npi":[1548226988]}]},{"allowed_amount":633.96,"providers":[{"billed_charge":25746.10,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3733.25,"providers":[{"billed_charge":52547.15,"npi":[1477643690]}]},{"allowed_amount":2829.51,"providers":[{"billed_charge":39912.69,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"832329088"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.94,"providers":[{"billed_charge":17560.15,"npi":[1457820995]}]},{"allowed_amount":21.35,"providers":[{"billed_charge":6238.62,"npi":[1780436287]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":24282.12,"providers":[{"billed_charge":66291.73,"npi":[1205900370]}]},{"allowed_amount":69679.31,"providers":[{"billed_charge":112427.46,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"752312009"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":66.56,"providers":[{"billed_charge":228.00,"npi":[1225038938]}]},{"allowed_amount":174.58,"providers":[{"billed_charge":700.00,"npi":[1225038938]}]}]},{"tin":{"type":"ein","value":"746001118"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":161.04,"providers":[{"billed_charge":2583.85,"npi":[1174582050]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1569.94,"providers":[{"billed_charge":26641.18,"npi":[1629089966]}]},{"allowed_amount":15735.88,"providers":[{"billed_charge":100545.81,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6514.51,"providers":[{"billed_charge":31482.24,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"752682017"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.11,"providers":[{"billed_charge":10166.00,"npi":[1114998911]}]}]},{"tin":{"type":"ein","value":"751301362"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.42,"providers":[{"billed_charge":461.70,"npi":[1821087164]}]}]},{"tin":{"type":"ein","value":"882917489"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":3.17,"providers":[{"billed_charge":2128.59,"npi":[1043942089]}]}]},{"tin":{"type":"ein","value":"741109643"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1198.93,"providers":[{"billed_charge":10799.75,"npi":[1093810327]}]},{"allowed_amount":3.47,"providers":[{"billed_charge":8613.25,"npi":[1578780870]}]},{"allowed_amount":3487.36,"providers":[{"billed_charge":17867.75,"npi":[1164526786]}]},{"allowed_amount":1.65,"providers":[{"billed_charge":3171.50,"npi":[1124137054]}]},{"allowed_amount":6.94,"providers":[{"billed_charge":5012.50,"npi":[1619115383]}]}]},{"tin":{"type":"ein","value":"752426010"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.45,"providers":[{"billed_charge":2552.64,"npi":[1073580726]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":838.13,"providers":[{"billed_charge":72960.31,"npi":[1407191984]}]}]},{"tin":{"type":"ein","value":"741303720"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.97,"providers":[{"billed_charge":1336.00,"npi":[1093744187]}]}]},{"tin":{"type":"ein","value":"233069260"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":88.61,"providers":[{"billed_charge":13235.00,"npi":[1770573586]}]}]},{"tin":{"type":"ein","value":"751047527"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.61,"providers":[{"billed_charge":48287.89,"npi":[1396779948]}]}]},{"tin":{"type":"ein","value":"741385192"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":16881.48,"providers":[{"billed_charge":63086.04,"npi":[1972581940]}]}]},{"tin":{"type":"ein","value":"454435955"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.89,"providers":[{"billed_charge":2440.64,"npi":[1467897447]}]}]},{"tin":{"type":"ein","value":"621762526"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":809.30,"providers":[{"billed_charge":2697.66,"npi":[1790722346]}]}]},{"tin":{"type":"ein","value":"934242663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.88,"providers":[{"billed_charge":476.11,"npi":[1740054436]}]}]},{"tin":{"type":"ein","value":"731662763"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.94,"providers":[{"billed_charge":1967.40,"npi":[1659352987]}]}]},{"tin":{"type":"ein","value":"852007987"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.88,"providers":[{"billed_charge":180.00,"npi":[1144838947]}]}]},{"tin":{"type":"ein","value":"473248194"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.49,"providers":[{"billed_charge":2900.00,"npi":[1588111082]}]}]},{"tin":{"type":"ein","value":"813334196"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":437.45,"providers":[{"billed_charge":2520.00,"npi":[1013499383]}]}]},{"tin":{"type":"ein","value":"452694620"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":314.62,"providers":[{"billed_charge":21144.43,"npi":[1033120423]}]}]},{"tin":{"type":"ein","value":"820161600"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":273.22,"providers":[{"billed_charge":635.40,"npi":[1770586794]}]}]},{"tin":{"type":"ein","value":"800810304"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.74,"providers":[{"billed_charge":3951.54,"npi":[1295213601]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6.02,"providers":[{"billed_charge":3669.25,"npi":[1003192311]}]},{"allowed_amount":108.02,"providers":[{"billed_charge":20027.50,"npi":[1003192311]}]}]},{"tin":{"type":"ein","value":"750827446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":196.56,"providers":[{"billed_charge":41425.17,"npi":[1528064649]}]}]},{"tin":{"type":"ein","value":"274434451"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":30.99,"providers":[{"billed_charge":13079.99,"npi":[1265772362]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6855.37,"providers":[{"billed_charge":47989.63,"npi":[1447250253]}]},{"allowed_amount":20.92,"providers":[{"billed_charge":876.91,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"851961472"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":7.68,"providers":[{"billed_charge":6410.00,"npi":[1235747304]}]}]},{"tin":{"type":"ein","value":"752559845"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.91,"providers":[{"billed_charge":415.00,"npi":[1497606438]}]}]},{"tin":{"type":"ein","value":"995104341"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.96,"providers":[{"billed_charge":11106.00,"npi":[1609697242]}]}]},{"tin":{"type":"ein","value":"300885567"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":86.92,"providers":[{"billed_charge":289.73,"npi":[1154795581]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.60,"providers":[{"billed_charge":3209.82,"npi":[1598749707]}]},{"allowed_amount":9633.34,"providers":[{"billed_charge":213989.09,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"831954982"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1580.34,"providers":[{"billed_charge":22146.41,"npi":[1104381292]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":351.61,"providers":[{"billed_charge":103820.54,"npi":[1679578439]}]},{"allowed_amount":1.78,"providers":[{"billed_charge":4049.68,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1037.47,"providers":[{"billed_charge":62174.09,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"824052186"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.20,"providers":[{"billed_charge":8784.33,"npi":[1801826839]}]}]},{"tin":{"type":"ein","value":"842589283"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.17,"providers":[{"billed_charge":19594.26,"npi":[1902453970]}]}]},{"tin":{"type":"ein","value":"474187773"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":173.52,"providers":[{"billed_charge":124590.31,"npi":[1619321742]}]}]},{"tin":{"type":"ein","value":"752865177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.62,"providers":[{"billed_charge":11.50,"npi":[1922002674]}]}]},{"tin":{"type":"ein","value":"823463299"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":473.93,"providers":[{"billed_charge":33137.78,"npi":[1649770488]}]}]},{"tin":{"type":"ein","value":"752678857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1248.72,"providers":[{"billed_charge":56721.72,"npi":[1417980202]}]}]},{"tin":{"type":"ein","value":"621692446"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":22.88,"providers":[{"billed_charge":13298.65,"npi":[1497708929]}]}]},{"tin":{"type":"ein","value":"752890358"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.20,"providers":[{"billed_charge":21820.21,"npi":[1548291883]}]}]},{"tin":{"type":"ein","value":"751777119"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":45.45,"providers":[{"billed_charge":14805.57,"npi":[1073511762]}]}]},{"tin":{"type":"ein","value":"260684968"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15261.84,"providers":[{"billed_charge":54517.32,"npi":[1902047376]}]}]},{"tin":{"type":"ein","value":"741161944"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9970.81,"providers":[{"billed_charge":48869.81,"npi":[1891882833]}]}]},{"tin":{"type":"ein","value":"202797853"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":248.01,"providers":[{"billed_charge":554.60,"npi":[1154324952]}]}]},{"tin":{"type":"ein","value":"820756286"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.86,"providers":[{"billed_charge":1492.72,"npi":[1821501875]}]}]},{"tin":{"type":"ein","value":"621789402"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.66,"providers":[{"billed_charge":5568.86,"npi":[1700805678]}]}]},{"tin":{"type":"ein","value":"813351512"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.48,"providers":[{"billed_charge":1389.64,"npi":[1891210639]}]}]},{"tin":{"type":"ein","value":"346004382"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":141.30,"providers":[{"billed_charge":471.00,"npi":[1700828852]}]}]},{"tin":{"type":"ein","value":"750818178"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1.02,"providers":[{"billed_charge":693.00,"npi":[1760628184]}]}]},{"tin":{"type":"ein","value":"411236756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":215.04,"providers":[{"billed_charge":716.80,"npi":[1154302487]}]}]},{"tin":{"type":"ein","value":"760545192"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":1307.89,"providers":[{"billed_charge":151432.50,"npi":[1184179194]}]},{"allowed_amount":618.20,"providers":[{"billed_charge":59602.00,"npi":[1629828405]}]},{"allowed_amount":92.69,"providers":[{"billed_charge":142311.50,"npi":[1497871628]}]},{"allowed_amount":2990.23,"providers":[{"billed_charge":271634.50,"npi":[1083937593]}]},{"allowed_amount":915.20,"providers":[{"billed_charge":184665.50,"npi":[1871619254]}]},{"allowed_amount":84.97,"providers":[{"billed_charge":1502.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"851931245"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.29,"providers":[{"billed_charge":1455.00,"npi":[1750909974]}]}]},{"tin":{"type":"ein","value":"464007700"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.21,"providers":[{"billed_charge":1377.77,"npi":[1396138970]}]}]},{"tin":{"type":"ein","value":"364867084"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.63,"providers":[{"billed_charge":198.59,"npi":[1376870840]}]}]},{"tin":{"type":"ein","value":"831869297"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":775.24,"providers":[{"billed_charge":3052.14,"npi":[1356960132]}]},{"allowed_amount":1542.04,"providers":[{"billed_charge":16644.42,"npi":[1356960132]}]}]},{"tin":{"type":"ein","value":"473923087"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":206.73,"providers":[{"billed_charge":169389.33,"npi":[1366815144]}]}]},{"tin":{"type":"ein","value":"746000756"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.06,"providers":[{"billed_charge":226.38,"npi":[1316936990]}]}]},{"tin":{"type":"ein","value":"850105601"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":176.22,"providers":[{"billed_charge":424.00,"npi":[1215913470]}]}]},{"tin":{"type":"ein","value":"813562144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":869.02,"providers":[{"billed_charge":4077.25,"npi":[1639663370]}]}]},{"tin":{"type":"ein","value":"720411322"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":23.31,"providers":[{"billed_charge":77.69,"npi":[1548796378]}]}]},{"tin":{"type":"ein","value":"741109836"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":8818.30,"npi":[1689641680]}]},{"allowed_amount":171.27,"providers":[{"billed_charge":4181.77,"npi":[1447228747]}]}]},{"tin":{"type":"ein","value":"931617297"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.37,"providers":[{"billed_charge":2805.81,"npi":[1417633736]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":32.62,"providers":[{"billed_charge":59883.64,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"750800628"},"service_code":["22","23","21"],"billing_class":"institutional","payments":[{"allowed_amount":2416.08,"providers":[{"billed_charge":4165.65,"npi":[1720480627]}]},{"allowed_amount":135.72,"providers":[{"billed_charge":234.00,"npi":[1720480627]}]},{"allowed_amount":203678.13,"providers":[{"billed_charge":354841.60,"npi":[1194743013]}]},{"allowed_amount":2483.25,"providers":[{"billed_charge":4281.45,"npi":[1720480627]}]},{"allowed_amount":5290.59,"providers":[{"billed_charge":9121.71,"npi":[1194743013]}]},{"allowed_amount":637791.00,"providers":[{"billed_charge":1099639.51,"npi":[1194743013]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":398.23,"providers":[{"billed_charge":38592.60,"npi":[1477516466]}]},{"allowed_amount":378.08,"providers":[{"billed_charge":11062.74,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"205908627"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.08,"providers":[{"billed_charge":10402.00,"npi":[1851390967]}]}]},{"tin":{"type":"ein","value":"752428911"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.29,"providers":[{"billed_charge":1149.59,"npi":[1437171568]}]}]},{"tin":{"type":"ein","value":"851778208"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.54,"providers":[{"billed_charge":16750.34,"npi":[1366056194]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.00,"providers":[{"billed_charge":751.36,"npi":[1831070507]}]},{"allowed_amount":269.76,"providers":[{"billed_charge":2998.58,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"752771569"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16.85,"providers":[{"billed_charge":106.25,"npi":[1659308948]}]}]},{"tin":{"type":"ein","value":"202848116"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":9.14,"providers":[{"billed_charge":9451.04,"npi":[1629138029]}]}]},{"tin":{"type":"ein","value":"814928222"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":11.09,"providers":[{"billed_charge":8795.00,"npi":[1710417761]}]}]},{"tin":{"type":"ein","value":"751844139"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.97,"providers":[{"billed_charge":722.59,"npi":[1265430177]}]}]},{"tin":{"type":"ein","value":"923355103"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":196.80,"providers":[{"billed_charge":10798.50,"npi":[1386405801]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":11542.04,"providers":[{"billed_charge":71742.75,"npi":[1295788735]}]},{"allowed_amount":1.08,"providers":[{"billed_charge":1736.75,"npi":[1932152337]},{"billed_charge":1107.50,"npi":[1740233782]}]},{"allowed_amount":246.23,"providers":[{"billed_charge":58628.25,"npi":[1740233782]}]},{"allowed_amount":15006.56,"providers":[{"billed_charge":124791.75,"npi":[1295843787]}]},{"allowed_amount":2215.25,"providers":[{"billed_charge":89330.00,"npi":[1932152337]}]},{"allowed_amount":0.54,"providers":[{"billed_charge":886.50,"npi":[1982666111]}]},{"allowed_amount":14831.59,"providers":[{"billed_charge":328788.25,"npi":[1730132234]}]},{"allowed_amount":10932.61,"providers":[{"billed_charge":125206.02,"npi":[1982666111]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":131.64,"providers":[{"billed_charge":194827.01,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12","23","65"],"billing_class":"institutional","payments":[{"allowed_amount":1795.01,"providers":[{"billed_charge":21492.95,"npi":[1234567893]}]},{"allowed_amount":1773.38,"providers":[{"billed_charge":14739.90,"npi":[1234567893]}]},{"allowed_amount":24172.67,"providers":[{"billed_charge":411335.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"751912147"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.64,"providers":[{"billed_charge":295.97,"npi":[1023013448]}]}]},{"tin":{"type":"ein","value":"420698295"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":282.82,"providers":[{"billed_charge":942.69,"npi":[1720029333]}]}]},{"tin":{"type":"ein","value":"590724459"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":31.89,"providers":[{"billed_charge":2625.34,"npi":[1306938071]}]}]},{"tin":{"type":"ein","value":"851984103"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.72,"providers":[{"billed_charge":484.17,"npi":[1376151365]}]}]},{"tin":{"type":"ein","value":"742519752"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":39.21,"providers":[{"billed_charge":189.21,"npi":[1154315307]}]}]},{"tin":{"type":"ein","value":"741603120"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1158.82,"providers":[{"billed_charge":2679.79,"npi":[1740288505]}]}]},{"tin":{"type":"ein","value":"742730328"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":15747.10,"providers":[{"billed_charge":52490.33,"npi":[1124074273]}]},{"allowed_amount":3.22,"providers":[{"billed_charge":5140.27,"npi":[1659525236]}]},{"allowed_amount":0.94,"providers":[{"billed_charge":29442.40,"npi":[1124074273]}]}]},{"tin":{"type":"ein","value":"841262971"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":336.21,"providers":[{"billed_charge":1120.63,"npi":[1760492714]}]}]},{"tin":{"type":"ein","value":"465702822"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.53,"providers":[{"billed_charge":780.00,"npi":[1902219348]}]}]},{"tin":{"type":"ein","value":"621801359"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.74,"providers":[{"billed_charge":18249.65,"npi":[1174576698]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2156.09,"providers":[{"billed_charge":166002.50,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"750703337"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":711.09,"providers":[{"billed_charge":922.00,"npi":[1861475626]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1228.28,"providers":[{"billed_charge":100322.83,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"412101361"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.73,"providers":[{"billed_charge":745.06,"npi":[1962504340]}]}]},{"tin":{"type":"ein","value":"920323729"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5.44,"providers":[{"billed_charge":7599.30,"npi":[1003539073]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":245077.18,"providers":[{"billed_charge":1969216.21,"npi":[1124796081]}]},{"allowed_amount":33424.34,"providers":[{"billed_charge":535848.81,"npi":[1548286172]}]},{"allowed_amount":468.71,"providers":[{"billed_charge":18733.13,"npi":[1124796081]}]},{"allowed_amount":52.73,"providers":[{"billed_charge":1406.25,"npi":[1548286172]}]}]},{"tin":{"type":"ein","value":"862533154"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":301.99,"providers":[{"billed_charge":8086.44,"npi":[1548847601]}]}]},{"tin":{"type":"ein","value":"823953636"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":21.92,"npi":[1184132524]}]}]},{"tin":{"type":"ein","value":"882898646"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":61.89,"providers":[{"billed_charge":1805.00,"npi":[1699406173]}]}]},{"tin":{"type":"ein","value":"472971495"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.88,"providers":[{"billed_charge":3402.45,"npi":[1659744662]}]}]},{"tin":{"type":"ein","value":"760714523"},"service_code":["23","21"],"billing_class":"institutional","payments":[{"allowed_amount":8641.75,"providers":[{"billed_charge":13295.00,"npi":[1598744856]}]},{"allowed_amount":642.20,"providers":[{"billed_charge":988.00,"npi":[1598744856]}]}]},{"tin":{"type":"ein","value":"931469666"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":527.99,"providers":[{"billed_charge":49167.41,"npi":[1265124986]}]}]},{"tin":{"type":"ein","value":"751752253"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.58,"providers":[{"billed_charge":910.00,"npi":[1922031541]}]}]},{"tin":{"type":"ein","value":"814974144"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.82,"providers":[{"billed_charge":6107.40,"npi":[1982113601]}]}]},{"tin":{"type":"ein","value":"411724637"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":20.00,"npi":[1538143896]}]}]},{"tin":{"type":"ein","value":"820551704"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":10.39,"providers":[{"billed_charge":5280.63,"npi":[1649273434]}]}]},{"tin":{"type":"ein","value":"746002164"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":645.25,"providers":[{"billed_charge":7057.40,"npi":[1821011248]}]},{"allowed_amount":0.34,"providers":[{"billed_charge":24.70,"npi":[1821011248]}]}]},{"tin":{"type":"ein","value":"260194016"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":83.82,"providers":[{"billed_charge":12700.53,"npi":[1205018439]}]},{"allowed_amount":1.46,"providers":[{"billed_charge":462.05,"npi":[1205018439]}]}]},{"tin":{"type":"ein","value":"753175630"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6903.58,"providers":[{"billed_charge":49175.12,"npi":[1285798918]}]},{"allowed_amount":11.09,"providers":[{"billed_charge":11351.36,"npi":[1285798918]}]}]},{"tin":{"type":"ein","value":"751584559"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.99,"providers":[{"billed_charge":248.35,"npi":[1255325817]}]}]},{"tin":{"type":"ein","value":"472616215"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":0.51,"providers":[{"billed_charge":250.00,"npi":[1922468156]}]}]},{"tin":{"type":"ein","value":"994785298"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6.31,"providers":[{"billed_charge":25731.50,"npi":[1639992514]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1560.10,"providers":[{"billed_charge":119181.64,"npi":[1932123247]}]}]},{"tin":{"type":"ein","value":"751748586"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15.50,"providers":[{"billed_charge":15028.69,"npi":[1508899204]}]}]},{"tin":{"type":"ein","value":"472166397"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.02,"providers":[{"billed_charge":475.00,"npi":[1093191397]}]}]},{"tin":{"type":"ein","value":"752770738"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8518.18,"providers":[{"billed_charge":108575.84,"npi":[1770514077]}]}]},{"tin":{"type":"ein","value":"751977850"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.26,"providers":[{"billed_charge":860.14,"npi":[1396778064]}]}]},{"tin":{"type":"ein","value":"851919095"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1.08,"providers":[{"billed_charge":6902.77,"npi":[1316617707]}]}]},{"tin":{"type":"ein","value":"301205721"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":12.11,"providers":[{"billed_charge":18162.64,"npi":[1588215461]}]}]},{"tin":{"type":"ein","value":"834546114"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":87.94,"providers":[{"billed_charge":82955.11,"npi":[1972258580]}]}]},{"tin":{"type":"ein","value":"813040663"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8.43,"providers":[{"billed_charge":1406.24,"npi":[1346729159]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6965.16,"providers":[{"billed_charge":136610.24,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"481172106"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":123.85,"providers":[{"billed_charge":412.79,"npi":[1154314789]}]}]},{"tin":{"type":"ein","value":"464389870"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":20.51,"providers":[{"billed_charge":71450.00,"npi":[1952723967]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":8315.04,"providers":[{"billed_charge":25055.83,"npi":[1114435260]}]}]},{"tin":{"type":"ein","value":"741109665"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":3.92,"providers":[{"billed_charge":3556.06,"npi":[1447883301]}]},{"allowed_amount":522.13,"providers":[{"billed_charge":4608.25,"npi":[1194787218]}]},{"allowed_amount":4.24,"providers":[{"billed_charge":4464.01,"npi":[1194787218]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18406.78,"providers":[{"billed_charge":69316.68,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"420504780"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":27.03,"providers":[{"billed_charge":90.10,"npi":[1083708226]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":18600.24,"providers":[{"billed_charge":323200.50,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741595711"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":261.06,"providers":[{"billed_charge":785.78,"npi":[1962497800]}]}]},{"tin":{"type":"ein","value":"811708177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.49,"providers":[{"billed_charge":6086.35,"npi":[1033568621]}]}]},{"tin":{"type":"ein","value":"751037591"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":21.21,"providers":[{"billed_charge":7838.80,"npi":[1851108765]}]},{"allowed_amount":6701.32,"providers":[{"billed_charge":24301.73,"npi":[1124305065]}]}]},{"tin":{"type":"ein","value":"273026151"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":81.77,"providers":[{"billed_charge":95.00,"npi":[1326349986]}]}]},{"tin":{"type":"ein","value":"851820772"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4.51,"providers":[{"billed_charge":6228.42,"npi":[1285252593]}]}]}]},{"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":"201418505"},"service_code":["34"],"billing_class":"institutional","payments":[{"allowed_amount":6216.00,"providers":[{"billed_charge":12600.00,"npi":[1609963883]}]}]}]},{"name":"X-RAY EXAM OF SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70220","description":"RADIOLOGIC EXAMINATION, SINUSES, PARANASAL, COMPLETE, MINIMUM OF 3 VIEWS","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":70.26,"providers":[{"billed_charge":308.00,"npi":[1417290511]}]}]}]},{"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":"392307067"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":44.92,"providers":[{"billed_charge":229.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":387.40,"providers":[{"billed_charge":2390.00,"npi":[1366947509]}]},{"allowed_amount":154.96,"providers":[{"billed_charge":956.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":257.20,"providers":[{"billed_charge":1100.00,"npi":[1285838862]}]},{"allowed_amount":128.60,"providers":[{"billed_charge":596.00,"npi":[1285838862]}]},{"allowed_amount":225.05,"providers":[{"billed_charge":951.00,"npi":[1023212214]}]},{"allowed_amount":64.30,"providers":[{"billed_charge":298.00,"npi":[1518370113,1073715884]}]},{"allowed_amount":226.65,"providers":[{"billed_charge":745.00,"npi":[1407149941]}]},{"allowed_amount":32.93,"providers":[{"billed_charge":149.00,"npi":[1407149941]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":30.99,"providers":[{"billed_charge":608.00,"npi":[1528599180]}]},{"allowed_amount":745.14,"providers":[{"billed_charge":14592.00,"npi":[1528599180]}]},{"allowed_amount":155.87,"providers":[{"billed_charge":3040.00,"npi":[1467897793]}]},{"allowed_amount":93.89,"providers":[{"billed_charge":1824.00,"npi":[1467897793]}]},{"allowed_amount":62.90,"providers":[{"billed_charge":1216.00,"npi":[1083058317]}]}]},{"tin":{"type":"ein","value":"741671142"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":278.94,"providers":[{"billed_charge":492.00,"npi":[1326020702]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1178.58,"providers":[{"billed_charge":3848.00,"npi":[1295799088]}]},{"allowed_amount":190.22,"providers":[{"billed_charge":740.00,"npi":[1538123138]}]},{"allowed_amount":306.44,"providers":[{"billed_charge":1184.00,"npi":[1417290511]}]},{"allowed_amount":453.30,"providers":[{"billed_charge":1480.00,"npi":[1538123138]}]},{"allowed_amount":543.96,"providers":[{"billed_charge":1776.00,"npi":[1457447120]}]},{"allowed_amount":37.58,"providers":[{"billed_charge":148.00,"npi":[1295799088]}]},{"allowed_amount":45.33,"providers":[{"billed_charge":148.00,"npi":[1972548139]}]},{"allowed_amount":190.09,"providers":[{"billed_charge":740.00,"npi":[1457447120]}]},{"allowed_amount":537.72,"providers":[{"billed_charge":2072.00,"npi":[1457447120]}]},{"allowed_amount":188.93,"providers":[{"billed_charge":740.00,"npi":[1295799088]}]},{"allowed_amount":1583.59,"providers":[{"billed_charge":5180.00,"npi":[1417290511]}]},{"allowed_amount":191.38,"providers":[{"billed_charge":740.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":58.24,"providers":[{"billed_charge":233.00,"npi":[1770739260]}]},{"allowed_amount":931.84,"providers":[{"billed_charge":3728.00,"npi":[1770739260]}]},{"allowed_amount":38.74,"providers":[{"billed_charge":233.00,"npi":[1760200901]}]},{"allowed_amount":135.99,"providers":[{"billed_charge":699.00,"npi":[1760200901]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":127.84,"providers":[{"billed_charge":1466.00,"npi":[1467696633,1316149172]}]},{"allowed_amount":210.61,"providers":[{"billed_charge":2932.00,"npi":[1528293263]}]},{"allowed_amount":130.23,"providers":[{"billed_charge":1466.00,"npi":[1922121607,1356359335]}]},{"allowed_amount":392.15,"providers":[{"billed_charge":4398.00,"npi":[1316149172]}]},{"allowed_amount":40.19,"providers":[{"billed_charge":733.00,"npi":[1801079751]}]},{"allowed_amount":4627.28,"providers":[{"billed_charge":52043.00,"npi":[1679501522]}]},{"allowed_amount":518.53,"providers":[{"billed_charge":5864.00,"npi":[1679501522]}]},{"allowed_amount":574.69,"providers":[{"billed_charge":7330.00,"npi":[1528293263]}]},{"allowed_amount":191.76,"providers":[{"billed_charge":2199.00,"npi":[1679501522]}]},{"allowed_amount":848.22,"providers":[{"billed_charge":9529.00,"npi":[1467696633]}]},{"allowed_amount":1561.83,"providers":[{"billed_charge":17592.00,"npi":[1316149172]}]},{"allowed_amount":132.62,"providers":[{"billed_charge":1466.00,"npi":[1528384138]}]},{"allowed_amount":63.92,"providers":[{"billed_charge":733.00,"npi":[1467696633,1528384138,1922121607,1356359335]}]},{"allowed_amount":47.02,"providers":[{"billed_charge":733.00,"npi":[1801079751]}]},{"allowed_amount":970.55,"providers":[{"billed_charge":10995.00,"npi":[1922121607]}]},{"allowed_amount":1028.23,"providers":[{"billed_charge":11728.00,"npi":[1356359335]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1178.58,"providers":[{"billed_charge":4862.00,"npi":[1720066749]}]},{"allowed_amount":691.52,"providers":[{"billed_charge":3366.00,"npi":[1811981590]}]},{"allowed_amount":37.58,"providers":[{"billed_charge":187.00,"npi":[1598290652]}]},{"allowed_amount":232.44,"providers":[{"billed_charge":1122.00,"npi":[1093717001]}]},{"allowed_amount":75.16,"providers":[{"billed_charge":374.00,"npi":[1073587788]}]},{"allowed_amount":38.74,"providers":[{"billed_charge":187.00,"npi":[1669458261]}]},{"allowed_amount":1607.36,"providers":[{"billed_charge":7854.00,"npi":[1720066749]}]},{"allowed_amount":185.94,"providers":[{"billed_charge":1122.00,"npi":[1386694040]}]},{"allowed_amount":77.48,"providers":[{"billed_charge":374.00,"npi":[1811981590]}]},{"allowed_amount":1185.86,"providers":[{"billed_charge":5797.00,"npi":[1598290652]}]},{"allowed_amount":3563.85,"providers":[{"billed_charge":21505.00,"npi":[1720280530]}]},{"allowed_amount":464.85,"providers":[{"billed_charge":2805.00,"npi":[1720280530]}]},{"allowed_amount":30.99,"providers":[{"billed_charge":187.00,"npi":[1386694040]}]},{"allowed_amount":45.33,"providers":[{"billed_charge":187.00,"npi":[1295097970]}]},{"allowed_amount":836.73,"providers":[{"billed_charge":5049.00,"npi":[1386694040]}]},{"allowed_amount":1495.89,"providers":[{"billed_charge":6171.00,"npi":[1598290652]}]},{"allowed_amount":433.86,"providers":[{"billed_charge":2618.00,"npi":[1720280530]}]},{"allowed_amount":2538.48,"providers":[{"billed_charge":10472.00,"npi":[1811981590]}]},{"allowed_amount":228.96,"providers":[{"billed_charge":1122.00,"npi":[1720066749]}]},{"allowed_amount":589.29,"providers":[{"billed_charge":2431.00,"npi":[1093717001]}]},{"allowed_amount":135.99,"providers":[{"billed_charge":561.00,"npi":[1669458261]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":54.26,"providers":[{"billed_charge":221.00,"npi":[1831431543]}]},{"allowed_amount":108.52,"providers":[{"billed_charge":442.00,"npi":[1831431543]}]},{"allowed_amount":162.78,"providers":[{"billed_charge":663.00,"npi":[1770146797,1437197878]}]}]}]},{"name":"Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Head and Neck","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70471","description":"Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Head and Neck","allowed_amounts":[{"tin":{"type":"ein","value":"741680498"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":198.96,"providers":[{"billed_charge":2258.00,"npi":[1679501522]}]},{"allowed_amount":390.76,"providers":[{"billed_charge":4516.00,"npi":[1679501522]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":185.98,"providers":[{"billed_charge":983.00,"npi":[1720280530]}]},{"allowed_amount":557.94,"providers":[{"billed_charge":2094.00,"npi":[1720280530]}]}]}]},{"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":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":729.48,"providers":[{"billed_charge":2849.00,"npi":[1457447120]}]},{"allowed_amount":66.68,"providers":[{"billed_charge":259.00,"npi":[1972548139]}]},{"allowed_amount":1105.00,"providers":[{"billed_charge":4403.00,"npi":[1457447120]}]},{"allowed_amount":394.08,"providers":[{"billed_charge":1554.00,"npi":[1972548139]}]},{"allowed_amount":392.08,"providers":[{"billed_charge":1554.00,"npi":[1417290511]}]},{"allowed_amount":662.80,"providers":[{"billed_charge":2590.00,"npi":[1417290511]}]},{"allowed_amount":78.02,"providers":[{"billed_charge":259.00,"npi":[1457447120]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":325.40,"providers":[{"billed_charge":1380.00,"npi":[1073587788]}]}]}]},{"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":"751459885"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":661.02,"providers":[{"billed_charge":10192.00,"npi":[1669882965]}]},{"allowed_amount":82.76,"providers":[{"billed_charge":1274.00,"npi":[1669882965]}]}]}]},{"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":"741100555"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3908.52,"providers":[{"billed_charge":13771.00,"npi":[1477643690]}]}]}]},{"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":"392307067"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.15,"providers":[{"billed_charge":50.00,"npi":[1366646416]}]},{"allowed_amount":129.68,"providers":[{"billed_charge":800.00,"npi":[1770739260]}]},{"allowed_amount":277.30,"providers":[{"billed_charge":1450.00,"npi":[1770739260]}]},{"allowed_amount":28.62,"providers":[{"billed_charge":150.00,"npi":[1366646416]}]}]},{"tin":{"type":"ein","value":"814972048"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":23.95,"providers":[{"billed_charge":81.00,"npi":[1275538597]}]},{"allowed_amount":38.16,"providers":[{"billed_charge":108.00,"npi":[1275538597]}]},{"allowed_amount":66.78,"providers":[{"billed_charge":189.00,"npi":[1922291863]}]},{"allowed_amount":63.70,"providers":[{"billed_charge":216.00,"npi":[1922291863]}]}]},{"tin":{"type":"ein","value":"450480099"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.27,"providers":[{"billed_charge":39.00,"npi":[1891282885]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":255.81,"providers":[{"billed_charge":1184.00,"npi":[1134574882]}]},{"allowed_amount":13.64,"providers":[{"billed_charge":64.00,"npi":[1821314410]}]},{"allowed_amount":153.36,"providers":[{"billed_charge":704.00,"npi":[1194107839]}]},{"allowed_amount":176.55,"providers":[{"billed_charge":783.00,"npi":[1538522537]}]},{"allowed_amount":399.27,"providers":[{"billed_charge":1819.00,"npi":[1073715884]}]},{"allowed_amount":13.66,"providers":[{"billed_charge":64.00,"npi":[1982048948,1831583939,1538522537]}]},{"allowed_amount":348.33,"providers":[{"billed_charge":1598.00,"npi":[1285838862]}]},{"allowed_amount":22.17,"providers":[{"billed_charge":96.00,"npi":[1134574882]}]},{"allowed_amount":221.94,"providers":[{"billed_charge":716.00,"npi":[1407149941]}]},{"allowed_amount":61.47,"providers":[{"billed_charge":288.00,"npi":[1366707564]},{"billed_charge":251.00,"npi":[1073715884]}]},{"allowed_amount":134.62,"providers":[{"billed_charge":608.00,"npi":[1538522537]}]},{"allowed_amount":25.81,"providers":[{"billed_charge":128.00,"npi":[1407149941]}]},{"allowed_amount":81.96,"providers":[{"billed_charge":384.00,"npi":[1306003579]}]},{"allowed_amount":68.30,"providers":[{"billed_charge":320.00,"npi":[1194107839]}]},{"allowed_amount":40.98,"providers":[{"billed_charge":192.00,"npi":[1982048948]}]},{"allowed_amount":8.25,"providers":[{"billed_charge":32.00,"npi":[1831583939]}]},{"allowed_amount":107.09,"providers":[{"billed_charge":480.00,"npi":[1407149941]}]},{"allowed_amount":157.09,"providers":[{"billed_charge":716.00,"npi":[1134574882]}]},{"allowed_amount":120.63,"providers":[{"billed_charge":524.00,"npi":[1285838862]}]},{"allowed_amount":35.69,"providers":[{"billed_charge":128.00,"npi":[1164868212]}]},{"allowed_amount":6.83,"providers":[{"billed_charge":32.00,"npi":[1407485014,1306003579,1194107839,1073990644,1316108731,1073775466]}]},{"allowed_amount":27.32,"providers":[{"billed_charge":128.00,"npi":[1023189214,1578820866,1073775466]}]},{"allowed_amount":47.81,"providers":[{"billed_charge":224.00,"npi":[1285838862,1073775466]}]},{"allowed_amount":43.82,"providers":[{"billed_charge":192.00,"npi":[1366707564]}]},{"allowed_amount":198.07,"providers":[{"billed_charge":911.00,"npi":[1023189214]}]}]},{"tin":{"type":"ein","value":"741688740"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":19.92,"providers":[{"billed_charge":140.00,"npi":[1245220102]}]},{"allowed_amount":16.76,"providers":[{"billed_charge":140.00,"npi":[1245220102]}]},{"allowed_amount":19.58,"providers":[{"billed_charge":140.00,"npi":[1932199767]}]},{"allowed_amount":9.96,"providers":[{"billed_charge":70.00,"npi":[1346243144]}]},{"allowed_amount":8.51,"providers":[{"billed_charge":70.00,"npi":[1629211768,1346243144]}]},{"allowed_amount":50.80,"providers":[{"billed_charge":420.00,"npi":[1629211768]}]},{"allowed_amount":41.74,"providers":[{"billed_charge":350.00,"npi":[1932199767]}]}]},{"tin":{"type":"ein","value":"751286819"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":16.02,"providers":[{"billed_charge":36.00,"npi":[1447233713,1881089449]}]},{"allowed_amount":63.01,"providers":[{"billed_charge":144.00,"npi":[1568416204]}]},{"allowed_amount":16.43,"providers":[{"billed_charge":72.00,"npi":[1447233713]}]},{"allowed_amount":32.04,"providers":[{"billed_charge":72.00,"npi":[1568416204,1659347789]}]}]},{"tin":{"type":"ein","value":"756002868"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":16.44,"providers":[{"billed_charge":162.00,"npi":[1366460180]}]},{"allowed_amount":24.66,"providers":[{"billed_charge":243.00,"npi":[1366460180]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":212.49,"providers":[{"billed_charge":600.00,"npi":[1174850333]}]},{"allowed_amount":255.30,"providers":[{"billed_charge":720.00,"npi":[1487644910]}]}]},{"tin":{"type":"ein","value":"415046638"},"service_code":["22","23","20","21"],"billing_class":"professional","payments":[{"allowed_amount":187.31,"providers":[{"billed_charge":1127.00,"npi":[1760200901]}]},{"allowed_amount":24.66,"providers":[{"billed_charge":147.00,"npi":[1760200901]}]},{"allowed_amount":15.40,"providers":[{"billed_charge":98.00,"npi":[1760200901]}]},{"allowed_amount":182.78,"providers":[{"billed_charge":931.00,"npi":[1366646416]}]},{"allowed_amount":73.98,"providers":[{"billed_charge":441.00,"npi":[1366646416]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":176.97,"providers":[{"billed_charge":704.00,"npi":[1528370319]}]},{"allowed_amount":104.57,"providers":[{"billed_charge":416.00,"npi":[1295799088]}]},{"allowed_amount":652.16,"providers":[{"billed_charge":2592.00,"npi":[1295799088]}]},{"allowed_amount":7.97,"providers":[{"billed_charge":32.00,"npi":[1356667547]}]},{"allowed_amount":105.86,"providers":[{"billed_charge":416.00,"npi":[1417290511]}]},{"allowed_amount":1144.78,"providers":[{"billed_charge":3808.00,"npi":[1295799088]}]},{"allowed_amount":1270.93,"providers":[{"billed_charge":5024.00,"npi":[1417290511]}]},{"allowed_amount":500.24,"providers":[{"billed_charge":1664.00,"npi":[1417290511]}]},{"allowed_amount":80.16,"providers":[{"billed_charge":320.00,"npi":[1356667547]}]},{"allowed_amount":115.44,"providers":[{"billed_charge":384.00,"npi":[1457447120]}]},{"allowed_amount":202.02,"providers":[{"billed_charge":672.00,"npi":[1538123138]}]},{"allowed_amount":121.80,"providers":[{"billed_charge":480.00,"npi":[1457447120]}]},{"allowed_amount":465.31,"providers":[{"billed_charge":1856.00,"npi":[1538123138]}]},{"allowed_amount":249.82,"providers":[{"billed_charge":992.00,"npi":[1770842817]}]},{"allowed_amount":81.45,"providers":[{"billed_charge":320.00,"npi":[1679796783]}]},{"allowed_amount":16.19,"providers":[{"billed_charge":64.00,"npi":[1538123138]}]},{"allowed_amount":67.34,"providers":[{"billed_charge":224.00,"npi":[1770842817]}]},{"allowed_amount":48.10,"providers":[{"billed_charge":160.00,"npi":[1528370319]}]}]},{"tin":{"type":"ein","value":"752336860"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":19.24,"providers":[{"billed_charge":64.00,"npi":[1285195859]}]},{"allowed_amount":7.97,"providers":[{"billed_charge":32.00,"npi":[1285195859]}]},{"allowed_amount":8.22,"providers":[{"billed_charge":32.00,"npi":[1285195859]}]},{"allowed_amount":28.86,"providers":[{"billed_charge":96.00,"npi":[1508363292]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":41.79,"providers":[{"billed_charge":606.00,"npi":[1689840076]}]},{"allowed_amount":1566.06,"providers":[{"billed_charge":22826.00,"npi":[1689878282]}]},{"allowed_amount":70.20,"providers":[{"billed_charge":1010.00,"npi":[1730129891]}]},{"allowed_amount":111.36,"providers":[{"billed_charge":1616.00,"npi":[1689840076]}]},{"allowed_amount":40.68,"providers":[{"billed_charge":606.00,"npi":[1477044550]}]},{"allowed_amount":439.92,"providers":[{"billed_charge":6464.00,"npi":[1346237401]}]},{"allowed_amount":237.72,"providers":[{"billed_charge":3434.00,"npi":[1730129891]}]},{"allowed_amount":55.83,"providers":[{"billed_charge":808.00,"npi":[1841287018]}]},{"allowed_amount":190.54,"providers":[{"billed_charge":2828.00,"npi":[1245799170]}]},{"allowed_amount":55.68,"providers":[{"billed_charge":808.00,"npi":[1346237401]}]},{"allowed_amount":1826.28,"providers":[{"billed_charge":26462.00,"npi":[1780624254]}]},{"allowed_amount":27.27,"providers":[{"billed_charge":404.00,"npi":[1417240755]}]},{"allowed_amount":679.41,"providers":[{"billed_charge":9898.00,"npi":[1689840076]}]},{"allowed_amount":69.87,"providers":[{"billed_charge":1010.00,"npi":[1679501522]}]},{"allowed_amount":27.60,"providers":[{"billed_charge":404.00,"npi":[1356359335,1205876943]}]},{"allowed_amount":347.34,"providers":[{"billed_charge":5050.00,"npi":[1780624254]}]},{"allowed_amount":14.04,"providers":[{"billed_charge":202.00,"npi":[1699186775,1467440594,1609254754,1487641650]}]},{"allowed_amount":42.12,"providers":[{"billed_charge":606.00,"npi":[1326242983]}]},{"allowed_amount":581.82,"providers":[{"billed_charge":8484.00,"npi":[1346237401]}]},{"allowed_amount":177.72,"providers":[{"billed_charge":2626.00,"npi":[1679501522]}]},{"allowed_amount":13.56,"providers":[{"billed_charge":202.00,"npi":[1245799170]}]},{"allowed_amount":28.08,"providers":[{"billed_charge":404.00,"npi":[1699186775]}]},{"allowed_amount":1053.06,"providers":[{"billed_charge":15352.00,"npi":[1326242983]}]},{"allowed_amount":276.12,"providers":[{"billed_charge":4040.00,"npi":[1841287018]}]},{"allowed_amount":97.68,"providers":[{"billed_charge":1414.00,"npi":[1780624254]}]},{"allowed_amount":416.22,"providers":[{"billed_charge":6060.00,"npi":[1689878282]}]},{"allowed_amount":97.80,"providers":[{"billed_charge":1414.00,"npi":[1609254754]}]},{"allowed_amount":83.28,"providers":[{"billed_charge":1212.00,"npi":[1689878282]}]},{"allowed_amount":193.98,"providers":[{"billed_charge":2828.00,"npi":[1326242983]}]},{"allowed_amount":262.92,"providers":[{"billed_charge":3838.00,"npi":[1699186775]}]},{"allowed_amount":68.46,"providers":[{"billed_charge":1010.00,"npi":[1467440594]}]},{"allowed_amount":266.76,"providers":[{"billed_charge":3838.00,"npi":[1609254754]}]}]},{"tin":{"type":"ein","value":"752537587"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":115.44,"providers":[{"billed_charge":900.00,"npi":[1407290513]}]},{"allowed_amount":112.58,"providers":[{"billed_charge":1050.00,"npi":[1407290513]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":236.13,"providers":[{"billed_charge":957.00,"npi":[1174569842]}]},{"allowed_amount":16.44,"providers":[{"billed_charge":66.00,"npi":[1093717001]}]},{"allowed_amount":1101.23,"providers":[{"billed_charge":4422.00,"npi":[1093717001]}]},{"allowed_amount":40.10,"providers":[{"billed_charge":165.00,"npi":[1962512269]}]},{"allowed_amount":24.16,"providers":[{"billed_charge":99.00,"npi":[1073587788]}]},{"allowed_amount":1904.74,"providers":[{"billed_charge":6534.00,"npi":[1093717001]}]},{"allowed_amount":293.67,"providers":[{"billed_charge":1188.00,"npi":[1073587788]}]},{"allowed_amount":24.41,"providers":[{"billed_charge":99.00,"npi":[1811981590]}]},{"allowed_amount":163.54,"providers":[{"billed_charge":561.00,"npi":[1841440021]}]},{"allowed_amount":365.90,"providers":[{"billed_charge":1485.00,"npi":[1811981590]}]},{"allowed_amount":269.36,"providers":[{"billed_charge":924.00,"npi":[1174569842,1073587788]}]},{"allowed_amount":88.17,"providers":[{"billed_charge":363.00,"npi":[1841440021]}]},{"allowed_amount":327.07,"providers":[{"billed_charge":1122.00,"npi":[1811981590]}]},{"allowed_amount":269.35,"providers":[{"billed_charge":924.00,"npi":[1962512269]}]},{"allowed_amount":397.53,"providers":[{"billed_charge":1617.00,"npi":[1962512269]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","19","21"],"billing_class":"professional","payments":[{"allowed_amount":68.94,"providers":[{"billed_charge":288.00,"npi":[1437197878]}]},{"allowed_amount":252.78,"providers":[{"billed_charge":1056.00,"npi":[1649411638]}]},{"allowed_amount":22.98,"providers":[{"billed_charge":96.00,"npi":[1154506202,1467139436,1437197878,1467841346]}]},{"allowed_amount":91.92,"providers":[{"billed_charge":384.00,"npi":[1548458185,1538368584]}]},{"allowed_amount":114.90,"providers":[{"billed_charge":480.00,"npi":[1467841346]}]},{"allowed_amount":34.47,"providers":[{"billed_charge":144.00,"npi":[1518901461,1467841346]}]},{"allowed_amount":149.37,"providers":[{"billed_charge":624.00,"npi":[1154506202]}]},{"allowed_amount":195.33,"providers":[{"billed_charge":816.00,"npi":[1578065967]}]},{"allowed_amount":11.49,"providers":[{"billed_charge":48.00,"npi":[1548458185,1154506202,1083447999]}]},{"allowed_amount":218.31,"providers":[{"billed_charge":912.00,"npi":[1467139436]}]},{"allowed_amount":80.43,"providers":[{"billed_charge":336.00,"npi":[1538368584]}]},{"allowed_amount":45.96,"providers":[{"billed_charge":192.00,"npi":[1649411638]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":16.44,"providers":[{"billed_charge":100.00,"npi":[1891226114]}]},{"allowed_amount":41.48,"providers":[{"billed_charge":250.00,"npi":[1740667922]}]},{"allowed_amount":238.38,"providers":[{"billed_charge":1450.00,"npi":[1073018073]}]},{"allowed_amount":213.72,"providers":[{"billed_charge":1300.00,"npi":[1336431352]}]},{"allowed_amount":32.88,"providers":[{"billed_charge":200.00,"npi":[1336431352]}]},{"allowed_amount":106.86,"providers":[{"billed_charge":650.00,"npi":[1891226114]}]},{"allowed_amount":189.06,"providers":[{"billed_charge":1150.00,"npi":[1366947509]}]},{"allowed_amount":73.98,"providers":[{"billed_charge":450.00,"npi":[1891226114]}]},{"allowed_amount":77.46,"providers":[{"billed_charge":450.00,"npi":[1740667922]}]},{"allowed_amount":221.94,"providers":[{"billed_charge":1350.00,"npi":[1073018073]}]},{"allowed_amount":24.66,"providers":[{"billed_charge":150.00,"npi":[1366947509]}]},{"allowed_amount":271.26,"providers":[{"billed_charge":1650.00,"npi":[1336431352]}]},{"allowed_amount":233.16,"providers":[{"billed_charge":1400.00,"npi":[1740667922]}]},{"allowed_amount":304.14,"providers":[{"billed_charge":1850.00,"npi":[1366947509]}]},{"allowed_amount":65.76,"providers":[{"billed_charge":400.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":6.57,"providers":[{"billed_charge":248.00,"npi":[1861854952,1083058317,1013354133,1750815171]}]},{"allowed_amount":132.57,"providers":[{"billed_charge":4960.00,"npi":[1942681549]}]},{"allowed_amount":13.24,"providers":[{"billed_charge":496.00,"npi":[1801214325]}]},{"allowed_amount":85.93,"providers":[{"billed_charge":3224.00,"npi":[1467897793]}]},{"allowed_amount":27.90,"providers":[{"billed_charge":992.00,"npi":[1457739013]}]},{"allowed_amount":34.46,"providers":[{"billed_charge":1240.00,"npi":[1366945156]}]},{"allowed_amount":19.91,"providers":[{"billed_charge":744.00,"npi":[1851667026]}]},{"allowed_amount":189.79,"providers":[{"billed_charge":7192.00,"npi":[1861854952]}]},{"allowed_amount":290.93,"providers":[{"billed_charge":10912.00,"npi":[1982023461]}]},{"allowed_amount":28.17,"providers":[{"billed_charge":992.00,"npi":[1790244952]}]},{"allowed_amount":82.28,"providers":[{"billed_charge":2728.00,"npi":[1952854994]}]},{"allowed_amount":66.10,"providers":[{"billed_charge":2480.00,"npi":[1952854994]}]},{"allowed_amount":113.21,"providers":[{"billed_charge":4216.00,"npi":[1174936496]}]},{"allowed_amount":192.13,"providers":[{"billed_charge":7192.00,"npi":[1083058317]}]},{"allowed_amount":157.68,"providers":[{"billed_charge":5952.00,"npi":[1528599180]}]},{"allowed_amount":6.67,"providers":[{"billed_charge":248.00,"npi":[1639667660,1942681549,1174936496]}]},{"allowed_amount":132.47,"providers":[{"billed_charge":4960.00,"npi":[1942681549]}]},{"allowed_amount":13.35,"providers":[{"billed_charge":496.00,"npi":[1376930131]}]},{"allowed_amount":13.36,"providers":[{"billed_charge":496.00,"npi":[1457739013]}]},{"allowed_amount":20.01,"providers":[{"billed_charge":744.00,"npi":[1851667026]}]},{"allowed_amount":13.34,"providers":[{"billed_charge":496.00,"npi":[1790244952]}]},{"allowed_amount":26.28,"providers":[{"billed_charge":992.00,"npi":[1528599180,1982023461]}]},{"allowed_amount":36.14,"providers":[{"billed_charge":1240.00,"npi":[1154825172]}]},{"allowed_amount":7.97,"providers":[{"billed_charge":248.00,"npi":[1740777226]}]},{"allowed_amount":39.63,"providers":[{"billed_charge":1488.00,"npi":[1740777226,1366945156]}]},{"allowed_amount":36.11,"providers":[{"billed_charge":1240.00,"npi":[1376930131]}]},{"allowed_amount":19.71,"providers":[{"billed_charge":744.00,"npi":[1740777226,1467897793]}]},{"allowed_amount":39.62,"providers":[{"billed_charge":1488.00,"npi":[1861854952]}]},{"allowed_amount":39.64,"providers":[{"billed_charge":1488.00,"npi":[1750815171]}]},{"allowed_amount":145.17,"providers":[{"billed_charge":5456.00,"npi":[1013354133]}]},{"allowed_amount":19.81,"providers":[{"billed_charge":744.00,"npi":[1982023461]}]},{"allowed_amount":52.88,"providers":[{"billed_charge":1984.00,"npi":[1457739013]}]},{"allowed_amount":230.02,"providers":[{"billed_charge":8680.00,"npi":[1528599180]}]},{"allowed_amount":53.30,"providers":[{"billed_charge":1984.00,"npi":[1154825172]}]}]},{"tin":{"type":"ein","value":"741671142"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":39.44,"providers":[{"billed_charge":70.00,"npi":[1063728103]}]},{"allowed_amount":295.80,"providers":[{"billed_charge":525.00,"npi":[1801813266]}]},{"allowed_amount":550.84,"providers":[{"billed_charge":980.00,"npi":[1063728103]}]},{"allowed_amount":19.72,"providers":[{"billed_charge":35.00,"npi":[1801813266]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":1284.99,"providers":[{"billed_charge":5304.00,"npi":[1770739260]}]},{"allowed_amount":357.57,"providers":[{"billed_charge":1479.00,"npi":[1366646416]}]},{"allowed_amount":147.96,"providers":[{"billed_charge":612.00,"npi":[1366646416]}]},{"allowed_amount":768.90,"providers":[{"billed_charge":4845.00,"npi":[1760200901]}]},{"allowed_amount":12.33,"providers":[{"billed_charge":51.00,"npi":[1770739260]}]},{"allowed_amount":480.87,"providers":[{"billed_charge":1989.00,"npi":[1770739260]}]},{"allowed_amount":519.48,"providers":[{"billed_charge":2754.00,"npi":[1760200901]}]},{"allowed_amount":16.19,"providers":[{"billed_charge":102.00,"npi":[1760200901]}]},{"allowed_amount":9.62,"providers":[{"billed_charge":51.00,"npi":[1023074127]}]}]}]},{"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":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.16,"providers":[{"billed_charge":795.00,"npi":[1447218169]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":437.76,"providers":[{"billed_charge":1444.00,"npi":[1295799088]}]},{"allowed_amount":601.85,"providers":[{"billed_charge":2356.00,"npi":[1417290511]}]},{"allowed_amount":78.51,"providers":[{"billed_charge":304.00,"npi":[1295799088]}]},{"allowed_amount":207.36,"providers":[{"billed_charge":684.00,"npi":[1417290511]}]},{"allowed_amount":28.97,"providers":[{"billed_charge":114.00,"npi":[1417290511]}]},{"allowed_amount":1427.58,"providers":[{"billed_charge":5624.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":28.68,"providers":[{"billed_charge":180.00,"npi":[1760200901]}]},{"allowed_amount":48.96,"providers":[{"billed_charge":300.00,"npi":[1760200901]}]},{"allowed_amount":29.46,"providers":[{"billed_charge":120.00,"npi":[1770739260]}]},{"allowed_amount":44.19,"providers":[{"billed_charge":180.00,"npi":[1770739260]}]},{"allowed_amount":23.04,"providers":[{"billed_charge":120.00,"npi":[1760200901]}]},{"allowed_amount":98.38,"providers":[{"billed_charge":370.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":16.80,"providers":[{"billed_charge":216.00,"npi":[1780624254]}]},{"allowed_amount":66.65,"providers":[{"billed_charge":864.00,"npi":[1699186775]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":115.20,"providers":[{"billed_charge":390.00,"npi":[1093717001]}]},{"allowed_amount":19.70,"providers":[{"billed_charge":78.00,"npi":[1093717001]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":13.74,"providers":[{"billed_charge":57.00,"npi":[1538368584,1467841346]}]},{"allowed_amount":27.48,"providers":[{"billed_charge":114.00,"npi":[1437197878]}]},{"allowed_amount":151.14,"providers":[{"billed_charge":627.00,"npi":[1437197878]}]}]}]},{"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":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":241.59,"providers":[{"billed_charge":1015.00,"npi":[1972548139]}]},{"allowed_amount":56.87,"providers":[{"billed_charge":203.00,"npi":[1972548139]}]},{"allowed_amount":194.44,"providers":[{"billed_charge":812.00,"npi":[1972548139]}]},{"allowed_amount":97.22,"providers":[{"billed_charge":406.00,"npi":[1417290511]}]},{"allowed_amount":113.74,"providers":[{"billed_charge":406.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":817.61,"providers":[{"billed_charge":3468.00,"npi":[1720066749]}]},{"allowed_amount":673.24,"providers":[{"billed_charge":2856.00,"npi":[1720066749]}]},{"allowed_amount":113.74,"providers":[{"billed_charge":408.00,"npi":[1720066749]}]}]}]},{"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":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":84.56,"providers":[{"billed_charge":448.00,"npi":[1720280530]}]},{"allowed_amount":465.08,"providers":[{"billed_charge":2464.00,"npi":[1720280530]}]}]}]},{"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":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":394.02,"providers":[{"billed_charge":2064.00,"npi":[1720280530]}]},{"allowed_amount":853.71,"providers":[{"billed_charge":4472.00,"npi":[1720280530]}]},{"allowed_amount":65.67,"providers":[{"billed_charge":344.00,"npi":[1720280530]}]},{"allowed_amount":410.45,"providers":[{"billed_charge":1720.00,"npi":[1720066749]}]},{"allowed_amount":384.20,"providers":[{"billed_charge":1376.00,"npi":[1811981590]}]},{"allowed_amount":487.62,"providers":[{"billed_charge":2064.00,"npi":[1811981590]}]}]}]},{"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":20.34,"providers":[{"billed_charge":78.00,"npi":[1417290511]}]},{"allowed_amount":23.80,"providers":[{"billed_charge":78.00,"npi":[1417290511]}]}]}]},{"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":11.14,"providers":[{"billed_charge":39.00,"npi":[1417290511]}]},{"allowed_amount":46.73,"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"],"billing_class":"professional","payments":[{"allowed_amount":49.08,"providers":[{"billed_charge":156.00,"npi":[1417290511]}]},{"allowed_amount":363.63,"providers":[{"billed_charge":1365.00,"npi":[1417290511]}]}]}]},{"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":"741680498"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":842.56,"providers":[{"billed_charge":9130.00,"npi":[1679501522]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":36.51,"providers":[{"billed_charge":238.00,"npi":[1720280530]}]},{"allowed_amount":1058.79,"providers":[{"billed_charge":6902.00,"npi":[1720280530]}]},{"allowed_amount":73.02,"providers":[{"billed_charge":476.00,"npi":[1720280530]}]},{"allowed_amount":146.04,"providers":[{"billed_charge":952.00,"npi":[1386694040]}]}]}]},{"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":683.56,"providers":[{"billed_charge":8048.00,"npi":[1366767303]}]}]}]},{"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":"746000949"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":58.97,"providers":[{"billed_charge":820.00,"npi":[1548226988]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":88.46,"providers":[{"billed_charge":529.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":283.05,"providers":[{"billed_charge":1459.59,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":319.55,"providers":[{"billed_charge":581.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"751976930"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":360.05,"providers":[{"billed_charge":3260.00,"npi":[1952306672]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":566.10,"providers":[{"billed_charge":7740.00,"npi":[1740233782]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":58.97,"providers":[{"billed_charge":735.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"823280177"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":109.29,"providers":[{"billed_charge":296.00,"npi":[1114435260]}]}]}]},{"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":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":62.10,"providers":[{"billed_charge":198.00,"npi":[1417290511]}]},{"allowed_amount":219.10,"providers":[{"billed_charge":825.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":10.35,"providers":[{"billed_charge":49.00,"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":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1657.23,"providers":[{"billed_charge":15170.00,"npi":[1902367386]}]},{"allowed_amount":221.67,"providers":[{"billed_charge":1930.00,"npi":[1700681525]}]},{"allowed_amount":366.29,"providers":[{"billed_charge":3170.00,"npi":[1578981320]}]}]},{"tin":{"type":"ein","value":"273821065"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1431.15,"providers":[{"billed_charge":4700.00,"npi":[1750704706]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":858.06,"providers":[{"billed_charge":5250.00,"npi":[1609019892]}]}]},{"tin":{"type":"ein","value":"842647146"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":2795.00,"providers":[{"billed_charge":3780.00,"npi":[1720806342]}]}]}]},{"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":713.82,"providers":[{"billed_charge":2041.50,"npi":[1083623656]}]}]}]},{"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":636.66,"providers":[{"billed_charge":1835.50,"npi":[1083623656]}]}]}]},{"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"],"billing_class":"professional","payments":[{"allowed_amount":32.19,"providers":[{"billed_charge":99.00,"npi":[1417290511]}]},{"allowed_amount":180.32,"providers":[{"billed_charge":660.00,"npi":[1417290511]}]}]}]},{"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":24.81,"providers":[{"billed_charge":70.88,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":9.59,"providers":[{"billed_charge":30.00,"npi":[1417290511]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":30.00,"npi":[1417290511]}]}]}]},{"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":91.24,"providers":[{"billed_charge":260.72,"npi":[1083623656]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":22.95,"providers":[{"billed_charge":87.00,"npi":[1417290511]}]},{"allowed_amount":15.76,"providers":[{"billed_charge":58.00,"npi":[1417290511]}]},{"allowed_amount":27.66,"providers":[{"billed_charge":87.00,"npi":[1417290511]}]}]}]},{"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":"824337061"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":8.28,"providers":[{"billed_charge":32.00,"npi":[1295799088]}]},{"allowed_amount":42.40,"providers":[{"billed_charge":160.00,"npi":[1417290511]}]},{"allowed_amount":8.53,"providers":[{"billed_charge":32.00,"npi":[1295799088]}]},{"allowed_amount":67.99,"providers":[{"billed_charge":256.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":16.56,"providers":[{"billed_charge":66.00,"npi":[1174569842]}]},{"allowed_amount":16.81,"providers":[{"billed_charge":66.00,"npi":[1962512269]}]},{"allowed_amount":9.98,"providers":[{"billed_charge":33.00,"npi":[1174569842,1962512269,1093717001]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":11.93,"providers":[{"billed_charge":48.00,"npi":[1235248964]}]}]}]},{"name":"CT ABDOMEN W/DYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74160","description":"COMPUTED TOMOGRAPHY, ABDOMEN; WITH CONTRAST MATERIAL(S)","allowed_amounts":[{"tin":{"type":"ein","value":"824337061"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":269.00,"providers":[{"billed_charge":884.00,"npi":[1770842817]}]}]}]},{"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":"746223317"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":1177.65,"providers":[{"billed_charge":8580.00,"npi":[1366947509]}]},{"allowed_amount":78.51,"providers":[{"billed_charge":572.00,"npi":[1073018073]}]},{"allowed_amount":157.02,"providers":[{"billed_charge":1144.00,"npi":[1366947509]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":367.44,"providers":[{"billed_charge":1220.00,"npi":[1407149941]}]},{"allowed_amount":326.50,"providers":[{"billed_charge":1525.00,"npi":[1285838862]}]},{"allowed_amount":261.20,"providers":[{"billed_charge":1220.00,"npi":[1023189214]}]},{"allowed_amount":1436.60,"providers":[{"billed_charge":6710.00,"npi":[1073715884]}]},{"allowed_amount":130.60,"providers":[{"billed_charge":610.00,"npi":[1366707564]}]},{"allowed_amount":65.30,"providers":[{"billed_charge":305.00,"npi":[1366707564]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":275.58,"providers":[{"billed_charge":909.00,"npi":[1972548139]}]},{"allowed_amount":76.16,"providers":[{"billed_charge":303.00,"npi":[1972548139]}]},{"allowed_amount":78.51,"providers":[{"billed_charge":303.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":367.44,"providers":[{"billed_charge":1900.00,"npi":[1760200901]}]},{"allowed_amount":1765.65,"providers":[{"billed_charge":7125.00,"npi":[1770739260]}]},{"allowed_amount":117.71,"providers":[{"billed_charge":475.00,"npi":[1366646416,1770739260]}]},{"allowed_amount":78.51,"providers":[{"billed_charge":475.00,"npi":[1760200901]}]},{"allowed_amount":588.55,"providers":[{"billed_charge":2375.00,"npi":[1770739260]}]},{"allowed_amount":157.02,"providers":[{"billed_charge":950.00,"npi":[1760200901]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":129.54,"providers":[{"billed_charge":1860.00,"npi":[1346237401]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":125.62,"providers":[{"billed_charge":528.00,"npi":[1386694040]}]},{"allowed_amount":856.56,"providers":[{"billed_charge":2904.00,"npi":[1598290652]}]},{"allowed_amount":3894.22,"providers":[{"billed_charge":16368.00,"npi":[1720280530]}]},{"allowed_amount":459.30,"providers":[{"billed_charge":1320.00,"npi":[1073587788]}]},{"allowed_amount":1377.90,"providers":[{"billed_charge":3960.00,"npi":[1598290652]}]},{"allowed_amount":2480.22,"providers":[{"billed_charge":7128.00,"npi":[1811981590]}]},{"allowed_amount":314.05,"providers":[{"billed_charge":1320.00,"npi":[1720280530]}]},{"allowed_amount":314.04,"providers":[{"billed_charge":1056.00,"npi":[1093717001]}]},{"allowed_amount":1936.90,"providers":[{"billed_charge":6600.00,"npi":[1720066749]}]},{"allowed_amount":2204.64,"providers":[{"billed_charge":6336.00,"npi":[1720066749]}]},{"allowed_amount":1006.53,"providers":[{"billed_charge":3432.00,"npi":[1811981590]}]},{"allowed_amount":1256.20,"providers":[{"billed_charge":5280.00,"npi":[1386694040]}]},{"allowed_amount":816.53,"providers":[{"billed_charge":3432.00,"npi":[1720280530]}]},{"allowed_amount":309.34,"providers":[{"billed_charge":1056.00,"npi":[1720066749]}]},{"allowed_amount":502.48,"providers":[{"billed_charge":2112.00,"npi":[1386694040]}]},{"allowed_amount":734.88,"providers":[{"billed_charge":2112.00,"npi":[1093717001]}]},{"allowed_amount":157.02,"providers":[{"billed_charge":528.00,"npi":[1073587788,1811981590]}]}]}]},{"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":96.42,"providers":[{"billed_charge":330.00,"npi":[1710240775]}]}]},{"tin":{"type":"ein","value":"392307067"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":79.93,"providers":[{"billed_charge":492.00,"npi":[1770739260]}]},{"allowed_amount":287.56,"providers":[{"billed_charge":1476.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"746223317"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":494.46,"providers":[{"billed_charge":3582.00,"npi":[1366947509]}]},{"allowed_amount":1153.74,"providers":[{"billed_charge":8358.00,"npi":[1366947509]}]},{"allowed_amount":82.41,"providers":[{"billed_charge":597.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"751459885"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":65.93,"providers":[{"billed_charge":1671.00,"npi":[1528599180]}]},{"allowed_amount":264.67,"providers":[{"billed_charge":6684.00,"npi":[1013354133]}]},{"allowed_amount":66.88,"providers":[{"billed_charge":1671.00,"npi":[1083058317]}]},{"allowed_amount":131.86,"providers":[{"billed_charge":3342.00,"npi":[1528599180,1013354133]}]},{"allowed_amount":726.18,"providers":[{"billed_charge":18381.00,"npi":[1528599180]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":136.70,"providers":[{"billed_charge":640.00,"npi":[1285838862]}]},{"allowed_amount":956.90,"providers":[{"billed_charge":4283.00,"npi":[1073715884]}]},{"allowed_amount":68.35,"providers":[{"billed_charge":320.00,"npi":[1073715884]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":409.57,"providers":[{"billed_charge":1585.00,"npi":[1972548139]}]},{"allowed_amount":3567.54,"providers":[{"billed_charge":11729.00,"npi":[1417290511]}]},{"allowed_amount":1831.98,"providers":[{"billed_charge":6023.00,"npi":[1538123138]}]},{"allowed_amount":401.88,"providers":[{"billed_charge":1585.00,"npi":[1417290511]}]},{"allowed_amount":559.26,"providers":[{"billed_charge":2219.00,"npi":[1417290511]}]},{"allowed_amount":1138.86,"providers":[{"billed_charge":4438.00,"npi":[1295799088]}]},{"allowed_amount":247.23,"providers":[{"billed_charge":951.00,"npi":[1538123138]}]},{"allowed_amount":674.94,"providers":[{"billed_charge":2219.00,"npi":[1972548139]}]},{"allowed_amount":484.54,"providers":[{"billed_charge":1902.00,"npi":[1972548139]}]},{"allowed_amount":327.16,"providers":[{"billed_charge":1268.00,"npi":[1538123138]}]},{"allowed_amount":4724.58,"providers":[{"billed_charge":15533.00,"npi":[1295799088]}]},{"allowed_amount":289.26,"providers":[{"billed_charge":951.00,"npi":[1457447120]}]},{"allowed_amount":244.75,"providers":[{"billed_charge":951.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":248.00,"providers":[{"billed_charge":1004.00,"npi":[1770739260]}]},{"allowed_amount":164.82,"providers":[{"billed_charge":1004.00,"npi":[1760200901]}]},{"allowed_amount":1736.00,"providers":[{"billed_charge":7028.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":141.14,"providers":[{"billed_charge":1946.00,"npi":[1780624254]}]},{"allowed_amount":1223.82,"providers":[{"billed_charge":17514.00,"npi":[1346237401]}]},{"allowed_amount":559.40,"providers":[{"billed_charge":7784.00,"npi":[1497252753]}]},{"allowed_amount":135.98,"providers":[{"billed_charge":1946.00,"npi":[1346237401,1780624254]}]},{"allowed_amount":271.96,"providers":[{"billed_charge":3892.00,"npi":[1346237401]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":11867.40,"providers":[{"billed_charge":58140.00,"npi":[1720280530]}]},{"allowed_amount":2210.19,"providers":[{"billed_charge":8721.00,"npi":[1811981590]}]},{"allowed_amount":5867.77,"providers":[{"billed_charge":28747.00,"npi":[1386694040]}]},{"allowed_amount":79.93,"providers":[{"billed_charge":323.00,"npi":[1841440021]}]},{"allowed_amount":3374.70,"providers":[{"billed_charge":11305.00,"npi":[1720066749]}]},{"allowed_amount":906.51,"providers":[{"billed_charge":3553.00,"npi":[1093717001]}]},{"allowed_amount":2449.98,"providers":[{"billed_charge":9690.00,"npi":[1598290652]}]},{"allowed_amount":811.70,"providers":[{"billed_charge":3230.00,"npi":[1720066749]}]},{"allowed_amount":461.51,"providers":[{"billed_charge":2261.00,"npi":[1386694040]}]},{"allowed_amount":1186.74,"providers":[{"billed_charge":5814.00,"npi":[1720280530]}]},{"allowed_amount":2603.34,"providers":[{"billed_charge":8721.00,"npi":[1093717001]}]},{"allowed_amount":894.11,"providers":[{"billed_charge":3553.00,"npi":[1073587788]}]},{"allowed_amount":1545.95,"providers":[{"billed_charge":6137.00,"npi":[1720066749]}]},{"allowed_amount":96.42,"providers":[{"billed_charge":323.00,"npi":[1669458261,1902034663]}]},{"allowed_amount":1252.67,"providers":[{"billed_charge":6137.00,"npi":[1386694040]}]},{"allowed_amount":867.78,"providers":[{"billed_charge":2907.00,"npi":[1235422619]}]},{"allowed_amount":164.82,"providers":[{"billed_charge":646.00,"npi":[1093717001]}]},{"allowed_amount":192.84,"providers":[{"billed_charge":646.00,"npi":[1841440021]}]},{"allowed_amount":1060.62,"providers":[{"billed_charge":3553.00,"npi":[1073587788]}]},{"allowed_amount":2506.92,"providers":[{"billed_charge":8398.00,"npi":[1598290652]}]},{"allowed_amount":2307.55,"providers":[{"billed_charge":11305.00,"npi":[1720280530]}]},{"allowed_amount":412.05,"providers":[{"billed_charge":1615.00,"npi":[1811981590]}]},{"allowed_amount":82.41,"providers":[{"billed_charge":323.00,"npi":[1669458261,1902034663,1598290652]}]},{"allowed_amount":7810.02,"providers":[{"billed_charge":26163.00,"npi":[1811981590]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1270.28,"providers":[{"billed_charge":5181.00,"npi":[1437197878]}]}]}]},{"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","21"],"billing_class":"professional","payments":[{"allowed_amount":341.78,"providers":[{"billed_charge":4024.00,"npi":[1366767303]}]},{"allowed_amount":1025.34,"providers":[{"billed_charge":12072.00,"npi":[1366767303]}]}]}]},{"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":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16359.49,"providers":[{"billed_charge":42500.00,"npi":[1730132234]}]}]}]},{"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":"751459885"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":262.24,"providers":[{"billed_charge":3435.00,"npi":[1568621449]}]},{"allowed_amount":88.28,"providers":[{"billed_charge":1145.00,"npi":[1568621449]}]}]},{"tin":{"type":"ein","value":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9760.11,"providers":[{"billed_charge":48072.00,"npi":[1689069643]}]}]}]},{"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":3375.27,"providers":[{"billed_charge":58990.00,"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":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1558.65,"providers":[{"billed_charge":9295.22,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":15210.51,"providers":[{"billed_charge":107062.50,"npi":[1295843787]}]},{"allowed_amount":20874.87,"providers":[{"billed_charge":129794.88,"npi":[1740233782]}]},{"allowed_amount":33527.95,"providers":[{"billed_charge":210748.50,"npi":[1982666111]}]},{"allowed_amount":67478.94,"providers":[{"billed_charge":502659.00,"npi":[1730132234]}]},{"allowed_amount":5030.72,"providers":[{"billed_charge":18661.00,"npi":[1295788735]}]},{"allowed_amount":20147.82,"providers":[{"billed_charge":89357.75,"npi":[1932152337]}]}]}]},{"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"],"billing_class":"institutional","payments":[{"allowed_amount":2614.55,"providers":[{"billed_charge":5538.00,"npi":[1871619254]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":10509.68,"providers":[{"billed_charge":136044.64,"npi":[1124796081]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":8438.96,"providers":[{"billed_charge":12402.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2614.55,"providers":[{"billed_charge":688.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":4183.28,"providers":[{"billed_charge":7484.00,"npi":[1295843787]},{"billed_charge":300527.50,"npi":[1932152337]}]},{"allowed_amount":12549.84,"providers":[{"billed_charge":51015.50,"npi":[1730132234]}]}]}]},{"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":"746223317"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":121.98,"providers":[{"billed_charge":660.00,"npi":[1740667922]}]},{"allowed_amount":121.30,"providers":[{"billed_charge":715.00,"npi":[1740667922]}]},{"allowed_amount":187.03,"providers":[{"billed_charge":1100.00,"npi":[1740667922]}]}]}]},{"name":"ECHO EXAM OF EYE, THICKNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76514","description":"OPHTHALMIC ULTRASOUND, DIAGNOSTIC; CORNEAL PACHYMETRY, UNILATERAL OR BILATERAL (DETERMINATION OF COR","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":90.40,"providers":[{"billed_charge":280.00,"npi":[1104203074]}]}]}]},{"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":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1787.37,"providers":[{"billed_charge":14280.00,"npi":[1528281607]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":353.66,"providers":[{"billed_charge":1372.00,"npi":[1972548139]}]},{"allowed_amount":30.34,"providers":[{"billed_charge":98.00,"npi":[1538123138]}]},{"allowed_amount":51.08,"providers":[{"billed_charge":196.00,"npi":[1538123138]}]}]}]},{"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":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1239.75,"providers":[{"billed_charge":5760.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4694.13,"providers":[{"billed_charge":14440.00,"npi":[1477823813]}]},{"allowed_amount":4820.12,"providers":[{"billed_charge":16340.00,"npi":[1356359384]}]},{"allowed_amount":3376.96,"providers":[{"billed_charge":12160.00,"npi":[1407857832]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":4044.12,"providers":[{"billed_charge":20224.00,"npi":[1295799088]}]},{"allowed_amount":116.40,"providers":[{"billed_charge":384.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"415046638"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1443.41,"providers":[{"billed_charge":7363.00,"npi":[1649489014]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":323.52,"providers":[{"billed_charge":1616.00,"npi":[1649489014]}]},{"allowed_amount":49.77,"providers":[{"billed_charge":202.00,"npi":[1649489014]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1984.93,"providers":[{"billed_charge":21715.00,"npi":[1770936908]}]},{"allowed_amount":54.71,"providers":[{"billed_charge":505.00,"npi":[1861663924]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":407.40,"providers":[{"billed_charge":1536.00,"npi":[1134514896]}]},{"allowed_amount":2008.33,"providers":[{"billed_charge":9600.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1575.10,"providers":[{"billed_charge":5757.00,"npi":[1689652869]}]}]}]},{"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":1126.40,"providers":[{"billed_charge":5280.00,"npi":[1871989780]}]},{"allowed_amount":486.40,"providers":[{"billed_charge":2280.00,"npi":[1831517770]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":926.39,"providers":[{"billed_charge":4522.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1527.60,"providers":[{"billed_charge":16027.00,"npi":[1861663924]}]}]}]},{"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":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":99.29,"providers":[{"billed_charge":426.00,"npi":[1770927287]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":218.52,"providers":[{"billed_charge":852.00,"npi":[1417290511]}]},{"allowed_amount":1426.78,"providers":[{"billed_charge":5680.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":247.71,"providers":[{"billed_charge":2216.00,"npi":[1497252753]}]}]}]},{"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","21"],"billing_class":"professional","payments":[{"allowed_amount":80.79,"providers":[{"billed_charge":636.00,"npi":[1073018073]}]},{"allowed_amount":26.93,"providers":[{"billed_charge":212.00,"npi":[1073018073]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":210.51,"providers":[{"billed_charge":824.00,"npi":[1295799088]}]},{"allowed_amount":132.25,"providers":[{"billed_charge":515.00,"npi":[1457447120]}]},{"allowed_amount":662.05,"providers":[{"billed_charge":2575.00,"npi":[1972548139]}]},{"allowed_amount":160.78,"providers":[{"billed_charge":618.00,"npi":[1457447120]}]},{"allowed_amount":31.51,"providers":[{"billed_charge":103.00,"npi":[1972548139,1457447120]}]},{"allowed_amount":283.59,"providers":[{"billed_charge":927.00,"npi":[1295799088]}]},{"allowed_amount":79.99,"providers":[{"billed_charge":309.00,"npi":[1295799088]}]},{"allowed_amount":26.93,"providers":[{"billed_charge":103.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"415046638"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":26.93,"providers":[{"billed_charge":162.00,"npi":[1760200901]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":63.02,"providers":[{"billed_charge":322.00,"npi":[1760200901]}]},{"allowed_amount":80.70,"providers":[{"billed_charge":322.00,"npi":[1770739260]}]},{"allowed_amount":53.86,"providers":[{"billed_charge":322.00,"npi":[1760200901]}]},{"allowed_amount":403.50,"providers":[{"billed_charge":1610.00,"npi":[1770739260]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":45.99,"providers":[{"billed_charge":462.00,"npi":[1497252753]}]},{"allowed_amount":133.94,"providers":[{"billed_charge":1386.00,"npi":[1497252753]}]},{"allowed_amount":133.84,"providers":[{"billed_charge":1386.00,"npi":[1497252753]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":63.02,"providers":[{"billed_charge":244.00,"npi":[1235422619]}]},{"allowed_amount":378.12,"providers":[{"billed_charge":1464.00,"npi":[1073587788]}]},{"allowed_amount":53.06,"providers":[{"billed_charge":244.00,"npi":[1073587788]}]},{"allowed_amount":477.54,"providers":[{"billed_charge":2196.00,"npi":[1073587788]}]},{"allowed_amount":26.13,"providers":[{"billed_charge":122.00,"npi":[1811981590]}]},{"allowed_amount":157.55,"providers":[{"billed_charge":610.00,"npi":[1093717001]}]},{"allowed_amount":31.51,"providers":[{"billed_charge":122.00,"npi":[1811981590]}]},{"allowed_amount":159.98,"providers":[{"billed_charge":732.00,"npi":[1174569842]}]},{"allowed_amount":134.65,"providers":[{"billed_charge":610.00,"npi":[1093717001]}]},{"allowed_amount":441.14,"providers":[{"billed_charge":1708.00,"npi":[1174569842]}]}]}]},{"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","21"],"billing_class":"professional","payments":[{"allowed_amount":624.26,"providers":[{"billed_charge":2451.00,"npi":[1972548139]}]},{"allowed_amount":164.47,"providers":[{"billed_charge":645.00,"npi":[1538123138]}]},{"allowed_amount":65.99,"providers":[{"billed_charge":258.00,"npi":[1538123138]}]},{"allowed_amount":98.48,"providers":[{"billed_charge":387.00,"npi":[1457447120]}]},{"allowed_amount":95.33,"providers":[{"billed_charge":387.00,"npi":[1457447120]}]},{"allowed_amount":97.47,"providers":[{"billed_charge":387.00,"npi":[1972548139]}]}]}]},{"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":247.10,"providers":[{"billed_charge":798.00,"npi":[1295799088]}]},{"allowed_amount":30.17,"providers":[{"billed_charge":114.00,"npi":[1295799088]}]},{"allowed_amount":60.34,"providers":[{"billed_charge":228.00,"npi":[1295799088]}]}]}]},{"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"],"billing_class":"professional","payments":[{"allowed_amount":30.87,"providers":[{"billed_charge":121.00,"npi":[1972548139]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":37.24,"providers":[{"billed_charge":138.00,"npi":[1174569842]}]}]}]},{"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":"272008627"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":143.92,"providers":[{"billed_charge":332.00,"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":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":870.00,"providers":[{"billed_charge":1500.00,"npi":[1477823813]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":300.00,"npi":[1407857832]}]},{"allowed_amount":1260.00,"providers":[{"billed_charge":3150.00,"npi":[1356359384]}]}]}]},{"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":"814972048"},"service_code":["22","19"],"billing_class":"professional","payments":[{"allowed_amount":26.45,"providers":[{"billed_charge":75.00,"npi":[1578568903,1275538597]}]},{"allowed_amount":159.13,"providers":[{"billed_charge":450.00,"npi":[1578568903]}]},{"allowed_amount":184.77,"providers":[{"billed_charge":525.00,"npi":[1275538597]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":7037.00,"providers":[{"billed_charge":32860.00,"npi":[1831517770]}]},{"allowed_amount":7990.40,"providers":[{"billed_charge":37246.00,"npi":[1871989780]}]},{"allowed_amount":295.10,"providers":[{"billed_charge":1378.00,"npi":[1124067798]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":18186.85,"providers":[{"billed_charge":70761.00,"npi":[1295799088]}]},{"allowed_amount":462.77,"providers":[{"billed_charge":1751.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1521.24,"providers":[{"billed_charge":5850.00,"npi":[1477823813]}]},{"allowed_amount":7356.80,"providers":[{"billed_charge":28500.00,"npi":[1356359384]}]},{"allowed_amount":4500.00,"providers":[{"billed_charge":18750.00,"npi":[1407857832]}]},{"allowed_amount":4639.58,"providers":[{"billed_charge":17250.00,"npi":[1578550745]}]},{"allowed_amount":2754.99,"providers":[{"billed_charge":9750.00,"npi":[1790959427]}]}]},{"tin":{"type":"ein","value":"204771148"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.65,"providers":[{"billed_charge":500.00,"npi":[1952539629]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":3118.85,"providers":[{"billed_charge":14271.00,"npi":[1770936908]}]},{"allowed_amount":318.17,"providers":[{"billed_charge":1491.00,"npi":[1083683015]}]},{"allowed_amount":10293.75,"providers":[{"billed_charge":49203.00,"npi":[1861663924]}]}]},{"tin":{"type":"ein","value":"760652186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1752.22,"providers":[{"billed_charge":8756.00,"npi":[1720367857]}]},{"allowed_amount":3429.96,"providers":[{"billed_charge":14527.00,"npi":[1962065573]}]}]},{"tin":{"type":"ein","value":"752537587"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":26.45,"providers":[{"billed_charge":105.00,"npi":[1407290513,1013977107]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":3006.02,"providers":[{"billed_charge":9462.00,"npi":[1134514896]}]},{"allowed_amount":31.91,"providers":[{"billed_charge":83.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"751292603"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":26.45,"providers":[{"billed_charge":113.00,"npi":[1083666549]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":3482.46,"providers":[{"billed_charge":14190.00,"npi":[1649489014]}]},{"allowed_amount":40.85,"providers":[{"billed_charge":165.00,"npi":[1649489014]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":238.05,"providers":[{"billed_charge":540.18,"npi":[1861872020]}]}]},{"tin":{"type":"ein","value":"200338104"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":534.16,"providers":[{"billed_charge":5500.00,"npi":[1952539629]}]}]}]},{"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":984.00,"providers":[{"billed_charge":4576.00,"npi":[1871989780]}]},{"allowed_amount":215.25,"providers":[{"billed_charge":1001.00,"npi":[1831517770]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1407.60,"providers":[{"billed_charge":7843.00,"npi":[1861663924]}]},{"allowed_amount":317.70,"providers":[{"billed_charge":1705.00,"npi":[1770936908]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":86.80,"providers":[{"billed_charge":234.00,"npi":[1134514896]}]},{"allowed_amount":321.41,"providers":[{"billed_charge":1053.00,"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":530.04,"providers":[{"billed_charge":2464.00,"npi":[1831517770]}]},{"allowed_amount":2082.30,"providers":[{"billed_charge":9680.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1391.42,"providers":[{"billed_charge":2420.00,"npi":[1477823813]}]},{"allowed_amount":220.36,"providers":[{"billed_charge":440.00,"npi":[1407857832]}]},{"allowed_amount":2403.50,"providers":[{"billed_charge":4620.00,"npi":[1356359384]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1740.23,"providers":[{"billed_charge":6279.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1732.95,"providers":[{"billed_charge":9867.00,"npi":[1861663924]}]},{"allowed_amount":312.56,"providers":[{"billed_charge":1716.00,"npi":[1770936908]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":160.20,"providers":[{"billed_charge":429.00,"npi":[1134514896]}]},{"allowed_amount":531.24,"providers":[{"billed_charge":1716.00,"npi":[1134514896]}]}]}]},{"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"],"billing_class":"professional","payments":[{"allowed_amount":233.00,"providers":[{"billed_charge":875.00,"npi":[1578568903]}]},{"allowed_amount":266.46,"providers":[{"billed_charge":1000.00,"npi":[1275538597]}]}]},{"tin":{"type":"ein","value":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":10091.84,"providers":[{"billed_charge":46734.00,"npi":[1871989780]}]},{"allowed_amount":8887.70,"providers":[{"billed_charge":41230.00,"npi":[1831517770]}]},{"allowed_amount":372.71,"providers":[{"billed_charge":1729.00,"npi":[1124067798]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11393.51,"providers":[{"billed_charge":24150.00,"npi":[1578550745]}]},{"allowed_amount":6766.55,"providers":[{"billed_charge":13650.00,"npi":[1790959427]}]},{"allowed_amount":11058.75,"providers":[{"billed_charge":26250.00,"npi":[1407857832]}]},{"allowed_amount":17897.33,"providers":[{"billed_charge":39900.00,"npi":[1356359384]}]},{"allowed_amount":3600.07,"providers":[{"billed_charge":8190.00,"npi":[1477823813]}]}]},{"tin":{"type":"ein","value":"204771148"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":84.70,"providers":[{"billed_charge":500.00,"npi":[1952539629]}]}]},{"tin":{"type":"ein","value":"415046638"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":8637.24,"providers":[{"billed_charge":34569.00,"npi":[1649489014]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":585.13,"providers":[{"billed_charge":2210.00,"npi":[1417290511]}]},{"allowed_amount":22998.17,"providers":[{"billed_charge":89310.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":401.62,"providers":[{"billed_charge":2212.00,"npi":[1083683015]}]},{"allowed_amount":13071.15,"providers":[{"billed_charge":73312.00,"npi":[1861663924]}]},{"allowed_amount":3947.64,"providers":[{"billed_charge":21172.00,"npi":[1770936908]}]}]},{"tin":{"type":"ein","value":"760652186"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8598.18,"providers":[{"billed_charge":38776.00,"npi":[1962065573]}]},{"allowed_amount":4283.17,"providers":[{"billed_charge":23056.00,"npi":[1720367857]}]}]},{"tin":{"type":"ein","value":"752537587"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":33.45,"providers":[{"billed_charge":132.00,"npi":[1407290513,1013977107]}]}]},{"tin":{"type":"ein","value":"272008627"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":1694.28,"providers":[{"billed_charge":4998.00,"npi":[1134514896]}]},{"allowed_amount":6474.89,"providers":[{"billed_charge":23205.00,"npi":[1134514896]}]}]},{"tin":{"type":"ein","value":"751292603"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":33.45,"providers":[{"billed_charge":138.00,"npi":[1083666549]}]}]},{"tin":{"type":"ein","value":"990547982"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":4512.57,"providers":[{"billed_charge":18480.00,"npi":[1649489014]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":275.96,"providers":[{"billed_charge":684.00,"npi":[1861872020]}]}]},{"tin":{"type":"ein","value":"200338104"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1282.60,"providers":[{"billed_charge":5500.00,"npi":[1952539629]}]}]}]},{"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":367.68,"providers":[{"billed_charge":1728.00,"npi":[1831517770]}]},{"allowed_amount":321.72,"providers":[{"billed_charge":1489.00,"npi":[1871989780]}]}]},{"tin":{"type":"ein","value":"760193812"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2685.72,"providers":[{"billed_charge":17600.00,"npi":[1356359384]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1083.97,"providers":[{"billed_charge":4200.00,"npi":[1417290511]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":141.21,"providers":[{"billed_charge":1746.00,"npi":[1770936908]}]}]}]},{"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":"999999999"},"service_code":["23","12","65"],"billing_class":"institutional","payments":[{"allowed_amount":1334.97,"providers":[{"billed_charge":12026.70,"npi":[1234567893]}]},{"allowed_amount":70.22,"providers":[{"billed_charge":1232.00,"npi":[1234567893]}]},{"allowed_amount":148.33,"providers":[{"billed_charge":1336.30,"npi":[1234567893]}]}]}]},{"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":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":1482.80,"providers":[{"billed_charge":4752.00,"npi":[1275021958]}]},{"allowed_amount":2561.20,"providers":[{"billed_charge":8208.00,"npi":[1063907533]}]},{"allowed_amount":134.80,"providers":[{"billed_charge":432.00,"npi":[1275021958,1518429323]}]},{"allowed_amount":404.40,"providers":[{"billed_charge":1296.00,"npi":[1518429323]}]}]}]},{"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":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.38,"providers":[{"billed_charge":152.28,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":66.90,"providers":[{"billed_charge":270.72,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2940.79,"providers":[{"billed_charge":28020.57,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":569.18,"providers":[{"billed_charge":2244.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":63.31,"providers":[{"billed_charge":315.76,"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":1509.82,"providers":[{"billed_charge":10295.72,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":220.64,"providers":[{"billed_charge":887.04,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":281.44,"providers":[{"billed_charge":1890.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":463.19,"providers":[{"billed_charge":1218.24,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.43,"providers":[{"billed_charge":301.00,"npi":[1184250524]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":634.72,"providers":[{"billed_charge":2576.64,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1704.80,"providers":[{"billed_charge":9378.48,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":89.44,"providers":[{"billed_charge":359.04,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":361.64,"providers":[{"billed_charge":1386.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":121.44,"providers":[{"billed_charge":728.64,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":397.76,"providers":[{"billed_charge":3619.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"844939989"},"service_code":["81","31"],"billing_class":"professional","payments":[{"allowed_amount":10.56,"providers":[{"billed_charge":63.36,"npi":[1639791007]}]},{"allowed_amount":213.92,"providers":[{"billed_charge":1298.88,"npi":[1639791007]}]}]},{"tin":{"type":"ein","value":"813538903"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.28,"providers":[{"billed_charge":37.00,"npi":[1568994879]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":84.32,"providers":[{"billed_charge":560.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13622.40,"providers":[{"billed_charge":54477.24,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.04,"providers":[{"billed_charge":455.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":145373.88,"providers":[{"billed_charge":1628966.13,"npi":[1234567893]}]}]}]},{"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":1264.80,"providers":[{"billed_charge":13512.99,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":146.14,"providers":[{"billed_charge":589.16,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":297.93,"providers":[{"billed_charge":1205.10,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":635.85,"providers":[{"billed_charge":2880.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.35,"providers":[{"billed_charge":825.00,"npi":[1184250524]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":884.49,"providers":[{"billed_charge":2177.51,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1741.92,"providers":[{"billed_charge":9027.38,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":73.07,"providers":[{"billed_charge":294.58,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1781.30,"providers":[{"billed_charge":7074.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":176.49,"providers":[{"billed_charge":459.00,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":117.45,"providers":[{"billed_charge":1080.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":418.53,"providers":[{"billed_charge":2109.24,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":546.05,"providers":[{"billed_charge":1615.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16033.10,"providers":[{"billed_charge":134390.88,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":139167.28,"providers":[{"billed_charge":1748713.37,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.10,"providers":[{"billed_charge":200.90,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":496.08,"providers":[{"billed_charge":5557.89,"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":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":117.66,"providers":[{"billed_charge":476.30,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6383.76,"providers":[{"billed_charge":51721.32,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15581.01,"providers":[{"billed_charge":192030.99,"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":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":231.07,"providers":[{"billed_charge":638.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1124.91,"providers":[{"billed_charge":12103.76,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11862.77,"providers":[{"billed_charge":118676.38,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":57.82,"providers":[{"billed_charge":858.30,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":37.50,"providers":[{"billed_charge":675.00,"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":15.52,"providers":[{"billed_charge":276.10,"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":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.85,"providers":[{"billed_charge":203.10,"npi":[1447760814]}]}]}]},{"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":8341.50,"providers":[{"billed_charge":138690.00,"npi":[1912903717]}]}]},{"tin":{"type":"ein","value":"464163620"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6396.18,"providers":[{"billed_charge":126455.40,"npi":[1265854855]}]}]},{"tin":{"type":"ein","value":"453717894"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":428.47,"providers":[{"billed_charge":1386.00,"npi":[1730466590]}]}]},{"tin":{"type":"ein","value":"423917612"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2803.02,"providers":[{"billed_charge":9300.00,"npi":[1144141318]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":525.40,"providers":[{"billed_charge":2112.76,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843172409"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":581.03,"providers":[{"billed_charge":24700.00,"npi":[1306739909]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10127.93,"providers":[{"billed_charge":41136.68,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5587.78,"providers":[{"billed_charge":25100.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":763.73,"providers":[{"billed_charge":1875.00,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"471489220"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1071.64,"providers":[{"billed_charge":5437.25,"npi":[1861895500]}]}]},{"tin":{"type":"ein","value":"472177895"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":491.54,"providers":[{"billed_charge":2279.03,"npi":[1477925188]}]}]},{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7736.43,"providers":[{"billed_charge":60258.00,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"800686939"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1118.52,"providers":[{"billed_charge":2448.00,"npi":[1699045674]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1238.53,"providers":[{"billed_charge":2721.32,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"994142539"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":894.52,"providers":[{"billed_charge":2703.09,"npi":[1164257499]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1770.99,"providers":[{"billed_charge":9034.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40817.88,"providers":[{"billed_charge":305948.45,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"853163633"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":338.98,"providers":[{"billed_charge":37243.94,"npi":[1063011898]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":703.80,"npi":[1164017422]}]}]}]},{"name":"ANTIDEPRESSANTS CLASS 1 OR 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80332","description":"ANTIDEPRESSANTS, SEROTONERGIC CLASS; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]}]},{"name":"ANTIDEPRESSANT TRICYCLIC 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80335","description":"ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]}]},{"name":"ANTIPSYCHOTICS NOS 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80342","description":"ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED; 1-3","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]}]},{"name":"DRUG SCREENING BARBITURATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80345","description":"BARBITURATES","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":714.38,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":520.10,"providers":[{"billed_charge":27787.68,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING BUPRENORPHINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80348","description":"BUPRENORPHINE","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":332.80,"providers":[{"billed_charge":879.98,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6044.66,"providers":[{"billed_charge":20148.88,"npi":[1962190819]}]}]}]},{"name":"CANNABINOIDS, NATURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80349","description":"CANNABINOIDS, NATURAL","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":600.30,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":531.17,"providers":[{"billed_charge":4609.76,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING COCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80353","description":"COCAINE","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":631.58,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":543.26,"providers":[{"billed_charge":3959.04,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING FENTANYL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80354","description":"FENTANYL","allowed_amounts":[{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":576.47,"providers":[{"billed_charge":5401.92,"npi":[1962190819]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":533.21,"providers":[{"billed_charge":3389.64,"npi":[1962190819]}]}]}]},{"name":"HEROIN METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80356","description":"HEROIN METABOLITE","allowed_amounts":[{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":577.15,"providers":[{"billed_charge":5401.92,"npi":[1962190819]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]}]},{"name":"DRUG SCREENING METHADONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80358","description":"METHADONE","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":735.08,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":577.15,"providers":[{"billed_charge":10330.56,"npi":[1962190819]}]}]}]},{"name":"METHYLPHENIDATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80360","description":"METHYLPHENIDATE","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":703.80,"npi":[1164017422]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":879.98,"npi":[1164017422]}]}]}]},{"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":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6100.80,"providers":[{"billed_charge":20336.64,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING OXYCODONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80365","description":"OXYCODONE","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":879.98,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":564.72,"providers":[{"billed_charge":5401.92,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING PREGABALIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80366","description":"PREGABALIN","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":532.19,"providers":[{"billed_charge":3504.32,"npi":[1962190819]}]}]}]},{"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":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":519.08,"providers":[{"billed_charge":4872.32,"npi":[1962190819]}]}]}]},{"name":"SKELETAL MUSCLE RELAXANT 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80369","description":"SKELETAL MUSCLE RELAXANTS; 1 OR 2","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":305.69,"providers":[{"billed_charge":10959.30,"npi":[1962190819]}]}]}]},{"name":"STIMULANTS, SYNTHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80371","description":"STIMULANTS, SYNTHETIC","allowed_amounts":[{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":509.03,"providers":[{"billed_charge":9249.75,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING TAPENTADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80372","description":"TAPENTADOL","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":1366.20,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":576.81,"providers":[{"billed_charge":5401.92,"npi":[1962190819]}]}]}]},{"name":"DRUG SCREENING TRAMADOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80373","description":"TRAMADOL","allowed_amounts":[{"tin":{"type":"ein","value":"854205837"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":252.54,"providers":[{"billed_charge":879.98,"npi":[1164017422]}]}]},{"tin":{"type":"ein","value":"923508707"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":575.79,"providers":[{"billed_charge":4850.10,"npi":[1962190819]}]}]}]},{"name":"PATH CLIN CONSLTJ HIGH 41-60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80505","description":"PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"823763668"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9581.60,"providers":[{"billed_charge":30704.00,"npi":[1689633711]}]}]}]},{"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":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":51.30,"providers":[{"billed_charge":300.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.20,"providers":[{"billed_charge":340.00,"npi":[1891855656]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":54.04,"providers":[{"billed_charge":819.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":377.88,"providers":[{"billed_charge":752.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32.16,"providers":[{"billed_charge":274.00,"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":171.60,"providers":[{"billed_charge":3439.90,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.15,"providers":[{"billed_charge":500.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":801.36,"providers":[{"billed_charge":6707.01,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11458.11,"providers":[{"billed_charge":226550.68,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22.19,"providers":[{"billed_charge":105.00,"npi":[1972519544]}]}]}]},{"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":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.50,"providers":[{"billed_charge":750.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.22,"providers":[{"billed_charge":75.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"752252866"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.70,"providers":[{"billed_charge":237.40,"npi":[1235154824]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":13.87,"providers":[{"billed_charge":80.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.34,"providers":[{"billed_charge":477.75,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"752719502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.08,"providers":[{"billed_charge":525.00,"npi":[1205477908]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":125.28,"providers":[{"billed_charge":1800.00,"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.60,"providers":[{"billed_charge":379.40,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"752302928"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":20.34,"providers":[{"billed_charge":396.00,"npi":[1578265302]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":37.44,"providers":[{"billed_charge":234.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":351.43,"providers":[{"billed_charge":9019.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":891.57,"providers":[{"billed_charge":7432.38,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6140.04,"providers":[{"billed_charge":158162.00,"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":44.08,"providers":[{"billed_charge":380.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1.09,"providers":[{"billed_charge":55.00,"npi":[1093920399]}]}]}]},{"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":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":268.47,"providers":[{"billed_charge":809.46,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":320.05,"providers":[{"billed_charge":881.25,"npi":[1154345841]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":143.81,"providers":[{"billed_charge":1997.20,"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":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":245.67,"providers":[{"billed_charge":2280.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":647.01,"providers":[{"billed_charge":8111.49,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"752719502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.74,"providers":[{"billed_charge":1560.00,"npi":[1205477908]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.22,"providers":[{"billed_charge":80.00,"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":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":422.21,"providers":[{"billed_charge":4140.00,"npi":[1902367386]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":4290.30,"providers":[{"billed_charge":26250.00,"npi":[1609019892]}]}]},{"tin":{"type":"ein","value":"842647146"},"service_code":["11","24"],"billing_class":"professional","payments":[{"allowed_amount":390.00,"providers":[{"billed_charge":540.00,"npi":[1720806342]}]},{"allowed_amount":6305.00,"providers":[{"billed_charge":9220.00,"npi":[1720806342]}]}]}]},{"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":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":158.33,"providers":[{"billed_charge":550.00,"npi":[1497716187]}]},{"allowed_amount":2353.93,"providers":[{"billed_charge":25890.00,"npi":[1902367386]}]},{"allowed_amount":401.11,"providers":[{"billed_charge":4360.00,"npi":[1700681525]}]},{"allowed_amount":432.78,"providers":[{"billed_charge":5120.00,"npi":[1578981320]}]}]},{"tin":{"type":"ein","value":"842830378"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":2948.28,"providers":[{"billed_charge":28900.00,"npi":[1013143601]}]},{"allowed_amount":1625.00,"providers":[{"billed_charge":8750.00,"npi":[1346480134]}]}]},{"tin":{"type":"ein","value":"461743879"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":8335.44,"providers":[{"billed_charge":56290.00,"npi":[1609019892]}]}]},{"tin":{"type":"ein","value":"201218565"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":704.00,"providers":[{"billed_charge":11818.00,"npi":[1790636983]}]}]},{"tin":{"type":"ein","value":"822578477"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2580.00,"providers":[{"billed_charge":3000.00,"npi":[1295684413]}]}]},{"tin":{"type":"ein","value":"471804903"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":767.50,"providers":[{"billed_charge":4080.00,"npi":[1134076748]}]}]},{"tin":{"type":"ein","value":"760462852"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":4550.00,"providers":[{"billed_charge":24708.00,"npi":[1235128042]}]},{"allowed_amount":4192.50,"providers":[{"billed_charge":22620.00,"npi":[1578558599]}]}]}]},{"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40303.40,"providers":[{"billed_charge":599270.35,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":278.30,"providers":[{"billed_charge":2200.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3388.02,"providers":[{"billed_charge":28664.75,"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":427.80,"providers":[{"billed_charge":6844.80,"npi":[1598314437]}]}]}]},{"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5621.24,"providers":[{"billed_charge":83606.41,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.60,"providers":[{"billed_charge":420.00,"npi":[1234567893]}]}]}]},{"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":"842830378"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1560.00,"providers":[{"billed_charge":9200.00,"npi":[1346480134]}]},{"allowed_amount":2416.63,"providers":[{"billed_charge":17500.00,"npi":[1013143601]}]}]},{"tin":{"type":"ein","value":"260507982"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":84.44,"providers":[{"billed_charge":810.00,"npi":[1578981320]}]},{"allowed_amount":1241.90,"providers":[{"billed_charge":11270.00,"npi":[1902367386]}]}]},{"tin":{"type":"ein","value":"760462852"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":1950.00,"providers":[{"billed_charge":12864.00,"npi":[1235128042]}]},{"allowed_amount":1625.00,"providers":[{"billed_charge":8700.00,"npi":[1578558599]}]}]}]},{"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10051.05,"providers":[{"billed_charge":150783.63,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1148.38,"providers":[{"billed_charge":5396.56,"npi":[1234567893]}]}]}]},{"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9609.81,"providers":[{"billed_charge":141779.27,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.39,"providers":[{"billed_charge":175.00,"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":2493.43,"providers":[{"billed_charge":6900.00,"npi":[1234567893]}]}]}]},{"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":2444.32,"providers":[{"billed_charge":6740.00,"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":6500.95,"providers":[{"billed_charge":18285.00,"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":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":668.00,"providers":[{"billed_charge":2225.00,"npi":[1234567893]}]},{"allowed_amount":49054.00,"providers":[{"billed_charge":149390.00,"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":"811082020"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":118176.69,"providers":[{"billed_charge":950330.60,"npi":[1598314437]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3358.82,"providers":[{"billed_charge":22500.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100791.93,"providers":[{"billed_charge":878351.48,"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":94323.82,"providers":[{"billed_charge":759050.00,"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":18816.55,"providers":[{"billed_charge":110861.00,"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":49355.67,"providers":[{"billed_charge":547262.80,"npi":[1234567893]}]}]}]},{"name":"SO/HL 51/>GSAP RNA ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81456","description":"SO/HL 51/>GSAP RNA ALYS","allowed_amounts":[{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":89861.20,"providers":[{"billed_charge":163400.00,"npi":[1740733708]}]}]}]},{"name":"Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81459","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":57152.16,"providers":[{"billed_charge":98800.00,"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":127482.28,"providers":[{"billed_charge":190000.00,"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":4642.92,"providers":[{"billed_charge":14256.00,"npi":[1023104528]}]}]}]},{"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":43820.16,"providers":[{"billed_charge":264802.13,"npi":[1234567893]}]}]}]},{"name":"Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81515","description":"Under Genomic Sequencing Procedures and Other Molecular Multianalyte Assays","allowed_amounts":[{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2992.85,"providers":[{"billed_charge":4733.82,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1840.93,"providers":[{"billed_charge":2100.00,"npi":[1730445628]}]}]}]},{"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":86507.90,"providers":[{"billed_charge":115770.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8759.97,"providers":[{"billed_charge":79172.10,"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":874.80,"providers":[{"billed_charge":2916.00,"npi":[1871220764]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1399.86,"providers":[{"billed_charge":17412.35,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":966.57,"providers":[{"billed_charge":2036.45,"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":132.33,"providers":[{"billed_charge":2820.33,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":20.23,"providers":[{"billed_charge":56.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48.59,"providers":[{"billed_charge":196.52,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2.80,"providers":[{"billed_charge":8.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1141.55,"providers":[{"billed_charge":7046.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.79,"providers":[{"billed_charge":704.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":54.64,"providers":[{"billed_charge":164.73,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17554.67,"providers":[{"billed_charge":452260.24,"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":417.42,"providers":[{"billed_charge":2256.79,"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":"853771280"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":5328.00,"providers":[{"billed_charge":27000.00,"npi":[1972106466]}]}]},{"tin":{"type":"ein","value":"993786113"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":48400.00,"providers":[{"billed_charge":58300.00,"npi":[1386412195]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12","65"],"billing_class":"institutional","payments":[{"allowed_amount":65460.24,"providers":[{"billed_charge":487296.00,"npi":[1234567893]}]},{"allowed_amount":5861330.17,"providers":[{"billed_charge":40681984.00,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192.93,"providers":[{"billed_charge":2589.82,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.29,"providers":[{"billed_charge":773.52,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2619.45,"providers":[{"billed_charge":40029.82,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":67.71,"providers":[{"billed_charge":966.25,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":111.85,"providers":[{"billed_charge":324.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1443.78,"providers":[{"billed_charge":26254.59,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1155.58,"providers":[{"billed_charge":5070.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2521.98,"providers":[{"billed_charge":18344.02,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":822.90,"providers":[{"billed_charge":5066.10,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2621.52,"providers":[{"billed_charge":16413.69,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1889.83,"providers":[{"billed_charge":7000.00,"npi":[1174172845]}]}]}]},{"name":"BILIRUBIN, TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82247","description":"BILIRUBIN; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":896.60,"providers":[{"billed_charge":1354.46,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":692.95,"providers":[{"billed_charge":2915.00,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.25,"providers":[{"billed_charge":270.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":716.38,"providers":[{"billed_charge":2517.89,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":899.60,"providers":[{"billed_charge":4020.00,"npi":[1174172845]}]}]}]},{"name":"OCCULT BLOOD FECES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82270","description":"BLOOD, OCCULT, BY PEROXIDASE ACTIVITY (EG, GUAIAC), QUALITATIVE; FECES, CONSECUTIVE COLLECTED SPECIM","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.00,"providers":[{"billed_charge":5900.00,"npi":[1234567893]}]}]}]},{"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.88,"providers":[{"billed_charge":199.98,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4446.12,"providers":[{"billed_charge":65595.15,"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1597.48,"providers":[{"billed_charge":18938.49,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":480.66,"providers":[{"billed_charge":910.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":530.60,"providers":[{"billed_charge":1065.60,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1591.05,"providers":[{"billed_charge":3870.20,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":541.00,"providers":[{"billed_charge":2190.40,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1854.96,"providers":[{"billed_charge":7518.40,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1991.96,"providers":[{"billed_charge":11809.53,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":73.12,"providers":[{"billed_charge":148.00,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4321.60,"providers":[{"billed_charge":16380.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.60,"providers":[{"billed_charge":214.60,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":691.20,"providers":[{"billed_charge":3478.00,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1228.40,"providers":[{"billed_charge":2924.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14518.80,"providers":[{"billed_charge":121722.48,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":175025.13,"providers":[{"billed_charge":1615320.86,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":295.84,"providers":[{"billed_charge":710.40,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":766.46,"providers":[{"billed_charge":1477.67,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":840.08,"providers":[{"billed_charge":6012.97,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2309.91,"providers":[{"billed_charge":9016.00,"npi":[1174172845]}]}]}]},{"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":137.94,"providers":[{"billed_charge":149.98,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2877.45,"providers":[{"billed_charge":38010.43,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":209.38,"providers":[{"billed_charge":3310.98,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":628.84,"providers":[{"billed_charge":715.07,"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":290.33,"providers":[{"billed_charge":1080.00,"npi":[1174172845]}]}]}]},{"name":"TOTAL CORTISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82533","description":"CORTISOL; TOTAL","allowed_amounts":[{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":281.76,"providers":[{"billed_charge":594.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":355.63,"providers":[{"billed_charge":867.90,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.10,"providers":[{"billed_charge":956.76,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2975.40,"providers":[{"billed_charge":35353.47,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1982.47,"providers":[{"billed_charge":10208.00,"npi":[1174172845]}]}]}]},{"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":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.70,"providers":[{"billed_charge":1260.00,"npi":[1699782722]}]}]}]},{"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":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.22,"providers":[{"billed_charge":638.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":29.34,"providers":[{"billed_charge":90.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":84.76,"providers":[{"billed_charge":709.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1767.72,"providers":[{"billed_charge":27559.92,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":872.62,"providers":[{"billed_charge":3780.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF CPK IN BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82552","description":"CREATINE KINASE (CK), (CPK); ISOENZYMES","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.30,"providers":[{"billed_charge":62.89,"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":"464163620"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.20,"providers":[{"billed_charge":150.00,"npi":[1265854855]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1025.89,"providers":[{"billed_charge":3469.52,"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":125.65,"providers":[{"billed_charge":2701.85,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.13,"providers":[{"billed_charge":70.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.39,"providers":[{"billed_charge":176.12,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":779.59,"providers":[{"billed_charge":6528.69,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":46.30,"providers":[{"billed_charge":139.86,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16322.02,"providers":[{"billed_charge":403978.14,"npi":[1234567893]}]}]}]},{"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.07,"providers":[{"billed_charge":1077.06,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":263.42,"providers":[{"billed_charge":540.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":187.81,"providers":[{"billed_charge":377.00,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":367.16,"providers":[{"billed_charge":1847.30,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":603.15,"providers":[{"billed_charge":2442.96,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":237.83,"providers":[{"billed_charge":965.12,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":558.08,"providers":[{"billed_charge":1344.48,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":721.03,"providers":[{"billed_charge":4267.76,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5210.14,"providers":[{"billed_charge":43657.38,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":40925.01,"providers":[{"billed_charge":577062.69,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2138.92,"providers":[{"billed_charge":9010.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":51.30,"providers":[{"billed_charge":113.10,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1180.60,"providers":[{"billed_charge":21576.85,"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":37.92,"providers":[{"billed_charge":317.79,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":387.39,"providers":[{"billed_charge":4194.72,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2881.20,"providers":[{"billed_charge":11050.00,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":343.07,"providers":[{"billed_charge":672.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.12,"providers":[{"billed_charge":44.46,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":551.53,"providers":[{"billed_charge":1320.92,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":422.56,"providers":[{"billed_charge":3541.98,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6594.50,"providers":[{"billed_charge":106135.87,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1853.36,"providers":[{"billed_charge":8100.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82670","description":"ESTRADIOL","allowed_amounts":[{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.56,"providers":[{"billed_charge":858.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":837.67,"providers":[{"billed_charge":1987.64,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.01,"providers":[{"billed_charge":279.40,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":384.44,"providers":[{"billed_charge":1564.64,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.89,"providers":[{"billed_charge":837.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1592.58,"providers":[{"billed_charge":13351.68,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19109.15,"providers":[{"billed_charge":229489.31,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3269.26,"providers":[{"billed_charge":12544.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF ESTROGENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82671","description":"ESTROGENS; FRACTIONATED","allowed_amounts":[{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":161.50,"providers":[{"billed_charge":1353.90,"npi":[1235186800]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1915.11,"providers":[{"billed_charge":20618.18,"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":129.72,"providers":[{"billed_charge":1126.26,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.16,"providers":[{"billed_charge":258.97,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":108.28,"providers":[{"billed_charge":545.28,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":317.98,"providers":[{"billed_charge":792.52,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.66,"providers":[{"billed_charge":490.68,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.40,"providers":[{"billed_charge":681.50,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":335.96,"providers":[{"billed_charge":1920.81,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1404.92,"providers":[{"billed_charge":11760.54,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23602.47,"providers":[{"billed_charge":291909.53,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1527.39,"providers":[{"billed_charge":5778.00,"npi":[1174172845]}]}]}]},{"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":30.63,"providers":[{"billed_charge":352.80,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":211.76,"providers":[{"billed_charge":520.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":153.91,"providers":[{"billed_charge":308.70,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.17,"providers":[{"billed_charge":845.25,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":189.12,"providers":[{"billed_charge":764.40,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":413.89,"providers":[{"billed_charge":1675.80,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":412.72,"providers":[{"billed_charge":1023.50,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4520.25,"providers":[{"billed_charge":37896.30,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":618.37,"providers":[{"billed_charge":3629.60,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25300.67,"providers":[{"billed_charge":324419.27,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2034.88,"providers":[{"billed_charge":8874.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":855.47,"providers":[{"billed_charge":10507.03,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1888.72,"providers":[{"billed_charge":25599.41,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":479.55,"providers":[{"billed_charge":5941.99,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":660.57,"providers":[{"billed_charge":2614.73,"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":40.32,"providers":[{"billed_charge":395.00,"npi":[1033370176]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":771.70,"providers":[{"billed_charge":10119.59,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":563.64,"providers":[{"billed_charge":5785.71,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":151.95,"providers":[{"billed_charge":1612.55,"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":98.88,"providers":[{"billed_charge":1223.74,"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","21"],"billing_class":"professional","payments":[{"allowed_amount":6.00,"providers":[{"billed_charge":20.00,"npi":[1144282989]}]},{"allowed_amount":90.00,"providers":[{"billed_charge":300.00,"npi":[1144282989]}]},{"allowed_amount":9.00,"providers":[{"billed_charge":30.00,"npi":[1699738054]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":102.06,"providers":[{"billed_charge":360.00,"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":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":152.17,"providers":[{"billed_charge":365.40,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":234.00,"providers":[{"billed_charge":1961.70,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2319.98,"providers":[{"billed_charge":26011.16,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1226.38,"providers":[{"billed_charge":5280.00,"npi":[1174172845]}]}]}]},{"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":179.39,"providers":[{"billed_charge":360.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.22,"providers":[{"billed_charge":371.60,"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]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":36.32,"providers":[{"billed_charge":148.64,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1625.75,"providers":[{"billed_charge":13634.25,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":82.49,"providers":[{"billed_charge":558.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14093.37,"providers":[{"billed_charge":164115.29,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2602.16,"providers":[{"billed_charge":11524.00,"npi":[1174172845]}]}]}]},{"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":303.66,"providers":[{"billed_charge":624.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.78,"providers":[{"billed_charge":61.04,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.96,"providers":[{"billed_charge":74.08,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1555.68,"providers":[{"billed_charge":13043.52,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10783.78,"providers":[{"billed_charge":119227.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2553.76,"providers":[{"billed_charge":11088.00,"npi":[1174172845]}]}]}]},{"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":285.12,"providers":[{"billed_charge":594.00,"npi":[1760897755]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.23,"providers":[{"billed_charge":1732.60,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5759.28,"providers":[{"billed_charge":48278.43,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24301.48,"providers":[{"billed_charge":229510.07,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":573.78,"providers":[{"billed_charge":4809.24,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":744.12,"providers":[{"billed_charge":12419.31,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1410.48,"providers":[{"billed_charge":22893.53,"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":916.64,"providers":[{"billed_charge":10216.66,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.06,"providers":[{"billed_charge":349.56,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":404.49,"providers":[{"billed_charge":2100.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":239.85,"providers":[{"billed_charge":971.00,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.04,"providers":[{"billed_charge":320.00,"npi":[1184250524]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":627.67,"providers":[{"billed_charge":1614.81,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":851.34,"providers":[{"billed_charge":6129.93,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.14,"providers":[{"billed_charge":87.39,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1572.20,"providers":[{"billed_charge":6280.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":85.08,"providers":[{"billed_charge":234.00,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":33.27,"providers":[{"billed_charge":308.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19.44,"providers":[{"billed_charge":296.00,"npi":[1982050241]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":289.35,"providers":[{"billed_charge":1456.80,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":383.94,"providers":[{"billed_charge":984.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10828.08,"providers":[{"billed_charge":90635.04,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":115.44,"providers":[{"billed_charge":768.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.56,"providers":[{"billed_charge":119.00,"npi":[1578897765]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91558.55,"providers":[{"billed_charge":1342531.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":72.71,"providers":[{"billed_charge":160.27,"npi":[1730617523]}]}]}]},{"name":"GLYCOSYLATED HB, HOME DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83037","description":"HEMOGLOBIN; GLYCOSYLATED (A1C) BY DEVICE CLEARED BY FDA FOR HOME USE","allowed_amounts":[{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":427.68,"providers":[{"billed_charge":5104.00,"npi":[1235225087]}]}]}]},{"name":"ASSAY OF HOMOCYSTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83090","description":"HOMOCYSTEINE","allowed_amounts":[{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1017.50,"providers":[{"billed_charge":4440.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1804.76,"providers":[{"billed_charge":15131.20,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":299.95,"providers":[{"billed_charge":10192.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3083.73,"providers":[{"billed_charge":78851.89,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1047.09,"providers":[{"billed_charge":20774.13,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":703.22,"providers":[{"billed_charge":9104.92,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":189.56,"providers":[{"billed_charge":442.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":277.95,"providers":[{"billed_charge":690.72,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":829.40,"providers":[{"billed_charge":6951.30,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4568.96,"providers":[{"billed_charge":84766.58,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2770.20,"providers":[{"billed_charge":10396.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF INSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83527","description":"INSULIN; FREE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.27,"providers":[{"billed_charge":2017.50,"npi":[1234567893]}]}]}]},{"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":42.00,"providers":[{"billed_charge":287.47,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":67.94,"providers":[{"billed_charge":135.87,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":167.28,"providers":[{"billed_charge":841.36,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":89.22,"providers":[{"billed_charge":362.32,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.66,"providers":[{"billed_charge":310.56,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":151.08,"providers":[{"billed_charge":413.22,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":680.40,"providers":[{"billed_charge":5701.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":208.00,"providers":[{"billed_charge":1274.04,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11239.89,"providers":[{"billed_charge":135139.56,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":698.92,"providers":[{"billed_charge":3210.00,"npi":[1174172845]}]}]}]},{"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":30.35,"providers":[{"billed_charge":240.29,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.08,"providers":[{"billed_charge":402.04,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":214.11,"providers":[{"billed_charge":507.96,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":297.16,"providers":[{"billed_charge":2490.84,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12624.20,"providers":[{"billed_charge":154153.68,"npi":[1234567893]}]}]}]},{"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.98,"providers":[{"billed_charge":324.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":130.59,"providers":[{"billed_charge":338.12,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":870.48,"providers":[{"billed_charge":7035.35,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1020.01,"providers":[{"billed_charge":4212.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"LEAD","allowed_amounts":[{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":151.50,"providers":[{"billed_charge":1575.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":308.41,"providers":[{"billed_charge":3694.86,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.15,"providers":[{"billed_charge":202.02,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2125.70,"providers":[{"billed_charge":43220.49,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1016.11,"providers":[{"billed_charge":4305.00,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":479.72,"providers":[{"billed_charge":4020.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5019.15,"providers":[{"billed_charge":91347.73,"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":853.32,"providers":[{"billed_charge":9673.26,"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":377.39,"providers":[{"billed_charge":1558.00,"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":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":572.70,"providers":[{"billed_charge":2121.00,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":104.22,"providers":[{"billed_charge":300.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":76.85,"providers":[{"billed_charge":154.10,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":136.35,"providers":[{"billed_charge":686.75,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":97.15,"providers":[{"billed_charge":261.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":99.30,"providers":[{"billed_charge":600.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":90.45,"providers":[{"billed_charge":758.16,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4331.73,"providers":[{"billed_charge":62337.32,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":205.25,"providers":[{"billed_charge":540.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83835","description":"METANEPHRINES","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":56.91,"providers":[{"billed_charge":953.50,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8944.20,"providers":[{"billed_charge":83953.89,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4175.79,"providers":[{"billed_charge":8820.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":124.30,"providers":[{"billed_charge":1800.40,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":474.72,"providers":[{"billed_charge":3979.23,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11103.59,"providers":[{"billed_charge":88415.40,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5389.12,"providers":[{"billed_charge":14025.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.57,"providers":[{"billed_charge":1995.23,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":924.72,"providers":[{"billed_charge":1545.79,"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":114.43,"providers":[{"billed_charge":1052.42,"npi":[1234567893]}]}]}]},{"name":"CAPD/COMPOSIT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"841","description":"CONT AMBULATORY PERITONEAL DIALYSIS - CAPD/COMPOSITE RATE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"institutional","payments":[{"allowed_amount":59095.40,"providers":[{"billed_charge":491140.00,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":83.77,"providers":[{"billed_charge":270.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1027.33,"providers":[{"billed_charge":9263.12,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":147.69,"providers":[{"billed_charge":649.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":621.45,"providers":[{"billed_charge":3123.56,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":338.73,"providers":[{"billed_charge":676.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":298.96,"providers":[{"billed_charge":716.72,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":52.15,"providers":[{"billed_charge":208.60,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":50.91,"providers":[{"billed_charge":208.60,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":61.96,"providers":[{"billed_charge":420.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":730.10,"providers":[{"billed_charge":6121.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9821.15,"providers":[{"billed_charge":119247.13,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2407.09,"providers":[{"billed_charge":10656.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84146","description":"PROLACTIN","allowed_amounts":[{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":318.15,"providers":[{"billed_charge":650.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":852.72,"providers":[{"billed_charge":7149.12,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8555.64,"providers":[{"billed_charge":114639.87,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2188.84,"providers":[{"billed_charge":9548.00,"npi":[1174172845]}]}]}]},{"name":"ASSAY OF PSA, COMPLEXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84152","description":"PROSTATE SPECIFIC ANTIGEN (PSA); COMPLEXED (DIRECT MEASUREMENT)","allowed_amounts":[{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":571.40,"providers":[{"billed_charge":2478.00,"npi":[1174172845]}]}]}]},{"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":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.44,"providers":[{"billed_charge":225.39,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":27.32,"providers":[{"billed_charge":140.34,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3146.40,"providers":[{"billed_charge":26368.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":89.76,"providers":[{"billed_charge":551.70,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22318.65,"providers":[{"billed_charge":284772.88,"npi":[1234567893]}]}]}]},{"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":82.80,"providers":[{"billed_charge":693.90,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.84,"providers":[{"billed_charge":110.34,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4160.49,"providers":[{"billed_charge":55575.44,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":772.50,"providers":[{"billed_charge":2612.46,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":936.57,"providers":[{"billed_charge":16107.97,"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":"756002868"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":17.47,"providers":[{"billed_charge":178.00,"npi":[1265493688]}]},{"allowed_amount":95.64,"providers":[{"billed_charge":979.00,"npi":[1265493688]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":643.12,"providers":[{"billed_charge":7577.95,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1661.03,"providers":[{"billed_charge":20253.60,"npi":[1234567893]}]}]}]},{"name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84228","description":"QUININE","allowed_amounts":[{"tin":{"type":"ein","value":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":343.38,"providers":[{"billed_charge":2832.00,"npi":[1699782722]}]}]}]},{"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":241.76,"providers":[{"billed_charge":1934.76,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":367.31,"providers":[{"billed_charge":729.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":517.73,"providers":[{"billed_charge":1262.92,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":118.25,"providers":[{"billed_charge":478.06,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":558.64,"providers":[{"billed_charge":2259.92,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":53.69,"providers":[{"billed_charge":360.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":532.63,"providers":[{"billed_charge":4462.92,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12574.12,"providers":[{"billed_charge":115763.63,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2436.66,"providers":[{"billed_charge":10731.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":649.22,"providers":[{"billed_charge":717.99,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":458.60,"providers":[{"billed_charge":8634.08,"npi":[1234567893]}]}]}]},{"name":"BODY FLUID SPECIFIC GRAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84315","description":"SPECIFIC GRAVITY (EXCEPT URINE)","allowed_amounts":[{"tin":{"type":"ein","value":"464163620"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.74,"providers":[{"billed_charge":150.00,"npi":[1265854855]}]}]}]},{"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":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.57,"providers":[{"billed_charge":340.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5440.62,"providers":[{"billed_charge":63622.46,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3052.51,"providers":[{"billed_charge":11650.00,"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":89.64,"providers":[{"billed_charge":876.31,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":432.06,"providers":[{"billed_charge":837.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":153.36,"providers":[{"billed_charge":619.44,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":676.04,"providers":[{"billed_charge":2735.86,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":739.64,"providers":[{"billed_charge":1786.24,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3227.50,"providers":[{"billed_charge":27060.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":101.72,"providers":[{"billed_charge":688.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30208.71,"providers":[{"billed_charge":329625.15,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3120.18,"providers":[{"billed_charge":11832.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":424.90,"providers":[{"billed_charge":3963.75,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":243.40,"providers":[{"billed_charge":3163.96,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1802.62,"providers":[{"billed_charge":7260.00,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.08,"providers":[{"billed_charge":201.81,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6034.69,"providers":[{"billed_charge":66441.22,"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":142.09,"providers":[{"billed_charge":2316.86,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.88,"providers":[{"billed_charge":18.04,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":502.05,"providers":[{"billed_charge":1314.12,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":165.05,"providers":[{"billed_charge":667.48,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":174.35,"providers":[{"billed_charge":703.56,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":67.23,"providers":[{"billed_charge":301.42,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1241.03,"providers":[{"billed_charge":5523.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.05,"providers":[{"billed_charge":249.02,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":232.98,"providers":[{"billed_charge":1172.60,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":84.85,"providers":[{"billed_charge":570.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1059.85,"providers":[{"billed_charge":8883.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24346.58,"providers":[{"billed_charge":502253.92,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"821606706"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18.42,"providers":[{"billed_charge":40.59,"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":895.07,"providers":[{"billed_charge":8950.08,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":91.65,"providers":[{"billed_charge":369.60,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":415.25,"providers":[{"billed_charge":1680.00,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":409.35,"providers":[{"billed_charge":1029.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1163.15,"providers":[{"billed_charge":6993.90,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":41.25,"providers":[{"billed_charge":168.00,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2569.85,"providers":[{"billed_charge":9860.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24.70,"providers":[{"billed_charge":225.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":546.00,"providers":[{"billed_charge":1608.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":341.15,"providers":[{"billed_charge":2296.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15976.80,"providers":[{"billed_charge":133752.98,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":74.26,"providers":[{"billed_charge":240.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127141.82,"providers":[{"billed_charge":1447769.89,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1915.20,"providers":[{"billed_charge":20651.25,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":964.49,"providers":[{"billed_charge":1678.28,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":554.72,"providers":[{"billed_charge":1601.61,"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":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":156.84,"providers":[{"billed_charge":638.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":276.35,"providers":[{"billed_charge":1869.52,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":542.30,"providers":[{"billed_charge":4477.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":590.06,"providers":[{"billed_charge":9797.79,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1484.59,"providers":[{"billed_charge":6480.00,"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":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":107.17,"providers":[{"billed_charge":442.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4613.83,"providers":[{"billed_charge":49848.06,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4959.36,"providers":[{"billed_charge":85411.31,"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":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":157.18,"providers":[{"billed_charge":418.00,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.52,"providers":[{"billed_charge":514.50,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":280.92,"providers":[{"billed_charge":520.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":437.19,"providers":[{"billed_charge":2202.20,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":242.38,"providers":[{"billed_charge":982.52,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":234.66,"providers":[{"billed_charge":948.64,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":498.94,"providers":[{"billed_charge":1243.88,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":914.76,"providers":[{"billed_charge":7669.08,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":16530.79,"providers":[{"billed_charge":371109.38,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":109.61,"providers":[{"billed_charge":220.22,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2452.71,"providers":[{"billed_charge":9316.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":117.06,"providers":[{"billed_charge":3346.99,"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":435.50,"providers":[{"billed_charge":7562.35,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":679.89,"providers":[{"billed_charge":1103.57,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":78.17,"providers":[{"billed_charge":270.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"814697090"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":15.75,"providers":[{"billed_charge":79.10,"npi":[1740715333]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.86,"providers":[{"billed_charge":307.56,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1243.00,"providers":[{"billed_charge":10411.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4819.23,"providers":[{"billed_charge":75197.14,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":483.41,"providers":[{"billed_charge":2244.00,"npi":[1174172845]}]}]}]},{"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":480.15,"providers":[{"billed_charge":12086.95,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":246.31,"providers":[{"billed_charge":3582.91,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1217.97,"providers":[{"billed_charge":10203.57,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1095.51,"providers":[{"billed_charge":18518.65,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.48,"providers":[{"billed_charge":803.04,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4388.53,"providers":[{"billed_charge":66721.03,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":380.92,"providers":[{"billed_charge":7595.55,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":110.52,"providers":[{"billed_charge":1531.77,"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":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":76.16,"providers":[{"billed_charge":1280.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":125.51,"providers":[{"billed_charge":1785.19,"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":726.03,"providers":[{"billed_charge":4612.56,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":112.21,"providers":[{"billed_charge":450.66,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":168.64,"providers":[{"billed_charge":1540.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":265.40,"providers":[{"billed_charge":671.08,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":602.45,"providers":[{"billed_charge":2439.78,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1290.53,"providers":[{"billed_charge":7186.31,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"872633751"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":69.54,"providers":[{"billed_charge":279.72,"npi":[1821749896]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1269.06,"providers":[{"billed_charge":4680.00,"npi":[1174172845]}]}]},{"tin":{"type":"ein","value":"742854030"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":138.60,"providers":[{"billed_charge":525.00,"npi":[1083256879]}]}]},{"tin":{"type":"ein","value":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.59,"providers":[{"billed_charge":722.61,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":46.68,"providers":[{"billed_charge":780.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":933.60,"providers":[{"billed_charge":18000.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"208015163"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":289.16,"providers":[{"billed_charge":2660.00,"npi":[1649459744]}]}]},{"tin":{"type":"ein","value":"473968494"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":289.77,"providers":[{"billed_charge":780.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":104.07,"providers":[{"billed_charge":837.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8577.45,"providers":[{"billed_charge":34230.41,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"742966092"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":23.00,"npi":[1497716401]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1445.22,"providers":[{"billed_charge":2232.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"260834681"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.91,"providers":[{"billed_charge":684.00,"npi":[1033290077]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":81166.55,"providers":[{"billed_charge":716572.34,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":3.89,"providers":[{"billed_charge":55.00,"npi":[1093920399]}]}]}]},{"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":32.40,"providers":[{"billed_charge":271.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.52,"providers":[{"billed_charge":805.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3559.98,"providers":[{"billed_charge":30396.39,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":626.89,"providers":[{"billed_charge":10920.15,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"260834681"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":40.00,"providers":[{"billed_charge":480.00,"npi":[1033290077]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":650.18,"providers":[{"billed_charge":2504.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":55.02,"providers":[{"billed_charge":523.08,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":105.50,"providers":[{"billed_charge":977.36,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["12","65"],"billing_class":"institutional","payments":[{"allowed_amount":12728.38,"providers":[{"billed_charge":125496.00,"npi":[1234567893]}]},{"allowed_amount":819966.02,"providers":[{"billed_charge":7125308.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":328.28,"providers":[{"billed_charge":10085.40,"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":1179.85,"providers":[{"billed_charge":8910.00,"npi":[1518254309]}]},{"allowed_amount":428.49,"providers":[{"billed_charge":3240.00,"npi":[1518254309]}]}]}]},{"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":246.42,"providers":[{"billed_charge":2352.00,"npi":[1518254309]}]},{"allowed_amount":33.76,"providers":[{"billed_charge":336.00,"npi":[1699734053]}]},{"allowed_amount":867.29,"providers":[{"billed_charge":8232.00,"npi":[1518254309]}]},{"allowed_amount":123.86,"providers":[{"billed_charge":1176.00,"npi":[1003132663]}]}]}]},{"name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"PROTHROMBIN TIME;","allowed_amounts":[{"tin":{"type":"ein","value":"823021953"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.20,"providers":[{"billed_charge":102.96,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":999.49,"providers":[{"billed_charge":15941.46,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":61.35,"providers":[{"billed_charge":1240.86,"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":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4.28,"providers":[{"billed_charge":17.08,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.35,"providers":[{"billed_charge":237.51,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.29,"providers":[{"billed_charge":163.40,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2254.68,"providers":[{"billed_charge":50624.74,"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":52.68,"providers":[{"billed_charge":948.70,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1125.94,"providers":[{"billed_charge":17902.42,"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":"843210939"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":30437.90,"providers":[{"billed_charge":381612.70,"npi":[1851917207]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1140.68,"providers":[{"billed_charge":11514.82,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":354.12,"providers":[{"billed_charge":4999.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":45.71,"providers":[{"billed_charge":615.85,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":302.50,"providers":[{"billed_charge":2533.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8058.17,"providers":[{"billed_charge":130148.55,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":868.79,"providers":[{"billed_charge":18459.39,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":208.59,"providers":[{"billed_charge":3219.70,"npi":[1234567893]}]}]}]},{"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":80.76,"providers":[{"billed_charge":297.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12.87,"providers":[{"billed_charge":51.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.45,"providers":[{"billed_charge":1192.95,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3081.71,"providers":[{"billed_charge":64382.40,"npi":[1234567893]}]}]}]},{"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":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6.48,"providers":[{"billed_charge":12.95,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":275.81,"providers":[{"billed_charge":684.85,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1205.28,"providers":[{"billed_charge":10094.22,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1964.56,"providers":[{"billed_charge":21487.58,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1716.32,"providers":[{"billed_charge":7470.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":172.59,"providers":[{"billed_charge":1427.88,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1575.25,"providers":[{"billed_charge":14983.44,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":114.00,"providers":[{"billed_charge":4826.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3898.48,"providers":[{"billed_charge":59884.98,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":71.28,"providers":[{"billed_charge":990.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2598.49,"providers":[{"billed_charge":36974.24,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192.36,"providers":[{"billed_charge":1612.80,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2757.60,"providers":[{"billed_charge":58234.28,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1452.45,"providers":[{"billed_charge":12179.16,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":22489.06,"providers":[{"billed_charge":154427.11,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.78,"providers":[{"billed_charge":114.25,"npi":[1234567893]}]}]}]},{"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":630.87,"providers":[{"billed_charge":16048.23,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1789.15,"providers":[{"billed_charge":18272.15,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":745.59,"providers":[{"billed_charge":12303.17,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1549.01,"providers":[{"billed_charge":21375.52,"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":2.49,"providers":[{"billed_charge":57.25,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1431.45,"providers":[{"billed_charge":12626.52,"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":17.82,"providers":[{"billed_charge":80.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":420.16,"providers":[{"billed_charge":4356.21,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":183.37,"providers":[{"billed_charge":2890.44,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4800.35,"providers":[{"billed_charge":45979.84,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1093.55,"providers":[{"billed_charge":11182.24,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":809.35,"providers":[{"billed_charge":21522.51,"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":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":57.00,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":100.82,"providers":[{"billed_charge":407.40,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":129.50,"providers":[{"billed_charge":523.80,"npi":[1558717827]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":298.48,"providers":[{"billed_charge":2500.59,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8476.57,"providers":[{"billed_charge":101329.51,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1509.72,"providers":[{"billed_charge":6732.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":736.18,"providers":[{"billed_charge":6486.41,"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":"463663879"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":92.33,"providers":[{"billed_charge":275.00,"npi":[1760897755]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":127.80,"providers":[{"billed_charge":1070.55,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3072.12,"providers":[{"billed_charge":52964.62,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":768.98,"providers":[{"billed_charge":2816.00,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":526.83,"providers":[{"billed_charge":4420.00,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17585.95,"providers":[{"billed_charge":92107.81,"npi":[1234567893]}]}]}]},{"name":"TB INTRADERMAL TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST; TUBERCULOSIS, INTRADERMAL","allowed_amounts":[{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":31.32,"providers":[{"billed_charge":390.00,"npi":[1437203676]}]}]}]},{"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":65.34,"providers":[{"billed_charge":955.89,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":115.56,"providers":[{"billed_charge":928.26,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7250.46,"providers":[{"billed_charge":112211.14,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":254.79,"providers":[{"billed_charge":3402.41,"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":957.36,"providers":[{"billed_charge":14580.19,"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":522.26,"providers":[{"billed_charge":8020.45,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.51,"providers":[{"billed_charge":374.88,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":294.33,"providers":[{"billed_charge":2711.73,"npi":[1234567893]}]}]}]},{"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":118.80,"providers":[{"billed_charge":995.22,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5629.26,"providers":[{"billed_charge":68783.62,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":212.96,"providers":[{"billed_charge":1785.30,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8957.91,"providers":[{"billed_charge":107211.73,"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":26.28,"providers":[{"billed_charge":106.68,"npi":[1336758952]}]}]}]},{"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":40.16,"providers":[{"billed_charge":162.24,"npi":[1336758952]}]}]}]},{"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":277.38,"providers":[{"billed_charge":2323.92,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5990.08,"providers":[{"billed_charge":82901.12,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":406.30,"providers":[{"billed_charge":6292.67,"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7.46,"providers":[{"billed_charge":90.52,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":370.53,"providers":[{"billed_charge":3107.07,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6198.05,"providers":[{"billed_charge":95308.08,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":290.61,"providers":[{"billed_charge":5495.30,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":272.80,"providers":[{"billed_charge":2146.32,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3086.83,"providers":[{"billed_charge":46291.76,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2103.52,"providers":[{"billed_charge":46891.63,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":679.76,"providers":[{"billed_charge":8106.30,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":64.80,"providers":[{"billed_charge":403.61,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1526.18,"providers":[{"billed_charge":16164.63,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":957.62,"providers":[{"billed_charge":11973.61,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":271.42,"providers":[{"billed_charge":1931.79,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":65.60,"providers":[{"billed_charge":440.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4067.33,"providers":[{"billed_charge":49405.42,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1508.10,"providers":[{"billed_charge":17882.31,"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":"843260526"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":23.16,"providers":[{"billed_charge":60.00,"npi":[1659900348]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4564.08,"providers":[{"billed_charge":51192.71,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"842769317"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1796.40,"providers":[{"billed_charge":8360.00,"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":69.37,"providers":[{"billed_charge":749.50,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":735.42,"providers":[{"billed_charge":6161.46,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":18293.30,"providers":[{"billed_charge":283023.42,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.73,"providers":[{"billed_charge":1590.75,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14.67,"providers":[{"billed_charge":73.54,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":567.29,"providers":[{"billed_charge":5275.16,"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":"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":4.45,"providers":[{"billed_charge":30.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":390.08,"providers":[{"billed_charge":5965.23,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":9.00,"providers":[{"billed_charge":51.16,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4.45,"providers":[{"billed_charge":30.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":344.80,"providers":[{"billed_charge":5717.05,"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":1559.62,"providers":[{"billed_charge":3816.00,"npi":[1518254309]}]},{"allowed_amount":136.90,"providers":[{"billed_charge":336.00,"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":945.72,"providers":[{"billed_charge":3696.00,"npi":[1174172845]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":312.55,"providers":[{"billed_charge":3583.87,"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":343.32,"providers":[{"billed_charge":3961.75,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1299.66,"providers":[{"billed_charge":21237.12,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":293.47,"providers":[{"billed_charge":5783.35,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":202.00,"providers":[{"billed_charge":1693.50,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3727.72,"providers":[{"billed_charge":18908.14,"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":"333940864"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19.49,"providers":[{"billed_charge":79.56,"npi":[1720971872]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":851.84,"providers":[{"billed_charge":10257.00,"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":162.69,"providers":[{"billed_charge":1888.62,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.08,"providers":[{"billed_charge":32.28,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":933.24,"providers":[{"billed_charge":7817.04,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":99.18,"providers":[{"billed_charge":750.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17934.52,"providers":[{"billed_charge":267465.64,"npi":[1234567893]}]}]}]},{"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":67.81,"providers":[{"billed_charge":425.00,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2708.18,"providers":[{"billed_charge":15667.23,"npi":[1234567893]}]}]}]},{"name":"FUNGUS ISOLATION CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87102","description":"CULTURE, FUNGI (MOLD OR YEAST) ISOLATION, WITH PRESUMPTIVE IDENTIFICATION OF ISOLATES; OTHER SOURCE ","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5.62,"providers":[{"billed_charge":32.00,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":44.38,"providers":[{"billed_charge":291.60,"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":182.52,"providers":[{"billed_charge":2797.50,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":353.40,"providers":[{"billed_charge":2834.20,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1291.61,"providers":[{"billed_charge":8415.63,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10291.64,"providers":[{"billed_charge":23720.00,"npi":[1467066860]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":420.47,"providers":[{"billed_charge":2732.89,"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":28.94,"providers":[{"billed_charge":450.20,"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":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":147.22,"providers":[{"billed_charge":1232.16,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4914.60,"providers":[{"billed_charge":60844.08,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":999.62,"providers":[{"billed_charge":5400.00,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":25.29,"providers":[{"billed_charge":451.61,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":882.90,"providers":[{"billed_charge":6952.99,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":340.28,"providers":[{"billed_charge":2672.30,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":210.30,"providers":[{"billed_charge":4720.50,"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.90,"providers":[{"billed_charge":368.71,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":330.88,"providers":[{"billed_charge":2089.20,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10130.33,"providers":[{"billed_charge":137479.01,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":228.16,"providers":[{"billed_charge":4439.00,"npi":[1234567893]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":342.15,"providers":[{"billed_charge":6478.47,"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":300.96,"providers":[{"billed_charge":3031.17,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":191.20,"providers":[{"billed_charge":1280.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"810576059"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4262.16,"providers":[{"billed_charge":22857.81,"npi":[1235186800]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":38742.28,"providers":[{"billed_charge":392963.00,"npi":[1234567893]}]}]}]},{"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":71.46,"providers":[{"billed_charge":288.72,"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":72.12,"providers":[{"billed_charge":336.00,"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":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":165.22,"providers":[{"billed_charge":781.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":123.69,"providers":[{"billed_charge":2100.00,"npi":[1093920399]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":248.50,"providers":[{"billed_charge":2850.72,"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":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":594.00,"providers":[{"billed_charge":594.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6607.26,"providers":[{"billed_charge":9400.00,"npi":[1629099221]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":3163.50,"providers":[{"billed_charge":27000.00,"npi":[1093920399]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3956.12,"providers":[{"billed_charge":32373.39,"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":4809.06,"providers":[{"billed_charge":14840.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":35.10,"providers":[{"billed_charge":106.00,"npi":[1992709356]}]},{"allowed_amount":2050.82,"providers":[{"billed_charge":6507.00,"npi":[1023104528]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":225.99,"providers":[{"billed_charge":912.34,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":661.60,"providers":[{"billed_charge":5700.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1798.35,"providers":[{"billed_charge":3640.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":24666.24,"providers":[{"billed_charge":34800.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":364.84,"providers":[{"billed_charge":1105.44,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":460.72,"providers":[{"billed_charge":4647.33,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7456.73,"providers":[{"billed_charge":17080.75,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10931.23,"providers":[{"billed_charge":32423.16,"npi":[1689639544]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":364.31,"providers":[{"billed_charge":1113.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2773.53,"providers":[{"billed_charge":8281.24,"npi":[1689639544]}]}]}]},{"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":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":877.32,"providers":[{"billed_charge":4651.92,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.81,"providers":[{"billed_charge":424.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"800936483"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2105.40,"providers":[{"billed_charge":3265.50,"npi":[1326484569]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.02,"providers":[{"billed_charge":44.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":120.73,"providers":[{"billed_charge":491.26,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1600.29,"providers":[{"billed_charge":13800.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2435.46,"providers":[{"billed_charge":6045.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60925.82,"providers":[{"billed_charge":380185.96,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":601.53,"providers":[{"billed_charge":1400.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1781.09,"providers":[{"billed_charge":4099.38,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5371.56,"providers":[{"billed_charge":15860.68,"npi":[1689639544]}]},{"allowed_amount":456.30,"providers":[{"billed_charge":1824.68,"npi":[1104631415]}]}]}]},{"name":"Infectious agent detection by nucleic acid (DNA or RNA)Chlamydia trachomatis and Neisseria gonorrhoeae multiplex amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87494","description":"Infectious agent detection by nucleic acid (DNA or RNA) Chlamydia trachomatis and Neisseria gonorrhoeae multiplex amplified probe technique","allowed_amounts":[{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3586.36,"providers":[{"billed_charge":31200.00,"npi":[1023104528]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3494.30,"providers":[{"billed_charge":14036.00,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1116.30,"providers":[{"billed_charge":1641.78,"npi":[1154345841]}]}]}]},{"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":34.57,"providers":[{"billed_charge":140.36,"npi":[1972117349]}]}]}]},{"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":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":385.04,"providers":[{"billed_charge":1543.96,"npi":[1972117349]}]}]}]},{"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":"474579289"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.81,"providers":[{"billed_charge":842.16,"npi":[1720448061]}]}]},{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1769.49,"providers":[{"billed_charge":5459.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1275.32,"providers":[{"billed_charge":5123.14,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":428.68,"providers":[{"billed_charge":877.25,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":226.56,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"333940864"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":189.87,"providers":[{"billed_charge":771.98,"npi":[1720971872]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":278.68,"providers":[{"billed_charge":848.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":7406.96,"providers":[{"billed_charge":10450.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1910.30,"providers":[{"billed_charge":4380.71,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2215.45,"providers":[{"billed_charge":10325.00,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":192.52,"providers":[{"billed_charge":440.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.69,"providers":[{"billed_charge":525.00,"npi":[1659031433]}]}]}]},{"name":"INFLUENZA DNA AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87502","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-","allowed_amounts":[{"tin":{"type":"ein","value":"882565848"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":471.80,"providers":[{"billed_charge":1500.00,"npi":[1548999451]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1908.41,"providers":[{"billed_charge":15309.75,"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":53.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":157.42,"providers":[{"billed_charge":1350.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5776.72,"providers":[{"billed_charge":8150.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1238.86,"providers":[{"billed_charge":2925.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":35.16,"providers":[{"billed_charge":291.25,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1104.06,"providers":[{"billed_charge":2531.97,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1426.47,"providers":[{"billed_charge":4210.80,"npi":[1689639544]}]}]}]},{"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":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":636.84,"providers":[{"billed_charge":5386.50,"npi":[1942526447]}]},{"allowed_amount":85.68,"providers":[{"billed_charge":718.20,"npi":[1942526447]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3997.06,"providers":[{"billed_charge":68136.50,"npi":[1234567893]}]}]}]},{"name":"HEPATITIS C PROBE&RVRS TRNSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87521","description":"INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); HEPATITIS C, AMPLIFIED PROBE TECHNIQUE, INC","allowed_amounts":[{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":804.65,"providers":[{"billed_charge":1848.74,"npi":[1134559685]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2764.42,"providers":[{"billed_charge":52472.76,"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":"800936483"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1579.05,"providers":[{"billed_charge":2385.00,"npi":[1326484569]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":814.12,"providers":[{"billed_charge":3298.46,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2504.53,"providers":[{"billed_charge":28120.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1516.25,"providers":[{"billed_charge":3496.53,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":834.34,"providers":[{"billed_charge":2526.48,"npi":[1689639544]}]}]}]},{"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":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":393.05,"providers":[{"billed_charge":920.00,"npi":[1467066860]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1983.28,"providers":[{"billed_charge":33221.24,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":12179.00,"providers":[{"billed_charge":108291.96,"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":362.19,"providers":[{"billed_charge":1113.00,"npi":[1619488418]}]}]}]},{"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":290.50,"providers":[{"billed_charge":589.54,"npi":[1558150078]}]}]}]},{"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":608.95,"providers":[{"billed_charge":1855.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"800936483"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2035.22,"providers":[{"billed_charge":3222.00,"npi":[1326484569]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1969.90,"providers":[{"billed_charge":7930.34,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":902.59,"providers":[{"billed_charge":1859.77,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":226.03,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":68.61,"providers":[{"billed_charge":212.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":700.42,"providers":[{"billed_charge":2250.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10906.95,"providers":[{"billed_charge":91729.96,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1500.29,"providers":[{"billed_charge":3456.34,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2365.65,"providers":[{"billed_charge":5526.36,"npi":[1861913576]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":722.26,"providers":[{"billed_charge":1680.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":70.20,"providers":[{"billed_charge":280.72,"npi":[1104631415]}]},{"allowed_amount":5814.45,"providers":[{"billed_charge":13825.46,"npi":[1689639544]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":362.19,"providers":[{"billed_charge":1113.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2803.74,"providers":[{"billed_charge":8351.42,"npi":[1689639544]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.28,"providers":[{"billed_charge":424.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"840611484"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":877.32,"providers":[{"billed_charge":4994.89,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"800936483"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2105.40,"providers":[{"billed_charge":3265.50,"npi":[1326484569]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":226.56,"providers":[{"billed_charge":547.43,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"843731229"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":121.79,"providers":[{"billed_charge":491.26,"npi":[1336758952]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1566.25,"providers":[{"billed_charge":13500.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2511.23,"providers":[{"billed_charge":5980.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":60341.57,"providers":[{"billed_charge":377067.48,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1779.50,"providers":[{"billed_charge":4099.38,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":603.12,"providers":[{"billed_charge":1575.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":421.20,"providers":[{"billed_charge":1684.32,"npi":[1104631415]}]},{"allowed_amount":5221.95,"providers":[{"billed_charge":15439.60,"npi":[1689639544]}]}]}]},{"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":292.44,"providers":[{"billed_charge":1961.02,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1953.47,"providers":[{"billed_charge":21586.24,"npi":[1023104528]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":508.95,"providers":[{"billed_charge":3190.00,"npi":[1093753303]}]},{"allowed_amount":17.55,"providers":[{"billed_charge":110.00,"npi":[1942526447]}]},{"allowed_amount":3738.15,"providers":[{"billed_charge":23430.00,"npi":[1093753303]}]}]},{"tin":{"type":"ein","value":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":173.38,"providers":[{"billed_charge":1166.79,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2569.84,"providers":[{"billed_charge":21460.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4258.78,"providers":[{"billed_charge":10465.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47233.26,"providers":[{"billed_charge":362555.37,"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":80.51,"providers":[{"billed_charge":194.64,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":556.86,"providers":[{"billed_charge":1120.00,"npi":[1467066860]}]}]}]},{"name":"Infectious Agent Antigen Detection","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87626","description":"Infectious Agent Antigen Detection","allowed_amounts":[{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":623.40,"providers":[{"billed_charge":5400.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34651.93,"providers":[{"billed_charge":166273.99,"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":"394764139"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2781.48,"providers":[{"billed_charge":3900.00,"npi":[1164390605]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10204.40,"providers":[{"billed_charge":33660.68,"npi":[1689639544]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4326.19,"providers":[{"billed_charge":13125.00,"npi":[1619488418]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":355.39,"providers":[{"billed_charge":1078.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1153.93,"providers":[{"billed_charge":4617.90,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"392978048"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":74.67,"providers":[{"billed_charge":180.00,"npi":[1952255739]}]}]},{"tin":{"type":"ein","value":"471392770"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":373.35,"providers":[{"billed_charge":1020.00,"npi":[1457769473]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":468.43,"providers":[{"billed_charge":1725.00,"npi":[1234567893]}]}]}]},{"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":"471392770"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":691.80,"providers":[{"billed_charge":1850.00,"npi":[1457769473]}]}]}]},{"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":"474579289"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":224.44,"providers":[{"billed_charge":1368.51,"npi":[1720448061]}]}]},{"tin":{"type":"ein","value":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1145.05,"providers":[{"billed_charge":3498.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":857.30,"providers":[{"billed_charge":3438.82,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6095.68,"providers":[{"billed_charge":8600.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":843.84,"providers":[{"billed_charge":9162.16,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":243.05,"providers":[{"billed_charge":560.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5260.50,"providers":[{"billed_charge":15720.32,"npi":[1689639544]}]},{"allowed_amount":351.00,"providers":[{"billed_charge":1403.60,"npi":[1104631415]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2099.76,"providers":[{"billed_charge":6466.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":464.31,"providers":[{"billed_charge":982.34,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":244.64,"providers":[{"billed_charge":589.54,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.02,"providers":[{"billed_charge":44.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":228.15,"providers":[{"billed_charge":689.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1694.93,"providers":[{"billed_charge":3898.43,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":87.75,"providers":[{"billed_charge":525.00,"npi":[1659031433]}]}]}]},{"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2188.04,"providers":[{"billed_charge":6731.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":462.19,"providers":[{"billed_charge":947.43,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"760182525"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":34.04,"providers":[{"billed_charge":52.00,"npi":[1881670271]}]},{"allowed_amount":68.08,"providers":[{"billed_charge":104.00,"npi":[1881670271]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":261.13,"providers":[{"billed_charge":631.65,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":227.09,"providers":[{"billed_charge":689.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["17","81"],"billing_class":"professional","payments":[{"allowed_amount":11.72,"providers":[{"billed_charge":130.00,"npi":[1234567893]}]},{"allowed_amount":28.07,"providers":[{"billed_charge":88.21,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1886.92,"providers":[{"billed_charge":4340.52,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1658.94,"providers":[{"billed_charge":4912.60,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.16,"providers":[{"billed_charge":300.00,"npi":[1659031433]}]}]}]},{"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":["81"],"billing_class":"professional","payments":[{"allowed_amount":2636.12,"providers":[{"billed_charge":8555.00,"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":1517.37,"providers":[{"billed_charge":4664.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":384.51,"providers":[{"billed_charge":2173.16,"npi":[1942526447]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1190.22,"providers":[{"billed_charge":4772.24,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"822704194"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":17.55,"providers":[{"billed_charge":44.00,"npi":[1487429874]}]}]},{"tin":{"type":"ein","value":"760182737"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":437.69,"providers":[{"billed_charge":1325.00,"npi":[1104839380]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6166.56,"providers":[{"billed_charge":8700.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2774.55,"providers":[{"billed_charge":6390.21,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":386.10,"providers":[{"billed_charge":1543.96,"npi":[1104631415]}]},{"allowed_amount":5582.16,"providers":[{"billed_charge":16702.84,"npi":[1689639544]}]}]},{"tin":{"type":"ein","value":"474579289"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":311.66,"providers":[{"billed_charge":1894.86,"npi":[1720448061]}]}]},{"tin":{"type":"ein","value":"611803788"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":289.34,"providers":[{"billed_charge":596.53,"npi":[1053841023]}]}]},{"tin":{"type":"ein","value":"334777680"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":242.52,"providers":[{"billed_charge":589.54,"npi":[1558150078]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":403.18,"providers":[{"billed_charge":952.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2068.83,"providers":[{"billed_charge":22000.88,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":209.54,"providers":[{"billed_charge":480.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":86.69,"providers":[{"billed_charge":525.00,"npi":[1659031433]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":3761.10,"providers":[{"billed_charge":30712.08,"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":"821936336"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":138.81,"providers":[{"billed_charge":424.00,"npi":[1619488418]}]}]},{"tin":{"type":"ein","value":"741761309"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.30,"providers":[{"billed_charge":870.00,"npi":[1992709356]}]},{"allowed_amount":2378.44,"providers":[{"billed_charge":20235.00,"npi":[1023104528]}]}]},{"tin":{"type":"ein","value":"851486076"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1954.47,"providers":[{"billed_charge":7860.16,"npi":[1972117349]}]}]},{"tin":{"type":"ein","value":"800936483"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2070.31,"providers":[{"billed_charge":3250.50,"npi":[1326484569]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":938.69,"providers":[{"billed_charge":8100.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2165.53,"providers":[{"billed_charge":4680.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":19502.98,"providers":[{"billed_charge":120143.65,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"851912474"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":396.23,"providers":[{"billed_charge":1035.00,"npi":[1467066860]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1779.50,"providers":[{"billed_charge":4099.38,"npi":[1134559685]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":421.20,"providers":[{"billed_charge":1684.32,"npi":[1104631415]}]},{"allowed_amount":4715.58,"providers":[{"billed_charge":13895.64,"npi":[1689639544]}]}]}]},{"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":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":224.97,"providers":[{"billed_charge":1950.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":53444.68,"providers":[{"billed_charge":138166.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"883769862"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":744.58,"providers":[{"billed_charge":2263.52,"npi":[1811688104]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8163.82,"providers":[{"billed_charge":85396.54,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":224.68,"providers":[{"billed_charge":771.98,"npi":[1689639544]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1697.76,"providers":[{"billed_charge":22416.75,"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":"621695507"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":4247.10,"providers":[{"billed_charge":46630.32,"npi":[1093753303]}]},{"allowed_amount":35.10,"providers":[{"billed_charge":317.24,"npi":[1942526447]}]},{"allowed_amount":912.60,"providers":[{"billed_charge":9511.48,"npi":[1093753303]}]},{"allowed_amount":978.60,"providers":[{"billed_charge":9688.14,"npi":[1942526447]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":663.39,"providers":[{"billed_charge":3640.35,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"453194060"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28077.72,"providers":[{"billed_charge":39600.00,"npi":[1508594136]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":48245.99,"providers":[{"billed_charge":476183.23,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"621433252"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":969.00,"providers":[{"billed_charge":3369.60,"npi":[1689639544]}]}]}]},{"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":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":133.57,"providers":[{"billed_charge":380.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":91.08,"providers":[{"billed_charge":825.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":77.33,"providers":[{"billed_charge":275.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":21.09,"providers":[{"billed_charge":74.49,"npi":[1497347173]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1647.72,"providers":[{"billed_charge":10945.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":77.33,"providers":[{"billed_charge":616.00,"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":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":351.73,"providers":[{"billed_charge":1615.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17.59,"providers":[{"billed_charge":60.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.45,"providers":[{"billed_charge":750.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"394764139"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":620.70,"providers":[{"billed_charge":1260.00,"npi":[1164390605]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":211.08,"providers":[{"billed_charge":780.00,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.72,"providers":[{"billed_charge":1832.00,"npi":[1659025328]}]}]}]},{"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":"742854030"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":98.35,"providers":[{"billed_charge":175.00,"npi":[1083256879]}]}]},{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":297.72,"providers":[{"billed_charge":1980.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":84.36,"providers":[{"billed_charge":396.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":42.18,"providers":[{"billed_charge":150.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":388.69,"providers":[{"billed_charge":2961.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.53,"providers":[{"billed_charge":25.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":16.54,"providers":[{"billed_charge":86.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2793.57,"providers":[{"billed_charge":5915.00,"npi":[1629099221]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1637.46,"providers":[{"billed_charge":10890.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":49.21,"providers":[{"billed_charge":595.00,"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":"471358089"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8786.61,"providers":[{"billed_charge":12600.00,"npi":[1861913576]}]}]}]},{"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1606.54,"providers":[{"billed_charge":3458.00,"npi":[1234567893]}]}]}]},{"name":"DIALY/MISC","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"880","description":"MISC DIALYSIS - GENERAL CLASSIFICATION","allowed_amounts":[{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":4520.28,"providers":[{"billed_charge":18936.00,"npi":[1932123247]}]}]}]},{"name":"DIALY/ULTRAFILT","billing_code_type":"RC","billing_code_type_version":"2022","billing_code":"881","description":"MISC DIALYSIS - ULTRAFILTRATION","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["65"],"billing_class":"institutional","payments":[{"allowed_amount":17674.77,"providers":[{"billed_charge":122880.00,"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":"742922218"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":23.05,"providers":[{"billed_charge":225.00,"npi":[1669462388]}]}]},{"tin":{"type":"ein","value":"751784456"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":42.55,"providers":[{"billed_charge":600.00,"npi":[1750313904]}]},{"allowed_amount":21.11,"providers":[{"billed_charge":300.00,"npi":[1750313904]}]}]}]},{"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":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":532.79,"providers":[{"billed_charge":2190.00,"npi":[1215921549]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":154.60,"providers":[{"billed_charge":1052.39,"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":2261.97,"providers":[{"billed_charge":9185.00,"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":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11.65,"providers":[{"billed_charge":75.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":126.42,"providers":[{"billed_charge":693.00,"npi":[1699979294]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":118.30,"providers":[{"billed_charge":950.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1541.89,"providers":[{"billed_charge":4930.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2647.54,"providers":[{"billed_charge":14782.63,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":28.14,"providers":[{"billed_charge":168.00,"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":3209.95,"providers":[{"billed_charge":14490.00,"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":1807.98,"providers":[{"billed_charge":11420.00,"npi":[1023104528]}]},{"allowed_amount":26.62,"providers":[{"billed_charge":160.00,"npi":[1992709356]}]}]},{"tin":{"type":"ein","value":"621695507"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":158.12,"providers":[{"billed_charge":1128.00,"npi":[1942526447]}]},{"allowed_amount":266.20,"providers":[{"billed_charge":1880.00,"npi":[1093753303]}]},{"allowed_amount":4032.93,"providers":[{"billed_charge":28482.00,"npi":[1093753303]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":66.15,"providers":[{"billed_charge":402.50,"npi":[1023066412]}]},{"allowed_amount":104.48,"providers":[{"billed_charge":644.00,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":484.87,"providers":[{"billed_charge":4032.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":47.88,"providers":[{"billed_charge":340.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3226.55,"providers":[{"billed_charge":29400.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3937.70,"providers":[{"billed_charge":12180.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":30129.10,"providers":[{"billed_charge":220934.24,"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":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2390.59,"providers":[{"billed_charge":10106.25,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"593725585"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":58.52,"providers":[{"billed_charge":392.00,"npi":[1396408829]}]}]}]},{"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":18397.40,"providers":[{"billed_charge":73584.00,"npi":[1841375094]}]}]},{"tin":{"type":"ein","value":"593725585"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":382.28,"providers":[{"billed_charge":3220.00,"npi":[1396408829]}]}]}]},{"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":"911789357"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2366.18,"providers":[{"billed_charge":9288.00,"npi":[1841375094]}]}]}]},{"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":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":262.32,"providers":[{"billed_charge":2678.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":187.25,"providers":[{"billed_charge":1530.23,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":43.37,"providers":[{"billed_charge":320.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":52.59,"providers":[{"billed_charge":1920.00,"npi":[1699270702]}]},{"allowed_amount":26.29,"providers":[{"billed_charge":960.00,"npi":[1699270702]}]}]},{"tin":{"type":"ein","value":"264450440"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":4.93,"providers":[{"billed_charge":49.00,"npi":[1215998174]}]}]}]},{"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","21"],"billing_class":"professional","payments":[{"allowed_amount":17.26,"providers":[{"billed_charge":290.00,"npi":[1245238708]}]},{"allowed_amount":34.00,"providers":[{"billed_charge":580.00,"npi":[1316123987]}]},{"allowed_amount":155.31,"providers":[{"billed_charge":2610.00,"npi":[1609287739]}]},{"allowed_amount":34.52,"providers":[{"billed_charge":580.00,"npi":[1609287739]}]}]},{"tin":{"type":"ein","value":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28926.22,"providers":[{"billed_charge":220375.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":10813.67,"providers":[{"billed_charge":95573.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4213.06,"providers":[{"billed_charge":8190.00,"npi":[1831169762]}]},{"allowed_amount":6901.40,"providers":[{"billed_charge":13160.00,"npi":[1003073628]}]},{"allowed_amount":3143.03,"providers":[{"billed_charge":6090.00,"npi":[1164955928]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":5231.10,"providers":[{"billed_charge":43084.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2274.11,"providers":[{"billed_charge":7034.00,"npi":[1194676528]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","81"],"billing_class":"professional","payments":[{"allowed_amount":32166.05,"providers":[{"billed_charge":192687.75,"npi":[1234567893]}]},{"allowed_amount":66.88,"providers":[{"billed_charge":242.80,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"752290938"},"service_code":["11","22","21"],"billing_class":"professional","payments":[{"allowed_amount":221.75,"providers":[{"billed_charge":3375.00,"npi":[1215930649]}]},{"allowed_amount":67.48,"providers":[{"billed_charge":1085.00,"npi":[1215930649]}]},{"allowed_amount":51.77,"providers":[{"billed_charge":690.00,"npi":[1215930649]}]},{"allowed_amount":307.50,"providers":[{"billed_charge":4140.00,"npi":[1447442165]}]},{"allowed_amount":69.03,"providers":[{"billed_charge":920.00,"npi":[1447442165]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["11","81","21"],"billing_class":"professional","payments":[{"allowed_amount":70.28,"providers":[{"billed_charge":700.00,"npi":[1245454149]}]},{"allowed_amount":1431.64,"providers":[{"billed_charge":9020.00,"npi":[1366421927]}]},{"allowed_amount":69.58,"providers":[{"billed_charge":1220.00,"npi":[1750622643]}]},{"allowed_amount":33.61,"providers":[{"billed_charge":610.00,"npi":[1750622643]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":165.82,"providers":[{"billed_charge":2280.00,"npi":[1023066412]}]},{"allowed_amount":1443.66,"providers":[{"billed_charge":20064.00,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"760421006"},"service_code":["22","11","21"],"billing_class":"professional","payments":[{"allowed_amount":143.04,"providers":[{"billed_charge":966.00,"npi":[1124293873,1033613922]}]},{"allowed_amount":143.05,"providers":[{"billed_charge":966.00,"npi":[1760487169]}]},{"allowed_amount":46.59,"providers":[{"billed_charge":322.00,"npi":[1366447690]}]},{"allowed_amount":333.77,"providers":[{"billed_charge":2254.00,"npi":[1124293873]}]},{"allowed_amount":1043.48,"providers":[{"billed_charge":5368.00,"npi":[1154427201]}]},{"allowed_amount":192.22,"providers":[{"billed_charge":1932.00,"npi":[1083034227]}]},{"allowed_amount":284.58,"providers":[{"billed_charge":1464.00,"npi":[1760487169]}]},{"allowed_amount":330.49,"providers":[{"billed_charge":2254.00,"npi":[1366447690]}]}]},{"tin":{"type":"ein","value":"581910975"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6217.54,"providers":[{"billed_charge":22323.00,"npi":[1295085686]}]},{"allowed_amount":2096.76,"providers":[{"billed_charge":15222.00,"npi":[1003919531]}]}]},{"tin":{"type":"ein","value":"871005967"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":702.79,"providers":[{"billed_charge":3900.00,"npi":[1043539687]}]},{"allowed_amount":2264.91,"providers":[{"billed_charge":12675.00,"npi":[1043539687]}]}]},{"tin":{"type":"ein","value":"752656007"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":16.74,"providers":[{"billed_charge":228.00,"npi":[1821588104]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22","81","21"],"billing_class":"professional","payments":[{"allowed_amount":322.13,"providers":[{"billed_charge":5320.00,"npi":[1710217971]}]},{"allowed_amount":67.47,"providers":[{"billed_charge":1120.00,"npi":[1487918603]}]},{"allowed_amount":292.83,"providers":[{"billed_charge":4760.00,"npi":[1487918603]}]},{"allowed_amount":51.77,"providers":[{"billed_charge":840.00,"npi":[1629259056]}]},{"allowed_amount":238.00,"providers":[{"billed_charge":3920.00,"npi":[1699979294]}]},{"allowed_amount":2829.80,"providers":[{"billed_charge":46480.00,"npi":[1487918603]}]},{"allowed_amount":16.74,"providers":[{"billed_charge":280.00,"npi":[1699979294]}]},{"allowed_amount":34.51,"providers":[{"billed_charge":560.00,"npi":[1629259056]}]},{"allowed_amount":84.22,"providers":[{"billed_charge":1400.00,"npi":[1699979294]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":347.37,"providers":[{"billed_charge":5200.00,"npi":[1811283591]}]},{"allowed_amount":56.00,"providers":[{"billed_charge":1040.00,"npi":[1487057626]}]},{"allowed_amount":279.91,"providers":[{"billed_charge":4160.00,"npi":[1811283591]}]},{"allowed_amount":154.17,"providers":[{"billed_charge":2340.00,"npi":[1427469352]}]},{"allowed_amount":104.37,"providers":[{"billed_charge":1560.00,"npi":[1699270702]}]},{"allowed_amount":51.92,"providers":[{"billed_charge":780.00,"npi":[1679981658]}]},{"allowed_amount":695.80,"providers":[{"billed_charge":10400.00,"npi":[1699270702]}]},{"allowed_amount":552.28,"providers":[{"billed_charge":8320.00,"npi":[1841488202]}]},{"allowed_amount":210.00,"providers":[{"billed_charge":3900.00,"npi":[1487057626]}]},{"allowed_amount":588.00,"providers":[{"billed_charge":10920.00,"npi":[1346650371]}]},{"allowed_amount":34.26,"providers":[{"billed_charge":520.00,"npi":[1841488202]}]},{"allowed_amount":51.39,"providers":[{"billed_charge":780.00,"npi":[1679981658]}]},{"allowed_amount":42.00,"providers":[{"billed_charge":780.00,"npi":[1346650371]}]}]},{"tin":{"type":"ein","value":"264450440"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":50.74,"providers":[{"billed_charge":609.00,"npi":[1215998174]}]},{"allowed_amount":207.06,"providers":[{"billed_charge":2436.00,"npi":[1215998174]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15804.74,"providers":[{"billed_charge":201868.00,"npi":[1831294883]}]},{"allowed_amount":13240.87,"providers":[{"billed_charge":169386.00,"npi":[1588840706]}]},{"allowed_amount":16011.98,"providers":[{"billed_charge":204702.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"205455398"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1166.24,"providers":[{"billed_charge":7198.00,"npi":[1134438427]}]}]},{"tin":{"type":"ein","value":"760182525"},"service_code":["22","24","21"],"billing_class":"professional","payments":[{"allowed_amount":102.78,"providers":[{"billed_charge":1680.00,"npi":[1861478711]}]},{"allowed_amount":122.03,"providers":[{"billed_charge":1960.00,"npi":[1861478711]}]},{"allowed_amount":17.13,"providers":[{"billed_charge":280.00,"npi":[1659464857]}]},{"allowed_amount":34.79,"providers":[{"billed_charge":560.00,"npi":[1881670271]}]},{"allowed_amount":822.07,"providers":[{"billed_charge":13160.00,"npi":[1659464857]}]},{"allowed_amount":665.25,"providers":[{"billed_charge":10640.00,"npi":[1861478711]}]},{"allowed_amount":139.69,"providers":[{"billed_charge":2240.00,"npi":[1275021255]}]},{"allowed_amount":833.90,"providers":[{"billed_charge":13440.00,"npi":[1275021255]}]},{"allowed_amount":87.24,"providers":[{"billed_charge":1400.00,"npi":[1659464857]}]}]},{"tin":{"type":"ein","value":"760611317"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":609.55,"providers":[{"billed_charge":8547.00,"npi":[1699744144]}]}]},{"tin":{"type":"ein","value":"760364263"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1592.93,"providers":[{"billed_charge":12240.00,"npi":[1982665402]}]}]},{"tin":{"type":"ein","value":"752956384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3543.93,"providers":[{"billed_charge":9375.00,"npi":[1154345841]}]}]},{"tin":{"type":"ein","value":"392970380"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24264.21,"providers":[{"billed_charge":143200.00,"npi":[1972966265]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":14.00,"providers":[{"billed_charge":260.00,"npi":[1710508718,1275895922]}]},{"allowed_amount":103.03,"providers":[{"billed_charge":1560.00,"npi":[1952324956]}]},{"allowed_amount":28.00,"providers":[{"billed_charge":520.00,"npi":[1295994655]}]},{"allowed_amount":1365.88,"providers":[{"billed_charge":20800.00,"npi":[1952324956]}]},{"allowed_amount":280.00,"providers":[{"billed_charge":5200.00,"npi":[1538149406]}]},{"allowed_amount":140.00,"providers":[{"billed_charge":2600.00,"npi":[1538149406]}]},{"allowed_amount":196.00,"providers":[{"billed_charge":3640.00,"npi":[1144367426]}]},{"allowed_amount":840.00,"providers":[{"billed_charge":15600.00,"npi":[1144367426]}]},{"allowed_amount":34.04,"providers":[{"billed_charge":520.00,"npi":[1710508718]}]},{"allowed_amount":86.28,"providers":[{"billed_charge":1300.00,"npi":[1912529280]}]},{"allowed_amount":48.57,"providers":[{"billed_charge":780.00,"npi":[1578776787]}]},{"allowed_amount":116.65,"providers":[{"billed_charge":1820.00,"npi":[1578776787]}]},{"allowed_amount":98.00,"providers":[{"billed_charge":1820.00,"npi":[1295994655]}]}]},{"tin":{"type":"ein","value":"751784456"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":331.77,"providers":[{"billed_charge":5035.00,"npi":[1750313904]}]},{"allowed_amount":383.50,"providers":[{"billed_charge":5830.00,"npi":[1750313904]}]}]}]},{"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":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2587.07,"providers":[{"billed_charge":10508.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":660.17,"providers":[{"billed_charge":2328.41,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":189.32,"providers":[{"billed_charge":2340.00,"npi":[1699270702]}]},{"allowed_amount":190.48,"providers":[{"billed_charge":2340.00,"npi":[1699270702]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":28.00,"providers":[{"billed_charge":936.00,"npi":[1538149406]}]}]}]},{"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":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":8.42,"providers":[{"billed_charge":100.00,"npi":[1366421927]}]}]}]},{"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":"640899072"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5906.05,"providers":[{"billed_charge":17880.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":586.66,"providers":[{"billed_charge":6144.00,"npi":[1588840706]}]},{"allowed_amount":770.50,"providers":[{"billed_charge":8064.00,"npi":[1225142920]}]},{"allowed_amount":743.62,"providers":[{"billed_charge":7808.00,"npi":[1831294883]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":327.60,"providers":[{"billed_charge":600.00,"npi":[1003073628]}]}]},{"tin":{"type":"ein","value":"871005967"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":54.72,"providers":[{"billed_charge":320.00,"npi":[1043539687]}]},{"allowed_amount":270.32,"providers":[{"billed_charge":1600.00,"npi":[1043539687]}]}]},{"tin":{"type":"ein","value":"621637129"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2127.64,"providers":[{"billed_charge":7567.00,"npi":[1194676528]}]}]},{"tin":{"type":"ein","value":"392970380"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7756.86,"providers":[{"billed_charge":29600.00,"npi":[1972966265]}]}]},{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":418.32,"providers":[{"billed_charge":2660.00,"npi":[1366421927]}]}]}]},{"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":18337.07,"providers":[{"billed_charge":62040.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1339.42,"providers":[{"billed_charge":21141.00,"npi":[1588840706]}]},{"allowed_amount":1795.50,"providers":[{"billed_charge":28362.00,"npi":[1831294883]}]},{"allowed_amount":1493.96,"providers":[{"billed_charge":23577.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1488.74,"providers":[{"billed_charge":3614.00,"npi":[1831169762]}]},{"allowed_amount":1122.67,"providers":[{"billed_charge":2722.00,"npi":[1164955928]}]},{"allowed_amount":1316.07,"providers":[{"billed_charge":3045.00,"npi":[1003073628]}]}]},{"tin":{"type":"ein","value":"581910975"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1396.55,"providers":[{"billed_charge":3094.00,"npi":[1295085686]}]}]},{"tin":{"type":"ein","value":"392970380"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7707.00,"providers":[{"billed_charge":40000.00,"npi":[1972966265]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":137.64,"providers":[{"billed_charge":1106.00,"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":"393155066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4640.85,"providers":[{"billed_charge":43005.00,"npi":[1114807153]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":2450.56,"providers":[{"billed_charge":8600.00,"npi":[1740733708]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","81"],"billing_class":"professional","payments":[{"allowed_amount":4448.51,"providers":[{"billed_charge":25170.29,"npi":[1234567893]}]},{"allowed_amount":12.71,"providers":[{"billed_charge":50.57,"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":10171.02,"providers":[{"billed_charge":23885.00,"npi":[1225142920]}]}]},{"tin":{"type":"ein","value":"454486874"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1626.02,"providers":[{"billed_charge":4161.00,"npi":[1164955928]}]},{"allowed_amount":2053.92,"providers":[{"billed_charge":5256.00,"npi":[1003073628]}]},{"allowed_amount":2567.40,"providers":[{"billed_charge":6570.00,"npi":[1831169762]}]}]},{"tin":{"type":"ein","value":"752526006"},"service_code":["11","81"],"billing_class":"professional","payments":[{"allowed_amount":434.52,"providers":[{"billed_charge":1253.64,"npi":[1023066412]}]},{"allowed_amount":36.76,"providers":[{"billed_charge":104.47,"npi":[1023066412]}]}]},{"tin":{"type":"ein","value":"751049190"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":271.65,"providers":[{"billed_charge":1655.00,"npi":[1104855717]}]}]},{"tin":{"type":"ein","value":"581910975"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":223.64,"providers":[{"billed_charge":992.00,"npi":[1003919531]}]},{"allowed_amount":1565.34,"providers":[{"billed_charge":3472.00,"npi":[1295085686]}]}]},{"tin":{"type":"ein","value":"871005967"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":386.76,"providers":[{"billed_charge":1935.20,"npi":[1043539687]}]}]},{"tin":{"type":"ein","value":"393155066"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6546.89,"providers":[{"billed_charge":58251.00,"npi":[1114807153]}]}]},{"tin":{"type":"ein","value":"746106575"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":127.37,"providers":[{"billed_charge":1448.00,"npi":[1487918603]}]}]},{"tin":{"type":"ein","value":"863024305"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":63.97,"providers":[{"billed_charge":1040.00,"npi":[1811283591]}]}]},{"tin":{"type":"ein","value":"460543096"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2570.13,"providers":[{"billed_charge":26406.00,"npi":[1831294883]}]},{"allowed_amount":1937.08,"providers":[{"billed_charge":19886.00,"npi":[1225142920]}]},{"allowed_amount":1921.51,"providers":[{"billed_charge":19723.00,"npi":[1588840706]}]}]},{"tin":{"type":"ein","value":"751093698"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":318.56,"providers":[{"billed_charge":1610.00,"npi":[1962481820]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":845.13,"providers":[{"billed_charge":2400.00,"npi":[1740733708]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["22","81"],"billing_class":"professional","payments":[{"allowed_amount":31.20,"providers":[{"billed_charge":101.14,"npi":[1234567893]}]},{"allowed_amount":6100.22,"providers":[{"billed_charge":32073.86,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"371925902"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":127.85,"providers":[{"billed_charge":2080.00,"npi":[1952324956]}]},{"allowed_amount":15.62,"providers":[{"billed_charge":260.00,"npi":[1952324956]}]}]}]},{"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":"113272376"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1117.86,"providers":[{"billed_charge":4299.00,"npi":[1215921549]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":11501.22,"providers":[{"billed_charge":25000.00,"npi":[1740733708]}]}]}]},{"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":1771.66,"providers":[{"billed_charge":10284.65,"npi":[1013973866]}]}]},{"tin":{"type":"ein","value":"474903308"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1890.34,"providers":[{"billed_charge":4500.00,"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":5038.40,"providers":[{"billed_charge":56160.00,"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":"261794516"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":518.65,"providers":[{"billed_charge":1380.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":338.25,"providers":[{"billed_charge":450.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"752252866"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":225.50,"providers":[{"billed_charge":500.20,"npi":[1235154824]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":541.20,"providers":[{"billed_charge":600.00,"npi":[1629099221]}]}]}]},{"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":170.67,"providers":[{"billed_charge":1200.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":85.30,"providers":[{"billed_charge":200.00,"npi":[1629099221]}]}]}]},{"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":18.79,"providers":[{"billed_charge":25.00,"npi":[1053772129]}]}]},{"tin":{"type":"ein","value":"752252866"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":105.95,"providers":[{"billed_charge":250.10,"npi":[1235154824]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":287.87,"providers":[{"billed_charge":960.00,"npi":[1659984441]}]}]}]},{"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":"832064561"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":794.70,"providers":[{"billed_charge":23562.00,"npi":[1942966502]}]}]},{"tin":{"type":"ein","value":"921353734"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1350.00,"providers":[{"billed_charge":17118.00,"npi":[1104538461]}]}]},{"tin":{"type":"ein","value":"844582670"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":1324.50,"providers":[{"billed_charge":30225.00,"npi":[1447848577]}]}]}]},{"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":10521.00,"providers":[{"billed_charge":25200.00,"npi":[1073654737]}]}]},{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":404400.00,"providers":[{"billed_charge":7473312.00,"npi":[1912670068]}]}]},{"tin":{"type":"ein","value":"471323448"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":23140.00,"providers":[{"billed_charge":23140.00,"npi":[1922408517]}]}]},{"tin":{"type":"ein","value":"465731849"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":353.20,"providers":[{"billed_charge":2400.00,"npi":[1043613060]}]}]}]},{"name":"CCIIV4 VAC NO PRSV 0.5 ML IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90674","description":"INFLUENZA VIRUS VACCINE, QUADRIVALENT (CCIIV4), DERIVED FROM CELL CULTURES, SUBUNIT, PRESERVATIVE AN","allowed_amounts":[{"tin":{"type":"ein","value":"273656127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":33.15,"providers":[{"billed_charge":130.00,"npi":[1659984441]}]}]}]},{"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":"822069193"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1360.80,"providers":[{"billed_charge":3500.00,"npi":[1639690472]}]},{"allowed_amount":194.40,"providers":[{"billed_charge":500.00,"npi":[1639690472]}]}]}]},{"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":"832104126"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":1010.40,"providers":[{"billed_charge":1940.00,"npi":[1013614668]}]}]},{"tin":{"type":"ein","value":"474591265"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":181.87,"providers":[{"billed_charge":404.00,"npi":[1770719551]}]},{"allowed_amount":3091.79,"providers":[{"billed_charge":6868.00,"npi":[1275601106]}]},{"allowed_amount":6911.06,"providers":[{"billed_charge":15129.87,"npi":[1457457665]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55","57","02"],"billing_class":"professional","payments":[{"allowed_amount":159.81,"providers":[{"billed_charge":410.00,"npi":[1255388203]}]},{"allowed_amount":205.04,"providers":[{"billed_charge":410.00,"npi":[1255388203]}]},{"allowed_amount":4586.92,"providers":[{"billed_charge":9430.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":84590.99,"providers":[{"billed_charge":186752.93,"npi":[1234567893]}]}]}]},{"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":"743001674"},"service_code":["11","02","50","10"],"billing_class":"professional","payments":[{"allowed_amount":1688.75,"providers":[{"billed_charge":2400.00,"npi":[1063896124]}]},{"allowed_amount":1248.71,"providers":[{"billed_charge":2160.00,"npi":[1063896124]}]},{"allowed_amount":756.97,"providers":[{"billed_charge":1320.00,"npi":[1063896124]}]},{"allowed_amount":87.13,"providers":[{"billed_charge":120.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"874431096"},"service_code":["22","61"],"billing_class":"professional","payments":[{"allowed_amount":1038.30,"providers":[{"billed_charge":2250.00,"npi":[1033308747]}]},{"allowed_amount":622.98,"providers":[{"billed_charge":1350.00,"npi":[1033308747]}]}]}]},{"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":["10"],"billing_class":"professional","payments":[{"allowed_amount":942.82,"providers":[{"billed_charge":2465.00,"npi":[1215516992]}]}]},{"tin":{"type":"ein","value":"842192595"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3474.63,"providers":[{"billed_charge":7650.00,"npi":[1891503827]}]}]},{"tin":{"type":"ein","value":"990521596"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":277.30,"providers":[{"billed_charge":1000.00,"npi":[1235652280]}]}]}]},{"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":["10"],"billing_class":"professional","payments":[{"allowed_amount":3132.26,"providers":[{"billed_charge":7280.00,"npi":[1861749715]}]}]},{"tin":{"type":"ein","value":"474591265"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":7149.84,"providers":[{"billed_charge":21204.00,"npi":[1578189635]}]},{"allowed_amount":768.80,"providers":[{"billed_charge":2280.00,"npi":[1265657084,1316660855]}]},{"allowed_amount":7457.36,"providers":[{"billed_charge":22116.00,"npi":[1790108801]}]},{"allowed_amount":1153.20,"providers":[{"billed_charge":3420.00,"npi":[1528414307,1043701147]}]},{"allowed_amount":230.64,"providers":[{"billed_charge":684.00,"npi":[1275768830,1386108405,1164029054]}]},{"allowed_amount":1614.48,"providers":[{"billed_charge":4662.51,"npi":[1184080046]},{"billed_charge":4788.00,"npi":[1487287983]}]},{"allowed_amount":461.28,"providers":[{"billed_charge":1368.00,"npi":[1114139177]}]},{"allowed_amount":102.51,"providers":[{"billed_charge":228.00,"npi":[1790431237,1891491296]}]},{"allowed_amount":1460.72,"providers":[{"billed_charge":4332.00,"npi":[1427578582]}]},{"allowed_amount":845.68,"providers":[{"billed_charge":2508.00,"npi":[1891248266,1336536069]}]},{"allowed_amount":307.52,"providers":[{"billed_charge":912.00,"npi":[1427869205]}]},{"allowed_amount":1306.96,"providers":[{"billed_charge":3876.00,"npi":[1891437935,1881230183]}]},{"allowed_amount":1076.32,"providers":[{"billed_charge":3192.00,"npi":[1033883905]}]},{"allowed_amount":205.02,"providers":[{"billed_charge":456.00,"npi":[1467119529]}]},{"allowed_amount":1768.24,"providers":[{"billed_charge":5244.00,"npi":[1801491659,1043487390,1699039321]}]},{"allowed_amount":3075.20,"providers":[{"billed_charge":9120.00,"npi":[1144297086]}]},{"allowed_amount":2306.40,"providers":[{"billed_charge":6840.00,"npi":[1093465676]}]},{"allowed_amount":3536.48,"providers":[{"billed_charge":10488.00,"npi":[1285270819]}]},{"allowed_amount":384.40,"providers":[{"billed_charge":1140.00,"npi":[1902167851,1306218789]}]},{"allowed_amount":153.76,"providers":[{"billed_charge":456.00,"npi":[1285136028]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":233.34,"providers":[{"billed_charge":513.00,"npi":[1104198084]}]},{"allowed_amount":795.58,"providers":[{"billed_charge":1710.00,"npi":[1609490069]}]},{"allowed_amount":700.02,"providers":[{"billed_charge":1539.00,"npi":[1649079179]}]},{"allowed_amount":155.56,"providers":[{"billed_charge":342.00,"npi":[1538406202]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":2344.36,"providers":[{"billed_charge":3045.00,"npi":[1063896124]}]},{"allowed_amount":733.56,"providers":[{"billed_charge":1160.00,"npi":[1063896124]}]},{"allowed_amount":183.00,"providers":[{"billed_charge":290.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":179047.98,"providers":[{"billed_charge":525763.65,"npi":[1234567893]}]}]}]},{"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":"853966442"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":420.51,"providers":[{"billed_charge":450.00,"npi":[1487305975]}]}]},{"tin":{"type":"ein","value":"854159267"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":950.16,"providers":[{"billed_charge":951.99,"npi":[1043811441]}]},{"allowed_amount":1374.72,"providers":[{"billed_charge":1620.00,"npi":[1043811441]}]}]},{"tin":{"type":"ein","value":"823407092"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1039.17,"providers":[{"billed_charge":1650.00,"npi":[1750823092]}]}]},{"tin":{"type":"ein","value":"832104126"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":1043.75,"providers":[{"billed_charge":2457.00,"npi":[1598292112,1730265513]}]},{"allowed_amount":1127.25,"providers":[{"billed_charge":2457.00,"npi":[1740044635]}]},{"allowed_amount":1962.25,"providers":[{"billed_charge":4212.00,"npi":[1386203883]}]},{"allowed_amount":626.25,"providers":[{"billed_charge":1404.00,"npi":[1265984793]}]},{"allowed_amount":1294.25,"providers":[{"billed_charge":2808.00,"npi":[1164764676]}]},{"allowed_amount":125.25,"providers":[{"billed_charge":351.00,"npi":[1356035091,1619592821]}]},{"allowed_amount":3214.75,"providers":[{"billed_charge":7020.00,"npi":[1427418102]}]},{"allowed_amount":3047.75,"providers":[{"billed_charge":6669.00,"npi":[1508624479]}]},{"allowed_amount":334.00,"providers":[{"billed_charge":702.00,"npi":[1679230379]}]},{"allowed_amount":2004.00,"providers":[{"billed_charge":4212.00,"npi":[1154821296]}]},{"allowed_amount":8725.75,"providers":[{"billed_charge":19305.00,"npi":[1598225575]}]},{"allowed_amount":835.00,"providers":[{"billed_charge":1755.00,"npi":[1548728462,1861001778]}]},{"allowed_amount":3465.25,"providers":[{"billed_charge":7722.00,"npi":[1225303738]}]},{"allowed_amount":4425.50,"providers":[{"billed_charge":9477.00,"npi":[1194281741]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","12","02"],"billing_class":"professional","payments":[{"allowed_amount":247.34,"providers":[{"billed_charge":490.56,"npi":[1740517218]}]},{"allowed_amount":2349.73,"providers":[{"billed_charge":4660.32,"npi":[1740517218]}]},{"allowed_amount":909.81,"providers":[{"billed_charge":2244.42,"npi":[1184353708]}]},{"allowed_amount":371.01,"providers":[{"billed_charge":760.44,"npi":[1184353708]}]}]},{"tin":{"type":"ein","value":"861745580"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":228.11,"providers":[{"billed_charge":230.88,"npi":[1720677909]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.56,"providers":[{"billed_charge":390.00,"npi":[1063792059]}]}]},{"tin":{"type":"ein","value":"883332622"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1603.84,"providers":[{"billed_charge":3150.00,"npi":[1396522561]}]},{"allowed_amount":1401.70,"providers":[{"billed_charge":2250.00,"npi":[1396522561]}]}]},{"tin":{"type":"ein","value":"863875777"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2426.04,"providers":[{"billed_charge":3600.00,"npi":[1639690472]}]},{"allowed_amount":11048.30,"providers":[{"billed_charge":13400.00,"npi":[1639690472]}]}]},{"tin":{"type":"ein","value":"334407237"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1031.04,"providers":[{"billed_charge":1575.00,"npi":[1649906082]}]},{"allowed_amount":5046.12,"providers":[{"billed_charge":6300.00,"npi":[1649906082]}]}]},{"tin":{"type":"ein","value":"882960420"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":5391.20,"providers":[{"billed_charge":7200.00,"npi":[1003157165]}]},{"allowed_amount":1154.30,"providers":[{"billed_charge":1260.00,"npi":[1003157165]}]}]},{"tin":{"type":"ein","value":"871776521"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5000.00,"providers":[{"billed_charge":5000.00,"npi":[1154187730]}]}]},{"tin":{"type":"ein","value":"822069193"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":18232.71,"providers":[{"billed_charge":38600.00,"npi":[1639690472]}]},{"allowed_amount":6801.84,"providers":[{"billed_charge":14400.00,"npi":[1639690472]}]}]},{"tin":{"type":"ein","value":"611676787"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":1474.91,"providers":[{"billed_charge":2100.00,"npi":[1285979286]}]},{"allowed_amount":698.49,"providers":[{"billed_charge":1225.00,"npi":[1285979286]}]},{"allowed_amount":202.18,"providers":[{"billed_charge":350.00,"npi":[1285979286]}]}]},{"tin":{"type":"ein","value":"871883530"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":841.02,"providers":[{"billed_charge":900.00,"npi":[1952946865]}]},{"allowed_amount":229.12,"providers":[{"billed_charge":300.00,"npi":[1952946865]}]}]},{"tin":{"type":"ein","value":"922142691"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":910.00,"providers":[{"billed_charge":910.00,"npi":[1174261853]}]},{"allowed_amount":916.48,"providers":[{"billed_charge":1040.00,"npi":[1174261853]}]}]},{"tin":{"type":"ein","value":"862493019"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":167.00,"providers":[{"billed_charge":167.00,"npi":[1134575814]}]},{"allowed_amount":501.00,"providers":[{"billed_charge":501.00,"npi":[1346929080]}]},{"allowed_amount":626.25,"providers":[{"billed_charge":626.25,"npi":[1750096194]}]},{"allowed_amount":125.25,"providers":[{"billed_charge":125.25,"npi":[1861299380,1831843879]}]},{"allowed_amount":250.50,"providers":[{"billed_charge":250.50,"npi":[1316303183]}]}]},{"tin":{"type":"ein","value":"201275838"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":140.17,"providers":[{"billed_charge":150.00,"npi":[1114416963]}]}]},{"tin":{"type":"ein","value":"832127799"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":343.68,"providers":[{"billed_charge":375.00,"npi":[1093603821]}]},{"allowed_amount":1750.00,"providers":[{"billed_charge":1750.00,"npi":[1093603821]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":1002.00,"providers":[{"billed_charge":2101.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"760464214"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":114.57,"providers":[{"billed_charge":145.00,"npi":[1154769602]}]}]}]},{"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":"465717265"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2518.80,"providers":[{"billed_charge":7125.00,"npi":[1740505957]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6756.00,"providers":[{"billed_charge":16890.00,"npi":[1174504583]}]}]},{"tin":{"type":"ein","value":"393466163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":595.84,"providers":[{"billed_charge":1503.84,"npi":[1114969300]}]},{"allowed_amount":10129.28,"providers":[{"billed_charge":25565.28,"npi":[1740546209]}]}]},{"tin":{"type":"ein","value":"465718339"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3108.84,"providers":[{"billed_charge":12600.00,"npi":[1548231806]}]}]},{"tin":{"type":"ein","value":"823841127"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4350.00,"providers":[{"billed_charge":14500.00,"npi":[1689995649]}]}]}]},{"name":"DIALYSIS ONE EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90945","description":"DIALYSIS PROC OTH THAN HEMODIALYSIS (EG, PERITONEAL DIALYSIS, HEMOFILTRATION, OR OTH CONTINUOUS RENA","allowed_amounts":[{"tin":{"type":"ein","value":"261104730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1135.05,"providers":[{"billed_charge":5295.00,"npi":[1164804225]}]}]}]},{"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":"921353734"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":2500.00,"providers":[{"billed_charge":15627.20,"npi":[1104538461]}]}]},{"tin":{"type":"ein","value":"621864266"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":640.00,"providers":[{"billed_charge":2500.00,"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":"453275742"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":3750.00,"providers":[{"billed_charge":12000.00,"npi":[1114274271]}]}]},{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":195900.00,"providers":[{"billed_charge":2625060.00,"npi":[1912670068]}]}]},{"tin":{"type":"ein","value":"471323448"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":65550.00,"providers":[{"billed_charge":65550.00,"npi":[1922408517]}]}]},{"tin":{"type":"ein","value":"271595826"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":606.00,"providers":[{"billed_charge":4500.00,"npi":[1447573670]}]}]}]},{"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":"741536936"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":168.00,"providers":[{"billed_charge":168.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"861790384"},"service_code":["22"],"billing_class":"institutional","payments":[{"allowed_amount":33580.47,"providers":[{"billed_charge":413630.00,"npi":[1912670068]}]}]}]},{"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":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5889.83,"providers":[{"billed_charge":50535.25,"npi":[1730132234]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":367.82,"providers":[{"billed_charge":6812.00,"npi":[1932123247]}]}]}]},{"name":"EYE EXAM NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92004","description":"OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION W INITIATION OF DIAGNOSTIC AND TRTMNT ","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28572.88,"providers":[{"billed_charge":51220.00,"npi":[1104203074]}]}]}]},{"name":"EYE EXAM ESTABLISH PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92012","description":"OPHTHALMOLOGICAL SERVICES: MEDICAL EXAMINATION AND EVALUATION, W INITIATION OR CONTINUATION OF DIAGN","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8130.06,"providers":[{"billed_charge":14880.00,"npi":[1104203074]}]}]}]},{"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":1354.32,"providers":[{"billed_charge":3143.80,"npi":[1326043506]}]}]},{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15143.76,"providers":[{"billed_charge":27060.00,"npi":[1104203074]}]}]}]},{"name":"DETERMINE REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION OF REFRACTIVE STATE","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2781.83,"providers":[{"billed_charge":5215.00,"npi":[1104203074]}]}]}]},{"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":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1869.56,"providers":[{"billed_charge":58518.00,"npi":[1184179194]}]},{"allowed_amount":4932.89,"providers":[{"billed_charge":131250.00,"npi":[1871619254]}]},{"allowed_amount":2140.63,"providers":[{"billed_charge":63406.00,"npi":[1497871628]}]},{"allowed_amount":2860.97,"providers":[{"billed_charge":78450.00,"npi":[1083937593]}]}]},{"tin":{"type":"ein","value":"741100555"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1917.72,"providers":[{"billed_charge":23695.00,"npi":[1477643690]}]}]},{"tin":{"type":"ein","value":"741536936"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":16847.76,"providers":[{"billed_charge":101051.00,"npi":[1205900370]}]}]},{"tin":{"type":"ein","value":"756000439"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2239.02,"providers":[{"billed_charge":14305.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"742225672"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":836.10,"providers":[{"billed_charge":9305.17,"npi":[1629089966]}]},{"allowed_amount":1432.14,"providers":[{"billed_charge":12589.78,"npi":[1629089966]}]}]},{"tin":{"type":"ein","value":"751008430"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":224.70,"providers":[{"billed_charge":1392.37,"npi":[1669472387]}]},{"allowed_amount":97.29,"providers":[{"billed_charge":1392.37,"npi":[1669472387]}]}]},{"tin":{"type":"ein","value":"750974351"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":465.44,"providers":[{"billed_charge":16379.00,"npi":[1124092036]}]}]},{"tin":{"type":"ein","value":"750800661"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":536.13,"providers":[{"billed_charge":10624.00,"npi":[1528027786]}]},{"allowed_amount":2194.97,"providers":[{"billed_charge":34454.00,"npi":[1275592131]}]},{"allowed_amount":1709.29,"providers":[{"billed_charge":23153.00,"npi":[1033165501]}]}]},{"tin":{"type":"ein","value":"432008974"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1254.12,"providers":[{"billed_charge":7017.00,"npi":[1003883158]}]}]},{"tin":{"type":"ein","value":"751837454"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1250.34,"providers":[{"billed_charge":4960.28,"npi":[1447250253]}]}]},{"tin":{"type":"ein","value":"741166904"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1180.02,"providers":[{"billed_charge":7652.11,"npi":[1477516466]}]}]},{"tin":{"type":"ein","value":"752586857"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":5998.02,"providers":[{"billed_charge":29563.83,"npi":[1992700983]}]}]},{"tin":{"type":"ein","value":"741287015"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":6842.52,"providers":[{"billed_charge":127041.00,"npi":[1891789772]}]}]},{"tin":{"type":"ein","value":"741180155"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1193.77,"providers":[{"billed_charge":14501.00,"npi":[1548387418]}]}]},{"tin":{"type":"ein","value":"760591590"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1799.88,"providers":[{"billed_charge":28150.00,"npi":[1679557888]}]}]},{"tin":{"type":"ein","value":"741152597"},"service_code":["22","23"],"billing_class":"institutional","payments":[{"allowed_amount":6607.74,"providers":[{"billed_charge":84277.25,"npi":[1740233782]}]},{"allowed_amount":40846.74,"providers":[{"billed_charge":609266.75,"npi":[1730132234]}]},{"allowed_amount":16345.47,"providers":[{"billed_charge":245786.25,"npi":[1295843787]}]},{"allowed_amount":10115.25,"providers":[{"billed_charge":132080.00,"npi":[1932152337]}]},{"allowed_amount":7563.87,"providers":[{"billed_charge":102592.50,"npi":[1982666111]}]},{"allowed_amount":381.63,"providers":[{"billed_charge":4394.00,"npi":[1730132234]},{"billed_charge":4378.00,"npi":[1982666111]}]},{"allowed_amount":716.07,"providers":[{"billed_charge":11326.75,"npi":[1295788735]}]}]},{"tin":{"type":"ein","value":"756001743"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2090.20,"providers":[{"billed_charge":13059.50,"npi":[1336172105]}]}]},{"tin":{"type":"ein","value":"750972805"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2931.04,"providers":[{"billed_charge":17347.50,"npi":[1174533343]}]}]},{"tin":{"type":"ein","value":"750818167"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1443.65,"providers":[{"billed_charge":30763.00,"npi":[1679578439]}]}]},{"tin":{"type":"ein","value":"751438726"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":896.54,"providers":[{"billed_charge":3673.25,"npi":[1104845015]}]}]},{"tin":{"type":"ein","value":"756004221"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2836.44,"providers":[{"billed_charge":17443.00,"npi":[1932123247]}]}]}]},{"name":"CMPTR OPHTH IMG OPTIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92133","description":"SCANNING COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAGING, POSTERIOR SEGMENT, W INTERPRETATION AND RPT, UN","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":889.20,"providers":[{"billed_charge":3000.00,"npi":[1104203074]}]}]}]},{"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":"413610529"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":28.47,"providers":[{"billed_charge":78.90,"npi":[1326482902]}]}]},{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2303.88,"providers":[{"billed_charge":8030.00,"npi":[1104203074]}]}]}]},{"name":"EYE PHOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92285","description":"EXTERNAL OCULAR PHOTOGRAPHY WITH INTERPRETATION AND REPORT FOR DOCUMENTATION OF MEDICAL PROGRESS (EG","allowed_amounts":[{"tin":{"type":"ein","value":"742868879"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":518.88,"providers":[{"billed_charge":2760.00,"npi":[1104203074]}]}]}]},{"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":"201540611"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":520.11,"providers":[{"billed_charge":1125.00,"npi":[1740392729]}]}]},{"tin":{"type":"ein","value":"270960116"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1600.00,"providers":[{"billed_charge":3120.00,"npi":[1306170576]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3247.44,"providers":[{"billed_charge":5040.00,"npi":[1215122056]}]}]},{"tin":{"type":"ein","value":"470944519"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":520.11,"providers":[{"billed_charge":2864.16,"npi":[1194889659]}]}]},{"tin":{"type":"ein","value":"832421583"},"service_code":["02","10"],"billing_class":"professional","payments":[{"allowed_amount":3300.65,"providers":[{"billed_charge":7650.00,"npi":[1346564622]}]},{"allowed_amount":907.06,"providers":[{"billed_charge":2380.00,"npi":[1346564622]}]},{"allowed_amount":473.64,"providers":[{"billed_charge":900.00,"npi":[1275021438]}]}]},{"tin":{"type":"ein","value":"830379784"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":173.37,"providers":[{"billed_charge":375.00,"npi":[1740392729]}]}]},{"tin":{"type":"ein","value":"760645849"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":3711.36,"providers":[{"billed_charge":8640.00,"npi":[1841204898]}]},{"allowed_amount":77.32,"providers":[{"billed_charge":180.00,"npi":[1841204898]}]}]},{"tin":{"type":"ein","value":"741679824"},"service_code":["12","02","03"],"billing_class":"professional","payments":[{"allowed_amount":720.83,"providers":[{"billed_charge":1540.00,"npi":[1942665823]}]},{"allowed_amount":1310.60,"providers":[{"billed_charge":2800.00,"npi":[1942665823]}]},{"allowed_amount":65.53,"providers":[{"billed_charge":140.00,"npi":[1942665823]}]}]},{"tin":{"type":"ein","value":"205287646"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1900.00,"providers":[{"billed_charge":2375.00,"npi":[1568475093]}]}]}]},{"name":"TYMPANOMETRY & REFLEX THRESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92550","description":"TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","allowed_amounts":[{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21.18,"providers":[{"billed_charge":45.00,"npi":[1629099221]}]}]}]},{"name":"PURE TONE AUDIOMETRY, AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92552","description":"PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY","allowed_amounts":[{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":686.08,"providers":[{"billed_charge":1440.00,"npi":[1437203676]}]}]}]},{"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":226.48,"providers":[{"billed_charge":3912.00,"npi":[1194916072]}]},{"allowed_amount":14670.00,"providers":[{"billed_charge":48900.00,"npi":[1780642041]}]},{"allowed_amount":390.91,"providers":[{"billed_charge":6520.00,"npi":[1174547608]}]}]},{"tin":{"type":"ein","value":"752740653"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":597.03,"providers":[{"billed_charge":9780.00,"npi":[1699087429]}]},{"allowed_amount":2640.60,"providers":[{"billed_charge":8802.00,"npi":[1174547608]}]}]}]},{"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":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.08,"providers":[{"billed_charge":243.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":47.19,"providers":[{"billed_charge":117.00,"npi":[1972519544]}]}]}]},{"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":"752896138"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":43.36,"providers":[{"billed_charge":144.00,"npi":[1891798856]}]},{"allowed_amount":10.66,"providers":[{"billed_charge":36.00,"npi":[1124082128]}]}]},{"tin":{"type":"ein","value":"920192097"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":30.15,"providers":[{"billed_charge":88.00,"npi":[1023007085]}]},{"allowed_amount":23.30,"providers":[{"billed_charge":66.00,"npi":[1336660984]}]},{"allowed_amount":23.85,"providers":[{"billed_charge":66.00,"npi":[1700061736]}]},{"allowed_amount":39.20,"providers":[{"billed_charge":110.00,"npi":[1336660984]}]},{"allowed_amount":31.25,"providers":[{"billed_charge":88.00,"npi":[1023007085]}]},{"allowed_amount":182.21,"providers":[{"billed_charge":418.00,"npi":[1467441428]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":22.00,"npi":[1467441428]}]},{"allowed_amount":55.10,"providers":[{"billed_charge":154.00,"npi":[1467441428]}]},{"allowed_amount":65.61,"providers":[{"billed_charge":154.00,"npi":[1336660984]}]},{"allowed_amount":163.03,"providers":[{"billed_charge":374.00,"npi":[1023007085]}]},{"allowed_amount":67.13,"providers":[{"billed_charge":154.00,"npi":[1700061736]}]},{"allowed_amount":54.54,"providers":[{"billed_charge":154.00,"npi":[1700061736]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":47.91,"providers":[{"billed_charge":99.96,"npi":[1104092741]}]},{"allowed_amount":16.16,"providers":[{"billed_charge":33.32,"npi":[1104092741]}]},{"allowed_amount":62.36,"providers":[{"billed_charge":133.28,"npi":[1841246113]}]},{"allowed_amount":121.16,"providers":[{"billed_charge":216.58,"npi":[1407086705]}]},{"allowed_amount":64.07,"providers":[{"billed_charge":133.28,"npi":[1417974155]}]},{"allowed_amount":7.51,"providers":[{"billed_charge":16.66,"npi":[1386083343]}]},{"allowed_amount":139.80,"providers":[{"billed_charge":249.90,"npi":[1679507875]}]},{"allowed_amount":31.75,"providers":[{"billed_charge":66.64,"npi":[1386083343]}]},{"allowed_amount":27.96,"providers":[{"billed_charge":49.98,"npi":[1679507875]}]},{"allowed_amount":144.30,"providers":[{"billed_charge":299.88,"npi":[1417974155]}]},{"allowed_amount":9.32,"providers":[{"billed_charge":16.66,"npi":[1407086705]}]}]},{"tin":{"type":"ein","value":"814094395"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":19.48,"providers":[{"billed_charge":44.64,"npi":[1457395360]}]},{"allowed_amount":53.30,"providers":[{"billed_charge":180.00,"npi":[1649272923]}]},{"allowed_amount":8.64,"providers":[{"billed_charge":8.64,"npi":[1649272923]}]},{"allowed_amount":75.88,"providers":[{"billed_charge":252.00,"npi":[1457395360]}]}]},{"tin":{"type":"ein","value":"760613299"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":16.50,"providers":[{"billed_charge":80.00,"npi":[1255713160]}]},{"allowed_amount":29.85,"providers":[{"billed_charge":120.00,"npi":[1255713160]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":59.70,"providers":[{"billed_charge":270.00,"npi":[1235591389]}]},{"allowed_amount":157.44,"providers":[{"billed_charge":720.00,"npi":[1215321476]}]},{"allowed_amount":38.93,"providers":[{"billed_charge":225.00,"npi":[1295811099]}]},{"allowed_amount":131.55,"providers":[{"billed_charge":765.00,"npi":[1235591389]}]},{"allowed_amount":29.52,"providers":[{"billed_charge":135.00,"npi":[1215321476]}]},{"allowed_amount":29.85,"providers":[{"billed_charge":135.00,"npi":[1780905810]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":383.76,"providers":[{"billed_charge":1638.00,"npi":[1306596697]}]}]},{"tin":{"type":"ein","value":"752616977"},"service_code":["22","11","23","21"],"billing_class":"professional","payments":[{"allowed_amount":44.28,"providers":[{"billed_charge":76.00,"npi":[1811987654,1831261809]}]},{"allowed_amount":22.14,"providers":[{"billed_charge":38.00,"npi":[1033537873]}]},{"allowed_amount":33.21,"providers":[{"billed_charge":57.00,"npi":[1639344310]}]},{"allowed_amount":32.51,"providers":[{"billed_charge":57.00,"npi":[1326038159]}]},{"allowed_amount":7.87,"providers":[{"billed_charge":19.00,"npi":[1376955492]}]},{"allowed_amount":98.64,"providers":[{"billed_charge":171.00,"npi":[1982701652]}]},{"allowed_amount":76.01,"providers":[{"billed_charge":133.00,"npi":[1326038159]}]},{"allowed_amount":54.80,"providers":[{"billed_charge":95.00,"npi":[1982701652]}]},{"allowed_amount":77.49,"providers":[{"billed_charge":133.00,"npi":[1568751196]}]},{"allowed_amount":99.63,"providers":[{"billed_charge":171.00,"npi":[1033537873]}]},{"allowed_amount":46.12,"providers":[{"billed_charge":114.00,"npi":[1376955492]}]},{"allowed_amount":11.07,"providers":[{"billed_charge":19.00,"npi":[1639344310,1831261809,1568751196]}]},{"allowed_amount":66.50,"providers":[{"billed_charge":133.00,"npi":[1376955492]}]},{"allowed_amount":66.42,"providers":[{"billed_charge":114.00,"npi":[1831261809]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":79.10,"providers":[{"billed_charge":176.60,"npi":[1003257999]}]},{"allowed_amount":110.74,"providers":[{"billed_charge":247.24,"npi":[1003257999]}]}]},{"tin":{"type":"ein","value":"332241086"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":40.67,"providers":[{"billed_charge":250.00,"npi":[1225267081]}]},{"allowed_amount":15.34,"providers":[{"billed_charge":100.00,"npi":[1841546157]}]},{"allowed_amount":314.83,"providers":[{"billed_charge":1950.00,"npi":[1356590970]}]},{"allowed_amount":8.25,"providers":[{"billed_charge":50.00,"npi":[1215375019]}]},{"allowed_amount":103.77,"providers":[{"billed_charge":650.00,"npi":[1164499240]}]},{"allowed_amount":47.18,"providers":[{"billed_charge":300.00,"npi":[1356590970]}]},{"allowed_amount":39.80,"providers":[{"billed_charge":200.00,"npi":[1841546157]}]},{"allowed_amount":109.45,"providers":[{"billed_charge":550.00,"npi":[1134475239]}]},{"allowed_amount":19.42,"providers":[{"billed_charge":100.00,"npi":[1215375019]}]},{"allowed_amount":76.72,"providers":[{"billed_charge":168.00,"npi":[1902843949]}]},{"allowed_amount":202.19,"providers":[{"billed_charge":1250.00,"npi":[1225267081]}]},{"allowed_amount":92.65,"providers":[{"billed_charge":252.00,"npi":[1902843949]}]},{"allowed_amount":71.93,"providers":[{"billed_charge":450.00,"npi":[1134475239]}]},{"allowed_amount":357.12,"providers":[{"billed_charge":1800.00,"npi":[1356590970]}]},{"allowed_amount":226.36,"providers":[{"billed_charge":1400.00,"npi":[1164499240]}]},{"allowed_amount":15.90,"providers":[{"billed_charge":42.00,"npi":[1902843949]}]},{"allowed_amount":378.10,"providers":[{"billed_charge":1900.00,"npi":[1225267081]}]},{"allowed_amount":525.21,"providers":[{"billed_charge":2650.00,"npi":[1164499240]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":39.55,"providers":[{"billed_charge":170.00,"npi":[1497242382]}]},{"allowed_amount":95.52,"providers":[{"billed_charge":408.00,"npi":[1518434349]}]},{"allowed_amount":158.20,"providers":[{"billed_charge":680.00,"npi":[1487948436]}]},{"allowed_amount":142.38,"providers":[{"billed_charge":612.00,"npi":[1750709895]}]},{"allowed_amount":94.92,"providers":[{"billed_charge":408.00,"npi":[1497242382,1750709895]}]},{"allowed_amount":102.83,"providers":[{"billed_charge":442.00,"npi":[1487948436]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":30.15,"providers":[{"billed_charge":160.00,"npi":[1144315417]}]},{"allowed_amount":31.25,"providers":[{"billed_charge":160.00,"npi":[1144315417]}]}]},{"tin":{"type":"ein","value":"822018496"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":24.75,"providers":[{"billed_charge":105.00,"npi":[1609131929]}]},{"allowed_amount":9.95,"providers":[{"billed_charge":35.00,"npi":[1609131929]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":39.12,"providers":[{"billed_charge":176.00,"npi":[1366457921]}]},{"allowed_amount":88.01,"providers":[{"billed_charge":396.00,"npi":[1780613257]}]},{"allowed_amount":244.50,"providers":[{"billed_charge":1100.00,"npi":[1881946739]}]},{"allowed_amount":107.58,"providers":[{"billed_charge":484.00,"npi":[1386616613,1326088592,1780613257]}]},{"allowed_amount":283.62,"providers":[{"billed_charge":1276.00,"npi":[1588004733]}]},{"allowed_amount":449.88,"providers":[{"billed_charge":2024.00,"npi":[1316033962]}]},{"allowed_amount":322.74,"providers":[{"billed_charge":1452.00,"npi":[1124090469]}]},{"allowed_amount":264.06,"providers":[{"billed_charge":1188.00,"npi":[1194925040]}]},{"allowed_amount":58.68,"providers":[{"billed_charge":264.00,"npi":[1235162215,1326010208,1326088592,1588817340]}]},{"allowed_amount":19.56,"providers":[{"billed_charge":88.00,"npi":[1699825299,1366457921,1326010208,1497756654,1245263284]}]},{"allowed_amount":9.78,"providers":[{"billed_charge":44.00,"npi":[1124090469,1710199161,1194925040,1588004733,1609220656,1255562138,1306375795]}]},{"allowed_amount":166.26,"providers":[{"billed_charge":748.00,"npi":[1609220656,1497756654]}]},{"allowed_amount":704.16,"providers":[{"billed_charge":3168.00,"npi":[1588817340]}]},{"allowed_amount":97.80,"providers":[{"billed_charge":440.00,"npi":[1609220656,1447320585]}]},{"allowed_amount":117.36,"providers":[{"billed_charge":528.00,"npi":[1023458080,1124462650]}]},{"allowed_amount":29.34,"providers":[{"billed_charge":132.00,"npi":[1942644703,1255524179,1710199161,1235162215,1316033962,1255562138]}]},{"allowed_amount":489.00,"providers":[{"billed_charge":2200.00,"npi":[1255524179]}]},{"allowed_amount":136.92,"providers":[{"billed_charge":616.00,"npi":[1124462650]}]},{"allowed_amount":48.90,"providers":[{"billed_charge":220.00,"npi":[1023458080,1710187646,1386616613,1316033962,1447320585,1881946739]}]},{"allowed_amount":469.44,"providers":[{"billed_charge":2112.00,"npi":[1710187646]}]},{"allowed_amount":68.46,"providers":[{"billed_charge":308.00,"npi":[1124090469,1609042001,1588004733,1245263284]}]},{"allowed_amount":224.94,"providers":[{"billed_charge":1012.00,"npi":[1942644703]}]},{"allowed_amount":176.04,"providers":[{"billed_charge":792.00,"npi":[1952629685]}]},{"allowed_amount":88.02,"providers":[{"billed_charge":396.00,"npi":[1255562138]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":40.67,"providers":[{"billed_charge":83.00,"npi":[1164685277]}]},{"allowed_amount":298.50,"providers":[{"billed_charge":486.00,"npi":[1164685277]}]},{"allowed_amount":47.18,"providers":[{"billed_charge":100.00,"npi":[1508253402]}]},{"allowed_amount":63.05,"providers":[{"billed_charge":132.00,"npi":[1548524812]}]},{"allowed_amount":102.61,"providers":[{"billed_charge":221.00,"npi":[1871903484]}]},{"allowed_amount":49.75,"providers":[{"billed_charge":81.00,"npi":[1508253402]}]},{"allowed_amount":28.77,"providers":[{"billed_charge":48.00,"npi":[1053706804]}]},{"allowed_amount":116.50,"providers":[{"billed_charge":249.00,"npi":[1609851377]}]},{"allowed_amount":137.93,"providers":[{"billed_charge":281.00,"npi":[1164685277]}]},{"allowed_amount":29.85,"providers":[{"billed_charge":48.00,"npi":[1770878670]}]},{"allowed_amount":64.25,"providers":[{"billed_charge":129.00,"npi":[1811158983]}]},{"allowed_amount":8.25,"providers":[{"billed_charge":16.00,"npi":[1770878670]}]},{"allowed_amount":38.36,"providers":[{"billed_charge":64.00,"npi":[1982895850,1457324592]}]},{"allowed_amount":19.90,"providers":[{"billed_charge":33.00,"npi":[1497733018]}]},{"allowed_amount":105.49,"providers":[{"billed_charge":179.00,"npi":[1609851377]}]},{"allowed_amount":31.84,"providers":[{"billed_charge":68.00,"npi":[1417278714]}]},{"allowed_amount":109.45,"providers":[{"billed_charge":177.00,"npi":[1417278714]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":16.00,"npi":[1174753917,1053706804]},{"billed_charge":17.00,"npi":[1457324592]}]},{"allowed_amount":57.79,"providers":[{"billed_charge":116.00,"npi":[1427201375]}]},{"allowed_amount":9.95,"providers":[{"billed_charge":16.00,"npi":[1871903484]}]},{"allowed_amount":145.02,"providers":[{"billed_charge":296.00,"npi":[1417278714]}]},{"allowed_amount":54.85,"providers":[{"billed_charge":118.00,"npi":[1508253402]}]},{"allowed_amount":30.15,"providers":[{"billed_charge":67.00,"npi":[1710364377]}]},{"allowed_amount":31.26,"providers":[{"billed_charge":68.00,"npi":[1871903484]}]},{"allowed_amount":121.09,"providers":[{"billed_charge":242.00,"npi":[1811158983]}]},{"allowed_amount":34.20,"providers":[{"billed_charge":65.00,"npi":[1427201375]}]},{"allowed_amount":39.20,"providers":[{"billed_charge":82.00,"npi":[1548524812]}]},{"allowed_amount":353.88,"providers":[{"billed_charge":579.00,"npi":[1811158983]}]},{"allowed_amount":48.92,"providers":[{"billed_charge":98.00,"npi":[1770878670]}]},{"allowed_amount":59.70,"providers":[{"billed_charge":97.00,"npi":[1427201375]}]},{"allowed_amount":31.25,"providers":[{"billed_charge":65.00,"npi":[1124254784]}]},{"allowed_amount":15.90,"providers":[{"billed_charge":33.00,"npi":[1053706804,1710364377]}]},{"allowed_amount":46.35,"providers":[{"billed_charge":100.00,"npi":[1457324592]}]},{"allowed_amount":115.95,"providers":[{"billed_charge":249.00,"npi":[1609851377]}]},{"allowed_amount":7.40,"providers":[{"billed_charge":17.00,"npi":[1982895850]}]},{"allowed_amount":95.90,"providers":[{"billed_charge":160.00,"npi":[1548524812]}]}]},{"tin":{"type":"ein","value":"752613493"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":8.20,"providers":[{"billed_charge":28.00,"npi":[1760508592]}]},{"allowed_amount":24.60,"providers":[{"billed_charge":84.00,"npi":[1760508592]}]}]},{"tin":{"type":"ein","value":"760446083"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":490.42,"providers":[{"billed_charge":2170.00,"npi":[1881672103]}]},{"allowed_amount":7.91,"providers":[{"billed_charge":35.00,"npi":[1649456336,1881672103]}]},{"allowed_amount":957.11,"providers":[{"billed_charge":4235.00,"npi":[1649456336]}]}]},{"tin":{"type":"ein","value":"260856658"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":7.67,"providers":[{"billed_charge":30.00,"npi":[1952391161]}]},{"allowed_amount":23.01,"providers":[{"billed_charge":90.00,"npi":[1952391161]}]}]},{"tin":{"type":"ein","value":"752536818"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":60.06,"providers":[{"billed_charge":180.00,"npi":[1003816745]}]},{"allowed_amount":10.01,"providers":[{"billed_charge":30.00,"npi":[1467654764,1902034630,1003816745]}]},{"allowed_amount":89.92,"providers":[{"billed_charge":270.00,"npi":[1467654764]}]},{"allowed_amount":33.56,"providers":[{"billed_charge":120.00,"npi":[1194783274]}]},{"allowed_amount":67.12,"providers":[{"billed_charge":240.00,"npi":[1427292705]}]},{"allowed_amount":41.95,"providers":[{"billed_charge":150.00,"npi":[1194783274]}]}]},{"tin":{"type":"ein","value":"742958277"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":93.20,"providers":[{"billed_charge":492.00,"npi":[1619405784]}]},{"allowed_amount":134.26,"providers":[{"billed_charge":574.00,"npi":[1619405784]}]},{"allowed_amount":15.35,"providers":[{"billed_charge":82.00,"npi":[1821058512]}]},{"allowed_amount":287.72,"providers":[{"billed_charge":1230.00,"npi":[1821058512]}]},{"allowed_amount":206.40,"providers":[{"billed_charge":1107.00,"npi":[1821058512]}]},{"allowed_amount":7.40,"providers":[{"billed_charge":41.00,"npi":[1619405784]}]}]},{"tin":{"type":"ein","value":"274468883"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":17.38,"providers":[{"billed_charge":44.00,"npi":[1194769133]}]}]},{"tin":{"type":"ein","value":"232238976"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":19.18,"providers":[{"billed_charge":210.00,"npi":[1548257900]}]},{"allowed_amount":93.28,"providers":[{"billed_charge":1260.00,"npi":[1932175981]}]},{"allowed_amount":9.59,"providers":[{"billed_charge":105.00,"npi":[1760649289]}]},{"allowed_amount":63.07,"providers":[{"billed_charge":840.00,"npi":[1447424007]}]},{"allowed_amount":115.08,"providers":[{"billed_charge":1260.00,"npi":[1447424007]}]},{"allowed_amount":7.95,"providers":[{"billed_charge":105.00,"npi":[1548257900]}]},{"allowed_amount":124.68,"providers":[{"billed_charge":1365.00,"npi":[1932175981]}]},{"allowed_amount":53.46,"providers":[{"billed_charge":735.00,"npi":[1659312775]}]},{"allowed_amount":29.13,"providers":[{"billed_charge":420.00,"npi":[1760649289]}]},{"allowed_amount":28.77,"providers":[{"billed_charge":315.00,"npi":[1659312775]}]},{"allowed_amount":23.85,"providers":[{"billed_charge":315.00,"npi":[1487628293]}]},{"allowed_amount":47.70,"providers":[{"billed_charge":630.00,"npi":[1487628293]}]},{"allowed_amount":22.75,"providers":[{"billed_charge":315.00,"npi":[1760649289]}]},{"allowed_amount":31.25,"providers":[{"billed_charge":420.00,"npi":[1659312775]}]},{"allowed_amount":46.68,"providers":[{"billed_charge":630.00,"npi":[1932175981]}]},{"allowed_amount":118.71,"providers":[{"billed_charge":1575.00,"npi":[1447424007]}]},{"allowed_amount":7.40,"providers":[{"billed_charge":105.00,"npi":[1548257900]}]},{"allowed_amount":67.13,"providers":[{"billed_charge":735.00,"npi":[1487628293]}]}]}]},{"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":1997.96,"providers":[{"billed_charge":3990.00,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"462834548"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":749.45,"providers":[{"billed_charge":6961.40,"npi":[1366877508]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11526.12,"providers":[{"billed_charge":108000.00,"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":10617.33,"providers":[{"billed_charge":20825.00,"npi":[1710130539]}]}]},{"tin":{"type":"ein","value":"371891036"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":219.43,"providers":[{"billed_charge":895.00,"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":41403.75,"providers":[{"billed_charge":79135.00,"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":1968.23,"providers":[{"billed_charge":2030.00,"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":"844519944"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":35.19,"providers":[{"billed_charge":160.00,"npi":[1659401974]}]}]},{"tin":{"type":"ein","value":"842922023"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":1278.20,"providers":[{"billed_charge":1310.00,"npi":[1124678263]}]}]}]},{"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":"831325073"},"service_code":["22","11","21"],"billing_class":"professional","payments":[{"allowed_amount":2365.05,"providers":[{"billed_charge":6473.40,"npi":[1003257999]}]},{"allowed_amount":1065.86,"providers":[{"billed_charge":8199.64,"npi":[1003257999]}]},{"allowed_amount":177.51,"providers":[{"billed_charge":1294.68,"npi":[1003257999]}]}]},{"tin":{"type":"ein","value":"272996872"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":191.62,"providers":[{"billed_charge":702.00,"npi":[1487867172]}]},{"allowed_amount":182.46,"providers":[{"billed_charge":702.00,"npi":[1487867172]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":78.60,"providers":[{"billed_charge":350.00,"npi":[1083644652]}]}]}]},{"name":"BIS XTRACELL FLUID ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93702","description":"BIOIMPEDANCE SPECTROSCOPY (BIS), EXTRACELLULAR FLUID ANALYSIS FOR LYMPHEDEMA ASSESSMENT(S)","allowed_amounts":[{"tin":{"type":"ein","value":"933500990"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3648.49,"providers":[{"billed_charge":10875.00,"npi":[1770999377]}]}]}]},{"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":1917.05,"providers":[{"billed_charge":2300.00,"npi":[1447447545]}]}]}]},{"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":"741680498"},"service_code":["22","23","21"],"billing_class":"professional","payments":[{"allowed_amount":34.39,"providers":[{"billed_charge":417.00,"npi":[1780624254]}]},{"allowed_amount":103.17,"providers":[{"billed_charge":1251.00,"npi":[1780624254]}]},{"allowed_amount":337.30,"providers":[{"billed_charge":4170.00,"npi":[1780624254]}]}]}]},{"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":"756000439"},"service_code":["23","20"],"billing_class":"institutional","payments":[{"allowed_amount":107.96,"providers":[{"billed_charge":221.00,"npi":[1992753222]}]},{"allowed_amount":47049.63,"providers":[{"billed_charge":368153.00,"npi":[1992753222]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":778.33,"providers":[{"billed_charge":6106.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"452750258"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":2489.90,"providers":[{"billed_charge":7265.00,"npi":[1003192311]}]}]}]},{"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":"741152597"},"service_code":["23"],"billing_class":"institutional","payments":[{"allowed_amount":1820.86,"providers":[{"billed_charge":3969.50,"npi":[1730132234]}]},{"allowed_amount":175.28,"providers":[{"billed_charge":438.25,"npi":[1982666111]}]},{"allowed_amount":255.36,"providers":[{"billed_charge":293.75,"npi":[1295843787]}]},{"allowed_amount":340.07,"providers":[{"billed_charge":801.50,"npi":[1932152337]}]},{"allowed_amount":127.68,"providers":[{"billed_charge":143.75,"npi":[1740233782]}]}]}]},{"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":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8.72,"providers":[{"billed_charge":15.00,"npi":[1972519544]}]}]}]},{"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":3344.46,"providers":[{"billed_charge":26400.00,"npi":[1861655961]}]}]}]},{"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":4598.62,"providers":[{"billed_charge":6900.00,"npi":[1447447545]}]}]}]},{"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":6937.49,"providers":[{"billed_charge":34500.00,"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":452.50,"providers":[{"billed_charge":500.00,"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":614.00,"providers":[{"billed_charge":1000.00,"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":4904.98,"providers":[{"billed_charge":6900.00,"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":"851746454"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":24.21,"providers":[{"billed_charge":300.00,"npi":[1154917896]}]}]},{"tin":{"type":"ein","value":"461454134"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":9.80,"providers":[{"billed_charge":41.10,"npi":[1194883272]}]},{"allowed_amount":4.90,"providers":[{"billed_charge":20.55,"npi":[1194883272]}]}]}]},{"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","10"],"billing_class":"professional","payments":[{"allowed_amount":2927.49,"providers":[{"billed_charge":4070.00,"npi":[1932679677]}]},{"allowed_amount":2387.70,"providers":[{"billed_charge":3300.00,"npi":[1548866213]}]},{"allowed_amount":3729.17,"providers":[{"billed_charge":5170.00,"npi":[1265079396]}]},{"allowed_amount":2785.65,"providers":[{"billed_charge":3850.00,"npi":[1093556680]}]},{"allowed_amount":129.70,"providers":[{"billed_charge":220.00,"npi":[1932679677]}]},{"allowed_amount":194.55,"providers":[{"billed_charge":330.00,"npi":[1093556680]}]},{"allowed_amount":324.25,"providers":[{"billed_charge":550.00,"npi":[1972124824,1093556680,1932679677]}]},{"allowed_amount":6588.63,"providers":[{"billed_charge":9130.00,"npi":[1972124824]}]},{"allowed_amount":64.85,"providers":[{"billed_charge":110.00,"npi":[1265079396,1548866213]}]},{"allowed_amount":778.20,"providers":[{"billed_charge":1320.00,"npi":[1265079396]}]}]}]},{"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","10"],"billing_class":"professional","payments":[{"allowed_amount":40.65,"providers":[{"billed_charge":110.00,"npi":[1093556680]}]},{"allowed_amount":401.94,"providers":[{"billed_charge":990.00,"npi":[1265079396]}]},{"allowed_amount":178.64,"providers":[{"billed_charge":440.00,"npi":[1932679677]}]},{"allowed_amount":446.60,"providers":[{"billed_charge":1100.00,"npi":[1396411104]}]},{"allowed_amount":3001.74,"providers":[{"billed_charge":6050.00,"npi":[1932679677]}]},{"allowed_amount":2022.05,"providers":[{"billed_charge":4070.00,"npi":[1548866213]}]},{"allowed_amount":799.87,"providers":[{"billed_charge":1980.00,"npi":[1932679677]}]},{"allowed_amount":3922.77,"providers":[{"billed_charge":7920.00,"npi":[1972124824]}]},{"allowed_amount":1967.40,"providers":[{"billed_charge":3960.00,"npi":[1396411104]}]},{"allowed_amount":263.95,"providers":[{"billed_charge":660.00,"npi":[1972124824]}]},{"allowed_amount":133.98,"providers":[{"billed_charge":330.00,"npi":[1548866213]}]},{"allowed_amount":8837.26,"providers":[{"billed_charge":17820.00,"npi":[1093556680]}]},{"allowed_amount":44.66,"providers":[{"billed_charge":110.00,"npi":[1265079396,1972124824]}]},{"allowed_amount":2177.98,"providers":[{"billed_charge":4400.00,"npi":[1265079396]}]}]}]},{"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":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":33.04,"providers":[{"billed_charge":252.00,"npi":[1053772129]}]}]}]},{"name":"HYDRATE IV INFUSION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96361","description":"INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMA","allowed_amounts":[{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":106.00,"providers":[{"billed_charge":160.00,"npi":[1972519544]}]}]}]},{"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":3489.44,"providers":[{"billed_charge":6435.00,"npi":[1649235490]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2171.20,"providers":[{"billed_charge":4030.14,"npi":[1972519544]}]}]}]},{"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":1088.38,"providers":[{"billed_charge":2420.00,"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":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":50.51,"providers":[{"billed_charge":108.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":549.82,"providers":[{"billed_charge":1924.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"934659393"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":222.88,"providers":[{"billed_charge":420.00,"npi":[1417344953]}]}]},{"tin":{"type":"ein","value":"994843175"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":175.94,"providers":[{"billed_charge":350.00,"npi":[1992003552]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":124.38,"providers":[{"billed_charge":218.28,"npi":[1669887865]}]},{"allowed_amount":27.64,"providers":[{"billed_charge":42.67,"npi":[1205005519]}]}]},{"tin":{"type":"ein","value":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":578.20,"providers":[{"billed_charge":780.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":548.26,"providers":[{"billed_charge":1073.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":59.42,"providers":[{"billed_charge":232.00,"npi":[1174771679]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":187.20,"providers":[{"billed_charge":768.00,"npi":[1477916708]}]},{"allowed_amount":119.34,"providers":[{"billed_charge":576.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":551.15,"providers":[{"billed_charge":1645.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":113.67,"providers":[{"billed_charge":360.09,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"461454134"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":480.57,"providers":[{"billed_charge":2436.10,"npi":[1194883272]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":14.86,"providers":[{"billed_charge":51.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1746.33,"providers":[{"billed_charge":2775.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":118.88,"providers":[{"billed_charge":280.00,"npi":[1629099221]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":6931.34,"providers":[{"billed_charge":21015.00,"npi":[1093920399]}]}]}]},{"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":3012.55,"providers":[{"billed_charge":5858.00,"npi":[1649235490]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":973.37,"providers":[{"billed_charge":2505.00,"npi":[1972519544]}]}]}]},{"name":"PHOTOCHEMOTHERAPY WITH UV-B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96910","description":"PHOTOCHEMOTHERAPY; TAR AND ULTRAVIOLET B (GOECKERMAN TREATMENT) OR PETROLATUM AND ULTRAVIOLET B","allowed_amounts":[{"tin":{"type":"ein","value":"474544026"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":109.01,"providers":[{"billed_charge":219.00,"npi":[1194352617]}]}]}]},{"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":43.79,"providers":[{"billed_charge":75.00,"npi":[1003828492]}]}]}]},{"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":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1059.84,"providers":[{"billed_charge":2070.00,"npi":[1578748083]}]}]}]},{"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":"812070461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":120.12,"providers":[{"billed_charge":240.00,"npi":[1003828492]}]}]},{"tin":{"type":"ein","value":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1346.81,"providers":[{"billed_charge":2250.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"465292740"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":158.62,"providers":[{"billed_charge":595.00,"npi":[1528474046]}]}]},{"tin":{"type":"ein","value":"842197071"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":948.21,"providers":[{"billed_charge":4620.00,"npi":[1104622497]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":162.88,"providers":[{"billed_charge":588.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":813.37,"providers":[{"billed_charge":1850.00,"npi":[1083810824]}]},{"allowed_amount":9424.31,"providers":[{"billed_charge":15150.00,"npi":[1578748083]}]}]},{"tin":{"type":"ein","value":"822119231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2943.36,"providers":[{"billed_charge":10224.00,"npi":[1912748963]}]}]},{"tin":{"type":"ein","value":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2415.00,"providers":[{"billed_charge":4399.00,"npi":[1750128773]}]},{"allowed_amount":945.00,"providers":[{"billed_charge":1494.00,"npi":[1477111219]}]}]},{"tin":{"type":"ein","value":"473283941"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":64.85,"providers":[{"billed_charge":249.00,"npi":[1942133244]}]}]}]},{"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":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2494.19,"providers":[{"billed_charge":4275.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"842197071"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":635.76,"providers":[{"billed_charge":2750.00,"npi":[1104622497]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":447.81,"providers":[{"billed_charge":1666.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1163.88,"providers":[{"billed_charge":1800.00,"npi":[1578748083]}]}]},{"tin":{"type":"ein","value":"822119231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1113.14,"providers":[{"billed_charge":4165.00,"npi":[1912748963]}]}]},{"tin":{"type":"ein","value":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":315.00,"providers":[{"billed_charge":582.00,"npi":[1407872781]}]},{"allowed_amount":1705.31,"providers":[{"billed_charge":3201.00,"npi":[1114776036]}]},{"allowed_amount":6930.00,"providers":[{"billed_charge":12998.00,"npi":[1750128773]}]},{"allowed_amount":5040.00,"providers":[{"billed_charge":9312.00,"npi":[1477111219]}]}]},{"tin":{"type":"ein","value":"473283941"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":70.56,"providers":[{"billed_charge":291.00,"npi":[1942133244]}]}]}]},{"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":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":165.36,"providers":[{"billed_charge":360.00,"npi":[1578748083]}]}]}]},{"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":1387.40,"providers":[{"billed_charge":2350.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"465292740"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1145.86,"providers":[{"billed_charge":4293.00,"npi":[1528474046]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1390.56,"providers":[{"billed_charge":2640.00,"npi":[1578748083]}]}]},{"tin":{"type":"ein","value":"843153496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2364.69,"providers":[{"billed_charge":11250.00,"npi":[1265633440]}]}]},{"tin":{"type":"ein","value":"822119231"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1304.20,"providers":[{"billed_charge":4160.00,"npi":[1912748963]}]}]}]},{"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":"991064613"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":578.10,"providers":[{"billed_charge":960.00,"npi":[1497520373]}]}]},{"tin":{"type":"ein","value":"842938165"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":24890.88,"providers":[{"billed_charge":64512.00,"npi":[1548905870]}]}]},{"tin":{"type":"ein","value":"871814709"},"service_code":["99"],"billing_class":"professional","payments":[{"allowed_amount":25440.18,"providers":[{"billed_charge":251000.00,"npi":[1861076937]}]}]},{"tin":{"type":"ein","value":"814359079"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":15471.50,"providers":[{"billed_charge":15471.50,"npi":[1710341482]}]}]},{"tin":{"type":"ein","value":"392725248"},"service_code":["99","12"],"billing_class":"professional","payments":[{"allowed_amount":7642.77,"providers":[{"billed_charge":18420.00,"npi":[1982379657]}]},{"allowed_amount":42719.82,"providers":[{"billed_charge":102960.00,"npi":[1093070229]}]},{"allowed_amount":796.64,"providers":[{"billed_charge":1920.00,"npi":[1093070229]}]}]},{"tin":{"type":"ein","value":"262657184"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":36637.20,"providers":[{"billed_charge":76050.00,"npi":[1295224046]}]}]},{"tin":{"type":"ein","value":"812214687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19110.41,"providers":[{"billed_charge":59644.00,"npi":[1194212506]}]},{"allowed_amount":93937.13,"providers":[{"billed_charge":288676.96,"npi":[1336758366]}]},{"allowed_amount":35475.38,"providers":[{"billed_charge":109668.00,"npi":[1104743392]}]},{"allowed_amount":49555.91,"providers":[{"billed_charge":116209.60,"npi":[1740886712]}]},{"allowed_amount":21360.78,"providers":[{"billed_charge":63492.00,"npi":[1225844848]}]},{"allowed_amount":19221.88,"providers":[{"billed_charge":61414.08,"npi":[1386434470]}]},{"allowed_amount":24521.07,"providers":[{"billed_charge":78345.28,"npi":[1912634361]}]},{"allowed_amount":27522.98,"providers":[{"billed_charge":81808.48,"npi":[1174254387]}]},{"allowed_amount":60222.19,"providers":[{"billed_charge":141221.60,"npi":[1023315124]}]},{"allowed_amount":5443.78,"providers":[{"billed_charge":17392.96,"npi":[1841048915]}]},{"allowed_amount":10621.90,"providers":[{"billed_charge":24627.20,"npi":[1841654050]}]},{"allowed_amount":25315.99,"providers":[{"billed_charge":80884.96,"npi":[1316690589]}]},{"allowed_amount":14404.33,"providers":[{"billed_charge":46022.08,"npi":[1386528867]}]},{"allowed_amount":24581.08,"providers":[{"billed_charge":57643.04,"npi":[1164099651]}]},{"allowed_amount":45356.38,"providers":[{"billed_charge":137758.40,"npi":[1679140503]}]},{"allowed_amount":3757.66,"providers":[{"billed_charge":12005.76,"npi":[1851257398]}]},{"allowed_amount":24256.14,"providers":[{"billed_charge":77498.72,"npi":[1518673599]}]},{"allowed_amount":54437.73,"providers":[{"billed_charge":173929.60,"npi":[1336803972]}]},{"allowed_amount":1951.16,"providers":[{"billed_charge":6387.68,"npi":[1164987962]}]},{"allowed_amount":17053.96,"providers":[{"billed_charge":54487.68,"npi":[1134888043]}]},{"allowed_amount":33918.27,"providers":[{"billed_charge":100817.60,"npi":[1679160808]}]},{"allowed_amount":38525.53,"providers":[{"billed_charge":102587.68,"npi":[1255297578]}]},{"allowed_amount":5395.62,"providers":[{"billed_charge":17239.04,"npi":[1306790498]}]},{"allowed_amount":5371.51,"providers":[{"billed_charge":17162.08,"npi":[1548871569]}]}]},{"tin":{"type":"ein","value":"465720011"},"service_code":["49"],"billing_class":"professional","payments":[{"allowed_amount":3878.10,"providers":[{"billed_charge":4830.00,"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":"842938165"},"service_code":["12","10"],"billing_class":"professional","payments":[{"allowed_amount":634.15,"providers":[{"billed_charge":2520.00,"npi":[1548905870]}]},{"allowed_amount":475.61,"providers":[{"billed_charge":1890.00,"npi":[1548905870]}]}]},{"tin":{"type":"ein","value":"871814709"},"service_code":["99"],"billing_class":"professional","payments":[{"allowed_amount":240.37,"providers":[{"billed_charge":4000.00,"npi":[1861076937]}]}]},{"tin":{"type":"ein","value":"392725248"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":379.34,"providers":[{"billed_charge":960.00,"npi":[1093070229]}]}]},{"tin":{"type":"ein","value":"812214687"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1559.78,"providers":[{"billed_charge":6897.28,"npi":[1912634361]}]},{"allowed_amount":1812.10,"providers":[{"billed_charge":8133.84,"npi":[1386434470]}]},{"allowed_amount":1800.34,"providers":[{"billed_charge":7516.08,"npi":[1679160808]}]},{"allowed_amount":1674.49,"providers":[{"billed_charge":7516.08,"npi":[1336803972]}]},{"allowed_amount":1105.68,"providers":[{"billed_charge":4736.16,"npi":[1679140503]}]},{"allowed_amount":2015.29,"providers":[{"billed_charge":8751.60,"npi":[1104743392]}]},{"allowed_amount":4644.93,"providers":[{"billed_charge":16935.36,"npi":[1336758366]}]},{"allowed_amount":369.94,"providers":[{"billed_charge":1544.40,"npi":[1174254387]}]},{"allowed_amount":481.69,"providers":[{"billed_charge":2162.16,"npi":[1518673599]}]},{"allowed_amount":596.39,"providers":[{"billed_charge":2676.96,"npi":[1316690589]}]}]}]},{"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":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":525.00,"providers":[{"billed_charge":1570.00,"npi":[1477111219]}]}]}]},{"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":372.05,"providers":[{"billed_charge":910.00,"npi":[1578748083]}]}]}]},{"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":"813180280"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1716.99,"providers":[{"billed_charge":3234.00,"npi":[1194482059]}]}]},{"tin":{"type":"ein","value":"842197071"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":653.28,"providers":[{"billed_charge":2640.00,"npi":[1104622497]}]}]},{"tin":{"type":"ein","value":"760389610"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":191.03,"providers":[{"billed_charge":749.00,"npi":[1952133001]}]}]},{"tin":{"type":"ein","value":"741359405"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":739.12,"providers":[{"billed_charge":1820.00,"npi":[1083810824]}]}]},{"tin":{"type":"ein","value":"721531238"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2310.00,"providers":[{"billed_charge":4200.00,"npi":[1407872781]}]},{"allowed_amount":10395.00,"providers":[{"billed_charge":20160.00,"npi":[1477111219]}]},{"allowed_amount":3675.00,"providers":[{"billed_charge":6510.00,"npi":[1114776036]}]},{"allowed_amount":5040.00,"providers":[{"billed_charge":9555.00,"npi":[1750128773]}]}]},{"tin":{"type":"ein","value":"760645849"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":807.12,"providers":[{"billed_charge":2160.00,"npi":[1841204898]}]}]},{"tin":{"type":"ein","value":"205287646"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1000.00,"providers":[{"billed_charge":1800.00,"npi":[1568475093]}]}]}]},{"name":"SELF CARE MNGMENT TRAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MANAGEMENT TRAINING (EG, ACTIVITIES OF DAILY LIVING (ADL) AND COMPENSATORY TRAINING, ","allowed_amounts":[{"tin":{"type":"ein","value":"843153496"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":970.20,"providers":[{"billed_charge":3080.00,"npi":[1265633440]}]}]}]},{"name":"Brief Synchronous Communication Technology Evaluation and Management Service","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98016","description":"Brief Synchronous Communication Technology Evaluation and Management Service","allowed_amounts":[{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":43.26,"providers":[{"billed_charge":75.03,"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":"844109654"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11279.13,"providers":[{"billed_charge":15565.00,"npi":[1518233303]}]}]}]},{"name":"CHIROPRACTIC MANJ 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, 5 REGIONS","allowed_amounts":[{"tin":{"type":"ein","value":"812070461"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":103.48,"providers":[{"billed_charge":160.00,"npi":[1003828492]}]}]}]},{"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":6606.11,"providers":[{"billed_charge":10890.00,"npi":[1518233303]}]}]}]},{"name":"HC PRO PHONE CALL 5-10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98966","description":"TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE PROVIDED BY A QUAL NONPHYS HEALTH CARE PROF TO AN ESTABL","allowed_amounts":[{"tin":{"type":"ein","value":"810965592"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":30000.00,"providers":[{"billed_charge":30000.00,"npi":[1538480686]}]}]}]},{"name":"REM THER MNTR 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98980","description":"REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN","allowed_amounts":[{"tin":{"type":"ein","value":"874664294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":952.90,"providers":[{"billed_charge":3900.00,"npi":[1619129624]}]}]}]},{"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":"393732857"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":500.79,"providers":[{"billed_charge":1526.00,"npi":[1821451519]}]},{"allowed_amount":112.29,"providers":[{"billed_charge":400.00,"npi":[1821451519]}]}]},{"tin":{"type":"ein","value":"994537749"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":142.74,"providers":[{"billed_charge":585.00,"npi":[1720790579]}]}]}]},{"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":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.50,"providers":[{"billed_charge":25.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1512.00,"providers":[{"billed_charge":5040.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"465319544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":390.44,"providers":[{"billed_charge":1650.00,"npi":[1275972895]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":347.00,"providers":[{"billed_charge":1027.00,"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":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":73.44,"providers":[{"billed_charge":450.00,"npi":[1437203676]}]}]}]},{"name":"HYPERBARIC OXYGEN THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99183","description":"PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL ATTENDANCE AND SUPERVISION OF HYPERBARIC OXYGE","allowed_amounts":[{"tin":{"type":"ein","value":"463175783"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":2275.50,"providers":[{"billed_charge":8175.00,"npi":[1508558180]}]}]}]},{"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":242.72,"providers":[{"billed_charge":600.00,"npi":[1720229875]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":6371.82,"providers":[{"billed_charge":14727.29,"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":"453508803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.94,"providers":[{"billed_charge":344.00,"npi":[1467226316]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1066.45,"providers":[{"billed_charge":1925.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":114.05,"providers":[{"billed_charge":221.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4251.00,"providers":[{"billed_charge":4251.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":8197.62,"providers":[{"billed_charge":35712.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"203059260"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6024.85,"providers":[{"billed_charge":9269.00,"npi":[1982723490]}]}]}]},{"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":"852857644"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":344.74,"providers":[{"billed_charge":1034.22,"npi":[1801843487]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":22080.78,"providers":[{"billed_charge":50630.00,"npi":[1477916708]}]},{"allowed_amount":5384.40,"providers":[{"billed_charge":14525.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":3964.51,"providers":[{"billed_charge":7728.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":877.61,"providers":[{"billed_charge":1295.06,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"921468472"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1318.68,"providers":[{"billed_charge":3015.00,"npi":[1679827604]}]}]},{"tin":{"type":"ein","value":"611643282"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":2958.54,"providers":[{"billed_charge":3500.00,"npi":[1184882573]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11","20"],"billing_class":"professional","payments":[{"allowed_amount":21286.88,"providers":[{"billed_charge":28799.55,"npi":[1972519544]}]},{"allowed_amount":182.72,"providers":[{"billed_charge":246.15,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7216.62,"providers":[{"billed_charge":27048.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"463969440"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":879.75,"providers":[{"billed_charge":3123.00,"npi":[1124360987]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":3225.75,"providers":[{"billed_charge":15840.00,"npi":[1184991564]}]},{"allowed_amount":146.51,"providers":[{"billed_charge":480.00,"npi":[1184991564]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":575.00,"providers":[{"billed_charge":1735.00,"npi":[1386297356]}]}]}]},{"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":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3383.10,"providers":[{"billed_charge":7294.00,"npi":[1477916708]}]}]}]},{"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":"208271258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":342.02,"providers":[{"billed_charge":700.00,"npi":[1417944943]}]}]},{"tin":{"type":"ein","value":"201020949"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":301.08,"providers":[{"billed_charge":637.00,"npi":[1740848431]}]},{"allowed_amount":118.14,"providers":[{"billed_charge":294.00,"npi":[1720229875]}]},{"allowed_amount":39.38,"providers":[{"billed_charge":98.00,"npi":[1316281124]}]},{"allowed_amount":532.68,"providers":[{"billed_charge":1127.00,"npi":[1073796330]}]},{"allowed_amount":46.32,"providers":[{"billed_charge":98.00,"npi":[1245612084]}]},{"allowed_amount":98.45,"providers":[{"billed_charge":245.00,"npi":[1619324100]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":3142.33,"providers":[{"billed_charge":6334.69,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"742512591"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":257.18,"providers":[{"billed_charge":715.00,"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":3532.10,"providers":[{"billed_charge":13000.00,"npi":[1457729287]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":285.89,"providers":[{"billed_charge":875.82,"npi":[1871115261]}]},{"allowed_amount":1100.88,"providers":[{"billed_charge":2439.72,"npi":[1770763666]}]},{"allowed_amount":48.89,"providers":[{"billed_charge":79.62,"npi":[1871115261]}]}]},{"tin":{"type":"ein","value":"201020949"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":192.04,"providers":[{"billed_charge":476.00,"npi":[1619324100]}]}]},{"tin":{"type":"ein","value":"862433458"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":928.91,"providers":[{"billed_charge":2280.00,"npi":[1982278800]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1837.94,"providers":[{"billed_charge":3520.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":575.20,"providers":[{"billed_charge":990.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":5035.61,"providers":[{"billed_charge":11608.60,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"475489256"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":30.58,"providers":[{"billed_charge":99.00,"npi":[1902223217]}]},{"allowed_amount":1159.97,"providers":[{"billed_charge":3762.00,"npi":[1902223217]}]},{"allowed_amount":11487.44,"providers":[{"billed_charge":19869.00,"npi":[1902223217]}]}]}]},{"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":"273418492"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1099.70,"providers":[{"billed_charge":3221.68,"npi":[1457747347]}]},{"allowed_amount":192.44,"providers":[{"billed_charge":920.48,"npi":[1457747347]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":13122.22,"providers":[{"billed_charge":21300.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5817.91,"providers":[{"billed_charge":8001.00,"npi":[1891855656]}]}]},{"tin":{"type":"ein","value":"852857644"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1474.64,"providers":[{"billed_charge":4435.68,"npi":[1801843487]}]}]},{"tin":{"type":"ein","value":"752723993"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":549.85,"providers":[{"billed_charge":1904.00,"npi":[1609132521]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":5887.92,"providers":[{"billed_charge":10905.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"854247861"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":554.46,"providers":[{"billed_charge":827.72,"npi":[1093144560]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":57.83,"providers":[{"billed_charge":196.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["11","17","10"],"billing_class":"professional","payments":[{"allowed_amount":73.93,"providers":[{"billed_charge":276.13,"npi":[1234567893]}]},{"allowed_amount":78445.68,"providers":[{"billed_charge":173570.50,"npi":[1234567893]}]},{"allowed_amount":78.55,"providers":[{"billed_charge":175.00,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":18182.73,"providers":[{"billed_charge":59125.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"742699762"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":235.65,"providers":[{"billed_charge":456.00,"npi":[1689186413]}]}]},{"tin":{"type":"ein","value":"134236446"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2864.71,"providers":[{"billed_charge":6200.00,"npi":[1043396211]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":1335.35,"providers":[{"billed_charge":2040.00,"npi":[1831544808]}]},{"allowed_amount":96.22,"providers":[{"billed_charge":240.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":1977.76,"providers":[{"billed_charge":4178.93,"npi":[1053772129]}]},{"allowed_amount":100.04,"providers":[{"billed_charge":339.36,"npi":[1053772129]}]}]},{"tin":{"type":"ein","value":"474591265"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":1542.06,"providers":[{"billed_charge":3420.00,"npi":[1750709143]}]},{"allowed_amount":8395.66,"providers":[{"billed_charge":18515.67,"npi":[1457457665]}]},{"allowed_amount":1370.72,"providers":[{"billed_charge":3040.00,"npi":[1679958557]}]},{"allowed_amount":2570.10,"providers":[{"billed_charge":5700.00,"npi":[1740419662]}]},{"allowed_amount":3855.15,"providers":[{"billed_charge":8445.67,"npi":[1447356829]}]},{"allowed_amount":2313.09,"providers":[{"billed_charge":5025.67,"npi":[1275601106]}]},{"allowed_amount":257.01,"providers":[{"billed_charge":570.00,"npi":[1891100632]}]}]},{"tin":{"type":"ein","value":"742553409"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":1478.56,"providers":[{"billed_charge":2864.00,"npi":[1225471303]}]},{"allowed_amount":6087.30,"providers":[{"billed_charge":11814.00,"npi":[1568542090]}]},{"allowed_amount":113.20,"providers":[{"billed_charge":358.00,"npi":[1568542090]}]}]},{"tin":{"type":"ein","value":"862433458"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":549.85,"providers":[{"billed_charge":1400.00,"npi":[1982278800]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17811.61,"providers":[{"billed_charge":29760.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"853601968"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":277.23,"providers":[{"billed_charge":2232.00,"npi":[1326327149]}]}]},{"tin":{"type":"ein","value":"760540476"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":369.64,"providers":[{"billed_charge":392.00,"npi":[1609288208]}]}]},{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5681.85,"providers":[{"billed_charge":7750.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":235.65,"providers":[{"billed_charge":523.80,"npi":[1760857379]}]},{"allowed_amount":3499.82,"providers":[{"billed_charge":6634.80,"npi":[1265495998]}]},{"allowed_amount":1350.34,"providers":[{"billed_charge":2619.00,"npi":[1255893798]}]},{"allowed_amount":646.87,"providers":[{"billed_charge":1222.20,"npi":[1942400601]}]}]},{"tin":{"type":"ein","value":"933500990"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1016.51,"providers":[{"billed_charge":3025.00,"npi":[1770999377]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":45268.49,"providers":[{"billed_charge":109716.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1253.47,"providers":[{"billed_charge":3954.00,"npi":[1659025328]}]}]},{"tin":{"type":"ein","value":"752252866"},"service_code":["11","50"],"billing_class":"professional","payments":[{"allowed_amount":2213.92,"providers":[{"billed_charge":6516.00,"npi":[1235154824]}]},{"allowed_amount":92.41,"providers":[{"billed_charge":271.50,"npi":[1235154824]}]}]},{"tin":{"type":"ein","value":"813843305"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":78.55,"providers":[{"billed_charge":260.00,"npi":[1780865857]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":2349.84,"providers":[{"billed_charge":6150.00,"npi":[1659984441]}]},{"allowed_amount":48.11,"providers":[{"billed_charge":205.00,"npi":[1659984441]}]}]},{"tin":{"type":"ein","value":"475489256"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":7007.48,"providers":[{"billed_charge":12768.00,"npi":[1902223217]}]},{"allowed_amount":905.60,"providers":[{"billed_charge":2688.00,"npi":[1902223217]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":3788.81,"providers":[{"billed_charge":8200.00,"npi":[1164442778]}]},{"allowed_amount":388.36,"providers":[{"billed_charge":1400.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"841777691"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3220.55,"providers":[{"billed_charge":5401.75,"npi":[1659859759]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":1167.06,"providers":[{"billed_charge":2026.81,"npi":[1770763666]}]},{"allowed_amount":3848.80,"providers":[{"billed_charge":6943.65,"npi":[1669887865]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":20483.66,"providers":[{"billed_charge":41147.00,"npi":[1134828494]}]},{"allowed_amount":19778.64,"providers":[{"billed_charge":64750.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"208271258"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":200.08,"providers":[{"billed_charge":600.00,"npi":[1457729287]}]},{"allowed_amount":13510.20,"providers":[{"billed_charge":24750.00,"npi":[1699156612]}]},{"allowed_amount":8924.92,"providers":[{"billed_charge":16350.00,"npi":[1457729287]}]}]},{"tin":{"type":"ein","value":"811018910"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":327.52,"providers":[{"billed_charge":600.00,"npi":[1952054066]}]},{"allowed_amount":16332.04,"providers":[{"billed_charge":29850.00,"npi":[1417426842]}]},{"allowed_amount":50.02,"providers":[{"billed_charge":150.00,"npi":[1417426842]}]},{"allowed_amount":8238.56,"providers":[{"billed_charge":15000.00,"npi":[1528517521]}]}]},{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":462.08,"providers":[{"billed_charge":1108.00,"npi":[1477296648]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":625.07,"providers":[{"billed_charge":1776.00,"npi":[1184250524]}]}]},{"tin":{"type":"ein","value":"994843175"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":6499.67,"providers":[{"billed_charge":8300.00,"npi":[1992003552]}]},{"allowed_amount":384.88,"providers":[{"billed_charge":800.00,"npi":[1992003552]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":3022.09,"providers":[{"billed_charge":4455.00,"npi":[1932801230]}]},{"allowed_amount":2899.69,"providers":[{"billed_charge":4995.00,"npi":[1518249150]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":169.80,"providers":[{"billed_charge":453.00,"npi":[1730445628]}]},{"allowed_amount":9887.87,"providers":[{"billed_charge":16157.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"203059260"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4332.90,"providers":[{"billed_charge":6666.00,"npi":[1982723490]}]}]},{"tin":{"type":"ein","value":"742854030"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4132.71,"providers":[{"billed_charge":6360.00,"npi":[1083256879]}]}]},{"tin":{"type":"ein","value":"752403687"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":157.10,"providers":[{"billed_charge":350.00,"npi":[1033892245]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1237.36,"providers":[{"billed_charge":4400.00,"npi":[1427494871]}]},{"allowed_amount":92.41,"providers":[{"billed_charge":200.00,"npi":[1124221965]}]},{"allowed_amount":192.44,"providers":[{"billed_charge":660.00,"npi":[1215516992]}]},{"allowed_amount":277.23,"providers":[{"billed_charge":600.00,"npi":[1427494871]}]},{"allowed_amount":113.20,"providers":[{"billed_charge":400.00,"npi":[1124221965]}]}]},{"tin":{"type":"ein","value":"993695085"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":285.32,"providers":[{"billed_charge":750.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"934354270"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":628.40,"providers":[{"billed_charge":1840.00,"npi":[1083845218]}]},{"allowed_amount":48.11,"providers":[{"billed_charge":230.00,"npi":[1083845218]}]}]},{"tin":{"type":"ein","value":"851746454"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3528.09,"providers":[{"billed_charge":9062.55,"npi":[1154917896]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4066.04,"providers":[{"billed_charge":8800.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"461454134"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":189.02,"providers":[{"billed_charge":532.68,"npi":[1194883272]}]},{"allowed_amount":286.50,"providers":[{"billed_charge":1331.70,"npi":[1194883272]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":5963.08,"providers":[{"billed_charge":15673.00,"npi":[1972519544]}]},{"allowed_amount":2879.52,"providers":[{"billed_charge":11717.00,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"752719502"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3046.80,"providers":[{"billed_charge":7800.00,"npi":[1205477908]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":32087.06,"providers":[{"billed_charge":52896.00,"npi":[1629099221]}]}]},{"tin":{"type":"ein","value":"300198705"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":158.84,"providers":[{"billed_charge":454.00,"npi":[1669082723]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":147.04,"providers":[{"billed_charge":296.00,"npi":[1942687066]}]}]}]},{"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":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5533.50,"providers":[{"billed_charge":14070.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"921457580"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":36758.25,"providers":[{"billed_charge":61380.00,"npi":[1114210416]}]}]},{"tin":{"type":"ein","value":"921468472"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":7498.42,"providers":[{"billed_charge":17219.00,"npi":[1679827604]}]}]},{"tin":{"type":"ein","value":"760458535"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":99.90,"providers":[{"billed_charge":261.00,"npi":[1841828548]}]},{"allowed_amount":3003.90,"providers":[{"billed_charge":5282.00,"npi":[1841828548]}]},{"allowed_amount":948.60,"providers":[{"billed_charge":1566.00,"npi":[1215790845]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":559.95,"providers":[{"billed_charge":875.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"854247861"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":83.25,"providers":[{"billed_charge":207.15,"npi":[1407444029]},{"billed_charge":192.32,"npi":[1407444029]}]},{"allowed_amount":3689.00,"providers":[{"billed_charge":5384.96,"npi":[1093144560]}]},{"allowed_amount":1575.23,"providers":[{"billed_charge":2411.65,"npi":[1407444029]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["11","57"],"billing_class":"professional","payments":[{"allowed_amount":1230.41,"providers":[{"billed_charge":5693.00,"npi":[1255388203]}]},{"allowed_amount":527.00,"providers":[{"billed_charge":1640.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["71"],"billing_class":"professional","payments":[{"allowed_amount":1231.89,"providers":[{"billed_charge":1336.17,"npi":[1982722401]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":31308.77,"providers":[{"billed_charge":98056.00,"npi":[1093920399]}]}]},{"tin":{"type":"ein","value":"933075034"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":34434.00,"providers":[{"billed_charge":43120.00,"npi":[1831544808]}]},{"allowed_amount":1198.02,"providers":[{"billed_charge":2380.00,"npi":[1831544808]}]}]},{"tin":{"type":"ein","value":"760549240"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":1518.40,"providers":[{"billed_charge":3373.41,"npi":[1053772129]}]}]},{"tin":{"type":"ein","value":"756064033"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3689.00,"providers":[{"billed_charge":7588.00,"npi":[1518068709]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":8426.23,"providers":[{"billed_charge":14200.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"261162574"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1511.51,"providers":[{"billed_charge":2200.00,"npi":[1376933804]}]}]},{"tin":{"type":"ein","value":"742663370"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":922.25,"providers":[{"billed_charge":1050.00,"npi":[1437203676]}]}]},{"tin":{"type":"ein","value":"760540476"},"service_code":["22","11"],"billing_class":"professional","payments":[{"allowed_amount":83.25,"providers":[{"billed_charge":138.00,"npi":[1609288208]}]},{"allowed_amount":1575.23,"providers":[{"billed_charge":1656.00,"npi":[1609288208]}]}]},{"tin":{"type":"ein","value":"760009637"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1119.90,"providers":[{"billed_charge":2578.00,"npi":[1760857379]}]},{"allowed_amount":215.00,"providers":[{"billed_charge":515.60,"npi":[1679784391]}]},{"allowed_amount":527.00,"providers":[{"billed_charge":1031.20,"npi":[1982050241]}]},{"allowed_amount":4250.17,"providers":[{"billed_charge":12632.20,"npi":[1730760364]}]},{"allowed_amount":3135.98,"providers":[{"billed_charge":7476.20,"npi":[1174771679]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":34218.69,"providers":[{"billed_charge":78570.00,"npi":[1659617827]}]},{"allowed_amount":80237.20,"providers":[{"billed_charge":156600.00,"npi":[1477916708]}]}]},{"tin":{"type":"ein","value":"933500990"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.75,"providers":[{"billed_charge":390.00,"npi":[1770999377]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":21557.94,"providers":[{"billed_charge":43624.00,"npi":[1235225087]}]}]},{"tin":{"type":"ein","value":"990521596"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":141.52,"providers":[{"billed_charge":600.00,"npi":[1235652280]}]}]},{"tin":{"type":"ein","value":"922298867"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":111.99,"providers":[{"billed_charge":135.00,"npi":[1366867129]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":17898.75,"providers":[{"billed_charge":76981.00,"npi":[1386297356]}]}]},{"tin":{"type":"ein","value":"760423386"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":333.00,"providers":[{"billed_charge":1292.00,"npi":[1356920193]}]},{"allowed_amount":23978.50,"providers":[{"billed_charge":62626.00,"npi":[1356920193]}]},{"allowed_amount":5930.56,"providers":[{"billed_charge":17879.00,"npi":[1568244358]}]}]},{"tin":{"type":"ein","value":"882648776"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1119.90,"providers":[{"billed_charge":3160.00,"npi":[1194436147]}]},{"allowed_amount":561.18,"providers":[{"billed_charge":2528.00,"npi":[1194436147]}]}]},{"tin":{"type":"ein","value":"752252866"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":17918.00,"providers":[{"billed_charge":52222.64,"npi":[1235154824]}]}]},{"tin":{"type":"ein","value":"742930888"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1014.44,"providers":[{"billed_charge":1799.00,"npi":[1730296047]}]}]},{"tin":{"type":"ein","value":"273656127"},"service_code":["11","02","10"],"billing_class":"professional","payments":[{"allowed_amount":70.76,"providers":[{"billed_charge":290.00,"npi":[1659984441]}]},{"allowed_amount":15094.10,"providers":[{"billed_charge":39150.00,"npi":[1659984441]}]},{"allowed_amount":141.52,"providers":[{"billed_charge":580.00,"npi":[1952657025]}]},{"allowed_amount":1786.93,"providers":[{"billed_charge":4640.00,"npi":[1952657025]}]}]},{"tin":{"type":"ein","value":"465319544"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":658.75,"providers":[{"billed_charge":1575.00,"npi":[1144256850]}]}]},{"tin":{"type":"ein","value":"934659393"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11989.25,"providers":[{"billed_charge":17108.00,"npi":[1417344953]}]}]},{"tin":{"type":"ein","value":"743001674"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":249.75,"providers":[{"billed_charge":696.00,"npi":[1063896124]}]},{"allowed_amount":131.75,"providers":[{"billed_charge":232.00,"npi":[1063896124]}]}]},{"tin":{"type":"ein","value":"841777691"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6383.43,"providers":[{"billed_charge":10632.78,"npi":[1659859759]}]}]},{"tin":{"type":"ein","value":"742512591"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":499.50,"providers":[{"billed_charge":1050.00,"npi":[1669470043]}]},{"allowed_amount":3030.25,"providers":[{"billed_charge":4025.00,"npi":[1669470043]}]}]},{"tin":{"type":"ein","value":"742944931"},"service_code":["11","02"],"billing_class":"professional","payments":[{"allowed_amount":2759.64,"providers":[{"billed_charge":5728.86,"npi":[1114698289]}]},{"allowed_amount":1332.00,"providers":[{"billed_charge":2313.69,"npi":[1669887865]}]},{"allowed_amount":447.96,"providers":[{"billed_charge":597.21,"npi":[1821721697]}]},{"allowed_amount":3413.25,"providers":[{"billed_charge":5914.74,"npi":[1205005519]}]},{"allowed_amount":249.75,"providers":[{"billed_charge":429.12,"npi":[1770763666]}]}]},{"tin":{"type":"ein","value":"832104126"},"service_code":["10"],"billing_class":"professional","payments":[{"allowed_amount":928.93,"providers":[{"billed_charge":2114.00,"npi":[1063943421]}]},{"allowed_amount":3329.23,"providers":[{"billed_charge":7550.00,"npi":[1013614668]}]}]},{"tin":{"type":"ein","value":"842477526"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1831.50,"providers":[{"billed_charge":5764.00,"npi":[1134828494]}]},{"allowed_amount":6581.73,"providers":[{"billed_charge":13100.00,"npi":[1134828494]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5183.63,"providers":[{"billed_charge":9828.00,"npi":[1942390273]}]}]},{"tin":{"type":"ein","value":"832754541"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":200.50,"providers":[{"billed_charge":384.64,"npi":[1497347173]}]}]},{"tin":{"type":"ein","value":"746003411"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1560.00,"providers":[{"billed_charge":1560.00,"npi":[1629005418]}]},{"allowed_amount":1680.00,"providers":[{"billed_charge":1680.00,"npi":[1609870161]}]}]},{"tin":{"type":"ein","value":"746067306"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":208.26,"providers":[{"billed_charge":306.00,"npi":[1215011747]}]}]},{"tin":{"type":"ein","value":"461105510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":283.04,"providers":[{"billed_charge":1476.00,"npi":[1184991564]}]}]},{"tin":{"type":"ein","value":"208271258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":467.20,"providers":[{"billed_charge":1000.00,"npi":[1699156612]}]}]},{"tin":{"type":"ein","value":"432016287"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":131.75,"providers":[{"billed_charge":295.39,"npi":[1043741275]}]}]},{"tin":{"type":"ein","value":"752931720"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":494.04,"providers":[{"billed_charge":690.00,"npi":[1629480017]}]}]},{"tin":{"type":"ein","value":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2452.80,"providers":[{"billed_charge":3675.00,"npi":[1528517521]}]}]},{"tin":{"type":"ein","value":"453508803"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2911.74,"providers":[{"billed_charge":10348.00,"npi":[1467226316]}]}]},{"tin":{"type":"ein","value":"752848936"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2635.00,"providers":[{"billed_charge":5270.00,"npi":[1780200816]}]},{"allowed_amount":1581.00,"providers":[{"billed_charge":3162.00,"npi":[1861004913]}]}]},{"tin":{"type":"ein","value":"462456505"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":443.05,"providers":[{"billed_charge":1320.00,"npi":[1467299180]}]},{"allowed_amount":166.50,"providers":[{"billed_charge":660.00,"npi":[1912950965]}]}]},{"tin":{"type":"ein","value":"742882192"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7509.75,"providers":[{"billed_charge":16950.00,"npi":[1033370176]}]}]},{"tin":{"type":"ein","value":"460796181"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":137.41,"providers":[{"billed_charge":412.23,"npi":[1811557333]}]},{"allowed_amount":2379.73,"providers":[{"billed_charge":7007.91,"npi":[1497956734]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":3247.71,"providers":[{"billed_charge":5220.00,"npi":[1518249150]}]},{"allowed_amount":263.50,"providers":[{"billed_charge":360.00,"npi":[1932801230]}]}]},{"tin":{"type":"ein","value":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5533.50,"providers":[{"billed_charge":9282.00,"npi":[1730445628]}]}]},{"tin":{"type":"ein","value":"742854030"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":447.96,"providers":[{"billed_charge":600.00,"npi":[1083256879]}]}]},{"tin":{"type":"ein","value":"264621796"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":1231.89,"providers":[{"billed_charge":2915.00,"npi":[1336774801]}]},{"allowed_amount":111.99,"providers":[{"billed_charge":265.00,"npi":[1043828544]}]},{"allowed_amount":83.25,"providers":[{"billed_charge":265.00,"npi":[1427494871,1902918675]}]},{"allowed_amount":1551.82,"providers":[{"billed_charge":5830.00,"npi":[1336774801]}]},{"allowed_amount":636.84,"providers":[{"billed_charge":2385.00,"npi":[1043828544]}]},{"allowed_amount":131.75,"providers":[{"billed_charge":265.00,"npi":[1427494871]}]}]},{"tin":{"type":"ein","value":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7371.70,"providers":[{"billed_charge":8580.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"842426702"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":4341.98,"providers":[{"billed_charge":7024.38,"npi":[1396475455]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9354.25,"providers":[{"billed_charge":17750.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"751368151"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":518.72,"providers":[{"billed_charge":1875.00,"npi":[1558995092]}]}]},{"tin":{"type":"ein","value":"851746454"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":12411.25,"providers":[{"billed_charge":28403.61,"npi":[1154917896]}]}]},{"tin":{"type":"ein","value":"275094632"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":728.91,"providers":[{"billed_charge":2600.00,"npi":[1992741193]}]}]},{"tin":{"type":"ein","value":"842192595"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5599.50,"providers":[{"billed_charge":15000.00,"npi":[1891503827]}]}]},{"tin":{"type":"ein","value":"464725163"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":19023.57,"providers":[{"billed_charge":24651.70,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"461454134"},"service_code":["11","10"],"billing_class":"professional","payments":[{"allowed_amount":4712.75,"providers":[{"billed_charge":13580.00,"npi":[1194883272]}]},{"allowed_amount":918.65,"providers":[{"billed_charge":4268.00,"npi":[1194883272]}]}]},{"tin":{"type":"ein","value":"751414940"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3450.33,"providers":[{"billed_charge":6718.00,"npi":[1578897765]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11","20","10"],"billing_class":"professional","payments":[{"allowed_amount":139.65,"providers":[{"billed_charge":189.00,"npi":[1972519544]}]},{"allowed_amount":5383.25,"providers":[{"billed_charge":14463.45,"npi":[1972519544]}]},{"allowed_amount":127634.00,"providers":[{"billed_charge":238666.68,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11528.13,"providers":[{"billed_charge":19448.00,"npi":[1629099221]}]}]}]},{"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":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":6087.47,"providers":[{"billed_charge":11284.00,"npi":[1477916708]}]}]},{"tin":{"type":"ein","value":"463951057"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7838.06,"providers":[{"billed_charge":21504.00,"npi":[1144330762]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["57"],"billing_class":"professional","payments":[{"allowed_amount":178.63,"providers":[{"billed_charge":394.00,"npi":[1255388203]}]},{"allowed_amount":6676.74,"providers":[{"billed_charge":16548.00,"npi":[1194386094]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3349.05,"providers":[{"billed_charge":5140.80,"npi":[1003257999]}]}]},{"tin":{"type":"ein","value":"832419554"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2536.69,"providers":[{"billed_charge":7943.00,"npi":[1134516032]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":32638.32,"providers":[{"billed_charge":100224.00,"npi":[1386297356]}]},{"allowed_amount":210.18,"providers":[{"billed_charge":746.00,"npi":[1326380312]}]}]}]},{"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":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1116.34,"providers":[{"billed_charge":3850.00,"npi":[1215925185]}]}]}]},{"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":10267.29,"providers":[{"billed_charge":50600.00,"npi":[1306048277]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":223.14,"providers":[{"billed_charge":520.00,"npi":[1326173386]}]},{"allowed_amount":111.57,"providers":[{"billed_charge":258.00,"npi":[1225775182,1326173386]}]}]},{"tin":{"type":"ein","value":"832962661"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":446.28,"providers":[{"billed_charge":1900.00,"npi":[1346436276]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":817.04,"providers":[{"billed_charge":1750.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"371737462"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":345.06,"providers":[{"billed_charge":870.00,"npi":[1538233200]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7741.94,"providers":[{"billed_charge":20100.00,"npi":[1184041436]}]},{"allowed_amount":3165.36,"providers":[{"billed_charge":8400.00,"npi":[1235363862]}]},{"allowed_amount":7265.13,"providers":[{"billed_charge":18900.00,"npi":[1316279326]}]},{"allowed_amount":2917.05,"providers":[{"billed_charge":7200.00,"npi":[1215925185]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1380.24,"providers":[{"billed_charge":5169.00,"npi":[1427478965]}]},{"allowed_amount":805.14,"providers":[{"billed_charge":3059.00,"npi":[1427478965]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":780.99,"providers":[{"billed_charge":3059.00,"npi":[1194711515]}]},{"allowed_amount":446.28,"providers":[{"billed_charge":1793.00,"npi":[1194711515]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4370.76,"providers":[{"billed_charge":17100.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"742123010"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":334.71,"providers":[{"billed_charge":750.00,"npi":[1659457406]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5405.94,"providers":[{"billed_charge":9400.00,"npi":[1932300779]}]}]}]},{"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":1245.92,"providers":[{"billed_charge":2784.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":923.28,"providers":[{"billed_charge":1974.00,"npi":[1215076229]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2278.52,"providers":[{"billed_charge":14588.00,"npi":[1861074619]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":307.76,"providers":[{"billed_charge":2778.00,"npi":[1669350369]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2803.32,"providers":[{"billed_charge":11340.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1445.04,"providers":[{"billed_charge":3150.00,"npi":[1215925185]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":769.40,"providers":[{"billed_charge":3350.00,"npi":[1881027126]}]},{"allowed_amount":307.76,"providers":[{"billed_charge":1238.00,"npi":[1083136360]}]},{"allowed_amount":2615.96,"providers":[{"billed_charge":10778.00,"npi":[1427478965]}]},{"allowed_amount":8155.64,"providers":[{"billed_charge":33997.00,"npi":[1881027126]}]},{"allowed_amount":5231.92,"providers":[{"billed_charge":21726.00,"npi":[1427478965]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3728.24,"providers":[{"billed_charge":14790.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2024.62,"providers":[{"billed_charge":4394.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"990869376"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":615.52,"providers":[{"billed_charge":960.00,"npi":[1255852422]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":298.52,"providers":[{"billed_charge":500.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":885.44,"providers":[{"billed_charge":2268.00,"npi":[1669712980]}]},{"allowed_amount":298.52,"providers":[{"billed_charge":756.00,"npi":[1659950160,1427686104,1336113323,1487394110]}]},{"allowed_amount":467.22,"providers":[{"billed_charge":1134.00,"npi":[1780941070]}]},{"allowed_amount":447.78,"providers":[{"billed_charge":1134.00,"npi":[1669712980]}]},{"allowed_amount":155.74,"providers":[{"billed_charge":378.00,"npi":[1699809483]}]},{"allowed_amount":139.14,"providers":[{"billed_charge":378.00,"npi":[1336113323]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":597.04,"providers":[{"billed_charge":4364.00,"npi":[1497068233]}]},{"allowed_amount":1343.34,"providers":[{"billed_charge":9819.00,"npi":[1043705528]}]},{"allowed_amount":8348.44,"providers":[{"billed_charge":61096.00,"npi":[1992454797]}]},{"allowed_amount":298.52,"providers":[{"billed_charge":2182.00,"npi":[1386619765]}]},{"allowed_amount":149.26,"providers":[{"billed_charge":1091.00,"npi":[1164835195]}]},{"allowed_amount":447.78,"providers":[{"billed_charge":3273.00,"npi":[1073190898]}]},{"allowed_amount":1482.48,"providers":[{"billed_charge":10910.00,"npi":[1497068233]}]},{"allowed_amount":2825.82,"providers":[{"billed_charge":20729.00,"npi":[1992454797]}]},{"allowed_amount":3731.50,"providers":[{"billed_charge":27275.00,"npi":[1043705528]}]}]},{"tin":{"type":"ein","value":"832962661"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3283.72,"providers":[{"billed_charge":13750.00,"npi":[1346436276]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":978.66,"providers":[{"billed_charge":3018.00,"npi":[1760529515]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1492.60,"providers":[{"billed_charge":6190.00,"npi":[1710333620]}]},{"allowed_amount":1194.08,"providers":[{"billed_charge":5292.00,"npi":[1194711515]}]},{"allowed_amount":746.30,"providers":[{"billed_charge":3180.00,"npi":[1174987820]}]},{"allowed_amount":3432.98,"providers":[{"billed_charge":14322.00,"npi":[1174987820]}]},{"allowed_amount":298.52,"providers":[{"billed_charge":1238.00,"npi":[1841547759,1669993143]}]},{"allowed_amount":149.26,"providers":[{"billed_charge":619.00,"npi":[1841547759,1154568558]}]},{"allowed_amount":447.78,"providers":[{"billed_charge":2027.00,"npi":[1194711515]}]},{"allowed_amount":9701.90,"providers":[{"billed_charge":40660.00,"npi":[1710333620]}]}]},{"tin":{"type":"ein","value":"651287824"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2087.28,"providers":[{"billed_charge":6695.00,"npi":[1417069246]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1077.16,"providers":[{"billed_charge":3248.00,"npi":[1790123495]}]},{"allowed_amount":6155.20,"providers":[{"billed_charge":18560.00,"npi":[1356637227]}]}]}]},{"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":"134236446"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4616.56,"providers":[{"billed_charge":21600.00,"npi":[1043396211]}]}]},{"tin":{"type":"ein","value":"460820928"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":213.30,"providers":[{"billed_charge":400.00,"npi":[1083600456]}]}]},{"tin":{"type":"ein","value":"760537362"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":263.70,"providers":[{"billed_charge":540.00,"npi":[1588667778]}]}]},{"tin":{"type":"ein","value":"883517085"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":820.14,"providers":[{"billed_charge":1725.00,"npi":[1356821284]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1142.70,"providers":[{"billed_charge":3640.00,"npi":[1265442420]}]}]},{"tin":{"type":"ein","value":"650816256"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":481.59,"providers":[{"billed_charge":1128.00,"npi":[1700855178]}]}]},{"tin":{"type":"ein","value":"991682710"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":477.62,"providers":[{"billed_charge":871.97,"npi":[1417935826]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":558.85,"providers":[{"billed_charge":1580.54,"npi":[1891944708]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":390.78,"providers":[{"billed_charge":801.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"742177317"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":615.30,"providers":[{"billed_charge":3500.00,"npi":[1518997477]}]}]}]},{"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":2892.40,"providers":[{"billed_charge":8000.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"830807354"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":2151.71,"providers":[{"billed_charge":3565.00,"npi":[1043238553]}]}]},{"tin":{"type":"ein","value":"830594617"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":701.40,"providers":[{"billed_charge":2246.70,"npi":[1497918155]}]}]},{"tin":{"type":"ein","value":"760537362"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":3401.78,"providers":[{"billed_charge":6000.00,"npi":[1588667778]}]}]},{"tin":{"type":"ein","value":"461202759"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3134.44,"providers":[{"billed_charge":5520.00,"npi":[1720225816]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1245.64,"providers":[{"billed_charge":3893.00,"npi":[1437735206]}]},{"allowed_amount":367.85,"providers":[{"billed_charge":1145.00,"npi":[1407318470]}]}]},{"tin":{"type":"ein","value":"371737462"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":138.82,"providers":[{"billed_charge":380.00,"npi":[1538233200]}]},{"allowed_amount":1120.81,"providers":[{"billed_charge":3610.00,"npi":[1356808950]}]}]},{"tin":{"type":"ein","value":"752867667"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":409.32,"providers":[{"billed_charge":1056.00,"npi":[1639115140]}]}]},{"tin":{"type":"ein","value":"760700653"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":490.98,"providers":[{"billed_charge":689.15,"npi":[1912957879]}]},{"allowed_amount":336.60,"providers":[{"billed_charge":492.25,"npi":[1912957879]}]}]},{"tin":{"type":"ein","value":"882064487"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":416.46,"providers":[{"billed_charge":900.00,"npi":[1437531126]}]}]},{"tin":{"type":"ein","value":"461184208"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1332.66,"providers":[{"billed_charge":3800.00,"npi":[1659469609]}]}]},{"tin":{"type":"ein","value":"413396228"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":269.28,"providers":[{"billed_charge":630.00,"npi":[1962963033]}]}]},{"tin":{"type":"ein","value":"261104730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":416.46,"providers":[{"billed_charge":900.00,"npi":[1578594024]}]}]},{"tin":{"type":"ein","value":"760123983"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5716.40,"providers":[{"billed_charge":8910.00,"npi":[1538154042]}]}]},{"tin":{"type":"ein","value":"760674030"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":631.26,"providers":[{"billed_charge":810.00,"npi":[1184240855]}]}]},{"tin":{"type":"ein","value":"824140982"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1211.76,"providers":[{"billed_charge":2700.00,"npi":[1821385618]}]}]},{"tin":{"type":"ein","value":"921613687"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":624.69,"providers":[{"billed_charge":1249.38,"npi":[1528254950]}]},{"allowed_amount":69.41,"providers":[{"billed_charge":138.82,"npi":[1619139672]}]}]},{"tin":{"type":"ein","value":"824646802"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1615.68,"providers":[{"billed_charge":4560.00,"npi":[1093859993]}]},{"allowed_amount":490.98,"providers":[{"billed_charge":1330.00,"npi":[1093859993]}]}]},{"tin":{"type":"ein","value":"990627021"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":745.80,"providers":[{"billed_charge":1767.26,"npi":[1407475924]}]}]},{"tin":{"type":"ein","value":"883737728"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":204.66,"providers":[{"billed_charge":420.00,"npi":[1932391844]}]}]},{"tin":{"type":"ein","value":"760532341"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1472.94,"providers":[{"billed_charge":3150.00,"npi":[1548292980]}]}]},{"tin":{"type":"ein","value":"991775941"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":424.08,"npi":[1447499033]}]}]},{"tin":{"type":"ein","value":"471158090"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":201.96,"providers":[{"billed_charge":420.00,"npi":[1588061030]}]}]},{"tin":{"type":"ein","value":"850803569"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":403.92,"providers":[{"billed_charge":990.00,"npi":[1720090988]}]}]},{"tin":{"type":"ein","value":"992536327"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":353.94,"providers":[{"billed_charge":2370.60,"npi":[1275865255]}]},{"allowed_amount":138.82,"providers":[{"billed_charge":790.20,"npi":[1265953137]}]},{"allowed_amount":69.41,"providers":[{"billed_charge":395.10,"npi":[1265953137]}]}]},{"tin":{"type":"ein","value":"510602325"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5796.94,"providers":[{"billed_charge":10625.00,"npi":[1720068174]}]}]},{"tin":{"type":"ein","value":"833693670"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":114.46,"providers":[{"billed_charge":426.00,"npi":[1972350346]}]}]},{"tin":{"type":"ein","value":"844058518"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":555.28,"providers":[{"billed_charge":1560.00,"npi":[1932470689]}]}]},{"tin":{"type":"ein","value":"332241086"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1472.94,"providers":[{"billed_charge":4431.00,"npi":[1528415635]}]},{"allowed_amount":420.84,"providers":[{"billed_charge":948.00,"npi":[1700815479]}]},{"allowed_amount":67.32,"providers":[{"billed_charge":158.00,"npi":[1952562407]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1044.99,"providers":[{"billed_charge":4917.08,"npi":[1851883128]}]},{"allowed_amount":245.88,"providers":[{"billed_charge":1156.96,"npi":[1477123719]}]}]},{"tin":{"type":"ein","value":"831944931"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5451.60,"providers":[{"billed_charge":13825.00,"npi":[1013265677]}]}]},{"tin":{"type":"ein","value":"992442600"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6802.18,"providers":[{"billed_charge":13524.00,"npi":[1730209719]}]}]},{"tin":{"type":"ein","value":"760672320"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1106.46,"providers":[{"billed_charge":1980.00,"npi":[1164989075]}]}]},{"tin":{"type":"ein","value":"880857678"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":2359.94,"providers":[{"billed_charge":5950.00,"npi":[1588005276]}]}]},{"tin":{"type":"ein","value":"475571265"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1077.24,"providers":[{"billed_charge":2400.00,"npi":[1083724256]}]}]},{"tin":{"type":"ein","value":"472354281"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":70.14,"providers":[{"billed_charge":206.00,"npi":[1376779140]}]}]},{"tin":{"type":"ein","value":"760681269"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1249.38,"providers":[{"billed_charge":3384.00,"npi":[1154680320,1649591835]}]}]},{"tin":{"type":"ein","value":"760499311"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":490.98,"providers":[{"billed_charge":798.00,"npi":[1558423103]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1411.72,"providers":[{"billed_charge":5789.00,"npi":[1790890929]}]},{"allowed_amount":3465.73,"providers":[{"billed_charge":11826.00,"npi":[1427478965]}]},{"allowed_amount":138.82,"providers":[{"billed_charge":442.00,"npi":[1780264317]}]},{"allowed_amount":208.23,"providers":[{"billed_charge":760.00,"npi":[1942863170]},{"billed_charge":954.00,"npi":[1376245837]},{"billed_charge":857.00,"npi":[1255952057]}]},{"allowed_amount":1179.97,"providers":[{"billed_charge":3951.00,"npi":[1922685866]}]},{"allowed_amount":971.74,"providers":[{"billed_charge":3579.00,"npi":[1861769663]}]},{"allowed_amount":69.41,"providers":[{"billed_charge":221.00,"npi":[1922685866]},{"billed_charge":318.00,"npi":[1376245837]}]},{"allowed_amount":4650.47,"providers":[{"billed_charge":16553.00,"npi":[1942863170]}]},{"allowed_amount":2076.97,"providers":[{"billed_charge":7018.00,"npi":[1518198407]}]},{"allowed_amount":4090.42,"providers":[{"billed_charge":13621.00,"npi":[1255952057]}]}]},{"tin":{"type":"ein","value":"473563682"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4000.20,"providers":[{"billed_charge":10620.00,"npi":[1568662815]}]}]},{"tin":{"type":"ein","value":"752452608"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":562.00,"providers":[{"billed_charge":1288.00,"npi":[1942271135]}]}]},{"tin":{"type":"ein","value":"270271587"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":135.60,"providers":[{"billed_charge":600.00,"npi":[1912037417]}]}]},{"tin":{"type":"ein","value":"260362434"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":140.50,"providers":[{"billed_charge":438.24,"npi":[1134617830]}]}]},{"tin":{"type":"ein","value":"813676765"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1817.69,"providers":[{"billed_charge":4050.00,"npi":[1619310661]}]}]},{"tin":{"type":"ein","value":"471197805"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":618.42,"providers":[{"billed_charge":1350.00,"npi":[1770726309]}]},{"allowed_amount":1738.17,"providers":[{"billed_charge":3750.00,"npi":[1770726309]}]}]},{"tin":{"type":"ein","value":"812513596"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":184.41,"providers":[{"billed_charge":780.00,"npi":[1730900754]}]},{"allowed_amount":2820.09,"providers":[{"billed_charge":10140.00,"npi":[1366860447]}]}]},{"tin":{"type":"ein","value":"472815347"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3384.25,"providers":[{"billed_charge":6240.00,"npi":[1699784819]}]}]},{"tin":{"type":"ein","value":"710892430"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3073.35,"providers":[{"billed_charge":6265.00,"npi":[1467427054]}]}]},{"tin":{"type":"ein","value":"464065241"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":403.92,"providers":[{"billed_charge":3042.00,"npi":[1952558769]}]}]},{"tin":{"type":"ein","value":"800345816"},"service_code":["02"],"billing_class":"professional","payments":[{"allowed_amount":343.38,"providers":[{"billed_charge":5510.16,"npi":[1366969230]}]}]},{"tin":{"type":"ein","value":"742177317"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":280.56,"providers":[{"billed_charge":800.00,"npi":[1518997477]}]}]},{"tin":{"type":"ein","value":"853148201"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3407.00,"providers":[{"billed_charge":8750.00,"npi":[1376652206]}]}]},{"tin":{"type":"ein","value":"812549236"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1084.80,"providers":[{"billed_charge":2400.00,"npi":[1346474699]}]}]},{"tin":{"type":"ein","value":"472459031"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1179.97,"providers":[{"billed_charge":2686.00,"npi":[1235374224]}]}]},{"tin":{"type":"ein","value":"200978270"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":485.87,"providers":[{"billed_charge":1113.00,"npi":[1194751297]}]}]},{"tin":{"type":"ein","value":"460692925"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3982.72,"providers":[{"billed_charge":11200.00,"npi":[1942216460]}]}]},{"tin":{"type":"ein","value":"743099730"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1125.28,"providers":[{"billed_charge":2272.00,"npi":[1134165988]}]}]},{"tin":{"type":"ein","value":"273378639"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":281.32,"providers":[{"billed_charge":600.00,"npi":[1982870416]}]}]},{"tin":{"type":"ein","value":"392531485"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":771.54,"providers":[{"billed_charge":1705.00,"npi":[1396329231]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":5622.21,"providers":[{"billed_charge":32400.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"882983989"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":347.05,"providers":[{"billed_charge":749.25,"npi":[1093371254]}]}]},{"tin":{"type":"ein","value":"871809387"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1543.08,"providers":[{"billed_charge":3850.00,"npi":[1225209257]}]}]},{"tin":{"type":"ein","value":"202231203"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":3577.14,"providers":[{"billed_charge":7140.00,"npi":[1235337254]}]},{"allowed_amount":3927.84,"providers":[{"billed_charge":7840.00,"npi":[1447454012]}]},{"allowed_amount":2560.10,"providers":[{"billed_charge":5040.00,"npi":[1235337254]}]}]},{"tin":{"type":"ein","value":"611922162"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":624.69,"providers":[{"billed_charge":3555.90,"npi":[1689023152]}]},{"allowed_amount":209.69,"providers":[{"billed_charge":1185.30,"npi":[1689023152]}]},{"allowed_amount":4896.17,"providers":[{"billed_charge":32793.30,"npi":[1528604063]}]}]},{"tin":{"type":"ein","value":"352238379"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1132.78,"providers":[{"billed_charge":5700.00,"npi":[1780565085]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":981.96,"providers":[{"billed_charge":3690.00,"npi":[1245427020]}]},{"allowed_amount":5541.06,"providers":[{"billed_charge":18170.00,"npi":[1285898403]}]},{"allowed_amount":6172.32,"providers":[{"billed_charge":24470.00,"npi":[1265442420]}]}]},{"tin":{"type":"ein","value":"814005993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":416.46,"providers":[{"billed_charge":906.00,"npi":[1154393817]}]},{"allowed_amount":694.10,"providers":[{"billed_charge":1510.00,"npi":[1710333620]}]},{"allowed_amount":5483.39,"providers":[{"billed_charge":11929.00,"npi":[1215076229]}]}]},{"tin":{"type":"ein","value":"843372323"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7014.00,"providers":[{"billed_charge":22500.00,"npi":[1588911390]}]}]},{"tin":{"type":"ein","value":"371897694"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":3225.08,"providers":[{"billed_charge":7268.00,"npi":[1164682431]}]}]},{"tin":{"type":"ein","value":"990869376"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":13812.59,"providers":[{"billed_charge":17910.00,"npi":[1255852422]}]}]},{"tin":{"type":"ein","value":"760151399"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":512.08,"providers":[{"billed_charge":1000.00,"npi":[1982671590]}]}]},{"tin":{"type":"ein","value":"611715115"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":130.03,"providers":[{"billed_charge":576.00,"npi":[1639187263]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":256.04,"providers":[{"billed_charge":600.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"208770785"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":8966.44,"providers":[{"billed_charge":18600.00,"npi":[1154488195]}]}]},{"tin":{"type":"ein","value":"475627670"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2290.53,"providers":[{"billed_charge":6138.00,"npi":[1760704068]}]}]},{"tin":{"type":"ein","value":"842548672"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":293.95,"providers":[{"billed_charge":825.00,"npi":[1831995513]}]},{"allowed_amount":753.87,"providers":[{"billed_charge":2145.00,"npi":[1134805666]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":6663.36,"providers":[{"billed_charge":20064.00,"npi":[1356637227]}]},{"allowed_amount":1527.02,"providers":[{"billed_charge":4598.00,"npi":[1790123495]}]}]},{"tin":{"type":"ein","value":"462679230"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1458.84,"providers":[{"billed_charge":2940.00,"npi":[1710927603]}]}]},{"tin":{"type":"ein","value":"833767505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":561.12,"providers":[{"billed_charge":880.00,"npi":[1295178507]}]}]},{"tin":{"type":"ein","value":"30562624"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2034.06,"providers":[{"billed_charge":2900.00,"npi":[1528168051]}]}]},{"tin":{"type":"ein","value":"760693452"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":474.00,"npi":[1144226515]}]},{"allowed_amount":350.70,"providers":[{"billed_charge":790.00,"npi":[1265607725]}]}]},{"tin":{"type":"ein","value":"471603609"},"service_code":["22","51"],"billing_class":"professional","payments":[{"allowed_amount":2752.43,"providers":[{"billed_charge":5590.00,"npi":[1083900955]}]},{"allowed_amount":192.03,"providers":[{"billed_charge":390.00,"npi":[1083900955]}]}]},{"tin":{"type":"ein","value":"463847386"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":208.23,"providers":[{"billed_charge":450.00,"npi":[1164442778]}]}]},{"tin":{"type":"ein","value":"264232139"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":497.84,"providers":[{"billed_charge":1050.00,"npi":[1477622710]}]}]},{"tin":{"type":"ein","value":"341983840"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":600.00,"npi":[1932327749]}]},{"allowed_amount":911.82,"providers":[{"billed_charge":1900.00,"npi":[1932327749]}]}]},{"tin":{"type":"ein","value":"465255673"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":228.92,"providers":[{"billed_charge":600.00,"npi":[1467032003]}]}]},{"tin":{"type":"ein","value":"832991106"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":981.67,"providers":[{"billed_charge":1840.00,"npi":[1669003760]}]}]},{"tin":{"type":"ein","value":"884316260"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":67.32,"providers":[{"billed_charge":125.00,"npi":[1285012641]}]}]},{"tin":{"type":"ein","value":"273837459"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":613.26,"providers":[{"billed_charge":1242.00,"npi":[1932281342]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6982.60,"providers":[{"billed_charge":15300.00,"npi":[1508830985]}]}]},{"tin":{"type":"ein","value":"832621574"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":977.70,"providers":[{"billed_charge":1006.18,"npi":[1366627523]}]}]},{"tin":{"type":"ein","value":"463359105"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1077.12,"providers":[{"billed_charge":5936.00,"npi":[1508067885]}]}]},{"tin":{"type":"ein","value":"752896138"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1328.69,"providers":[{"billed_charge":2700.00,"npi":[1255445953]}]},{"allowed_amount":180.46,"providers":[{"billed_charge":360.00,"npi":[1275708968]}]},{"allowed_amount":365.72,"providers":[{"billed_charge":720.00,"npi":[1730473182]}]},{"allowed_amount":68.22,"providers":[{"billed_charge":180.00,"npi":[1770774580]}]}]},{"tin":{"type":"ein","value":"203918670"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":450.00,"npi":[1033128665]}]}]},{"tin":{"type":"ein","value":"832574302"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":58.53,"providers":[{"billed_charge":153.00,"npi":[1245626373,1083568059]}]}]},{"tin":{"type":"ein","value":"852260461"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":343.86,"providers":[{"billed_charge":963.95,"npi":[1891944708]}]}]},{"tin":{"type":"ein","value":"272177929"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2776.40,"providers":[{"billed_charge":10000.00,"npi":[1659412591]}]}]},{"tin":{"type":"ein","value":"455599557"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":771.54,"providers":[{"billed_charge":1375.00,"npi":[1093881278]}]}]},{"tin":{"type":"ein","value":"760420935"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6523.02,"providers":[{"billed_charge":13485.00,"npi":[1629043500]}]}]},{"tin":{"type":"ein","value":"833198217"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9023.30,"providers":[{"billed_charge":37700.00,"npi":[1285924142]}]}]},{"tin":{"type":"ein","value":"752741379"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1348.42,"providers":[{"billed_charge":2205.00,"npi":[1992740278]}]}]},{"tin":{"type":"ein","value":"741941710"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":70.14,"providers":[{"billed_charge":236.52,"npi":[1275578544]}]},{"allowed_amount":1262.52,"providers":[{"billed_charge":4257.36,"npi":[1275578544]}]}]},{"tin":{"type":"ein","value":"461846537"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":829.47,"providers":[{"billed_charge":3640.00,"npi":[1295067106]}]},{"allowed_amount":2325.18,"providers":[{"billed_charge":10140.00,"npi":[1538880349]}]},{"allowed_amount":1472.23,"providers":[{"billed_charge":5980.00,"npi":[1811169501]}]}]},{"tin":{"type":"ein","value":"455038058"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":277.64,"providers":[{"billed_charge":720.00,"npi":[1407056443]}]}]},{"tin":{"type":"ein","value":"451766766"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":67.80,"providers":[{"billed_charge":85.00,"npi":[1427165588]}]}]},{"tin":{"type":"ein","value":"991682710"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":347.05,"providers":[{"billed_charge":632.70,"npi":[1417935826]}]},{"allowed_amount":2776.40,"providers":[{"billed_charge":5061.60,"npi":[1417935826]}]}]},{"tin":{"type":"ein","value":"760187419"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1402.80,"providers":[{"billed_charge":3475.00,"npi":[1366440265]}]}]},{"tin":{"type":"ein","value":"352526373"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":68.14,"providers":[{"billed_charge":140.50,"npi":[1992989206]}]}]},{"tin":{"type":"ein","value":"751772118"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":272.88,"providers":[{"billed_charge":952.00,"npi":[1083669543]}]},{"allowed_amount":477.54,"providers":[{"billed_charge":1666.00,"npi":[1871733188]}]}]},{"tin":{"type":"ein","value":"202396203"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.31,"providers":[{"billed_charge":250.00,"npi":[1861474595]}]}]},{"tin":{"type":"ein","value":"815200415"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":400.61,"providers":[{"billed_charge":1456.00,"npi":[1801035225]}]}]},{"tin":{"type":"ein","value":"752673928"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":624.00,"providers":[{"billed_charge":2080.00,"npi":[1174606065]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":435.00,"npi":[1902293772]}]},{"allowed_amount":991.32,"providers":[{"billed_charge":2253.00,"npi":[1548494016]}]},{"allowed_amount":2019.60,"providers":[{"billed_charge":4571.00,"npi":[1124443288]}]},{"allowed_amount":701.40,"providers":[{"billed_charge":1567.00,"npi":[1477588192]}]},{"allowed_amount":2423.52,"providers":[{"billed_charge":5610.00,"npi":[1326173386]}]},{"allowed_amount":70.14,"providers":[{"billed_charge":145.00,"npi":[1356733018,1902337306,1679147003]},{"billed_charge":158.00,"npi":[1073990305]}]},{"allowed_amount":648.79,"providers":[{"billed_charge":1357.00,"npi":[1265052625]}]},{"allowed_amount":157.81,"providers":[{"billed_charge":303.00,"npi":[1477588192]}]},{"allowed_amount":140.28,"providers":[{"billed_charge":290.00,"npi":[1851528475]}]},{"allowed_amount":336.60,"providers":[{"billed_charge":725.00,"npi":[1649457227]}]},{"allowed_amount":280.56,"providers":[{"billed_charge":606.00,"npi":[1356733018]}]},{"allowed_amount":269.28,"providers":[{"billed_charge":580.00,"npi":[1508367939]},{"billed_charge":593.00,"npi":[1124443288]}]},{"allowed_amount":67.32,"providers":[{"billed_charge":145.00,"npi":[1548494016,1386027472]},{"billed_charge":158.00,"npi":[1578795209,1649457227]}]},{"allowed_amount":134.64,"providers":[{"billed_charge":303.00,"npi":[1326173386]}]},{"allowed_amount":137.46,"providers":[{"billed_charge":316.00,"npi":[1578795209]}]},{"allowed_amount":561.12,"providers":[{"billed_charge":1225.00,"npi":[1700026457]}]}]},{"tin":{"type":"ein","value":"760624055"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1963.92,"providers":[{"billed_charge":3360.00,"npi":[1194786137]}]}]},{"tin":{"type":"ein","value":"923102279"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":971.74,"providers":[{"billed_charge":2800.00,"npi":[1720391279]}]}]},{"tin":{"type":"ein","value":"464534404"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":208.23,"providers":[{"billed_charge":480.00,"npi":[1417967423]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":942.48,"providers":[{"billed_charge":3385.00,"npi":[1952663916]}]},{"allowed_amount":2019.60,"providers":[{"billed_charge":7212.00,"npi":[1235101221]}]},{"allowed_amount":673.20,"providers":[{"billed_charge":2210.00,"npi":[1992952261]}]},{"allowed_amount":807.84,"providers":[{"billed_charge":2846.00,"npi":[1154568558]}]},{"allowed_amount":403.92,"providers":[{"billed_charge":1326.00,"npi":[1992952261]}]},{"allowed_amount":7337.88,"providers":[{"billed_charge":24865.00,"npi":[1992952261]}]},{"allowed_amount":1009.80,"providers":[{"billed_charge":3509.00,"npi":[1841547759]}]},{"allowed_amount":6462.72,"providers":[{"billed_charge":22477.00,"npi":[1902292808]}]},{"allowed_amount":201.96,"providers":[{"billed_charge":663.00,"npi":[1235101221]}]},{"allowed_amount":740.52,"providers":[{"billed_charge":2625.00,"npi":[1386140002]}]},{"allowed_amount":4106.52,"providers":[{"billed_charge":14548.00,"npi":[1669889291]}]},{"allowed_amount":336.60,"providers":[{"billed_charge":1105.00,"npi":[1386140002]}]},{"allowed_amount":269.28,"providers":[{"billed_charge":884.00,"npi":[1952663916]},{"billed_charge":1175.00,"npi":[1104803923]}]},{"allowed_amount":197.34,"providers":[{"billed_charge":760.00,"npi":[1841547759]}]},{"allowed_amount":67.32,"providers":[{"billed_charge":221.00,"npi":[1669889291,1386140002,1154568558]},{"billed_charge":318.00,"npi":[1841547759]}]},{"allowed_amount":134.64,"providers":[{"billed_charge":442.00,"npi":[1902292808,1235101221]}]}]},{"tin":{"type":"ein","value":"813904483"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2892.40,"providers":[{"billed_charge":7981.20,"npi":[1386903037]}]}]},{"tin":{"type":"ein","value":"461522270"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":269.28,"providers":[{"billed_charge":2028.00,"npi":[1124405360]}]}]},{"tin":{"type":"ein","value":"832716119"},"service_code":["02","21"],"billing_class":"professional","payments":[{"allowed_amount":176.97,"providers":[{"billed_charge":2755.08,"npi":[1881182160]}]},{"allowed_amount":471.92,"providers":[{"billed_charge":7346.88,"npi":[1881182160]}]}]},{"tin":{"type":"ein","value":"752836096"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":2064.65,"providers":[{"billed_charge":3955.00,"npi":[1740571660]}]}]},{"tin":{"type":"ein","value":"462009634"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":416.46,"providers":[{"billed_charge":1800.00,"npi":[1518039965]}]}]},{"tin":{"type":"ein","value":"474097859"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":403.92,"providers":[{"billed_charge":1200.00,"npi":[1295048528]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":394.68,"providers":[{"billed_charge":2358.00,"npi":[1881009215]}]},{"allowed_amount":2414.28,"providers":[{"billed_charge":14148.00,"npi":[1386619765]}]},{"allowed_amount":399.30,"providers":[{"billed_charge":2358.00,"npi":[1164835195]}]},{"allowed_amount":942.48,"providers":[{"billed_charge":5502.00,"npi":[1174883177]}]},{"allowed_amount":201.96,"providers":[{"billed_charge":1179.00,"npi":[1073190898]}]},{"allowed_amount":2014.98,"providers":[{"billed_charge":11790.00,"npi":[1043705528]}]},{"allowed_amount":67.32,"providers":[{"billed_charge":393.00,"npi":[1952798001,1679768089,1174883177]}]},{"allowed_amount":134.64,"providers":[{"billed_charge":786.00,"npi":[1386619765,1952798001,1164835195]}]}]},{"tin":{"type":"ein","value":"824236908"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1030.14,"providers":[{"billed_charge":3600.00,"npi":[1407614753]}]}]},{"tin":{"type":"ein","value":"760580939"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":69.41,"providers":[{"billed_charge":125.00,"npi":[1487760229]}]}]},{"tin":{"type":"ein","value":"332590835"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":2679.06,"providers":[{"billed_charge":4612.14,"npi":[1578755070]}]},{"allowed_amount":70.14,"providers":[{"billed_charge":118.26,"npi":[1578755070]}]}]},{"tin":{"type":"ein","value":"461012160"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":403.92,"providers":[{"billed_charge":780.00,"npi":[1780601286]}]}]},{"tin":{"type":"ein","value":"470964891"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2595.18,"providers":[{"billed_charge":5550.00,"npi":[1710025515]}]},{"allowed_amount":715.44,"providers":[{"billed_charge":1800.00,"npi":[1700552445]}]},{"allowed_amount":171.69,"providers":[{"billed_charge":450.00,"npi":[1760941207]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":136.28,"providers":[{"billed_charge":746.00,"npi":[1649920174]}]},{"allowed_amount":1124.00,"providers":[{"billed_charge":5968.00,"npi":[1194785923]}]},{"allowed_amount":791.04,"providers":[{"billed_charge":3730.00,"npi":[1194785923]}]},{"allowed_amount":694.10,"providers":[{"billed_charge":3730.00,"npi":[1528389954]}]},{"allowed_amount":702.50,"providers":[{"billed_charge":3730.00,"npi":[1821652421]}]},{"allowed_amount":140.50,"providers":[{"billed_charge":746.00,"npi":[1891808333]}]}]},{"tin":{"type":"ein","value":"208757995"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2631.44,"providers":[{"billed_charge":8026.41,"npi":[1790730430]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2169.11,"providers":[{"billed_charge":6475.00,"npi":[1316279326]}]},{"allowed_amount":5656.04,"providers":[{"billed_charge":17025.00,"npi":[1184041436]}]},{"allowed_amount":8634.41,"providers":[{"billed_charge":26425.00,"npi":[1235363862]}]},{"allowed_amount":2762.95,"providers":[{"billed_charge":7925.00,"npi":[1215925185]}]}]},{"tin":{"type":"ein","value":"421651562"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":300.00,"npi":[1477604668]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":210.42,"providers":[{"billed_charge":650.79,"npi":[1396754537]}]},{"allowed_amount":902.33,"providers":[{"billed_charge":2820.09,"npi":[1063413235]}]},{"allowed_amount":1192.38,"providers":[{"billed_charge":3687.81,"npi":[1386723989]}]},{"allowed_amount":138.82,"providers":[{"billed_charge":433.86,"npi":[1447699145]}]},{"allowed_amount":624.69,"providers":[{"billed_charge":1952.37,"npi":[1750450342,1710025556]}]},{"allowed_amount":1110.56,"providers":[{"billed_charge":3470.88,"npi":[1215110556]}]}]},{"tin":{"type":"ein","value":"760564330"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":120.90,"providers":[{"billed_charge":650.00,"npi":[1467737585]}]}]},{"tin":{"type":"ein","value":"814097675"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":477.54,"providers":[{"billed_charge":1071.00,"npi":[1457799355]}]}]},{"tin":{"type":"ein","value":"450675246"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":995.68,"providers":[{"billed_charge":4200.00,"npi":[1629099635]}]}]},{"tin":{"type":"ein","value":"834429224"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":745.80,"providers":[{"billed_charge":1980.00,"npi":[1063626455]}]}]},{"tin":{"type":"ein","value":"471770620"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1952.28,"providers":[{"billed_charge":6295.32,"npi":[1740442144]}]}]},{"tin":{"type":"ein","value":"261996124"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2944.81,"providers":[{"billed_charge":4917.61,"npi":[1245791425]}]}]},{"tin":{"type":"ein","value":"831325073"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":72.31,"providers":[{"billed_charge":150.12,"npi":[1003257999]}]}]},{"tin":{"type":"ein","value":"931760767"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1009.80,"providers":[{"billed_charge":2175.00,"npi":[1760629240]}]}]},{"tin":{"type":"ein","value":"812854031"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":121.09,"providers":[{"billed_charge":192.96,"npi":[1598307522]}]}]},{"tin":{"type":"ein","value":"455388396"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5149.78,"providers":[{"billed_charge":12959.28,"npi":[1366615866]}]},{"allowed_amount":2831.52,"providers":[{"billed_charge":7585.92,"npi":[1275540700]}]}]},{"tin":{"type":"ein","value":"752668019"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":269.28,"providers":[{"billed_charge":504.00,"npi":[1588851232]}]}]},{"tin":{"type":"ein","value":"760317231"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":320.05,"providers":[{"billed_charge":750.00,"npi":[1225058852]}]}]},{"tin":{"type":"ein","value":"873018884"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":885.82,"providers":[{"billed_charge":2041.00,"npi":[1922093426]}]}]},{"tin":{"type":"ein","value":"823794685"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":457.84,"providers":[{"billed_charge":1040.00,"npi":[1285277558]}]}]},{"tin":{"type":"ein","value":"271368002"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":24383.42,"providers":[{"billed_charge":117650.00,"npi":[1306048277]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":9328.62,"providers":[{"billed_charge":16625.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"510484748"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1227.96,"providers":[{"billed_charge":4410.00,"npi":[1982632857]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5418.31,"providers":[{"billed_charge":11319.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"822018496"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":655.82,"providers":[{"billed_charge":1650.00,"npi":[1942620588]}]}]},{"tin":{"type":"ein","value":"934815605"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":280.56,"providers":[{"billed_charge":728.00,"npi":[1073991055]}]}]},{"tin":{"type":"ein","value":"161728507"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":631.26,"providers":[{"billed_charge":1620.00,"npi":[1851360499]}]}]},{"tin":{"type":"ein","value":"760189664"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":7954.07,"providers":[{"billed_charge":23763.09,"npi":[1881770576]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55","51"],"billing_class":"professional","payments":[{"allowed_amount":2156.18,"providers":[{"billed_charge":4402.00,"npi":[1255388203]}]},{"allowed_amount":354.50,"providers":[{"billed_charge":710.00,"npi":[1255388203]}]}]},{"tin":{"type":"ein","value":"371714382"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":280.56,"providers":[{"billed_charge":701.80,"npi":[1245200393]}]}]},{"tin":{"type":"ein","value":"463417207"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1356.23,"providers":[{"billed_charge":4400.00,"npi":[1043472756]}]},{"allowed_amount":749.54,"providers":[{"billed_charge":2420.00,"npi":[1841219912]}]}]},{"tin":{"type":"ein","value":"752730853"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1955.46,"providers":[{"billed_charge":4200.00,"npi":[1063455111]}]}]},{"tin":{"type":"ein","value":"455399300"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":832.92,"providers":[{"billed_charge":1684.32,"npi":[1194938035]}]}]},{"tin":{"type":"ein","value":"134236446"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4977.06,"providers":[{"billed_charge":18250.00,"npi":[1043396211]}]}]},{"tin":{"type":"ein","value":"203943431"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":68.22,"providers":[{"billed_charge":132.00,"npi":[1255350104]}]}]},{"tin":{"type":"ein","value":"270839735"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":414.57,"providers":[{"billed_charge":876.00,"npi":[1992787089]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":637.89,"providers":[{"billed_charge":2695.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"751604753"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":953.96,"providers":[{"billed_charge":2184.00,"npi":[1700871019]}]},{"allowed_amount":1635.36,"providers":[{"billed_charge":3744.00,"npi":[1023491255]}]}]},{"tin":{"type":"ein","value":"200981834"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2903.95,"providers":[{"billed_charge":5125.00,"npi":[1790998706]}]},{"allowed_amount":61.47,"providers":[{"billed_charge":125.00,"npi":[1235697137]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["51","21"],"billing_class":"professional","payments":[{"allowed_amount":997.92,"providers":[{"billed_charge":2400.00,"npi":[1861889891]}]},{"allowed_amount":1413.72,"providers":[{"billed_charge":3400.00,"npi":[1578921243]}]},{"allowed_amount":166.32,"providers":[{"billed_charge":400.00,"npi":[1457914517]}]},{"allowed_amount":83.16,"providers":[{"billed_charge":200.00,"npi":[1407342785]}]},{"allowed_amount":1580.04,"providers":[{"billed_charge":3800.00,"npi":[1609220656]}]},{"allowed_amount":582.12,"providers":[{"billed_charge":1400.00,"npi":[1396204228]}]},{"allowed_amount":396.65,"providers":[{"billed_charge":1000.00,"npi":[1205459815]}]},{"allowed_amount":914.76,"providers":[{"billed_charge":2200.00,"npi":[1114718459]}]}]},{"tin":{"type":"ein","value":"853027612"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":971.74,"providers":[{"billed_charge":2450.00,"npi":[1619921988]}]}]},{"tin":{"type":"ein","value":"742810500"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":605.90,"providers":[{"billed_charge":1242.00,"npi":[1568447233]}]}]},{"tin":{"type":"ein","value":"202264193"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":902.33,"providers":[{"billed_charge":1950.00,"npi":[1144277294]}]}]},{"tin":{"type":"ein","value":"273390698"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3296.58,"providers":[{"billed_charge":8460.00,"npi":[1740431113]}]}]},{"tin":{"type":"ein","value":"752254247"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":416.46,"providers":[{"billed_charge":1419.12,"npi":[1336107507]}]}]},{"tin":{"type":"ein","value":"842897951"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1596.43,"providers":[{"billed_charge":4163.00,"npi":[1003197088]}]},{"allowed_amount":277.64,"providers":[{"billed_charge":724.00,"npi":[1003197088]}]}]},{"tin":{"type":"ein","value":"274640945"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1296.76,"providers":[{"billed_charge":3904.74,"npi":[1457349888]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":1795.70,"providers":[{"billed_charge":4050.00,"npi":[1649470931]}]},{"allowed_amount":208.23,"providers":[{"billed_charge":450.00,"npi":[1336339340]}]},{"allowed_amount":2151.71,"providers":[{"billed_charge":4650.00,"npi":[1336339340]}]}]},{"tin":{"type":"ein","value":"812266337"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":640.10,"providers":[{"billed_charge":1100.00,"npi":[1083901037]}]}]},{"tin":{"type":"ein","value":"873249972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2728.16,"providers":[{"billed_charge":4056.00,"npi":[1982915013]}]}]},{"tin":{"type":"ein","value":"832962661"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1683.00,"providers":[{"billed_charge":6250.00,"npi":[1346436276]}]}]},{"tin":{"type":"ein","value":"600811631"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":512.08,"providers":[{"billed_charge":1240.00,"npi":[1730190638]}]}]},{"tin":{"type":"ein","value":"862536544"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":8607.69,"providers":[{"billed_charge":26910.00,"npi":[1700170867]}]}]},{"tin":{"type":"ein","value":"475215218"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":67.32,"providers":[{"billed_charge":120.00,"npi":[1477577815]}]}]},{"tin":{"type":"ein","value":"752712328"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1686.00,"providers":[{"billed_charge":6000.00,"npi":[1013982511]}]},{"allowed_amount":350.41,"providers":[{"billed_charge":1250.00,"npi":[1801274477]}]}]},{"tin":{"type":"ein","value":"845003224"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":471.92,"providers":[{"billed_charge":1240.00,"npi":[1235880717]}]},{"allowed_amount":4247.28,"providers":[{"billed_charge":11160.00,"npi":[1235880717]}]}]},{"tin":{"type":"ein","value":"472004181"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1103.55,"providers":[{"billed_charge":2700.00,"npi":[1922028125]}]}]},{"tin":{"type":"ein","value":"269983488"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":136.44,"providers":[{"billed_charge":282.72,"npi":[1770556995]}]}]},{"tin":{"type":"ein","value":"452783909"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":867.72,"providers":[{"billed_charge":1815.60,"npi":[1497174320]}]}]},{"tin":{"type":"ein","value":"852062843"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":3567.96,"providers":[{"billed_charge":8480.00,"npi":[1881081297]}]}]},{"tin":{"type":"ein","value":"452654166"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":138.82,"providers":[{"billed_charge":384.00,"npi":[1679737605]}]}]},{"tin":{"type":"ein","value":"861923754"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5032.44,"providers":[{"billed_charge":38480.00,"npi":[1235486440]}]}]},{"tin":{"type":"ein","value":"760007874"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1753.50,"providers":[{"billed_charge":3750.00,"npi":[1790861102]}]}]},{"tin":{"type":"ein","value":"463551659"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5120.22,"providers":[{"billed_charge":25674.10,"npi":[1396944658]}]}]},{"tin":{"type":"ein","value":"461375202"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":427.35,"providers":[{"billed_charge":690.00,"npi":[1104055094]}]}]},{"tin":{"type":"ein","value":"873935687"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1249.38,"providers":[{"billed_charge":4050.00,"npi":[1619286994]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1318.79,"providers":[{"billed_charge":3451.92,"npi":[1053999656]}]},{"allowed_amount":138.82,"providers":[{"billed_charge":364.00,"npi":[1417447798]},{"billed_charge":363.36,"npi":[1053999656]}]},{"allowed_amount":4057.72,"providers":[{"billed_charge":12376.00,"npi":[1689339608]}]}]},{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1499.08,"providers":[{"billed_charge":3109.92,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"870837459"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":902.33,"providers":[{"billed_charge":1430.00,"npi":[1043444789]}]}]},{"tin":{"type":"ein","value":"815340807"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":405.72,"providers":[{"billed_charge":840.00,"npi":[1972850170]}]}]},{"tin":{"type":"ein","value":"452555165"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":140.28,"providers":[{"billed_charge":350.00,"npi":[1194751214]}]}]},{"tin":{"type":"ein","value":"752005254"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":143.84,"providers":[{"billed_charge":292.00,"npi":[1083202501]}]},{"allowed_amount":1652.48,"providers":[{"billed_charge":2920.00,"npi":[1942687066]}]},{"allowed_amount":338.44,"providers":[{"billed_charge":584.00,"npi":[1528051042]}]},{"allowed_amount":761.49,"providers":[{"billed_charge":1314.00,"npi":[1407849946]}]},{"allowed_amount":1946.03,"providers":[{"billed_charge":3358.00,"npi":[1205847944]}]},{"allowed_amount":592.27,"providers":[{"billed_charge":1022.00,"npi":[1073581773]}]}]}]},{"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":"843216980"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":103.34,"providers":[{"billed_charge":266.35,"npi":[1598960528]}]}]},{"tin":{"type":"ein","value":"472401409"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17016.00,"providers":[{"billed_charge":38080.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":877.12,"providers":[{"billed_charge":2000.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"812758161"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2329.58,"providers":[{"billed_charge":6972.00,"npi":[1518929959]}]}]},{"tin":{"type":"ein","value":"812881707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":106.35,"providers":[{"billed_charge":255.00,"npi":[1982700837]}]}]},{"tin":{"type":"ein","value":"830807354"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1473.36,"providers":[{"billed_charge":2296.00,"npi":[1043238553]}]}]},{"tin":{"type":"ein","value":"271371893"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":204.18,"providers":[{"billed_charge":1436.00,"npi":[1770080921]}]},{"allowed_amount":510.45,"providers":[{"billed_charge":3590.00,"npi":[1932193687]}]},{"allowed_amount":1789.08,"providers":[{"billed_charge":12206.00,"npi":[1053949362]}]},{"allowed_amount":1939.71,"providers":[{"billed_charge":13642.00,"npi":[1982354916]}]},{"allowed_amount":930.06,"providers":[{"billed_charge":6462.00,"npi":[1801226576]}]},{"allowed_amount":1531.35,"providers":[{"billed_charge":10770.00,"npi":[1326305624,1134484264]}]},{"allowed_amount":2041.80,"providers":[{"billed_charge":14360.00,"npi":[1154056737]}]},{"allowed_amount":2552.25,"providers":[{"billed_charge":17950.00,"npi":[1457705428]}]},{"allowed_amount":102.09,"providers":[{"billed_charge":718.00,"npi":[1811348493]}]},{"allowed_amount":106.54,"providers":[{"billed_charge":718.00,"npi":[1962089979]}]},{"allowed_amount":263.52,"providers":[{"billed_charge":2154.00,"npi":[1528690476]}]}]},{"tin":{"type":"ein","value":"463932990"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3269.91,"providers":[{"billed_charge":6000.00,"npi":[1326206822]}]}]},{"tin":{"type":"ein","value":"464983994"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2172.22,"providers":[{"billed_charge":4200.00,"npi":[1518989474]}]}]},{"tin":{"type":"ein","value":"460692925"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":204.90,"providers":[{"billed_charge":650.00,"npi":[1942216460]}]}]},{"tin":{"type":"ein","value":"760434450"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":16723.42,"providers":[{"billed_charge":34069.00,"npi":[1366436263]}]}]},{"tin":{"type":"ein","value":"853804440"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":105.24,"providers":[{"billed_charge":125.00,"npi":[1942499033]}]},{"allowed_amount":3578.40,"providers":[{"billed_charge":5000.00,"npi":[1588204077]}]}]},{"tin":{"type":"ein","value":"830594617"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":850.80,"providers":[{"billed_charge":2569.20,"npi":[1497918155]}]}]},{"tin":{"type":"ein","value":"743207127"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":918.81,"providers":[{"billed_charge":2934.00,"npi":[1033216643]}]}]},{"tin":{"type":"ein","value":"462882391"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1701.60,"providers":[{"billed_charge":4800.00,"npi":[1154517688]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1510.41,"providers":[{"billed_charge":3330.00,"npi":[1912355983]}]},{"allowed_amount":2531.31,"providers":[{"billed_charge":5665.00,"npi":[1346778644]}]},{"allowed_amount":2631.81,"providers":[{"billed_charge":5415.00,"npi":[1366822330]}]},{"allowed_amount":1409.02,"providers":[{"billed_charge":2905.00,"npi":[1265799597]}]},{"allowed_amount":425.40,"providers":[{"billed_charge":880.00,"npi":[1730767195]},{"billed_charge":910.00,"npi":[1568824100]}]},{"allowed_amount":212.70,"providers":[{"billed_charge":440.00,"npi":[1699936708]},{"billed_charge":455.00,"npi":[1477138238]},{"billed_charge":470.00,"npi":[1316399769]}]},{"allowed_amount":638.10,"providers":[{"billed_charge":1380.00,"npi":[1518908763]}]},{"allowed_amount":204.18,"providers":[{"billed_charge":440.00,"npi":[1639494743]},{"billed_charge":455.00,"npi":[1578916490,1699020883,1689088692]},{"billed_charge":470.00,"npi":[1215101464,1740586411]}]},{"allowed_amount":2245.98,"providers":[{"billed_charge":4975.00,"npi":[1881821775]}]},{"allowed_amount":816.72,"providers":[{"billed_charge":1820.00,"npi":[1578916490]},{"billed_charge":1790.00,"npi":[1154709665]},{"billed_charge":1805.00,"npi":[1437310083]},{"billed_charge":1835.00,"npi":[1689088692]}]},{"allowed_amount":918.81,"providers":[{"billed_charge":2010.00,"npi":[1740586411]}]},{"allowed_amount":744.45,"providers":[{"billed_charge":1585.00,"npi":[1598079659]}]},{"allowed_amount":1586.73,"providers":[{"billed_charge":3330.00,"npi":[1891271904]}]},{"allowed_amount":306.27,"providers":[{"billed_charge":675.00,"npi":[1225474729,1215101464]},{"billed_charge":690.00,"npi":[1437508074]}]},{"allowed_amount":1429.26,"providers":[{"billed_charge":3170.00,"npi":[1801450127]}]},{"allowed_amount":106.35,"providers":[{"billed_charge":220.00,"npi":[1477755510,1942688023,1821654872,1477940856]},{"billed_charge":235.00,"npi":[1053773804,1710189097,1073191052]}]},{"allowed_amount":510.45,"providers":[{"billed_charge":1160.00,"npi":[1437405164]}]},{"allowed_amount":1122.99,"providers":[{"billed_charge":2435.00,"npi":[1053751362]}]},{"allowed_amount":1531.35,"providers":[{"billed_charge":3525.00,"npi":[1518547108]}]},{"allowed_amount":1169.85,"providers":[{"billed_charge":2510.00,"npi":[1467834879]}]},{"allowed_amount":314.79,"providers":[{"billed_charge":675.00,"npi":[1336300516]}]},{"allowed_amount":319.05,"providers":[{"billed_charge":690.00,"npi":[1538664842]}]},{"allowed_amount":1830.64,"providers":[{"billed_charge":4125.00,"npi":[1639494743]}]},{"allowed_amount":1225.08,"providers":[{"billed_charge":2775.00,"npi":[1528621687]}]},{"allowed_amount":1020.90,"providers":[{"billed_charge":2260.00,"npi":[1326487638]}]},{"allowed_amount":1276.20,"providers":[{"billed_charge":2745.00,"npi":[1316399769]}]},{"allowed_amount":714.63,"providers":[{"billed_charge":1615.00,"npi":[1548880909]}]},{"allowed_amount":2047.12,"providers":[{"billed_charge":4315.00,"npi":[1912401977]}]},{"allowed_amount":102.09,"providers":[{"billed_charge":220.00,"npi":[1154709665,1912355983,1891145181,1093132383]},{"billed_charge":235.00,"npi":[1225474729,1518547108]}]},{"allowed_amount":911.83,"providers":[{"billed_charge":2010.00,"npi":[1093132383]}]}]},{"tin":{"type":"ein","value":"260685264"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2756.43,"providers":[{"billed_charge":4590.00,"npi":[1073521019]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3569.92,"providers":[{"billed_charge":10944.00,"npi":[1588168157]}]},{"allowed_amount":5689.56,"providers":[{"billed_charge":17442.00,"npi":[1760529515]}]},{"allowed_amount":541.36,"providers":[{"billed_charge":1710.00,"npi":[1346828704]}]}]},{"tin":{"type":"ein","value":"200201407"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6580.94,"providers":[{"billed_charge":10540.00,"npi":[1700957230]}]}]},{"tin":{"type":"ein","value":"460664930"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3282.30,"providers":[{"billed_charge":10525.44,"npi":[1922204270]}]}]},{"tin":{"type":"ein","value":"760189664"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":14390.13,"providers":[{"billed_charge":42313.00,"npi":[1881770576]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55","51"],"billing_class":"professional","payments":[{"allowed_amount":105.24,"providers":[{"billed_charge":215.00,"npi":[1255388203]}]},{"allowed_amount":1877.94,"providers":[{"billed_charge":3870.00,"npi":[1598023079]}]},{"allowed_amount":2104.80,"providers":[{"billed_charge":4300.00,"npi":[1255388203]}]},{"allowed_amount":730.31,"providers":[{"billed_charge":1505.00,"npi":[1598023079]}]},{"allowed_amount":805.14,"providers":[{"billed_charge":1935.00,"npi":[1194386094]}]},{"allowed_amount":447.30,"providers":[{"billed_charge":1075.00,"npi":[1194386094]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":190.22,"providers":[{"billed_charge":962.00,"npi":[1154568558]}]},{"allowed_amount":2960.61,"providers":[{"billed_charge":10547.00,"npi":[1952663916]}]},{"allowed_amount":2348.07,"providers":[{"billed_charge":8633.00,"npi":[1841547759]}]},{"allowed_amount":8167.20,"providers":[{"billed_charge":27464.00,"npi":[1669889291]}]},{"allowed_amount":4389.87,"providers":[{"billed_charge":15175.00,"npi":[1154568558]}]},{"allowed_amount":2143.89,"providers":[{"billed_charge":6699.00,"npi":[1992952261]}]},{"allowed_amount":102.09,"providers":[{"billed_charge":319.00,"npi":[1669889291,1386140002]},{"billed_charge":481.00,"npi":[1841547759]}]},{"allowed_amount":5104.50,"providers":[{"billed_charge":17246.00,"npi":[1902292808]}]},{"allowed_amount":1327.17,"providers":[{"billed_charge":4633.00,"npi":[1710333620]}]},{"allowed_amount":6227.49,"providers":[{"billed_charge":20593.00,"npi":[1174987820]}]},{"allowed_amount":6329.58,"providers":[{"billed_charge":20588.00,"npi":[1386140002]}]}]},{"tin":{"type":"ein","value":"463853362"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":553.26,"providers":[{"billed_charge":1050.00,"npi":[1437378999]}]}]},{"tin":{"type":"ein","value":"352238379"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":452.00,"providers":[{"billed_charge":2000.00,"npi":[1780565085]}]}]},{"tin":{"type":"ein","value":"822909923"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":744.45,"providers":[{"billed_charge":2569.00,"npi":[1730762840]}]}]},{"tin":{"type":"ein","value":"821493649"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":420.96,"providers":[{"billed_charge":1000.00,"npi":[1184929333]}]}]},{"tin":{"type":"ein","value":"202971454"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1633.44,"providers":[{"billed_charge":2608.00,"npi":[1497719306]}]}]},{"tin":{"type":"ein","value":"760613299"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":212.70,"providers":[{"billed_charge":850.00,"npi":[1255713160]}]}]},{"tin":{"type":"ein","value":"752836096"},"service_code":["61"],"billing_class":"professional","payments":[{"allowed_amount":1431.36,"providers":[{"billed_charge":3200.00,"npi":[1740571660]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6860.10,"providers":[{"billed_charge":27378.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"464143234"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2446.05,"providers":[{"billed_charge":7565.16,"npi":[1033346366]}]}]},{"tin":{"type":"ein","value":"932594175"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":918.81,"providers":[{"billed_charge":5076.00,"npi":[1598960528]}]},{"allowed_amount":816.72,"providers":[{"billed_charge":4512.00,"npi":[1851336341]}]}]},{"tin":{"type":"ein","value":"850811864"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9596.37,"providers":[{"billed_charge":14100.00,"npi":[1700970282]}]}]},{"tin":{"type":"ein","value":"10593260"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":212.70,"providers":[{"billed_charge":308.00,"npi":[1720585474]}]}]},{"tin":{"type":"ein","value":"752943993"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":780.92,"providers":[{"billed_charge":1491.00,"npi":[1952764268]}]}]},{"tin":{"type":"ein","value":"752905110"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":620.82,"providers":[{"billed_charge":720.00,"npi":[1598933558]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":17469.84,"providers":[{"billed_charge":24900.00,"npi":[1932300779]}]}]},{"tin":{"type":"ein","value":"333626992"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":531.75,"providers":[{"billed_charge":2000.00,"npi":[1821625591]}]}]},{"tin":{"type":"ein","value":"861071456"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1383.15,"providers":[{"billed_charge":2625.00,"npi":[1932294584]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":510.45,"providers":[{"billed_charge":2820.00,"npi":[1043705528]}]},{"allowed_amount":6111.44,"providers":[{"billed_charge":33840.00,"npi":[1497068233]}]},{"allowed_amount":3062.70,"providers":[{"billed_charge":16920.00,"npi":[1679768089]}]},{"allowed_amount":8146.26,"providers":[{"billed_charge":45120.00,"npi":[1164835195]}]},{"allowed_amount":4491.96,"providers":[{"billed_charge":24816.00,"npi":[1174883177]}]},{"allowed_amount":2041.80,"providers":[{"billed_charge":11280.00,"npi":[1386619765]}]},{"allowed_amount":2341.09,"providers":[{"billed_charge":12972.00,"npi":[1043705528]}]},{"allowed_amount":1999.92,"providers":[{"billed_charge":11280.00,"npi":[1073190898]}]},{"allowed_amount":5914.24,"providers":[{"billed_charge":32712.00,"npi":[1952798001]}]},{"allowed_amount":204.18,"providers":[{"billed_charge":1128.00,"npi":[1952798001]}]},{"allowed_amount":1020.90,"providers":[{"billed_charge":5640.00,"npi":[1992454797]}]},{"allowed_amount":2143.89,"providers":[{"billed_charge":11844.00,"npi":[1881154201]}]},{"allowed_amount":102.09,"providers":[{"billed_charge":564.00,"npi":[1073190898,1164835195,1992454797]}]},{"allowed_amount":1823.66,"providers":[{"billed_charge":10152.00,"npi":[1336777028]}]}]},{"tin":{"type":"ein","value":"464046802"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":320.01,"providers":[{"billed_charge":696.00,"npi":[1942253372]}]}]},{"tin":{"type":"ein","value":"752613493"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":841.92,"providers":[{"billed_charge":2736.00,"npi":[1043243488]}]},{"allowed_amount":1664.84,"providers":[{"billed_charge":5472.00,"npi":[1609015312]}]}]},{"tin":{"type":"ein","value":"821184056"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":547.28,"providers":[{"billed_charge":1056.00,"npi":[1922337476]}]}]},{"tin":{"type":"ein","value":"455613680"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1872.00,"providers":[{"billed_charge":2970.00,"npi":[1902022056]}]}]},{"tin":{"type":"ein","value":"852906340"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1488.90,"providers":[{"billed_charge":1680.00,"npi":[1639154883]}]}]},{"tin":{"type":"ein","value":"731646482"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":718.89,"providers":[{"billed_charge":1925.00,"npi":[1992755953]}]}]},{"tin":{"type":"ein","value":"834638808"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":736.68,"providers":[{"billed_charge":1775.69,"npi":[1467773713]}]},{"allowed_amount":526.20,"providers":[{"billed_charge":1268.35,"npi":[1467773713]}]}]},{"tin":{"type":"ein","value":"752536818"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":384.00,"providers":[{"billed_charge":803.04,"npi":[1033306238]}]}]},{"tin":{"type":"ein","value":"760018186"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":841.92,"providers":[{"billed_charge":1200.00,"npi":[1306284203]}]}]},{"tin":{"type":"ein","value":"202199650"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2736.40,"providers":[{"billed_charge":5590.60,"npi":[1942839469]}]}]},{"tin":{"type":"ein","value":"992406258"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":420.96,"providers":[{"billed_charge":1800.00,"npi":[1619389517]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1473.36,"providers":[{"billed_charge":4438.00,"npi":[1386297356]}]}]},{"tin":{"type":"ein","value":"460542878"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2041.80,"providers":[{"billed_charge":4200.00,"npi":[1699722280]}]}]},{"tin":{"type":"ein","value":"833838272"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1807.95,"providers":[{"billed_charge":4556.00,"npi":[1366881393]}]},{"allowed_amount":106.35,"providers":[{"billed_charge":268.00,"npi":[1124285697]}]}]},{"tin":{"type":"ein","value":"421708103"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":10847.70,"providers":[{"billed_charge":17850.00,"npi":[1861486482]}]}]},{"tin":{"type":"ein","value":"205036495"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":105.24,"providers":[{"billed_charge":536.00,"npi":[1164673893]}]},{"allowed_amount":1723.75,"providers":[{"billed_charge":8576.00,"npi":[1316143498]}]},{"allowed_amount":516.70,"providers":[{"billed_charge":2680.00,"npi":[1316472400]}]},{"allowed_amount":3616.90,"providers":[{"billed_charge":18760.00,"npi":[1649920174]}]},{"allowed_amount":2091.37,"providers":[{"billed_charge":10184.00,"npi":[1821652421]}]},{"allowed_amount":1518.05,"providers":[{"billed_charge":6968.00,"npi":[1003565797]}]},{"allowed_amount":745.78,"providers":[{"billed_charge":3752.00,"npi":[1891808333]}]},{"allowed_amount":1446.76,"providers":[{"billed_charge":7504.00,"npi":[1770640567]}]},{"allowed_amount":426.16,"providers":[{"billed_charge":2144.00,"npi":[1356747257]}]},{"allowed_amount":5331.18,"providers":[{"billed_charge":24120.00,"npi":[1194785923]}]},{"allowed_amount":1278.48,"providers":[{"billed_charge":6432.00,"npi":[1356865406]}]},{"allowed_amount":5315.51,"providers":[{"billed_charge":25728.00,"npi":[1316250707]}]},{"allowed_amount":639.24,"providers":[{"billed_charge":3216.00,"npi":[1073527339]}]},{"allowed_amount":210.48,"providers":[{"billed_charge":1072.00,"npi":[1447286471]}]},{"allowed_amount":319.62,"providers":[{"billed_charge":1608.00,"npi":[1194785923,1609134550]}]},{"allowed_amount":306.27,"providers":[{"billed_charge":1608.00,"npi":[1144802893]}]},{"allowed_amount":526.20,"providers":[{"billed_charge":2680.00,"npi":[1720485279]}]}]},{"tin":{"type":"ein","value":"473891182"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1306.88,"providers":[{"billed_charge":3569.04,"npi":[1265643563]}]}]},{"tin":{"type":"ein","value":"900433939"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":760.20,"providers":[{"billed_charge":1520.00,"npi":[1518067602]}]}]},{"tin":{"type":"ein","value":"113804707"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":631.44,"providers":[{"billed_charge":1260.00,"npi":[1164529681]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":315.72,"providers":[{"billed_charge":986.76,"npi":[1255575049]}]},{"allowed_amount":736.68,"providers":[{"billed_charge":2302.44,"npi":[1568776177]}]},{"allowed_amount":2765.10,"providers":[{"billed_charge":8551.92,"npi":[1124016829]}]},{"allowed_amount":2841.48,"providers":[{"billed_charge":8880.84,"npi":[1790936144]}]},{"allowed_amount":1052.40,"providers":[{"billed_charge":3289.20,"npi":[1750450342]}]},{"allowed_amount":210.48,"providers":[{"billed_charge":657.84,"npi":[1063413235]}]},{"allowed_amount":420.96,"providers":[{"billed_charge":1315.68,"npi":[1215971049]}]},{"allowed_amount":635.88,"providers":[{"billed_charge":1973.52,"npi":[1396754537]}]},{"allowed_amount":4420.08,"providers":[{"billed_charge":13814.64,"npi":[1821064304]}]}]},{"tin":{"type":"ein","value":"332241086"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":106.35,"providers":[{"billed_charge":226.00,"npi":[1124423751,1548843675,1699702837]}]},{"allowed_amount":744.45,"providers":[{"billed_charge":1582.00,"npi":[1710240098]}]},{"allowed_amount":212.70,"providers":[{"billed_charge":452.00,"npi":[1548843675]}]},{"allowed_amount":638.10,"providers":[{"billed_charge":1356.00,"npi":[1265993976]}]},{"allowed_amount":531.75,"providers":[{"billed_charge":1130.00,"npi":[1063764215]}]}]},{"tin":{"type":"ein","value":"760324613"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":106.35,"providers":[{"billed_charge":438.56,"npi":[1518434349]}]}]},{"tin":{"type":"ein","value":"261498683"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1683.84,"providers":[{"billed_charge":3152.00,"npi":[1588079529]}]}]},{"tin":{"type":"ein","value":"461224002"},"service_code":["02","51"],"billing_class":"professional","payments":[{"allowed_amount":841.92,"providers":[{"billed_charge":1480.00,"npi":[1336339340]}]},{"allowed_amount":290.77,"providers":[{"billed_charge":555.00,"npi":[1649470931]}]}]},{"tin":{"type":"ein","value":"352335295"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2736.24,"providers":[{"billed_charge":6500.00,"npi":[1194787200]}]}]},{"tin":{"type":"ein","value":"264232139"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1028.40,"providers":[{"billed_charge":1750.00,"npi":[1477622710]}]}]},{"tin":{"type":"ein","value":"873249972"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":20232.93,"providers":[{"billed_charge":38200.00,"npi":[1982915013]}]}]},{"tin":{"type":"ein","value":"843654061"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1096.40,"providers":[{"billed_charge":3000.00,"npi":[1063546406]}]}]},{"tin":{"type":"ein","value":"832962661"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1531.35,"providers":[{"billed_charge":5250.00,"npi":[1346436276]}]}]},{"tin":{"type":"ein","value":"822401359"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4100.36,"providers":[{"billed_charge":14472.48,"npi":[1376543553]}]}]},{"tin":{"type":"ein","value":"651287824"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":9977.24,"providers":[{"billed_charge":23933.00,"npi":[1417069246]}]}]},{"tin":{"type":"ein","value":"882386118"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":106.35,"providers":[{"billed_charge":300.00,"npi":[1255695532]}]}]},{"tin":{"type":"ein","value":"814594733"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":11304.03,"providers":[{"billed_charge":22866.00,"npi":[1891044434]}]}]},{"tin":{"type":"ein","value":"271724682"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5262.00,"providers":[{"billed_charge":10280.00,"npi":[1063837912]}]}]},{"tin":{"type":"ein","value":"934915781"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3578.16,"providers":[{"billed_charge":7480.00,"npi":[1932339371]}]}]},{"tin":{"type":"ein","value":"473312833"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":103.47,"providers":[{"billed_charge":328.35,"npi":[1356755144]}]}]},{"tin":{"type":"ein","value":"823278539"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5859.70,"providers":[{"billed_charge":9393.45,"npi":[1770575177]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":315.72,"providers":[{"billed_charge":957.00,"npi":[1922685866]},{"billed_charge":1119.00,"npi":[1861769663]}]},{"allowed_amount":105.24,"providers":[{"billed_charge":319.00,"npi":[1497216121]}]},{"allowed_amount":2946.72,"providers":[{"billed_charge":10066.00,"npi":[1942863170]},{"billed_charge":9094.00,"npi":[1780264317]}]},{"allowed_amount":2420.52,"providers":[{"billed_charge":7985.00,"npi":[1861769663]}]},{"allowed_amount":2841.48,"providers":[{"billed_charge":10071.00,"npi":[1427478965]}]},{"allowed_amount":2631.00,"providers":[{"billed_charge":9271.00,"npi":[1922685866]}]},{"allowed_amount":1157.64,"providers":[{"billed_charge":3671.00,"npi":[1518198407]}]},{"allowed_amount":6292.83,"providers":[{"billed_charge":19950.00,"npi":[1083136360]}]},{"allowed_amount":4104.36,"providers":[{"billed_charge":12927.00,"npi":[1497216121]}]},{"allowed_amount":944.01,"providers":[{"billed_charge":3519.00,"npi":[1255952057]}]},{"allowed_amount":526.20,"providers":[{"billed_charge":2081.00,"npi":[1083136360]}]}]},{"tin":{"type":"ein","value":"810990293"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":1633.44,"providers":[{"billed_charge":5600.00,"npi":[1780840587]}]}]},{"tin":{"type":"ein","value":"861923754"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":412.62,"providers":[{"billed_charge":3140.00,"npi":[1235486440]}]}]},{"tin":{"type":"ein","value":"455599557"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2871.45,"providers":[{"billed_charge":4050.00,"npi":[1093881278]}]}]},{"tin":{"type":"ein","value":"873935687"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1683.84,"providers":[{"billed_charge":4550.00,"npi":[1619286994]}]}]},{"tin":{"type":"ein","value":"384109786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":630.45,"providers":[{"billed_charge":1415.00,"npi":[1821449307]}]}]},{"tin":{"type":"ein","value":"472815347"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1196.32,"providers":[{"billed_charge":2035.00,"npi":[1699784819]}]}]},{"tin":{"type":"ein","value":"465465130"},"service_code":["61","21"],"billing_class":"professional","payments":[{"allowed_amount":1789.08,"providers":[{"billed_charge":4683.16,"npi":[1053999656]}]},{"allowed_amount":420.96,"providers":[{"billed_charge":1101.92,"npi":[1053999656]}]}]},{"tin":{"type":"ein","value":"742542858"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1327.17,"providers":[{"billed_charge":3900.00,"npi":[1275505570]}]}]},{"tin":{"type":"ein","value":"832802070"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":10023.98,"providers":[{"billed_charge":20796.80,"npi":[1740512649]}]}]},{"tin":{"type":"ein","value":"461846537"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":994.40,"providers":[{"billed_charge":3410.00,"npi":[1538880349]}]}]},{"tin":{"type":"ein","value":"742548071"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":102.09,"providers":[{"billed_charge":200.00,"npi":[1467534008]}]}]},{"tin":{"type":"ein","value":"741697101"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1701.60,"providers":[{"billed_charge":4000.00,"npi":[1972090017]}]},{"allowed_amount":548.20,"providers":[{"billed_charge":1250.00,"npi":[1558556001]}]}]},{"tin":{"type":"ein","value":"274716160"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5450.91,"providers":[{"billed_charge":11180.00,"npi":[1922027838]}]}]},{"tin":{"type":"ein","value":"272420316"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":105.24,"providers":[{"billed_charge":400.00,"npi":[1669905865]}]}]},{"tin":{"type":"ein","value":"760665593"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":744.45,"providers":[{"billed_charge":5530.00,"npi":[1750325601]}]}]}]},{"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":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":427.02,"providers":[{"billed_charge":2376.00,"npi":[1386619765]}]},{"allowed_amount":142.34,"providers":[{"billed_charge":792.00,"npi":[1386619765]}]}]},{"tin":{"type":"ein","value":"611648898"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":519.96,"providers":[{"billed_charge":1225.00,"npi":[1275532046]}]}]},{"tin":{"type":"ein","value":"753129210"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1516.57,"providers":[{"billed_charge":1995.00,"npi":[1235363862]}]}]},{"tin":{"type":"ein","value":"260822356"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1331.00,"providers":[{"billed_charge":3300.00,"npi":[1053929729]}]}]},{"tin":{"type":"ein","value":"861395398"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":2274.47,"providers":[{"billed_charge":13175.00,"npi":[1063546844]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["51"],"billing_class":"professional","payments":[{"allowed_amount":4035.35,"providers":[{"billed_charge":12155.00,"npi":[1356637227]}]},{"allowed_amount":73.37,"providers":[{"billed_charge":221.00,"npi":[1790123495]}]}]}]},{"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":"271368002"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":202.80,"providers":[{"billed_charge":1000.00,"npi":[1306048277]}]}]},{"tin":{"type":"ein","value":"204923281"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":211.32,"providers":[{"billed_charge":436.00,"npi":[1891271904]}]},{"allowed_amount":101.40,"providers":[{"billed_charge":218.00,"npi":[1154709665]}]},{"allowed_amount":405.60,"providers":[{"billed_charge":892.00,"npi":[1578916490]},{"billed_charge":882.00,"npi":[1881821775,1124443288]}]},{"allowed_amount":105.66,"providers":[{"billed_charge":228.00,"npi":[1467834879]},{"billed_charge":218.00,"npi":[1891271904]}]},{"allowed_amount":528.30,"providers":[{"billed_charge":1100.00,"npi":[1467834879]}]},{"allowed_amount":202.80,"providers":[{"billed_charge":446.00,"npi":[1346778644]},{"billed_charge":436.00,"npi":[1124443288]}]},{"allowed_amount":608.40,"providers":[{"billed_charge":1318.00,"npi":[1346778644]}]},{"allowed_amount":304.20,"providers":[{"billed_charge":664.00,"npi":[1881821775,1578916490]}]}]},{"tin":{"type":"ein","value":"472401409"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1162.26,"providers":[{"billed_charge":2519.00,"npi":[1407879489]}]}]},{"tin":{"type":"ein","value":"371868760"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":811.20,"providers":[{"billed_charge":4632.00,"npi":[1073190898]}]},{"allowed_amount":101.40,"providers":[{"billed_charge":579.00,"npi":[1679768089]}]},{"allowed_amount":2535.00,"providers":[{"billed_charge":14475.00,"npi":[1952798001]}]},{"allowed_amount":405.60,"providers":[{"billed_charge":2316.00,"npi":[1164835195]}]},{"allowed_amount":1216.80,"providers":[{"billed_charge":6948.00,"npi":[1174883177]}]},{"allowed_amount":2427.34,"providers":[{"billed_charge":13896.00,"npi":[1497068233]}]},{"allowed_amount":1818.94,"providers":[{"billed_charge":10422.00,"npi":[1164835195]}]},{"allowed_amount":709.80,"providers":[{"billed_charge":4053.00,"npi":[1952798001]}]},{"allowed_amount":202.80,"providers":[{"billed_charge":1158.00,"npi":[1073190898,1679768089,1881154201,1174883177]}]},{"allowed_amount":1115.40,"providers":[{"billed_charge":6369.00,"npi":[1881154201,1043705528]}]},{"allowed_amount":304.20,"providers":[{"billed_charge":1737.00,"npi":[1497068233]}]}]},{"tin":{"type":"ein","value":"752387191"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":664.80,"providers":[{"billed_charge":1992.00,"npi":[1760529515]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":1149.83,"providers":[{"billed_charge":3903.00,"npi":[1922685866]}]},{"allowed_amount":836.24,"providers":[{"billed_charge":3075.00,"npi":[1255952057]}]},{"allowed_amount":1463.42,"providers":[{"billed_charge":5343.00,"npi":[1942863170]}]},{"allowed_amount":627.18,"providers":[{"billed_charge":1962.00,"npi":[1942863170]}]},{"allowed_amount":1672.48,"providers":[{"billed_charge":5538.00,"npi":[1083136360]}]},{"allowed_amount":209.06,"providers":[{"billed_charge":654.00,"npi":[1780264317]}]},{"allowed_amount":1357.73,"providers":[{"billed_charge":4557.00,"npi":[1861769663]}]},{"allowed_amount":313.59,"providers":[{"billed_charge":1134.00,"npi":[1427478965,1861769663,1083136360]}]},{"allowed_amount":104.53,"providers":[{"billed_charge":327.00,"npi":[1780264317,1922685866,1255952057]}]},{"allowed_amount":940.77,"providers":[{"billed_charge":2943.00,"npi":[1518198407]}]}]},{"tin":{"type":"ein","value":"271463889"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1227.24,"providers":[{"billed_charge":4704.00,"npi":[1912096694]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["22","61","21"],"billing_class":"professional","payments":[{"allowed_amount":3549.00,"providers":[{"billed_charge":12210.00,"npi":[1154568558]}]},{"allowed_amount":2129.40,"providers":[{"billed_charge":7479.00,"npi":[1669889291]}]},{"allowed_amount":101.40,"providers":[{"billed_charge":327.00,"npi":[1174987820,1902292808,1386140002,1841547759,1992952261]}]},{"allowed_amount":3143.40,"providers":[{"billed_charge":10443.00,"npi":[1992952261]}]},{"allowed_amount":1014.00,"providers":[{"billed_charge":3729.00,"npi":[1154568558]}]},{"allowed_amount":1216.80,"providers":[{"billed_charge":4230.00,"npi":[1174987820]},{"billed_charge":4842.00,"npi":[1952663916]}]},{"allowed_amount":709.80,"providers":[{"billed_charge":2442.00,"npi":[1386140002]}]},{"allowed_amount":912.60,"providers":[{"billed_charge":3096.00,"npi":[1841547759,1992952261]}]},{"allowed_amount":95.14,"providers":[{"billed_charge":480.00,"npi":[1841547759]}]},{"allowed_amount":2636.40,"providers":[{"billed_charge":9267.00,"npi":[1386140002]}]},{"allowed_amount":304.20,"providers":[{"billed_charge":981.00,"npi":[1174987820,1952663916]}]},{"allowed_amount":2839.20,"providers":[{"billed_charge":9462.00,"npi":[1902292808]}]}]},{"tin":{"type":"ein","value":"651255384"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":421.26,"providers":[{"billed_charge":892.00,"npi":[1508830985]}]}]},{"tin":{"type":"ein","value":"270794018"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":4076.67,"providers":[{"billed_charge":5850.00,"npi":[1932300779]}]}]}]},{"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":"204701276"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1704.43,"providers":[{"billed_charge":4394.00,"npi":[1386297356]}]}]}]},{"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":134.97,"providers":[{"billed_charge":852.00,"npi":[1528389954]}]}]},{"tin":{"type":"ein","value":"842068606"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":803.04,"providers":[{"billed_charge":2954.00,"npi":[1790890929]}]}]}]},{"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":"320326595"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":478.45,"providers":[{"billed_charge":1474.83,"npi":[1164409355]}]}]},{"tin":{"type":"ein","value":"853082840"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":72.45,"providers":[{"billed_charge":1724.00,"npi":[1710910443]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":58.10,"providers":[{"billed_charge":2036.00,"npi":[1922200807]}]}]}]},{"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":"320326595"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1272.00,"providers":[{"billed_charge":3924.03,"npi":[1164409355]}]}]},{"tin":{"type":"ein","value":"752737522"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2177.35,"providers":[{"billed_charge":5760.00,"npi":[1306301668]}]}]},{"tin":{"type":"ein","value":"742501542"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1633.44,"providers":[{"billed_charge":11994.72,"npi":[1306221122]}]}]},{"tin":{"type":"ein","value":"474649080"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":952.84,"providers":[{"billed_charge":10386.18,"npi":[1235118951]}]},{"allowed_amount":1497.32,"providers":[{"billed_charge":16321.14,"npi":[1114069895]}]},{"allowed_amount":816.72,"providers":[{"billed_charge":8902.44,"npi":[1326400714]}]},{"allowed_amount":408.36,"providers":[{"billed_charge":4451.22,"npi":[1326280058]}]}]},{"tin":{"type":"ein","value":"562398079"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":756.20,"providers":[{"billed_charge":3386.00,"npi":[1225230618]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6491.71,"providers":[{"billed_charge":28996.00,"npi":[1306596697]}]},{"allowed_amount":418.82,"providers":[{"billed_charge":1886.00,"npi":[1255781498]}]},{"allowed_amount":2498.98,"providers":[{"billed_charge":11316.00,"npi":[1952374373]}]}]},{"tin":{"type":"ein","value":"853082840"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1214.55,"providers":[{"billed_charge":26406.00,"npi":[1710910443]}]},{"allowed_amount":1484.45,"providers":[{"billed_charge":32274.00,"npi":[1013103209]}]}]},{"tin":{"type":"ein","value":"752562784"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":2143.85,"providers":[{"billed_charge":5020.00,"npi":[1093522278]}]},{"allowed_amount":9432.94,"providers":[{"billed_charge":22088.00,"npi":[1568178903]}]},{"allowed_amount":3116.64,"providers":[{"billed_charge":8032.00,"npi":[1497736375]}]},{"allowed_amount":1286.31,"providers":[{"billed_charge":3012.00,"npi":[1336347764]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":1047.06,"providers":[{"billed_charge":12645.00,"npi":[1588646145,1578129847]}]},{"allowed_amount":3024.84,"providers":[{"billed_charge":36530.00,"npi":[1447232194]}]},{"allowed_amount":5933.40,"providers":[{"billed_charge":84300.00,"npi":[1083822100]}]},{"allowed_amount":7805.73,"providers":[{"billed_charge":110995.00,"npi":[1922200807]}]},{"allowed_amount":1163.40,"providers":[{"billed_charge":14050.00,"npi":[1770565673]}]},{"allowed_amount":9394.55,"providers":[{"billed_charge":133475.00,"npi":[1043455348]}]}]}]},{"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":"831661941"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":623.98,"providers":[{"billed_charge":1457.00,"npi":[1548886708]}]}]},{"tin":{"type":"ein","value":"752737522"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":633.35,"providers":[{"billed_charge":1673.00,"npi":[1891743860,1043891583,1154369601]}]},{"allowed_amount":8866.90,"providers":[{"billed_charge":23422.00,"npi":[1528594942]}]},{"allowed_amount":6333.50,"providers":[{"billed_charge":16730.00,"npi":[1487910154]}]},{"allowed_amount":623.98,"providers":[{"billed_charge":1673.00,"npi":[1114030848]}]},{"allowed_amount":1900.05,"providers":[{"billed_charge":5019.00,"npi":[1578042735]}]},{"allowed_amount":5066.80,"providers":[{"billed_charge":13384.00,"npi":[1407803125]}]},{"allowed_amount":2533.40,"providers":[{"billed_charge":6692.00,"npi":[1104270016]}]},{"allowed_amount":1266.70,"providers":[{"billed_charge":3346.00,"npi":[1801242151,1871099978]}]},{"allowed_amount":1247.96,"providers":[{"billed_charge":3346.00,"npi":[1740713122]}]}]},{"tin":{"type":"ein","value":"461415202"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":6401.70,"providers":[{"billed_charge":16730.00,"npi":[1346604352]}]},{"allowed_amount":633.35,"providers":[{"billed_charge":1673.00,"npi":[1912952227]}]},{"allowed_amount":1266.70,"providers":[{"billed_charge":3346.00,"npi":[1922367531]}]}]},{"tin":{"type":"ein","value":"872457837"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":27892.90,"providers":[{"billed_charge":124640.00,"npi":[1306596697]}]},{"allowed_amount":303.63,"providers":[{"billed_charge":1366.00,"npi":[1952374373]}]}]},{"tin":{"type":"ein","value":"472071789"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":3289.32,"providers":[{"billed_charge":14976.00,"npi":[1225771389]}]}]},{"tin":{"type":"ein","value":"844504483"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":986.80,"providers":[{"billed_charge":5680.00,"npi":[1346982444]}]}]},{"tin":{"type":"ein","value":"201909363"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":843.40,"providers":[{"billed_charge":8950.00,"npi":[1871284745]}]}]},{"tin":{"type":"ein","value":"752562784"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":4367.86,"providers":[{"billed_charge":10689.00,"npi":[1952404261]}]},{"allowed_amount":6239.80,"providers":[{"billed_charge":14570.00,"npi":[1184827834,1477081297]}]},{"allowed_amount":1871.94,"providers":[{"billed_charge":4371.00,"npi":[1750517926,1205452828,1881644938]},{"billed_charge":4098.00,"npi":[1164066387]}]},{"allowed_amount":2495.92,"providers":[{"billed_charge":5828.00,"npi":[1467653865]}]},{"allowed_amount":5615.82,"providers":[{"billed_charge":12294.00,"npi":[1689847287]},{"billed_charge":13113.00,"npi":[1932197662,1497100804]}]},{"allowed_amount":1247.96,"providers":[{"billed_charge":2914.00,"npi":[1821016189,1427728435]}]},{"allowed_amount":4991.84,"providers":[{"billed_charge":11656.00,"npi":[1346316411]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":573.52,"providers":[{"billed_charge":8144.00,"npi":[1922200807]}]},{"allowed_amount":1012.08,"providers":[{"billed_charge":12216.00,"npi":[1770565673]}]},{"allowed_amount":1349.44,"providers":[{"billed_charge":16288.00,"npi":[1447232194]}]},{"allowed_amount":4554.36,"providers":[{"billed_charge":54972.00,"npi":[1578129847]}]},{"allowed_amount":2192.84,"providers":[{"billed_charge":26468.00,"npi":[1588646145]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":205.03,"providers":[{"billed_charge":1957.00,"npi":[1366070864]}]}]},{"tin":{"type":"ein","value":"204701276"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":168.68,"providers":[{"billed_charge":509.00,"npi":[1295756955]}]},{"allowed_amount":8602.68,"providers":[{"billed_charge":25959.00,"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":"460510254"},"service_code":["23","21"],"billing_class":"professional","payments":[{"allowed_amount":2342.36,"providers":[{"billed_charge":4512.00,"npi":[1124641600]}]},{"allowed_amount":211.08,"providers":[{"billed_charge":376.00,"npi":[1124641600]}]}]},{"tin":{"type":"ein","value":"752384505"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1782.48,"providers":[{"billed_charge":2485.00,"npi":[1144633124]}]}]},{"tin":{"type":"ein","value":"833838272"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":998.20,"providers":[{"billed_charge":2875.00,"npi":[1366881393]}]}]},{"tin":{"type":"ein","value":"471728945"},"service_code":["22","21"],"billing_class":"professional","payments":[{"allowed_amount":17041.56,"providers":[{"billed_charge":51417.00,"npi":[1508271404]}]},{"allowed_amount":14495.12,"providers":[{"billed_charge":43734.00,"npi":[1104003607]}]},{"allowed_amount":12928.08,"providers":[{"billed_charge":39006.00,"npi":[1568625432]}]},{"allowed_amount":1762.92,"providers":[{"billed_charge":5319.00,"npi":[1568625432]}]},{"allowed_amount":1567.04,"providers":[{"billed_charge":4728.00,"npi":[1497890198]}]},{"allowed_amount":2154.68,"providers":[{"billed_charge":6501.00,"npi":[1104003607]}]},{"allowed_amount":13319.84,"providers":[{"billed_charge":40188.00,"npi":[1497890198]}]},{"allowed_amount":12732.20,"providers":[{"billed_charge":38415.00,"npi":[1326425182]}]},{"allowed_amount":2742.32,"providers":[{"billed_charge":8274.00,"npi":[1508271404]}]}]},{"tin":{"type":"ein","value":"741613878"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":598.92,"providers":[{"billed_charge":1701.00,"npi":[1063673051]}]}]},{"tin":{"type":"ein","value":"453796432"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1386.77,"providers":[{"billed_charge":4305.00,"npi":[1912966045]}]}]},{"tin":{"type":"ein","value":"351923783"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1536.24,"providers":[{"billed_charge":2800.00,"npi":[1386616308]}]}]},{"tin":{"type":"ein","value":"261498683"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":5680.52,"providers":[{"billed_charge":14964.00,"npi":[1588079529]}]}]},{"tin":{"type":"ein","value":"384109786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":2603.59,"providers":[{"billed_charge":24332.00,"npi":[1649513425]}]},{"allowed_amount":1420.14,"providers":[{"billed_charge":13272.00,"npi":[1285096404]}]},{"allowed_amount":2366.90,"providers":[{"billed_charge":22120.00,"npi":[1790219087]}]},{"allowed_amount":3076.97,"providers":[{"billed_charge":28756.00,"npi":[1134282783]}]},{"allowed_amount":236.69,"providers":[{"billed_charge":2212.00,"npi":[1528409968]}]},{"allowed_amount":473.38,"providers":[{"billed_charge":4424.00,"npi":[1841672540]}]},{"allowed_amount":2130.21,"providers":[{"billed_charge":19908.00,"npi":[1598196743]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":236.69,"providers":[{"billed_charge":2212.00,"npi":[1154694578]}]}]},{"tin":{"type":"ein","value":"743019172"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":979.40,"providers":[{"billed_charge":12405.00,"npi":[1770565673]}]}]},{"tin":{"type":"ein","value":"992442600"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1762.92,"providers":[{"billed_charge":3240.00,"npi":[1730209719]}]}]},{"tin":{"type":"ein","value":"455423722"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":830.52,"providers":[{"billed_charge":2196.00,"npi":[1770863615]}]}]},{"tin":{"type":"ein","value":"852906340"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1197.84,"providers":[{"billed_charge":1800.00,"npi":[1639154883]}]}]},{"tin":{"type":"ein","value":"800725733"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":380.00,"providers":[{"billed_charge":1360.00,"npi":[1386140002]}]},{"allowed_amount":570.00,"providers":[{"billed_charge":2256.00,"npi":[1154568558]}]}]},{"tin":{"type":"ein","value":"205768117"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":6188.84,"providers":[{"billed_charge":35867.00,"npi":[1457333775]}]}]},{"tin":{"type":"ein","value":"260631774"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":950.00,"providers":[{"billed_charge":2445.00,"npi":[1437181542]}]}]}]},{"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":"203988983"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":987.69,"providers":[{"billed_charge":3663.00,"npi":[1346750064]}]}]}]},{"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":"472590836"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":112.94,"providers":[{"billed_charge":468.00,"npi":[1255911517]}]}]}]},{"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":"464983519"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":562.02,"providers":[{"billed_charge":1081.44,"npi":[1316980295]}]}]},{"tin":{"type":"ein","value":"993351630"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":271.71,"providers":[{"billed_charge":420.00,"npi":[1689710444]}]}]},{"tin":{"type":"ein","value":"333819930"},"service_code":["32"],"billing_class":"professional","payments":[{"allowed_amount":850.19,"providers":[{"billed_charge":2025.00,"npi":[1518191444]}]}]},{"tin":{"type":"ein","value":"863473693"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":289.68,"providers":[{"billed_charge":450.00,"npi":[1699129973]}]}]},{"tin":{"type":"ein","value":"824684335"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":4350.24,"providers":[{"billed_charge":16437.00,"npi":[1790139699]}]}]},{"tin":{"type":"ein","value":"272022354"},"service_code":["31","32"],"billing_class":"professional","payments":[{"allowed_amount":165.88,"providers":[{"billed_charge":466.00,"npi":[1528526795]}]},{"allowed_amount":241.77,"providers":[{"billed_charge":699.00,"npi":[1043479462]}]},{"allowed_amount":159.24,"providers":[{"billed_charge":466.00,"npi":[1932649761]}]},{"allowed_amount":1266.95,"providers":[{"billed_charge":3029.00,"npi":[1477208056]}]},{"allowed_amount":93.69,"providers":[{"billed_charge":233.00,"npi":[1043479462]}]},{"allowed_amount":368.64,"providers":[{"billed_charge":932.00,"npi":[1932649761]}]}]},{"tin":{"type":"ein","value":"845000210"},"service_code":["32"],"billing_class":"professional","payments":[{"allowed_amount":3289.30,"providers":[{"billed_charge":18366.95,"npi":[1366766875]}]},{"allowed_amount":187.96,"providers":[{"billed_charge":1049.54,"npi":[1265919880]}]}]},{"tin":{"type":"ein","value":"850510497"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":79.62,"providers":[{"billed_charge":104.44,"npi":[1639825060]}]}]},{"tin":{"type":"ein","value":"474843039"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":808.80,"providers":[{"billed_charge":1700.00,"npi":[1992563654]}]}]}]},{"name":"HOME VISIT EST PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99347","description":"HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES AT LEAST 2 OF","allowed_amounts":[{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":497.31,"providers":[{"billed_charge":1034.00,"npi":[1255388203]}]}]}]},{"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":5060.92,"providers":[{"billed_charge":6900.46,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":4605.50,"providers":[{"billed_charge":9415.00,"npi":[1255388203]}]}]}]},{"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":2570.08,"providers":[{"billed_charge":3120.16,"npi":[1942535828]}]}]},{"tin":{"type":"ein","value":"821251954"},"service_code":["55"],"billing_class":"professional","payments":[{"allowed_amount":380.52,"providers":[{"billed_charge":784.00,"npi":[1598023079]}]},{"allowed_amount":944.85,"providers":[{"billed_charge":1960.00,"npi":[1255388203]}]}]}]},{"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":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":355.81,"providers":[{"billed_charge":396.00,"npi":[1235225087]}]}]}]},{"name":"PER PM REEVAL EST PAT INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC COMPREHENSIVE PREVENTIVE MEDICINE REEVALUATION AND MANAGEMENT OF AN INDIVIDUAL INCL AN AGE ","allowed_amounts":[{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":895.68,"providers":[{"billed_charge":909.00,"npi":[1235225087]}]}]}]},{"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":846.16,"providers":[{"billed_charge":1280.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2777.82,"providers":[{"billed_charge":2916.00,"npi":[1235225087]}]}]}]},{"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":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1998.95,"providers":[{"billed_charge":2394.00,"npi":[1235225087]}]}]}]},{"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":"811795980"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":472.76,"providers":[{"billed_charge":1200.00,"npi":[1730445628]}]}]}]},{"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":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":443.72,"providers":[{"billed_charge":1000.00,"npi":[1417426842]}]}]},{"tin":{"type":"ein","value":"820962731"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1630.20,"providers":[{"billed_charge":2340.00,"npi":[1639511397]}]}]},{"tin":{"type":"ein","value":"741721807"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2633.40,"providers":[{"billed_charge":4641.00,"npi":[1891855656]}]}]},{"tin":{"type":"ein","value":"200537948"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":3009.60,"providers":[{"billed_charge":5400.00,"npi":[1831383355]}]}]},{"tin":{"type":"ein","value":"741794256"},"service_code":["72"],"billing_class":"professional","payments":[{"allowed_amount":1812.03,"providers":[{"billed_charge":1870.00,"npi":[1518249150]}]}]}]},{"name":"PREVENTIVE COUNSELING INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99401","description":"PREVENTIVE MEDICINE COUNSELING AND/OR RISK FACTOR REDUCTION INTERVENTION(S) PROVIDED TO AN INDIVIDUA","allowed_amounts":[{"tin":{"type":"ein","value":"208271258"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5412.15,"providers":[{"billed_charge":6750.00,"npi":[1417944943]}]}]}]},{"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":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":25.44,"providers":[{"billed_charge":56.00,"npi":[1831544808]}]}]}]},{"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":106.55,"providers":[{"billed_charge":221.00,"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":5572.10,"providers":[{"billed_charge":19046.00,"npi":[1144330762]}]}]},{"tin":{"type":"ein","value":"832419554"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1698.19,"providers":[{"billed_charge":5616.00,"npi":[1134516032]}]}]}]},{"name":"PRIN CARE MGMT STAFF 1ST 30","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99426","description":"PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO","allowed_amounts":[{"tin":{"type":"ein","value":"823763668"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":13620.70,"providers":[{"billed_charge":24360.00,"npi":[1689633711]}]}]}]},{"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":293.88,"providers":[{"billed_charge":853.92,"npi":[1619129624]}]}]}]},{"name":"Under Digitally Stored Data Services/Remote Physiologic Monitoring","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99445","description":"Under Digitally Stored Data Services/Remote Physiologic Monitoring","allowed_amounts":[{"tin":{"type":"ein","value":"460796181"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":363.09,"providers":[{"billed_charge":1089.27,"npi":[1811557333]}]}]}]},{"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":246.07,"providers":[{"billed_charge":350.00,"npi":[1851779326]}]},{"allowed_amount":144.88,"providers":[{"billed_charge":200.00,"npi":[1417140641]}]}]}]},{"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":"933500990"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":150.33,"providers":[{"billed_charge":480.00,"npi":[1770999377]}]}]},{"tin":{"type":"ein","value":"460796181"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":940.14,"providers":[{"billed_charge":2820.42,"npi":[1811557333]}]}]}]},{"name":"INIT NB EM PER DAY HOSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99460","description":"INITIAL HOSPITAL OR BIRTHING CENTER CARE, PER DAY, FOR EVALUATION AND MANAGEMENT OF NORMAL NEWBORN I","allowed_amounts":[{"tin":{"type":"ein","value":"260822356"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":328.95,"providers":[{"billed_charge":760.00,"npi":[1053929729]}]}]}]},{"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":26018.40,"providers":[{"billed_charge":60896.00,"npi":[1063893089]}]},{"allowed_amount":8130.75,"providers":[{"billed_charge":19030.00,"npi":[1194787960]}]},{"allowed_amount":29270.70,"providers":[{"billed_charge":68508.00,"npi":[1467495036]}]}]},{"tin":{"type":"ein","value":"332672530"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1934.46,"providers":[{"billed_charge":13254.00,"npi":[1346212990]}]}]}]},{"name":"IC INF PBW 2501-5000 G SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF THE RECOVERING INFANT (PRES","allowed_amounts":[{"tin":{"type":"ein","value":"650578395"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1958.52,"providers":[{"billed_charge":5024.00,"npi":[1467495036]}]}]}]},{"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":"990758914"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":514.88,"providers":[{"billed_charge":1537.92,"npi":[1619129624]}]}]},{"tin":{"type":"ein","value":"874664294"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7337.04,"providers":[{"billed_charge":21439.98,"npi":[1619129624]}]}]}]},{"name":"CHRNC CARE MGMT SVC 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99491","description":"CHRONIC CARE MGMT SVC AT LEAST 30 MIN PER MONTH","allowed_amounts":[{"tin":{"type":"ein","value":"812122050"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":891.40,"providers":[{"billed_charge":2304.00,"npi":[1649682857]}]}]}]},{"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1503.76,"providers":[{"billed_charge":4680.00,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":9300.00,"providers":[{"billed_charge":43620.00,"npi":[1234567893]}]}]}]},{"name":"HOME INFUSION EACH ADDTL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99602","description":"HOME INFUSION/SPECIALTY DRUG ADMINISTRATION, PER VISIT (UP TO 2 HOURS); EACH ADDITIONAL HOUR (LIST S","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1200.00,"providers":[{"billed_charge":8060.00,"npi":[1234567893]}]}]}]},{"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":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3200.00,"providers":[{"billed_charge":3200.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7000.00,"providers":[{"billed_charge":7000.00,"npi":[1073516548]}]}]}]},{"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":"746028909"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2250.00,"providers":[{"billed_charge":2250.00,"npi":[1720008659]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13200.00,"providers":[{"billed_charge":13464.00,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"800685304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2266.92,"providers":[{"billed_charge":2266.92,"npi":[1457716037]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":400.00,"providers":[{"billed_charge":400.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4000.00,"providers":[{"billed_charge":4000.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12150.00,"providers":[{"billed_charge":12150.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":900.00,"providers":[{"billed_charge":900.00,"npi":[1710977061]}]}]}]},{"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":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":757.54,"providers":[{"billed_charge":801.07,"npi":[1639103864]}]}]}]},{"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":"825198494"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":85266.00,"providers":[{"billed_charge":85266.00,"npi":[1518451749]}]}]},{"tin":{"type":"ein","value":"746001923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3450.27,"providers":[{"billed_charge":3450.27,"npi":[1245338433]}]}]},{"tin":{"type":"ein","value":"202950769"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":17432.08,"providers":[{"billed_charge":19313.28,"npi":[1700801693]}]}]},{"tin":{"type":"ein","value":"454331997"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8620.00,"providers":[{"billed_charge":8620.00,"npi":[1871854075]}]}]},{"tin":{"type":"ein","value":"205608001"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11970.00,"providers":[{"billed_charge":11970.00,"npi":[1801077987]}]}]},{"tin":{"type":"ein","value":"746001490"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":980.10,"providers":[{"billed_charge":1143.45,"npi":[1730186636]}]}]},{"tin":{"type":"ein","value":"934900709"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9148.50,"providers":[{"billed_charge":9148.50,"npi":[1063276582]}]}]},{"tin":{"type":"ein","value":"756000566"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":75.00,"providers":[{"billed_charge":75.00,"npi":[1962432930]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1881.00,"providers":[{"billed_charge":1881.00,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"756000608"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4278.00,"providers":[{"billed_charge":4278.00,"npi":[1356324446]}]}]},{"tin":{"type":"ein","value":"272612460"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19848.30,"providers":[{"billed_charge":19848.30,"npi":[1164854733]}]}]},{"tin":{"type":"ein","value":"923266410"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11300.80,"providers":[{"billed_charge":11300.80,"npi":[1326734229]}]}]},{"tin":{"type":"ein","value":"760613179"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5938.40,"providers":[{"billed_charge":5938.40,"npi":[1053461392]}]}]},{"tin":{"type":"ein","value":"756000602"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1104.00,"providers":[{"billed_charge":1104.00,"npi":[1134263908]}]}]},{"tin":{"type":"ein","value":"900761614"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1208.46,"providers":[{"billed_charge":1304.00,"npi":[1730441684]}]}]},{"tin":{"type":"ein","value":"261296735"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7212.56,"providers":[{"billed_charge":10270.35,"npi":[1235307752]}]}]},{"tin":{"type":"ein","value":"853395488"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1403.20,"providers":[{"billed_charge":1403.20,"npi":[1598353708]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20765.44,"providers":[{"billed_charge":20765.44,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7080.00,"providers":[{"billed_charge":7080.00,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"760517401"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":672.00,"providers":[{"billed_charge":672.00,"npi":[1205899374]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":454515.06,"providers":[{"billed_charge":1261418.20,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"742391176"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":414.00,"providers":[{"billed_charge":414.00,"npi":[1760850648]}]}]},{"tin":{"type":"ein","value":"274539737"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":11216.00,"providers":[{"billed_charge":11216.00,"npi":[1295014140]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4457.42,"providers":[{"billed_charge":4557.00,"npi":[1417456583]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6216.00,"providers":[{"billed_charge":6216.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"811488160"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47758.40,"providers":[{"billed_charge":47758.40,"npi":[1457057291]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":71962.50,"providers":[{"billed_charge":71962.50,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"331132313"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3951.20,"providers":[{"billed_charge":3951.20,"npi":[1922234368]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2150.60,"providers":[{"billed_charge":2150.60,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"208346277"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3933.60,"providers":[{"billed_charge":3933.60,"npi":[1003098047]}]}]},{"tin":{"type":"ein","value":"262742199"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":174.40,"providers":[{"billed_charge":174.40,"npi":[1265662829]}]}]},{"tin":{"type":"ein","value":"743023503"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":34125.00,"providers":[{"billed_charge":34125.00,"npi":[1831207919]}]}]},{"tin":{"type":"ein","value":"845023030"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":100354.00,"providers":[{"billed_charge":100354.00,"npi":[1487257010]}]}]},{"tin":{"type":"ein","value":"260316725"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1796.46,"providers":[{"billed_charge":2824.00,"npi":[1114199320]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6216.00,"providers":[{"billed_charge":6216.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"720701964"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3289.35,"providers":[{"billed_charge":4821.08,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"453268127"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4200.00,"providers":[{"billed_charge":4200.00,"npi":[1003245093]}]}]},{"tin":{"type":"ein","value":"746000341"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":55.52,"providers":[{"billed_charge":66.62,"npi":[1861410664]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2760.50,"providers":[{"billed_charge":2982.50,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1440.00,"providers":[{"billed_charge":1440.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"205829641"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":93057.00,"providers":[{"billed_charge":93057.00,"npi":[1447436613]}]}]},{"tin":{"type":"ein","value":"746000728"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1450.00,"providers":[{"billed_charge":1752.00,"npi":[1225010291]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":18844.79,"providers":[{"billed_charge":18847.00,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1989.00,"providers":[{"billed_charge":1989.00,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"751360556"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":672.00,"providers":[{"billed_charge":672.00,"npi":[1235285289]}]}]},{"tin":{"type":"ein","value":"451837687"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5988.20,"providers":[{"billed_charge":5988.20,"npi":[1316229677]}]}]},{"tin":{"type":"ein","value":"300662178"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43872.00,"providers":[{"billed_charge":43872.00,"npi":[1932471075]}]}]},{"tin":{"type":"ein","value":"746002070"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1736.40,"providers":[{"billed_charge":1736.40,"npi":[1053377713]}]}]},{"tin":{"type":"ein","value":"921690554"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":42273.60,"providers":[{"billed_charge":42273.60,"npi":[1538872239]}]}]},{"tin":{"type":"ein","value":"453584448"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":144.00,"providers":[{"billed_charge":144.00,"npi":[1679832125]}]}]},{"tin":{"type":"ein","value":"756000478"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":450.00,"providers":[{"billed_charge":450.00,"npi":[1033240718]}]}]},{"tin":{"type":"ein","value":"270955008"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":53754.40,"providers":[{"billed_charge":53754.40,"npi":[1164707444]}]}]},{"tin":{"type":"ein","value":"843926685"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2202.40,"providers":[{"billed_charge":2202.40,"npi":[1528682481]}]}]},{"tin":{"type":"ein","value":"203948307"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":80911.63,"providers":[{"billed_charge":80911.63,"npi":[1376644609]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":145181.22,"providers":[{"billed_charge":190988.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30218.37,"providers":[{"billed_charge":30923.34,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"756000514"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1269.00,"providers":[{"billed_charge":1269.00,"npi":[1275548182]}]}]},{"tin":{"type":"ein","value":"260368797"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2501.60,"providers":[{"billed_charge":2501.60,"npi":[1326217738]}]}]},{"tin":{"type":"ein","value":"993485961"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9113.40,"providers":[{"billed_charge":12477.90,"npi":[1598632515]}]}]},{"tin":{"type":"ein","value":"746003078"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30720.62,"providers":[{"billed_charge":31440.00,"npi":[1023124328]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":359748.00,"providers":[{"billed_charge":359748.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6953.34,"providers":[{"billed_charge":7657.50,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9986.57,"providers":[{"billed_charge":10540.35,"npi":[1639103864]}]},{"allowed_amount":35813.33,"providers":[{"billed_charge":40145.43,"npi":[1194750802]}]},{"allowed_amount":42662.82,"providers":[{"billed_charge":42821.45,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"452538975"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":44388.06,"providers":[{"billed_charge":45666.00,"npi":[1083912554]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3498.00,"providers":[{"billed_charge":3498.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":51667.34,"providers":[{"billed_charge":54227.52,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8095.20,"providers":[{"billed_charge":8095.20,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29122.60,"providers":[{"billed_charge":29152.50,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"743015865"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":14784.00,"providers":[{"billed_charge":14784.00,"npi":[1780398644]}]}]},{"tin":{"type":"ein","value":"756000640"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2632.50,"providers":[{"billed_charge":2632.50,"npi":[1982742698]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19786.42,"providers":[{"billed_charge":19835.25,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"756000528"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":97768.92,"providers":[{"billed_charge":97864.20,"npi":[1629871512]}]}]},{"tin":{"type":"ein","value":"746001715"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":312.00,"providers":[{"billed_charge":312.00,"npi":[1902368871]}]}]},{"tin":{"type":"ein","value":"760521530"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4439.40,"providers":[{"billed_charge":4439.40,"npi":[1801864368]}]}]},{"tin":{"type":"ein","value":"453970120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":230.00,"providers":[{"billed_charge":230.00,"npi":[1316295645]}]}]},{"tin":{"type":"ein","value":"273061469"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20849.00,"providers":[{"billed_charge":20849.00,"npi":[1669756904]}]}]},{"tin":{"type":"ein","value":"453837763"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":41400.00,"providers":[{"billed_charge":41400.00,"npi":[1528335478]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":115863.23,"providers":[{"billed_charge":115863.80,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"800685304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":92.88,"providers":[{"billed_charge":92.88,"npi":[1457716037]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28667.50,"providers":[{"billed_charge":28667.50,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"933583304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":23229.60,"providers":[{"billed_charge":23229.60,"npi":[1386416212]}]}]},{"tin":{"type":"ein","value":"756000534"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1152.00,"providers":[{"billed_charge":1152.00,"npi":[1750323556]}]}]},{"tin":{"type":"ein","value":"742028156"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6405.00,"providers":[{"billed_charge":6405.00,"npi":[1588734594]}]}]},{"tin":{"type":"ein","value":"932146476"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8746.00,"providers":[{"billed_charge":8746.00,"npi":[1679328520]}]}]},{"tin":{"type":"ein","value":"756000531"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1365.00,"providers":[{"billed_charge":1365.00,"npi":[1538207642]}]}]},{"tin":{"type":"ein","value":"275484272"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43450.00,"providers":[{"billed_charge":43450.00,"npi":[1760736938]}]}]},{"tin":{"type":"ein","value":"746028909"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":960.00,"providers":[{"billed_charge":960.00,"npi":[1720008659]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12336.00,"providers":[{"billed_charge":12582.72,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2653.57,"providers":[{"billed_charge":17408.50,"npi":[1215064506]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10755.50,"providers":[{"billed_charge":10755.50,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"462829506"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":37260.80,"providers":[{"billed_charge":37260.80,"npi":[1619393436]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4897.78,"providers":[{"billed_charge":4928.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10983.95,"providers":[{"billed_charge":11082.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"261789627"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22893.53,"providers":[{"billed_charge":33961.50,"npi":[1093988784]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2039.68,"providers":[{"billed_charge":2759.12,"npi":[1235248089]}]},{"allowed_amount":2895.00,"providers":[{"billed_charge":2895.00,"npi":[1437254471]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":26158.00,"providers":[{"billed_charge":26158.00,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":227302.84,"providers":[{"billed_charge":255710.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4440.00,"providers":[{"billed_charge":4440.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":52307.50,"providers":[{"billed_charge":53273.50,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"741818451"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3329.65,"providers":[{"billed_charge":3399.00,"npi":[1053317347]}]}]},{"tin":{"type":"ein","value":"746000544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6055.20,"providers":[{"billed_charge":6067.20,"npi":[1295759942]}]}]},{"tin":{"type":"ein","value":"746002441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3560.00,"providers":[{"billed_charge":3631.20,"npi":[1336169192]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22740.00,"providers":[{"billed_charge":27288.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"814571957"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":205.26,"providers":[{"billed_charge":624.25,"npi":[1164966164]}]}]},{"tin":{"type":"ein","value":"760330195"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":545.81,"providers":[{"billed_charge":549.00,"npi":[1881662344]}]}]},{"tin":{"type":"ein","value":"832708510"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2352.00,"providers":[{"billed_charge":2352.00,"npi":[1104398999]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":105671.10,"providers":[{"billed_charge":154029.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47015.68,"providers":[{"billed_charge":47015.68,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":242295.00,"providers":[{"billed_charge":242407.50,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"201891818"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1030.97,"providers":[{"billed_charge":1292.00,"npi":[1285650846]}]}]},{"tin":{"type":"ein","value":"741862375"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":644.00,"providers":[{"billed_charge":644.00,"npi":[1043239296]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":118177.50,"providers":[{"billed_charge":119154.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":220736.04,"providers":[{"billed_charge":332220.39,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"760426477"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2076.64,"providers":[{"billed_charge":2076.64,"npi":[1821036831]}]}]}]},{"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":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8897.81,"providers":[{"billed_charge":12876.60,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":124075.46,"providers":[{"billed_charge":145205.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":79050.00,"providers":[{"billed_charge":79050.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":28573.50,"providers":[{"billed_charge":31642.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":82948.71,"providers":[{"billed_charge":221378.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":7573.80,"providers":[{"billed_charge":11150.00,"npi":[1942201272]}]}]}]},{"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":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":147200.00,"providers":[{"billed_charge":150144.00,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":57549.41,"providers":[{"billed_charge":69376.60,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"756000514"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2810.12,"providers":[{"billed_charge":2810.12,"npi":[1275548182]}]}]},{"tin":{"type":"ein","value":"202950769"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":29849.29,"providers":[{"billed_charge":46994.40,"npi":[1700801693]}]}]},{"tin":{"type":"ein","value":"746003078"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":62452.50,"providers":[{"billed_charge":63000.00,"npi":[1023124328]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":524542.93,"providers":[{"billed_charge":653830.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":72494.00,"providers":[{"billed_charge":88641.00,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":261232.29,"providers":[{"billed_charge":262530.84,"npi":[1881628014]}]},{"allowed_amount":164462.36,"providers":[{"billed_charge":165833.05,"npi":[1194750802]}]},{"allowed_amount":118989.58,"providers":[{"billed_charge":125548.60,"npi":[1639103864]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4200.00,"providers":[{"billed_charge":4200.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":421962.29,"providers":[{"billed_charge":435600.52,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":43350.00,"providers":[{"billed_charge":43350.00,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"741282696"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10360.00,"providers":[{"billed_charge":13679.00,"npi":[1083744940]}]}]},{"tin":{"type":"ein","value":"743015865"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20800.00,"providers":[{"billed_charge":20800.00,"npi":[1780398644]}]}]},{"tin":{"type":"ein","value":"756000640"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8872.50,"providers":[{"billed_charge":8872.50,"npi":[1982742698]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":256112.28,"providers":[{"billed_charge":256289.00,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"746000441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24320.00,"providers":[{"billed_charge":24320.00,"npi":[1831155647]}]}]},{"tin":{"type":"ein","value":"756000608"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":42740.00,"providers":[{"billed_charge":42740.00,"npi":[1356324446]}]}]},{"tin":{"type":"ein","value":"756000528"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":441871.63,"providers":[{"billed_charge":444465.00,"npi":[1629871512]}]}]},{"tin":{"type":"ein","value":"760521530"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10410.96,"providers":[{"billed_charge":10452.00,"npi":[1801864368]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":201238.55,"providers":[{"billed_charge":202982.71,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":899952.72,"providers":[{"billed_charge":899952.72,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":673591.22,"providers":[{"billed_charge":1164236.00,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"300754305"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1728.32,"providers":[{"billed_charge":2777.77,"npi":[1417456583]}]}]},{"tin":{"type":"ein","value":"756000534"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3200.00,"providers":[{"billed_charge":3200.00,"npi":[1750323556]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2848.00,"providers":[{"billed_charge":2848.00,"npi":[1982695268]}]}]},{"tin":{"type":"ein","value":"742028156"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6560.40,"providers":[{"billed_charge":6560.40,"npi":[1588734594]}]}]},{"tin":{"type":"ein","value":"756000531"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4535.00,"providers":[{"billed_charge":4535.00,"npi":[1538207642]}]}]},{"tin":{"type":"ein","value":"746028909"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8000.00,"providers":[{"billed_charge":8000.00,"npi":[1720008659]}]}]},{"tin":{"type":"ein","value":"742577746"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3456.64,"providers":[{"billed_charge":19662.00,"npi":[1215064506]}]}]},{"tin":{"type":"ein","value":"752747708"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":95831.00,"providers":[{"billed_charge":95831.00,"npi":[1457444150]}]}]},{"tin":{"type":"ein","value":"742277841"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":51975.00,"providers":[{"billed_charge":56686.50,"npi":[1558812602]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":71058.00,"providers":[{"billed_charge":71058.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":32420.00,"providers":[{"billed_charge":32620.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":44366.78,"providers":[{"billed_charge":61310.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"746000978"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1600.40,"providers":[{"billed_charge":1600.40,"npi":[1114995586]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":131472.00,"providers":[{"billed_charge":131760.00,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":401213.65,"providers":[{"billed_charge":472500.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"756000543"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19200.00,"providers":[{"billed_charge":19200.00,"npi":[1194728402]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":23582.00,"providers":[{"billed_charge":23582.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"720701964"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6640.49,"providers":[{"billed_charge":11387.00,"npi":[1316943566]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":424800.00,"providers":[{"billed_charge":424800.00,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"741818451"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5350.50,"providers":[{"billed_charge":6970.68,"npi":[1053317347]}]}]},{"tin":{"type":"ein","value":"746001432"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3000.00,"providers":[{"billed_charge":3000.00,"npi":[1710977061]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2090.00,"providers":[{"billed_charge":2439.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"746002441"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":37500.00,"providers":[{"billed_charge":49031.40,"npi":[1336169192]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":183300.00,"providers":[{"billed_charge":225600.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":262329.02,"providers":[{"billed_charge":267156.44,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":6000.00,"providers":[{"billed_charge":6000.00,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":472074.51,"providers":[{"billed_charge":760100.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":195698.72,"providers":[{"billed_charge":195698.72,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":594840.00,"providers":[{"billed_charge":595200.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":302445.00,"providers":[{"billed_charge":302445.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"746002070"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1500.00,"providers":[{"billed_charge":1500.00,"npi":[1053377713]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":321598.23,"providers":[{"billed_charge":616310.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"760426477"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10437.68,"providers":[{"billed_charge":10437.68,"npi":[1821036831]}]}]},{"tin":{"type":"ein","value":"203948307"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":381728.27,"providers":[{"billed_charge":522275.81,"npi":[1376644609]}]}]}]},{"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":"811488160"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":133502.42,"providers":[{"billed_charge":219000.00,"npi":[1457057291]}]}]},{"tin":{"type":"ein","value":"751657155"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":99632.04,"providers":[{"billed_charge":118083.00,"npi":[1275509259]}]}]},{"tin":{"type":"ein","value":"825198494"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":245400.00,"providers":[{"billed_charge":245400.00,"npi":[1518451749]}]}]},{"tin":{"type":"ein","value":"462829506"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":434530.92,"providers":[{"billed_charge":694500.00,"npi":[1619393436]}]}]},{"tin":{"type":"ein","value":"331132313"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":8417.91,"providers":[{"billed_charge":21800.00,"npi":[1922234368]}]}]},{"tin":{"type":"ein","value":"261789627"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19102.44,"providers":[{"billed_charge":35700.00,"npi":[1093988784]}]}]},{"tin":{"type":"ein","value":"262742199"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2728.92,"providers":[{"billed_charge":4500.00,"npi":[1265662829]}]}]},{"tin":{"type":"ein","value":"454331997"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":199960.66,"providers":[{"billed_charge":322500.00,"npi":[1871854075]}]}]},{"tin":{"type":"ein","value":"260368797"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40024.16,"providers":[{"billed_charge":66000.00,"npi":[1326217738]}]}]},{"tin":{"type":"ein","value":"205608001"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":115524.28,"providers":[{"billed_charge":228600.00,"npi":[1801077987]}]}]},{"tin":{"type":"ein","value":"760487923"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4764.08,"providers":[{"billed_charge":6250.00,"npi":[1437254471]}]}]},{"tin":{"type":"ein","value":"993485961"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":67147.70,"providers":[{"billed_charge":115000.00,"npi":[1598632515]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":39239.26,"providers":[{"billed_charge":43000.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"743023503"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":95512.20,"providers":[{"billed_charge":99750.00,"npi":[1831207919]}]}]},{"tin":{"type":"ein","value":"845023030"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47301.28,"providers":[{"billed_charge":91000.00,"npi":[1487257010]}]}]},{"tin":{"type":"ein","value":"260316725"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3585.12,"providers":[{"billed_charge":36000.00,"npi":[1114199320]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10480.18,"providers":[{"billed_charge":10480.18,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":40595.26,"providers":[{"billed_charge":52800.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"452538975"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":114571.42,"providers":[{"billed_charge":208800.00,"npi":[1083912554]}]}]},{"tin":{"type":"ein","value":"934900709"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4548.20,"providers":[{"billed_charge":7500.00,"npi":[1063276582]}]}]},{"tin":{"type":"ein","value":"453268127"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":37548.00,"providers":[{"billed_charge":80000.00,"npi":[1003245093]}]}]},{"tin":{"type":"ein","value":"205829641"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":681783.68,"providers":[{"billed_charge":1123500.00,"npi":[1447436613]}]}]},{"tin":{"type":"ein","value":"272612460"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":228475.00,"providers":[{"billed_charge":228475.00,"npi":[1164854733]}]}]},{"tin":{"type":"ein","value":"760613179"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":96686.10,"providers":[{"billed_charge":154500.00,"npi":[1053461392]}]}]},{"tin":{"type":"ein","value":"923266410"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":213765.40,"providers":[{"billed_charge":352500.00,"npi":[1326734229]}]}]},{"tin":{"type":"ein","value":"832708510"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19712.70,"providers":[{"billed_charge":31500.00,"npi":[1104398999]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":57182.40,"providers":[{"billed_charge":87900.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"300662178"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":251350.00,"providers":[{"billed_charge":251350.00,"npi":[1932471075]}]}]},{"tin":{"type":"ein","value":"900761614"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12851.20,"providers":[{"billed_charge":21000.00,"npi":[1730441684]}]}]},{"tin":{"type":"ein","value":"261296735"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12028.74,"providers":[{"billed_charge":20150.00,"npi":[1235307752]}]}]},{"tin":{"type":"ein","value":"453970120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5900.00,"providers":[{"billed_charge":5900.00,"npi":[1316295645]}]}]},{"tin":{"type":"ein","value":"853395488"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22741.00,"providers":[{"billed_charge":37500.00,"npi":[1598353708]}]}]},{"tin":{"type":"ein","value":"273061469"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33276.70,"providers":[{"billed_charge":69200.00,"npi":[1669756904]}]}]},{"tin":{"type":"ein","value":"760517401"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":3150.00,"providers":[{"billed_charge":3150.00,"npi":[1205899374]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2816.10,"providers":[{"billed_charge":4500.00,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"453837763"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":63000.00,"providers":[{"billed_charge":63000.00,"npi":[1528335478]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":244800.00,"providers":[{"billed_charge":244800.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"10548955"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":232500.00,"providers":[{"billed_charge":232500.00,"npi":[1164526745]}]}]},{"tin":{"type":"ein","value":"274539737"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":211207.50,"providers":[{"billed_charge":337500.00,"npi":[1295014140]}]}]},{"tin":{"type":"ein","value":"743253181"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":13870.01,"providers":[{"billed_charge":26400.00,"npi":[1588809255]}]}]},{"tin":{"type":"ein","value":"933583304"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":135536.36,"providers":[{"billed_charge":298000.00,"npi":[1386416212]}]}]},{"tin":{"type":"ein","value":"921690554"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":129739.12,"providers":[{"billed_charge":213000.00,"npi":[1538872239]}]}]},{"tin":{"type":"ein","value":"270955008"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":358398.16,"providers":[{"billed_charge":591000.00,"npi":[1164707444]}]}]},{"tin":{"type":"ein","value":"932146476"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":107470.35,"providers":[{"billed_charge":128700.00,"npi":[1679328520]}]}]},{"tin":{"type":"ein","value":"843926685"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":24967.12,"providers":[{"billed_charge":40500.00,"npi":[1528682481]}]}]},{"tin":{"type":"ein","value":"275484272"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":140994.20,"providers":[{"billed_charge":310000.00,"npi":[1760736938]}]}]}]},{"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":"746001969"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":19800.00,"providers":[{"billed_charge":20203.00,"npi":[1457322885]}]}]},{"tin":{"type":"ein","value":"746001504"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4632.00,"providers":[{"billed_charge":4632.00,"npi":[1568429090]}]}]},{"tin":{"type":"ein","value":"756000659"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":31835.65,"providers":[{"billed_charge":32987.00,"npi":[1265498935]}]}]},{"tin":{"type":"ein","value":"741685167"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1501.92,"providers":[{"billed_charge":1950.00,"npi":[1447316377]}]}]},{"tin":{"type":"ein","value":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":42307.00,"providers":[{"billed_charge":62350.00,"npi":[1104286087]}]}]},{"tin":{"type":"ein","value":"746000085"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":17221.00,"providers":[{"billed_charge":21250.00,"npi":[1295704732]}]}]},{"tin":{"type":"ein","value":"272953899"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33042.24,"providers":[{"billed_charge":34780.00,"npi":[1356649826]}]}]},{"tin":{"type":"ein","value":"845023030"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":34930.08,"providers":[{"billed_charge":42000.00,"npi":[1487257010]}]}]},{"tin":{"type":"ein","value":"264304912"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":76844.29,"providers":[{"billed_charge":78000.00,"npi":[1871724864]}]}]},{"tin":{"type":"ein","value":"752474011"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":9631.89,"providers":[{"billed_charge":11015.28,"npi":[1881628014]}]}]},{"tin":{"type":"ein","value":"746000246"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":21000.00,"providers":[{"billed_charge":21000.00,"npi":[1043311434]}]}]},{"tin":{"type":"ein","value":"201919780"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":144153.97,"providers":[{"billed_charge":149433.70,"npi":[1952995888]}]}]},{"tin":{"type":"ein","value":"746002544"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20150.00,"providers":[{"billed_charge":20150.00,"npi":[1073588612]}]}]},{"tin":{"type":"ein","value":"756000588"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":16695.00,"providers":[{"billed_charge":16695.00,"npi":[1073516548]}]}]},{"tin":{"type":"ein","value":"746001875"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47600.00,"providers":[{"billed_charge":47600.00,"npi":[1013595800]}]}]},{"tin":{"type":"ein","value":"746001573"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":10895.00,"providers":[{"billed_charge":10895.00,"npi":[1255396156]}]}]},{"tin":{"type":"ein","value":"756000640"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":5775.00,"providers":[{"billed_charge":5775.00,"npi":[1982742698]}]}]},{"tin":{"type":"ein","value":"756000583"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":4180.00,"providers":[{"billed_charge":4180.00,"npi":[1871623470]}]}]},{"tin":{"type":"ein","value":"756000608"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2000.00,"providers":[{"billed_charge":2000.00,"npi":[1356324446]}]}]},{"tin":{"type":"ein","value":"746001738"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":18700.00,"providers":[{"billed_charge":23800.00,"npi":[1821727041]}]}]},{"tin":{"type":"ein","value":"756000508"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":371004.65,"providers":[{"billed_charge":398594.55,"npi":[1861530990]}]}]},{"tin":{"type":"ein","value":"756000626"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":2750.00,"providers":[{"billed_charge":2750.00,"npi":[1801890637]}]}]},{"tin":{"type":"ein","value":"756000528"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":459957.27,"providers":[{"billed_charge":519080.00,"npi":[1629871512]}]}]},{"tin":{"type":"ein","value":"752707125"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":79151.50,"providers":[{"billed_charge":127500.00,"npi":[1942201272]}]}]},{"tin":{"type":"ein","value":"741772120"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":33138.68,"providers":[{"billed_charge":33138.68,"npi":[1437218062]}]}]},{"tin":{"type":"ein","value":"760133493"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":12919.07,"providers":[{"billed_charge":12919.07,"npi":[1760033526]}]}]},{"tin":{"type":"ein","value":"455508689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":22366.07,"providers":[{"billed_charge":22500.00,"npi":[1992144885]}]}]},{"tin":{"type":"ein","value":"742777597"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":62050.00,"providers":[{"billed_charge":62050.00,"npi":[1063588143]}]}]},{"tin":{"type":"ein","value":"746001164"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1578956.16,"providers":[{"billed_charge":1578959.03,"npi":[1447375282]}]}]},{"tin":{"type":"ein","value":"208424689"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":399891.42,"providers":[{"billed_charge":737570.00,"npi":[1952588329]}]}]},{"tin":{"type":"ein","value":"746002070"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":1455.42,"providers":[{"billed_charge":1500.00,"npi":[1053377713]}]}]},{"tin":{"type":"ein","value":"300688582"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":47311.92,"providers":[{"billed_charge":82169.00,"npi":[1750676870]}]}]},{"tin":{"type":"ein","value":"746000278"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":69194.00,"providers":[{"billed_charge":69194.00,"npi":[1982695268]}]}]}]},{"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":"811424190"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":20082.45,"providers":[{"billed_charge":20200.00,"npi":[1104286087]}]}]}]},{"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":34033.60,"providers":[{"billed_charge":71136.00,"npi":[1750676870]}]}]}]},{"name":"INFUS SET EXT INSULIN PUMP","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUSION SET FOR EXTERNAL INSULIN PUMP, NONNEEDLE CANNULA TYPE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":497.25,"providers":[{"billed_charge":2785.50,"npi":[1234567893]}]}]}]},{"name":"SYRINGE NDLE EXT INSULIN PUM","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE WITH NEEDLE FOR EXTERNAL INSULIN PUMP, STERILE, 3 CC","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":96.75,"providers":[{"billed_charge":388.35,"npi":[1234567893]}]}]}]},{"name":"monthly supply allowance for a non-adjunctive, non-implanted continuous glucose monitor (CGM)","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4239","description":"monthly supply allowance for a non-adjunctive, non-implanted continuous glucose monitor (CGM)","allowed_amounts":[{"tin":{"type":"ein","value":"223865781"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":56295.68,"providers":[{"billed_charge":223275.00,"npi":[1245259282]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":11368.48,"providers":[{"billed_charge":40345.76,"npi":[1234567893]}]}]}]},{"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":3385.00,"providers":[{"billed_charge":8172.00,"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":772.20,"providers":[{"billed_charge":2970.00,"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":1083.60,"providers":[{"billed_charge":3913.00,"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":120.96,"providers":[{"billed_charge":504.00,"npi":[1234567893]}]}]}]},{"name":"ADHESIVE REMOVER/SOLVENT PER","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A4455","description":"ADHESIVE REMOVER OR SOLVENT (FOR TAPE, CEMENT OR OTHER ADHESIVE), PER OZ","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":23.76,"providers":[{"billed_charge":96.00,"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":66.50,"providers":[{"billed_charge":475.00,"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":1171.69,"providers":[{"billed_charge":2929.23,"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":96.96,"providers":[{"billed_charge":96.96,"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":1442.29,"providers":[{"billed_charge":5175.94,"npi":[1234567893]}]}]}]},{"name":"OST POUCH DRAIN EXT BARRIER","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A5056","description":"OSTOMY POUCH, DRAINABLE, WITH EXTENDED WEAR BARRIER ATTACHED, WITH FILTER, (1 PIECE), EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":248.50,"providers":[{"billed_charge":840.00,"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":26.00,"providers":[{"billed_charge":200.00,"npi":[1234567893]}]}]}]},{"name":"COLLEGEN WOUND FILLR DRY FOR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER G OF COLLAGEN","allowed_amounts":[{"tin":{"type":"ein","value":"834323569"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":309.00,"providers":[{"billed_charge":442.50,"npi":[1932543246]}]}]}]},{"name":"FULL FCE MASK POS ARWAY PRSS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7030","description":"FULL FACE MASK USED WITH POSITIVE AIRWAY PRESSURE DEVICE, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1372.75,"providers":[{"billed_charge":3383.00,"npi":[1234567893]}]}]}]},{"name":"FCE MASK INTERFCE REPL FULL","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE, REPLACEMENT FOR FULL FACE MASK, EACH","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":903.64,"providers":[{"billed_charge":1140.00,"npi":[1234567893]}]}]}]},{"name":"NASL INTERFCE POS ARWAY PRSS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"A7034","description":"NASAL INTERFACE (MASK OR CANNULA TYPE) USED WITH POSITIVE AIRWAY PRESSURE DEVICE, WITH OR WITHOUT HE","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":416.20,"providers":[{"billed_charge":1100.00,"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":575.71,"providers":[{"billed_charge":2191.92,"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":564.54,"providers":[{"billed_charge":2716.20,"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":176.81,"providers":[{"billed_charge":1258.14,"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":5805.00,"providers":[{"billed_charge":8482.91,"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":143.86,"providers":[{"billed_charge":359.72,"npi":[1972583078]}]}]}]},{"name":"PARENTRL NUTRITION SOL-10 GM","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"B4185","description":"PARENTERAL NUTRITION SOLUTION, PER 10 GRAMS LIPIDS","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2905.24,"providers":[{"billed_charge":4762.86,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":10294.41,"providers":[{"billed_charge":18854.05,"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":1944.76,"providers":[{"billed_charge":6421.00,"npi":[1234567893]}]}]}]},{"name":"CONTINUOUS POS AIRWAY PRESSU","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICE","allowed_amounts":[{"tin":{"type":"ein","value":"452683127"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":130.78,"providers":[{"billed_charge":280.00,"npi":[1174253934]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":225.00,"providers":[{"billed_charge":995.00,"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":570.00,"providers":[{"billed_charge":1494.00,"npi":[1234567893]}]}]}]},{"name":"PORTABLE OXYGEN CONCENTRATOR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"E1392","description":"PORTABLE OXYGEN CONCENTRATOR, RENTAL","allowed_amounts":[{"tin":{"type":"ein","value":"592852900"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":155.24,"providers":[{"billed_charge":1000.00,"npi":[1598539306]}]}]}]},{"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":19.32,"providers":[{"billed_charge":58.00,"npi":[1134585946]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":6977.88,"providers":[{"billed_charge":71352.97,"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":1899.45,"providers":[{"billed_charge":11202.50,"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":5921.76,"providers":[{"billed_charge":22043.14,"npi":[1234567893]}]}]}]},{"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":294.40,"providers":[{"billed_charge":1820.00,"npi":[1881679751]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":34269.65,"providers":[{"billed_charge":216090.82,"npi":[1234567893]}]}]}]},{"name":"EXT COUNTERPULSATION-TX SESS","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0166","description":"EXTERNAL COUNTERPULSATION, PER TREATMENT SESSION","allowed_amounts":[{"tin":{"type":"ein","value":"464686543"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1561.12,"providers":[{"billed_charge":37600.00,"npi":[1609837988]}]}]}]},{"name":"INJ SI JNT; ANES &/TX AGT &A","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0260","description":"INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC, STEROID AND/OR OTHER THERAPEUTIC ","allowed_amounts":[{"tin":{"type":"ein","value":"463648821"},"service_code":["24"],"billing_class":"professional","payments":[{"allowed_amount":2300.85,"providers":[{"billed_charge":26475.84,"npi":[1609206614]}]}]}]},{"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":420.00,"providers":[{"billed_charge":420.00,"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":"824944510"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1884.10,"providers":[{"billed_charge":7470.00,"npi":[1871989780]}]},{"allowed_amount":612.90,"providers":[{"billed_charge":2430.00,"npi":[1831517770]}]}]},{"tin":{"type":"ein","value":"824337061"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1188.49,"providers":[{"billed_charge":4635.00,"npi":[1295799088]}]}]},{"tin":{"type":"ein","value":"741680498"},"service_code":["22"],"billing_class":"professional","payments":[{"allowed_amount":1210.30,"providers":[{"billed_charge":6656.00,"npi":[1770936908]}]},{"allowed_amount":2835.54,"providers":[{"billed_charge":16128.00,"npi":[1861663924]}]}]}]},{"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":5380.56,"providers":[{"billed_charge":47599.23,"npi":[1234567893]}]}]}]},{"name":"SURG PATH PROS NEEDLE BX ANY","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0416","description":"SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATIONS, FOR PROSTATE NEEDLE BIOPSY, ANY METHOD","allowed_amounts":[{"tin":{"type":"ein","value":"452815598"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":273.05,"providers":[{"billed_charge":958.00,"npi":[1366421927]}]}]}]},{"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":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":127.76,"providers":[{"billed_charge":400.00,"npi":[1417426842]}]},{"allowed_amount":47.91,"providers":[{"billed_charge":150.00,"npi":[1528517521]}]}]}]},{"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":"933075034"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":414.18,"providers":[{"billed_charge":972.00,"npi":[1831544808]}]}]}]},{"name":"SA HI INTENS CNSL PREV STI I","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0445","description":"SEMIANNUAL HIGH INTENSITY BEHAVIORAL COUNSELING TO PREVENT STIS, INDIVIDUAL, FACE-TO-FACE, INCLUDES ","allowed_amounts":[{"tin":{"type":"ein","value":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":208.11,"providers":[{"billed_charge":420.00,"npi":[1417426842]}]},{"allowed_amount":89.19,"providers":[{"billed_charge":180.00,"npi":[1528517521]}]}]}]},{"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":"811018910"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":58.90,"providers":[{"billed_charge":120.00,"npi":[1417426842]}]}]}]},{"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":375.00,"providers":[{"billed_charge":375.00,"npi":[1265546287]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":233.03,"providers":[{"billed_charge":371.00,"npi":[1629099221]}]}]}]},{"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":"760289927"},"service_code":["50"],"billing_class":"professional","payments":[{"allowed_amount":315.00,"providers":[{"billed_charge":1050.00,"npi":[1912904897]}]}]}]},{"name":"FQHC VISIT MENTAL HEALTH EST","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"G0470","description":"FEDERALLY QUALIFIED HEALTH CENTER (FQHC) VISIT, MENTAL HEALTH, ESTABLISHED PATIENT","allowed_amounts":[{"tin":{"type":"ein","value":"270653014"},"service_code":["02","50"],"billing_class":"professional","payments":[{"allowed_amount":342.53,"providers":[{"billed_charge":1343.24,"npi":[1508497108]}]},{"allowed_amount":51.26,"providers":[{"billed_charge":201.00,"npi":[1508497108]}]}]}]},{"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":5214.60,"providers":[{"billed_charge":24575.24,"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":5283.52,"providers":[{"billed_charge":54453.06,"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":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":4347.60,"providers":[{"billed_charge":24031.76,"npi":[1234567893]}]}]},{"tin":{"type":"ein","value":"461242694"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":171.66,"providers":[{"billed_charge":495.00,"npi":[1134559685]}]}]}]},{"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":"880241758"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":14328.90,"providers":[{"billed_charge":107421.00,"npi":[1699782722]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":1705.71,"providers":[{"billed_charge":9855.06,"npi":[1234567893]}]}]}]},{"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":"273852113"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":3939.65,"providers":[{"billed_charge":8550.00,"npi":[1053366351]}]}]},{"tin":{"type":"ein","value":"760443692"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":201.15,"providers":[{"billed_charge":525.00,"npi":[1245427020]}]}]},{"tin":{"type":"ein","value":"202971454"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":617.12,"providers":[{"billed_charge":1360.00,"npi":[1497719306]}]}]},{"tin":{"type":"ein","value":"760681269"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":1153.04,"providers":[{"billed_charge":1943.00,"npi":[1154680320]}]},{"allowed_amount":1113.28,"providers":[{"billed_charge":1876.00,"npi":[1649591835]}]}]},{"tin":{"type":"ein","value":"205146786"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":397.60,"providers":[{"billed_charge":1244.10,"npi":[1528471141]}]},{"allowed_amount":1828.96,"providers":[{"billed_charge":5722.86,"npi":[1750450342]}]},{"allowed_amount":636.16,"providers":[{"billed_charge":1990.56,"npi":[1710025556,1245493360]}]},{"allowed_amount":477.12,"providers":[{"billed_charge":1492.92,"npi":[1215971049]}]},{"allowed_amount":159.98,"providers":[{"billed_charge":497.64,"npi":[1265616858]}]},{"allowed_amount":1033.76,"providers":[{"billed_charge":3234.66,"npi":[1821064304]}]}]},{"tin":{"type":"ein","value":"882064487"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":755.44,"providers":[{"billed_charge":950.00,"npi":[1437531126]}]}]},{"tin":{"type":"ein","value":"752905110"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":388.40,"providers":[{"billed_charge":450.00,"npi":[1144457649]}]},{"allowed_amount":621.44,"providers":[{"billed_charge":720.00,"npi":[1003375296]}]},{"allowed_amount":312.88,"providers":[{"billed_charge":360.00,"npi":[1598933558]}]}]},{"tin":{"type":"ein","value":"760459500"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":40.54,"providers":[{"billed_charge":221.00,"npi":[1598499824]}]}]}]},{"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":"742838631"},"service_code":["58"],"billing_class":"professional","payments":[{"allowed_amount":369.00,"providers":[{"billed_charge":1229.96,"npi":[1952613945]}]}]}]},{"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":27.00,"providers":[{"billed_charge":160.00,"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":149.40,"providers":[{"billed_charge":393.36,"npi":[1770781106]}]}]},{"tin":{"type":"ein","value":"954716863"},"service_code":["57"],"billing_class":"professional","payments":[{"allowed_amount":507.00,"providers":[{"billed_charge":3600.00,"npi":[1427440981]}]}]},{"tin":{"type":"ein","value":"942880847"},"service_code":["53"],"billing_class":"professional","payments":[{"allowed_amount":1200.00,"providers":[{"billed_charge":1200.00,"npi":[1629519335]}]}]}]},{"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":120.00,"providers":[{"billed_charge":300.00,"npi":[1770583411]}]}]}]},{"name":"CRISIS INTRVEN SVC PER15 MIN","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"H2011","description":"CRISIS INTERVENTION SERVICE, PER 15 MINUTES","allowed_amounts":[{"tin":{"type":"ein","value":"412273820"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":304.35,"providers":[{"billed_charge":664.29,"npi":[1225485253]}]}]}]},{"name":"INJ AMPHOTERICIN B LIPOSOME","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J0289","description":"INJECTION, AMPHOTERICIN B LIPOSOME, 10 MG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1288.68,"providers":[{"billed_charge":5349.75,"npi":[1234567893]}]}]}]},{"name":"INJ CEFAZOLIN SODIUM 500MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J0690","description":"INJECTION, CEFAZOLIN SODIUM, 500 MG","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":326.40,"providers":[{"billed_charge":1760.64,"npi":[1234567893]}]}]}]},{"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":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.72,"providers":[{"billed_charge":40.00,"npi":[1720814163]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":59.48,"providers":[{"billed_charge":207.36,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"461513436"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":5.31,"providers":[{"billed_charge":325.00,"npi":[1629099221]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":176.46,"providers":[{"billed_charge":34480.00,"npi":[1093920399]}]}]}]},{"name":"Injection, methylprednisolone acetate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J1010","description":"Injection, methylprednisolone acetate, 1 mg ","allowed_amounts":[{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":74.40,"providers":[{"billed_charge":230.40,"npi":[1972519544]}]}]}]},{"name":"INJ MEDROXYPROGESTERNE ACETA","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J1050","description":"INJECTION, MEDROXYPROGESTERONE ACETATE, 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"830358685"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":359.10,"providers":[{"billed_charge":1197.00,"npi":[1235225087]}]}]}]},{"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":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.56,"providers":[{"billed_charge":405.00,"npi":[1477916708]}]}]},{"tin":{"type":"ein","value":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":11.58,"providers":[{"billed_charge":384.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":19.27,"providers":[{"billed_charge":5670.00,"npi":[1093920399]}]}]}]},{"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":"832666588"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":17.06,"providers":[{"billed_charge":300.00,"npi":[1063072734]}]}]},{"tin":{"type":"ein","value":"824472878"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":1.56,"providers":[{"billed_charge":30.00,"npi":[1659617827]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11","20"],"billing_class":"professional","payments":[{"allowed_amount":1.16,"providers":[{"billed_charge":4.16,"npi":[1972519544]}]},{"allowed_amount":51.96,"providers":[{"billed_charge":172.64,"npi":[1972519544]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":55.92,"providers":[{"billed_charge":5115.00,"npi":[1093920399]}]}]}]},{"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":1775.77,"providers":[{"billed_charge":57970.00,"npi":[1234567893]}]}]}]},{"name":"INJ ONDANSETRON HCL PER 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J2405","description":"INJECTION, ONDANSETRON HCL, PER 1 MG","allowed_amounts":[{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":7.11,"providers":[{"billed_charge":22.12,"npi":[1972519544]}]}]}]},{"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":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":126.00,"providers":[{"billed_charge":428.22,"npi":[1972519544]}]}]}]},{"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":660.14,"providers":[{"billed_charge":4080.00,"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":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":2.68,"providers":[{"billed_charge":11.36,"npi":[1972519544]}]}]}]},{"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":78.61,"providers":[{"billed_charge":900.00,"npi":[1649235490]}]}]},{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":96.16,"providers":[{"billed_charge":300.96,"npi":[1972519544]}]}]}]},{"name":"ALBUTEROL TO 2.5 MG IPT TO 0","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J7620","description":"ALBUTEROL, UP TO 2.5 MG AND IPRATROPIUM BROMIDE, UP TO 0.5 MG, FDA-APPROVED FINAL PRODUCT, NONCOMPOU","allowed_amounts":[{"tin":{"type":"ein","value":"274967011"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.20,"providers":[{"billed_charge":0.60,"npi":[1972519544]}]}]}]},{"name":"DEXAMETHASONE ORAL 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"J8540","description":"DEXAMETHASONE, ORAL, 0.25 MG","allowed_amounts":[{"tin":{"type":"ein","value":"993695085"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.11,"providers":[{"billed_charge":40.00,"npi":[1720814163]}]}]}]},{"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":"823021953"},"service_code":["81","31"],"billing_class":"professional","payments":[{"allowed_amount":1.16,"providers":[{"billed_charge":3.33,"npi":[1447760814]}]},{"allowed_amount":756.32,"providers":[{"billed_charge":815.00,"npi":[1447760814]}]}]},{"tin":{"type":"ein","value":"812244474"},"service_code":["12","13","32"],"billing_class":"professional","payments":[{"allowed_amount":45.59,"providers":[{"billed_charge":112.56,"npi":[1558717827]}]},{"allowed_amount":285.18,"providers":[{"billed_charge":703.44,"npi":[1558717827]}]},{"allowed_amount":269.66,"providers":[{"billed_charge":666.24,"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":"844939989"},"service_code":["31"],"billing_class":"professional","payments":[{"allowed_amount":87.28,"providers":[{"billed_charge":104.95,"npi":[1639791007]}]}]}]},{"name":"LOCM 300-399 MG/ML I CONC PE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"Q9967","description":"LOW OSMOLAR CONTRAST MATERIAL, 300-399 MG/ML IODINE CONCENTRATION, PER ML","allowed_amounts":[{"tin":{"type":"ein","value":"264000683"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":55.94,"providers":[{"billed_charge":760.00,"npi":[1689069643]}]}]}]},{"name":"PART HOSITALIZATN SRVC<24 HR","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S0201","description":"PARTIAL HOSPITALIZATION SERVICES, LESS THAN 24 HOURS, PER DIEM","allowed_amounts":[{"tin":{"type":"ein","value":"472141462"},"service_code":["57"],"billing_class":"professional","payments":[{"allowed_amount":7549.20,"providers":[{"billed_charge":102519.00,"npi":[1891944708]}]}]}]},{"name":"HOME INFUS TX IMMUOTHAPY; PE","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9338","description":"HOME INFUSION THERAPY, IMMUNOTHERAPY, ADMINISTRATIVE SERVICES, PROFESSIONAL PHARMACY SERVICES, CARE ","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":120.00,"providers":[{"billed_charge":800.00,"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":198.00,"providers":[{"billed_charge":1100.00,"npi":[1912930736]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":6462.00,"providers":[{"billed_charge":33429.86,"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":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1870.00,"providers":[{"billed_charge":18700.00,"npi":[1234567893]}]}]}]},{"name":"HIT SYMPATHOMIMETIC/INOTROPI","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9348","description":"HOME INFUSION THERAPY, SYMPATHOMIMETIC/INOTROPIC AGENT INFUSION THERAPY (E.G., DOBUTAMINE); ADMINIST","allowed_amounts":[{"tin":{"type":"ein","value":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1334.00,"providers":[{"billed_charge":5750.00,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2813.00,"providers":[{"billed_charge":12500.00,"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":3454.29,"providers":[{"billed_charge":14064.29,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":22392.86,"providers":[{"billed_charge":97192.86,"npi":[1234567893]}]}]}]},{"name":"HIT TPN; >2 L BUT NOT >3 L-D","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9367","description":"HOME INFUSION THERAPY, TOTAL PARENTERAL NUTRITION (TPN); MORE THAN 2 LITERS BUT NO MORE THAN 3 LITER","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":500.00,"providers":[{"billed_charge":2200.00,"npi":[1234567893]}]}]}]},{"name":"HOME INFUS TX INFUSION TX NO","billing_code_type":"HCPCS","billing_code_type_version":"2022","billing_code":"S9379","description":"HOME INFUSION THERAPY, INFUSION THERAPY, NOT OTHERWISE CLASSIFIED; ADMINISTRATIVE SERVICES, PROFESSI","allowed_amounts":[{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":845.00,"providers":[{"billed_charge":3250.00,"npi":[1234567893]}]}]}]},{"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":585.73,"providers":[{"billed_charge":3218.75,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":6891.25,"providers":[{"billed_charge":51492.00,"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":416.65,"providers":[{"billed_charge":2343.75,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":2282.50,"providers":[{"billed_charge":10750.00,"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":"680208702"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":1759.80,"providers":[{"billed_charge":7250.00,"npi":[1912930736]}]},{"allowed_amount":363.60,"providers":[{"billed_charge":1500.00,"npi":[1891703575]}]}]},{"tin":{"type":"ein","value":"999999999"},"service_code":["12"],"billing_class":"professional","payments":[{"allowed_amount":25260.00,"providers":[{"billed_charge":116834.00,"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":"233079507"},"service_code":["81"],"billing_class":"professional","payments":[{"allowed_amount":142.20,"providers":[{"billed_charge":153.93,"npi":[1043271539]}]}]},{"tin":{"type":"ein","value":"843627265"},"service_code":["20"],"billing_class":"professional","payments":[{"allowed_amount":1283.00,"providers":[{"billed_charge":10000.00,"npi":[1093920399]}]}]}]}]}